Behavioral Health Center
of Nueces County
Annual Presentation to
Nueces County Commissioner’s Court
January 2013
What Are We?
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Unit of Local Government
Established in 1967
Designated Local Mental Health Authority by Texas Dept.
State Health Services
Designated Local Authority for services to persons with
intellectual disabilities by Texas Dept. Aging and Disability
Services
Sponsored by Nueces County Commissioner’s Court in
collaboration with City of Corpus Christi
Governed by 9 Member Board of Trustees
Planning & Network Advisory Committee
Foundation Board of Directors
FY 2013
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$17 million budget
286 employees
45 revenue sources-local, state, federal
Nueces County Hospital District: $969,129
City of Corpus Christi: $54,000
9 buildings around Nueces County
10,000 Persons Served
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Adults with mental illness = 5,672
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Children with emotional/behavioral issues = 1,042
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Persons with intellectual disabilities = 1,763
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Infants/toddlers with developmental delays = 1,563
Return on Investment
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Average community mental health service $12/day vs. average Emergency
Room visit $986
Average cost of jailing a person with serious mental illness $137 per day
vs. $45 & a longer length of stay of 80 days
Crisis Respite bed cost $100/day vs. Hospital bed cost $640
Competency Restoration Program on outpatient basis = $140 vs. in an
inpatient State Hospital setting = $401
Every 14 minutes, a person dies by suicide; 38,000 per year; 3rd leading
cause of death in 15-24 year olds
Persons with mental illness die 20 years before those without a diagnosis
Recent tragedy in Connecticut highlights need for early identification of
persons with mental health issues and secure appropriate treatment and
services
2012 Highlights
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Trauma Informed Care Seminar sponsored by
Foundation; over 100 attendees
Outpatient Competency Restoration Seminar
Accreditation by The Joint Commission
Doubled capacity to 16 beds in Crisis Respite
Home
“Suicide Safe Center” designation
Best of the Best Award
Current Issues
1115 Medicaid Transformation Waiver
Projects:
Integrated Health Care
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Wellness Promotion using Social Media with Kids
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Peer-Run Day Activity Center
Crisis intervention services for persons with intellectual disabilities
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Partners include Charlie’s Place, Christus Spohn, Corpus Christi Medical
Center, Driscoll Children’s Hospital, TAMU-CC Health Science Center &
College of Nursing
Center funds projects up front; earn incentive payments for meeting
outcome measures
Committed to $1m for intergovernmental transfers per year, with amount
increasing each year to $2m in year 5.
Utilization of State Hospital Bed Allocation
29 beds per day allocated by The Dept. of State Health
Services to hospitalize persons at state hospitals, primarily
San Antonio State Hospital.
34 beds used per day, 80% of whom are coming from the
Nueces County jail. Our utilization of persons coming from
jail is the highest in the state.
Held harmless for using more than allocation in FY 13, but
could be penalized $50 per day for each day over the
allocation effective Sept 1, 2013—based on current
utilization = $120,000.
Outpatient Competency Restoration (OCR)
Program Referrals & Admissions
4.5
4
# of Referrals and Admissions
3.5
3
2.5
2
1.5
1
0.5
0
OCR Referrals
OCR Admissions
March
0
0
April
2
1
May
1
0
June
0
0
July
0
0
August
1
0
September
2
0
October
4
0
November
3
0
Current Issues, cont.
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Rider 71 Study of Public Mental Health System
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Potential reduced state funding
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Recruit & Maintain Competent Professional Workforce
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Assessment of buildings
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Legislative session January
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Seminar February 18-19 for attorneys, includes mental health
items
Save the Date
April 18, 2013
Hollywood Nights: Red Carpet Event, an
Evening with Patty Duke
THANK YOU
HAPPY NEW YEAR!!!