Outpatient Competency And Jail-based Competency Restoration . - Texas
Outpatient Competency and Jail-Based Competency Restoration Outcomes La Quinta Swan, HHSC JCAFS Access Subcommittee
Competency Restoration Opportunities Outpatient Competency Restoration (OCR) Jail-Based Competency Restoration (JBCR) 2
OCR: Legislative Authority (1 of 2) Code of Criminal Procedure, Chapter 46B Amended by Senate Bill (S.B.) 867, 80th Texas Legislature, Regular Session, 2007 Department of State Health Services (now Health and Human Services Commission) funded 4 million to pilot four programs: Integral Care (Austin) Center for Health Care Services (San Antonio) MHMR Tarrant County (Fort Worth) Value Options-NorthSTAR (Dallas)-now North Texas Behavioral Health Authority OCR rules adopted February 9,2021. 6/17/2021 3
OCR: Legislative Authority (2 of 2) Program Expansion in 2007, 2011, 2018 Spindletop Center (Beaumont) (no longer in operation) Tri-County Behavioral Healthcare (Conroe) Behavioral Health Center Nueces County (Corpus Christi) Emergence Health Network (El Paso) Community Healthcore (Longview) StarCare Specialty Health System (Lubbock) Andrews Center Behavioral Healthcare System (Tyler) Heart of Texas Region MHMR Center (Waco) Central Counties Services (Belton) 6/17/2021 4
OCR: Services (1 of 2) Assessments: Adult Needs and Strengths Assessment Biopsychosocial Assessment HHSC Substance Use Screening Tool Risk Assessment (e.g., Violence Risk Assessment Scheme (HCR-20)) 6/17/2021 5
OCR: Services (2 of 2) Curriculum-based competency restoration education Peer supports Access to housing resources Psychosocial rehabilitative services Psychiatric and medical medications Cognitive Processing Therapy Substance use inpatient or outpatient treatment Residential treatment 6/17/2021 6
OCR Locations LMHA/LBHA Andrews Center Behavioral Healthcare System Central Counties Services County/Counties Henderson, Rains, Smith, Tyler, Van Zandt, Wood Integral Care MHMR Tarrant County Bell, Coryell, Hamilton, Lampasas,, Milam Bowie, Cass, Gregg, Harrison, Longview, Marion, Panola, Red River, Rusk, Upshur El Paso Bosque, Falls, Freestone, Hill, Limestone, McLennan, Waco area Travis Tarrant North Texas Behavioral Health Authority Dallas, Ellis, Hunt, Kaufman, Navarro, Rockwall Community Healthcore Emergence Health Network Heart of Texas Region MHMR Center Nueces Center for Mental Health and Intellectual Disabilities StarCare Specialty Health System Nueces Cochran, Crosby, Hockley, Lubbock, Lynn The Center for Health Care Services Bexar The Harris Center for Mental Health and Intellectual Disabilities Harris Tri-County Behavioral Healthcare Liberty, Montgomery, Walker 7
OCR Targets LMHA/LBHA Target Andrews Center Behavioral Healthcare System 32 Central Counties Services 15 Community Healthcore 3 Emergence Health Network 41 Heart of Texas Region MHMR Center 15 Integral Care 36 MHMR Tarrant County 25 North Texas Behavioral Health Authority 75 Nueces Center for Mental Health and Intellectual Disabilities 12 StarCare Specialty Health System 16 The Center for Health Care Services 40 The Harris Center for Mental Health and Intellectual Disabilities 60 Tri-County Behavioral Healthcare 15 8
OCR: Data (1 of 2) Total Served: Total number served since inception (2008) through FY20: 2,388 Diagnosis: 6/17/2021 Schizophrenia and related disorders: 51.64 percent Affective disorders – Bipolar: 18.33 percent Affective disorders – Major Depression: 9.85 percent Dementia/other cognitive disorders: 2.41 percent Other psychoses: 3.88 percent All other diagnoses: 11.70 percent 9
OCR: Data (2 of 2) 10
OCR Data Table Presentation Avg. LOS Restored Dismissed 2018 152 70 38 2019 218 84 64 2020 194 78 52 Collectively OCR programs have the capacity to serve 385 individuals per fiscal year. In 2019, 96% of the targets were served, in 2020 70% of the targets were served. So far, for Q1 and Q2 of FY21, 30% have been served. Numbers are based off actual individuals who completed the program. 11
OCR Restoration Rates 12
JBCR Pilot: Legislative Authority Code of Criminal Procedure, Chapter 46B, Article 46B.090 Authorized the Jail-based Competency Restoration Pilot Program HHSC awarded 1.7 million to one JBCR pilot program 6/17/2021 13
JBCR Pilot Program Harris County Reduce the number of individuals and wait times for treatment on the Clearinghouse. Provide a cost-effective alternative to competency restoration in a mental health facility or residential care facility. Reduce the demand for state hospital bed days in the area served by the Program. Minimize or ameliorate the stress of incarceration, to the extent possible, for participants in the Program. Serve 60 clients per year. Contract executed in May 2020. 14
JBCR: Legislative Authority Government Code, 531.0993 Authorized the Mental Health Grant Program for Justice-Involved Individuals (S.B. 292, 85th Texas Legislature, Regular Session, 2017) HHSC awarded 1.9 million to four JBCR programs North Texas Behavioral Health Authority (Dallas) StarCare Specialty Health System (Lubbock) Tarrant County MHMR (Tarrant) PermiaCare (Midland) JBCR rules adopted August 2018 6/17/2021 15
JBCR: Services Multidisciplinary treatment team Cognitive Behavioral Therapy Curriculum-based competency restoration education Motivational interviewing/treatment planning Coordination of general healthcare 6/17/2021 16
JBCR Locations LMHA/LBHA County/Counties North Texas Behavioral Health Authority Dallas, Ellis, Hunt, Kaufman, Navarro, Rockwall StarCare Specialty Health System Cochran, Crosby, Hockley, Lubbock, Lynn MHMR of Tarrant County Tarrant PermiaCare Brewster, Culberson, Ector, Hudspeth, Jeff Davis, Midland, Pecos, Presidio, Nueces Center for Mental Health and Intellectual Disabilities Nueces The Harris Center for Mental Health and IDD Harris 17
JBCR Targets LMHA/LBHA Target North Texas Behavioral Health Authority 60 StarCare Specialty Health System 50 MHMR of Tarrant County PermiaCare 100 9 Nueces Center for Mental Health and Intellectual Disabilities* 12 The Harris Center for Mental Health and IDD 80 HHSC does not fund the JBCR program at Nueces Center for Mental Health and Intellectual Disabilities. 18
JBCR: Data (1 of 2) 19
JBCR Data Text Presentation (1 of 2) Restored Served 2019 115 34% 341 2020 169 40% 422 For individuals charges with a felony the maximum period of restoration is 60 days. Individuals with misdemeanor charges may be grated one extension for a maximum period of restoration of 120 days in a JBCR program. In 2019, 22% of individuals served had charges dismissed and 17% in FY2020. 20
JBCR: Data (2 of 2) 6/18/2021 21
JBCR Data – Text Presentation (2 of 2) Collectively JBCR providers served: Felony Misdemeanor 2019 168 178 2020 251 197 22
Thank You LaQuinta Swan, Program Specialist Office: 512-838-4352 LaQuinta.Swan@hhs.texas.gov 6/17/2021 23
Outpatient Competency and Jail-Based Competency Restoration Outcomes La Quinta Swan, HHSC JCAFS Access Subcommittee. Competency Restoration . Andrews Center Behavioral Healthcare System (Tyler) Heart of Texas Region MHMR Center (Waco) Central Counties Services (Belton) 6/17/2021 4. OCR: Services (1 of 2)
special rules if you roll doubles. Modify the matrix to include 3 special rows/columns for jail: Steps to create Monopoly’s transition matrix: 2. jail—1st rdturn, jail—2nd turn, and jail—3 turn. 3. Make changes to account for the fact that the Go-to-Jail square acts like a slide to the jail (1st turn) square. 4.
Running an Intelligent Jail: A Guide to the Development and Use of a Jail Information System . encour-ages jail administrators to consider the design and implementation of a jail management information system (MIS) that is tailored to the specific needs of their institutions, is more cost-effective, and is easier to use.
UNESCO EDUCATION SECTOR 5 Systems thinking competency Anticipatory competency Normative competency Strategic competency Collaboration competency Critical thinking Self-awareness competency Integrated problem-solving competency Promotion of key competencies for sustainability ESD enables all individuals to contribute to achieving the SDGs by equipping them
The Jail Information Model is a new process designed to cultivate jail-based information about internal and external safety and security issues, and to disseminate it to the appropriate offices or agencies in order to solve or prevent crimes and improve public safety. This Jail Information Model encourages and promotes
2. What is the difference between outpatient and inpatient coding? Answer: Outpatient coders will focus on learning CPT , HCPCS Level II, and ICD-9-CM codes volumes 1 and 2. They will work in physician offices, outpatient clinics, and facility outpatient departments. Outpatient facility coders will also work with Ambu-
1 Introduction 1 1.1 Background of the Study 1 1.1.1 Definition and meaning of Competency 2 1.1.2 History and Evolution of Competencies 8 1.1.3 Competencies for Sales Staff 12 1.1.4 The Sales Competency Model 19 1.1.5 ASTD Competency Model 20 1.1.6 Competency Mapping 24 1.1.7 Model of Competency Mapping 27
County Jail ("Jail''') and Garfield, County Work Center ("Work Center"), pursuant to the Civil Rights of Institutionalized Persons Act, 42 U.S.C. § 1997. The DOJ toured the Jail with consultants in the fields of corrections, medical care, fire safety and environmental health and safety on July 23-25, 2002, and September 19-21, 2002.
Jazz Piano, ABRSM Publishing: Level 1, Level 2, Level 3, Level 4, Level 5 Jazz Piano from Scratch, Dr. Charles Beale Shelton Berg: Jazz Improv: Goal-Note (Book/Cd), Shelton Berg Bill Boyd: Jazz Keyboard Basics, Bill Boyd An Introduction To Jazz Chord Voicing For Keyboard, Bill Boyd Intermediate Jazz Chord Voicing For Keyboard, Bill Boyd Exploring Traditional Scales And Chords For Jazz Keyboard .
