1. Mark Stringer, Director Division of Behavioral Health Missouri Department of Mental Health 1

2. 2 1.Community Mental Health Liaisons 2.Mental Health First Aid (MHFA) 3.Crisis Intervention Team (CIT) Training 4.Emergency Room Enhancement Projects 5.NAMI Family Programs 6.New Fulton State Hospital 7.Addiction Services

3. 3  30 Liaisons  Work with courts, hospitals, law enforcement, schools, treatment agencies, and families  Over 7,500 contacts with law enforcement have been made.  Over 3,500 referrals have been made.

4.  MHFA helps people identify, understand, and respond to signs of mental illness.  Over 11,000 Mental Health First Aiders have been trained in Missouri. 4

5.  Improves the way law enforcement officers respond to people in mental health crises.  Prevents unnecessary time in jail, and reduces injuries.  CIT training has been provided to over 800 law enforcement officers. 5

6.  Help for people with mental illness and substance use disorder who are in emergency rooms often  Targets 7 areas of the state: Kansas City, St. Louis, Central, Southwest, Southeast, and Northeast 6

7. St. Louis (Behavioral Health Network)  Barnes-Jewish Hospital  Christian Hospital  Mercy Hospital  Mercy Hospital Jefferson  St. Alexius Hospital  St. Louis Regional Psychiatric Stabilization Center  St. Louis University Hospital  SSM DePaul Health Center  SSM St. Joseph’s Health Center  SSM St. Joseph’s Health Center – Wentzville  SSM St. Mary’s Health Center  St. Louis Regional Psychiatric Kansas City (ReDiscover, Truman BH, Tri- County MH, Comprehensive MH, Swope)  Truman Medical Center - Lakewood Campus, Behavioral Health ED, and Medical Hospital  St. Luke’s  Research Hospital  Two Rivers  Liberty Hospital  North Kansas City Hospital  HCA Hospitals Rolla (Pathways)  Salem Memorial District Hospital  Phelps County Regional Medical – Rolla  Hermann Area District Hospital – (working towards) Springfield (Burrell)  Mercy Hospital - Springfield  CoxHealth Hospital - Springfield  Citizens Memorial Hospital – Bolivar (working towards)  Ozarks Community Hospital – Bolivar (establishing)  Jordan Valley Community Medical Health Center (FQHC) - Springfield Columbia (Burrell)  Bothwell Regional Health Center - Sedalia  Boone Hospital - Columbia  MU Emergency Medicine Department – Columbia  Katy Trail Community Health Center (FQHC) – Sedalia  Fitzgibbons Hospital  Carroll County Medical Center  Moberly Regional Hospital Hannibal (Mark Twain BH)  Northeast Regional Medical Center - Kirksville  Hannibal Regional Hospital  Scotland County Memorial - Memphis (working towards) Samaritan Hospital – Macon (working towards) Poplar Bluff (Family Counseling Center)  Twin Rivers Regional Medical Center - Kennett  Pemiscot Memorial Hospital - Hayti  Poplar Bluff Regional Medical Center  John J. Pershing Veteran’s Hospital 7

8.  Outcomes: ◦61% reduction in ER visits and hospitalizations ◦68% reduction in homelessness ◦24% reduction in unemployment ◦107% increase in treatment enrollment ◦103% fewer arrests 8

9. NAMI has provided Family-to-Family and Basics training to over 500 family members with loved ones suffering from mental illness. 9

10. 10 Current Biggs Forensic Center (Maximum Security)

11. The State is working with an international architectural firm to plan for construction of a new 300-bed high security facility at Fulton State Hospital. Some features of the facility may be based in part on the design of the new St. Elizabeth’s Psychiatric Hospital in Washington, D.C. 11

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15.  Treatment that combines medication with counseling and social support.  It is an important part of the services available to people struggling with addiction to alcohol or other drugs. 15

16.  Targets high-cost persons on Medicaid who have both a serious medical condition and a substance use disorder.  107 individuals are enrolled in services. 16

17.  OUT of jails and psychiatric hospitals  IN stable housing  IN good jobs  IN good health  OUT of risk for bigger problems 17

18. Thank You! 18