MHMRA of Harris County - Annual Report Fiscal 2013-2014 - Page 9

Wraparound and in-home services for high-risk consumers with IDD and Autism Spectrum Disorders and their families were also established in order to avoid utilization of intensive, more costly services. A liaison team of MHMRA experts was also formed to provide consultative services to physicians who treat consumers with co-occuring IDD and Mental Illness disorders while they are in treatment at the University of Texas Harris County Psychiatric Center (UTHCPC) or the NeuroPsychiatric Center (NPC). Services include assisting patients admitted to UTHCPC to apply for MHMRA IDD services; providing IDD consultation services to UTHCPC and NPC staff; providing liaison services between UTHCPC staff and MHMRA of Harris County; and providing liaison services between Harris County Probate Courts housed at UTHCPC and MHMRA of Harris County. More Individuals with a dual diagnosis of IDD and mental illness are seeing improved services and supports p s yc h i at r i c Em e r g e n c y S e r v i c e s T he 1115 Medicaid Waiver dollars also helped address another major concern: emergency rooms across the County being overburdened by mental health crisis visits. One of the projects to assist in reducing this pressure is the Interim Care Clinic (ICC), where Individuals who need urgent mental health care are now diverted from seeking care through the emergency system and welcomed into renovated, expanded staffing, and extended service hours. The expansion for the ICC also provides a benefit for the staff of our Center’s acute Psychiatric Emergency Services (PES), who can now focus efforts on the most severe cases and individuals who are brought in by law enforcement officers. In addition, those with urgent care needs are now able to receive services in a more timely fashion. Individuals seeking services at the ICC do not necessarily have to be established MHMRA patients. The ICC can address needs that don’t require routine outpatient mental health services, or if the patients don’t have an assigned provider at the time and their condition might deteriorate to the point of needing hospitalization if they don’t receive timely services. Our partnerships with local Law Enforcement organizations strengthened over the last two years. Crisis Intervention Response Teams (CIRT) increased from 13 to 19 by the end of Fiscal Year 2014. Speciallytrained officers from the Houston Police Department and the Harris County Sheriff ’s Office team up with an MHMRA licensed clinician in a squad car to help resolve mental health crisis calls at the scene before they may deteriorate further and result in hospitalization or incarceration. CIRT helps divert individuals from jail – less than 1 percent of all CIRT calls result in an individual being transported to jail. Conversely, 99 percent of individuals who could be charged are not, and are provided mental health treatment instead. CIRT is not the only collaborative program between our Center and local law enforcement. The list of programs on the next section describes more innovative ways our clinicians and officers equipped with crisis intervention training are teaming up to more effectively resolve mental health crises that could otherwise worsen, or facilitate individual access to more intensive crisis intervention services, if needed. Annual Report 2013-2014 | Building Brighter Possibilities | pg. 6