Community Healthcore 950 N. Fourth Street, Longview Gregg Screening, assessment, and intake Substance Abuse prevention, intervention, and treatment Community Healthcore and Special Health Resources 703 Marshall Ave, Suite 310 Longview Gregg Screening, assessment, and intake Texas Resilience and Recovery (TRR) outpatient services: children Integrated healthcare: mental and physical health Wellness Pointe and Community Healthcore 2423 S. High Street, Suite C1, Longview Gregg Integrated healthcare: mental and physical health Community Healthcore 101 Madison, Gilmer Upshur Screening, assessment, and intake Texas Resilience and Recovery (TRR) outpatient services: both Community Healthcore 106 1/2 MLK Drive, Clarksville Red River Screening, assessment, and intake Texas Resilience and Recovery (TRR) outpatient services: both Community Healthcore 2435 College Dr., Texarkana Screening, assessment, and intake Texas Resilience and Recovery (TRR) outpatient services: both Integrated healthcare: mental and physical health Substance Abuse prevention, intervention, and treatment Community Healthcore 1008 N. Louise Street, Atlanta Cass Screening, assessment, and intake Texas Resilience and Recovery (TRR) outpatient services: both Community Healthcore 1701 S. Adams, Carthage Panola Screening, assessment, and intake Texas Resilience and Recovery (TRR) outpatient services: both Trial
Reduction of time peace officers wait at the ER with persons in need of Psychiatric Crisis Services Obtaining physical medicine and behavioral health services from the same location – (integrated health) Access to lower cost psychiatric prescriptions Good housing that is available to low income persons or families that is also safe and ADA Transportation to get to and from home and work, store, and appointments Section II: Psychiatric Emergency Plan The Psychiatric Emergency Plan is intended to ensure that stakeholders with a direct role in psychiatric emergencies have a shared understanding of the roles, responsibilities, and procedures that will enable them to coordinate their efforts and effectively use available resources. The Psychiatric Emergency Plan entails a collaborative review of existing crisis response activities and development of a coordinated plan for how the community will respond to psychiatric emergencies in a way that is responsive to the needs and priorities of consumers and their families. The planning effort also provides an opportunity to identify and prioritize critical gaps in the community’s emergency response system. Planning should consider all available resources, including projects funded through the 2015 Crisis and Inpatient Needs and Capacity Assessments. The HB 3793 Advisory Panel identified the following stakeholder groups as essential participants in developing the Psychiatric Emergency Plan: Law enforcement (police/sheriff and jails) Hospitals/emergency departments Judiciary, including mental health and probate courts Prosecutors and public defenders Other crisis service providers Users of crisis services and their family members Most LMHAs are actively engaged with these stakeholders on an ongoing basis, and the plan will reflect and build upon these continuing conversations, including those related to the 2015 Crisis Needs and Capacity Assessment.
II.F Gaps in the Local Crisis Response System What are the critical gaps in your local crisis emergency response system? Consider needs in all parts of your local service area, including those specific to certain counties. Counties Service System Gaps Bowie, Cass, Gregg, Harrison, Marion, Panola, Red River, Rusk, and Upshur Ability to care for physically aggressive patients requiring local hospital emergency departments to continue to hold until a state psychiatric bed is available. Many private psychiatric hospitals will not take physically aggressive patients. Section III: Plans and Priorities for System Development III.A Jail Diversion Indicate which of the following strategies you use to divert individuals from the criminal justice system. List current activities and any plans for the next two years. Include specific activities that describe the strategies checked in the first column. For those areas not required in the DSHS Performance Contract, enter NA if the LMHA has no current or planned activities. Intercept 1: Law Enforcement and Emergency Services Components Current Activities ☐ Co-mobilization with Crisis Intervention Team (CIT) ☒ Co-mobilization with Mental Health Deputies ☐ Co-location with CIT and/or MH Deputies ☐ Training dispatch and first responders ☒ Training law enforcement staff Community Healthcore works Mental Health Deputies from Gregg County and Harrison County. MCOT team as needed or requested will meet with MH Deputies or other law enforcement to
Transitioning long-term state hospital patients who no longer need an inpatient level of care to the community Reviewing the Home and Community Based Services waiver for adults with Severe Mental Illness. Review by Aug 2016 If favorable, will apply for and implement HCBS program within FY2017. After successful implementation, will review cases of long-term state hospital patients to determine if they no longer need inpatient level of care by Aug 2017. Reducing other state hospital utilization Currently in the process of opening Crisis Stabilization Unit in Kilgore. Expect to be operational 2016. Become a licensed CSU April 2016 Maintain a census of at least 7 of the 9 CSU beds by Sep 2016 thus reducing the need for state hospital beds. Tailoring service interventions to the specific identified needs of the individual Community Healthcore initiated over a year ago a Trauma Informed Care approach. This is a training that every Community Healthcore staff person completes on an annual basis to heighten the understanding and approach from a Trauma Informed approach. Information is gathered at assessment as well as annually to incorporate any history of trauma and is incorporated in to the treatment as needed. Community Healthcore has adopted a whole health emphasis Maintain and monitor existing Trauma Informed Care activities. Continue to support Peer Activities to increase awareness of Trauma Informed Care. Continue to out elements of Wellbeing & Healthy Lifestyles within the services provided.
that focuses on 7 Dimensions of Wellbeing & Healthy Lifestyles: Spiritual, Social, Occupational, Environmental, Intellectual, Emotional, and Physical. Ensuring fidelity with evidence-based practices Community Healthcore has a Director of Performance Management who works on specific projects to quantify improvement. Projects include tracking key performance objectives, SAMHSA measures, and the triple aim. Continue to ensure fidelity and improve using six sigma processes. Transition to a system of care, including development of peer support services and consumer involvement in Center activities and operations (e.g., planning, evaluation) As a part of our Hogg Grant, Community Healthcore contracted with RI Consulting, AZ to provide training and consultation on embedding recovery practices within the system of care. They provided two days of training and consultation in Feb 2016 with Staff including Peers. Continue the contractual relationship through Dec 2016. Evaluate and implement recommendations for recruiting, training and support peer employees for success; Staff development on recovery; and how to track recovery service outcomes by Dec 2016. Addressing the needs of consumers with co-occurring substance use disorders Community Healthcore simultaneously in the provision of mental health services and addiction recovery services out of our hub in Longview as a part of the Co-Occurring Psychiatric & There are no plans beyond continued operations and coordination of services.
For each priority, briefly describe current activities and achievements and summarize your plans for the next two years. If local priorities are addressed in the table above, list the local priority and enter “see above” in the remaining two cells. Local Priority Current Status Plans CIT with local law enforcement Inviting state contact to come to the Community Healthcore Service area and share how this approach has been successful at other community centers in Texas. Work with on law enforcement department to develop a CIT by August 2017. Local County Jail pilot to provide jail screening for suicide threats. In negotiation with local county jail. By 2017, Community Healthcore will provide daily four hour coverage at the jail with Community Healthcore crisis screener at the jail. License a 9 bed Crisis Stabilization Unit to reduce out of the area psychiatric hospitalizations Currently in the construction phase at a local hospital. Goal is to be licensed and operational by April 1, 2016. Operate our own Integrated Health services within one of our mental health clinics by inviting in a physical health provider on to our site (currently providing integrated health on FQHC sites.) Startup phase of the SAMHSA grant and working to recruit a willing healthcare provider. In the next two years replicate the model within one other Community Healthcore Clinic.