1. Behavioral Health Center of Nueces County Annual Presentation to Nueces County Commissioner’s Court January 2013

2. What Are We? Unit of Local Government Unit of Local Government Established in 1967 Established in 1967 Designated Local Mental Health Authority by Texas Dept. State Health Services 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 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 Sponsored by Nueces County Commissioner’s Court in collaboration with City of Corpus Christi Governed by 9 Member Board of Trustees Governed by 9 Member Board of Trustees Planning & Network Advisory Committee Planning & Network Advisory Committee Foundation Board of Directors Foundation Board of Directors

3. FY 2013 $17 million budget $17 million budget 286 employees 286 employees 45 revenue sources-local, state, federal 45 revenue sources-local, state, federal Nueces County Hospital District: $969,129 Nueces County Hospital District: $969,129 City of Corpus Christi: $54,000 City of Corpus Christi: $54,000 9 buildings around Nueces County 9 buildings around Nueces County

4. 10,000 Persons Served Adults with mental illness = 5,672 Adults with mental illness = 5,672 Children with emotional/behavioral issues = 1,042 Children with emotional/behavioral issues = 1,042 Persons with intellectual disabilities = 1,763 Persons with intellectual disabilities = 1,763 Infants/toddlers with developmental delays = 1,563 Infants/toddlers with developmental delays = 1,563

5. Return on Investment Average community mental health service $12/day vs. average Emergency Room visit $986 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 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 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 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; 3 rd leading cause of death in 15-24 year olds Every 14 minutes, a person dies by suicide; 38,000 per year; 3 rd leading cause of death in 15-24 year olds Persons with mental illness die 20 years before those without a diagnosis 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 Recent tragedy in Connecticut highlights need for early identification of persons with mental health issues and secure appropriate treatment and services

6. 2012 Highlights Trauma Informed Care Seminar sponsored by Foundation; over 100 attendees Trauma Informed Care Seminar sponsored by Foundation; over 100 attendees Outpatient Competency Restoration Seminar Outpatient Competency Restoration Seminar Accreditation by The Joint Commission Accreditation by The Joint Commission Doubled capacity to 16 beds in Crisis Respite Home Doubled capacity to 16 beds in Crisis Respite Home “Suicide Safe Center” designation “Suicide Safe Center” designation Best of the Best Award Best of the Best Award

7. Current Issues 1115 Medicaid Transformation Waiver Projects: Integrated Health Care Integrated Health Care Wellness Promotion using Social Media with Kids Wellness Promotion using Social Media with Kids Peer-Run Day Activity Center Peer-Run Day Activity Center Crisis intervention services for persons with intellectual disabilities Crisis intervention services for persons with intellectual disabilities Partners include Charlie’s Place, Christus Spohn, Corpus Christi Medical Center, Driscoll Children’s Hospital, TAMU-CC Health Science Center & College of Nursing 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 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. Committed to $1m for intergovernmental transfers per year, with amount increasing each year to $2m in year 5.

8. 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.

9. Outpatient Competency Restoration (OCR) Program Referrals & Admissions

10. Current Issues, cont. Rider 71 Study of Public Mental Health System Rider 71 Study of Public Mental Health System Potential reduced state funding Potential reduced state funding Recruit & Maintain Competent Professional Workforce Recruit & Maintain Competent Professional Workforce Assessment of buildings Assessment of buildings Legislative session January Legislative session January Seminar February 18-19 for attorneys, includes mental health items Seminar February 18-19 for attorneys, includes mental health items

11. Save the Date April 18, 2013 Hollywood Nights: Red Carpet Event, an Evening with Patty Duke

12. THANK YOU HAPPY NEW YEAR!!!