1. Behavioral Health Center of Nueces County Annual Presentation to Nueces County Commissioner’s Court January 2014

2. BHCNC is… 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 through inter-local agreement with City of Corpus Christi Sponsored by Nueces County Commissioner’s Court through inter-local agreement 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 2014 $19 million budget $19 million budget 310 full time equivalents 310 full time equivalents 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. 9,000 Persons Served Adults with mental illness = 5,296 Adults with mental illness = 5,296 Children with emotional/behavioral issues = 923 Children with emotional/behavioral issues = 923 Persons with intellectual disabilities = 1,264 Persons with intellectual disabilities = 1,264 Infants/toddlers with developmental delays = 1,114 Infants/toddlers with developmental delays = 1,114

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 on outpatient basis = $140 vs. in an inpatient State Hospital setting = $401 Competency Restoration 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

6. 2013 Highlights Criminal Law seminar with Nueces County Courts Criminal Law seminar with Nueces County Courts Awarded Supportive Housing grant ($800,000) Awarded Supportive Housing grant ($800,000) “Suicide Safe Center” designation “Suicide Safe Center” designation Liability Loss Prevention Award from Texas Council Risk Management Fund Liability Loss Prevention Award from Texas Council Risk Management Fund Completed $280,000 CDBG window replacement & parking lot repair project for Brownlee Square bldg Completed $280,000 CDBG window replacement & parking lot repair project for Brownlee Square bldg 3% cost of living salary adjustment for employees 3% cost of living salary adjustment for employees

7. 1115 Medicaid Transformation Waiver Projects ■ Integrated Health Care (primary & behavioral health) for adults Mental Wellness Promotion using social media for kids & families Mental Wellness Promotion using social media for kids & families Peer-Run Day Activity Center for adults with serious mental illness Peer-Run Day Activity Center for adults with serious mental illness Crisis intervention services for persons with intellectual disabilities Crisis intervention services for persons with intellectual disabilities Partners: Charlie’s Place, Christus Spohn, Corpus Christi Medical Center, Driscoll Children’s Hospital, TAMU-CC Health Science Center & College of Nursing Partners: 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 $1million for intergovernmental transfers per year, with amount increasing each year to $2 million in year 5 of waiver Committed to $1million for intergovernmental transfers per year, with amount increasing each year to $2 million in year 5 of waiver Sustainability Sustainability

8. Looking Ahead SB 1, Article II, DSHS, Rider 78, Mental Health Outcomes and Accountability: DSHS withholding 10% of General Revenue for use as a performance based incentive payment; contingent upon achievement of outcome targets by September 1, 2014. SB 1, Article II, DSHS, Rider 78, Mental Health Outcomes and Accountability: DSHS withholding 10% of General Revenue for use as a performance based incentive payment; contingent upon achievement of outcome targets by September 1, 2014. Case Management and Psychiatric Rehabilitation Services Carved-In Managed Care September 2014; subsequent reduction in state general revenue Case Management and Psychiatric Rehabilitation Services Carved-In Managed Care September 2014; subsequent reduction in state general revenue Thriving in Affordable Care Act and Managed Care environment Thriving in Affordable Care Act and Managed Care environment Recruit & Retain Competent Professional Workforce Recruit & Retain Competent Professional Workforce Cognitive Processing Therapy Training Spring 2014, sponsored by Foundation Cognitive Processing Therapy Training Spring 2014, sponsored by Foundation Mental Health First Aid Mental Health First Aid Long-term facility planning Long-term facility planning

9. THANK YOU & HAPPY NEW YEAR!!!