Item #4 Presentation on Mental Health Resources - Integral Care — original pdf

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Integral Care: Mental Health Resources for People Experiencing Homelessness Marlene Buchanan, Director of Systems of Care Ruth Ahearn, Practice Administrator of Housing and Homeless Initiatives Since 1967, Integral Care has supported the health and well-being of adults and children living with mental illness, substance use disorder and intellectual and developmental disabilities. Integral Care was the first community center to provide directly or contract for high-quality, community-based behavioral health and intellectual disabilities services in Central Texas. FY24 Funding from Sponsoring Agencies • Total = $15,622,400 • Contracts =3 • Areas of Focus • Medication Assisted Treatment ($400K) Bed Days – In-Patient and Crisis Respite ($8.1M) Sendero Health Insurance ($122.4K) Behavioral Health Services ($7M) • • • *Central Health's Inpatient/Crisis Respite contract provides the required match of $855K for HHSC's Inpatient/Crisis Respite funds of $3.420M. • Total = $14,342,894 • Contracts = 22 • Areas of Focus • Homeless Outreach Crisis Response • Adult Behavioral Health Substance Abuse Managed Care Organizations (SAMSO) • • • Burnet Rd & Seabrook Square Renovations • Downtown Austin Community Court *Not all renewed contracts have been received. There may be some contract amount adjustments. City of Austin Interlocal funds of $1.999M provides a portion of the required match for HHSC MH & IDD Main Performance contracts total $27,211,125 and match for HHSC Path contract total of $572K and HUD contract of $491K. The City's $1.999M match provides a total of State & Federal Contracts of $28,724,438 to the local community. • Total = $13,006,731 • Contracts = 13 • Areas of Focus • Adult Behavioral Health Child & Family Services IDD Crisis Services Substance Abuse Managed Care Organizations (SAMSO) Criminal Legal System Juvenile Justice • • • • • • *Not all renewed contracts have been received. There may be some contract amount adjustments. Travis County Interlocal funds of $1.601M, which $1.476M provides a portion of HHSC MH & IDD Main Performance contracts total of $27,211,125 for local community funds. Certified Community Behavioral Health Clinic (CCBHC) • In addition to being a Local Mental Health Authority, Integral Care is also a Certified Community Behavioral Health Clinic (CCBHC). • CCBHC is a model of care designed to ensure access to coordinated comprehensive behavioral health care across the system of care. • Integral Care was first certified as a CCBHC in 2016. As of March 2022, all 39 LMHA’s in Texas have achieved CCBHC certification. • Just as hospitals and healthcare organizations can seek Joint Commission accreditation, all non-profit health centers are eligible to achieve CCBHC certification through meeting certain quality of care criteria. Where Clients Reside – FY23 • In Fiscal Year 2023, Integral Care served over 29,000 unique individuals, and over 24,000 Travis County residents. • Geo-mapping of the 24,365 Travis County clients served in FY23 reveals most clients reside along the I-35 corridor, with increasing density around the North Austin and Southeast Austin areas. 5402 PATH Outreach & Engagement PATH: Projects for Assistance in Transition from Homelessness • Supported through federal SAMHSA funds as provided via a State grant, and supplemented by the City of Austin • Mirrors much of the work of HOST, but for all of Travis County outside the Downtown corridor • PATH focuses on individuals experiencing homelessness, and who report significant behavioral health or substance use concerns • 515 Outreach contacts and 220 PATH Enrolled clients in FY23 HOST Outreach and Engagement HOST: Homeless Outreach Street Team • HOST focuses on outreach and engagement in the downtown and UT areas • A collaboration between Integral Care, Austin Police Department, Emergency Medical Services, Downtown Austin Community Court • Served 1,444 unduplicated clients for a total of 3,829 contacts in FY23 • Documents in HMIS, myAvatar, Apricot CARE CHW Program Services Outreach- serves individuals who currently or historically use substances. Most outreach clients are experiencing homelessness. • Harm reduction education and supplies. • Referral to and coordination with substance use treatment. • Works closely with Community Health Paramedics, Sunrise Church, The Other Ones Foundation, and other grassroots organizations. • Can provide funding for transportation to MAT services, items for employment like work boots, fees for birth certificates/IDs/DLs etc., and other miscellaneous items related to improving health outcomes and reducing communicable disease spread. • In FY23 had 3,325 contacts, providing 564 referrals for SUD tx; 379 referrals for MH treatment. Provided 288 overdose reversal kits. • • M3: Mobile, Medical and Mental Health Team • Collaboration with Integral Care, Dell Medical School and CommUnity Care Program Manager; Nurse; Peer Support Specialist; COPSD Specialist; 3 Case Managers; QMHP Team Lead; Housing Stability Specialist Integrated Dual Diagnosis Treatment Model • Community based integrated care team for individuals who: • • • Have experienced chronic homelessness Have tri-morbid conditions: Severe mental illness, chronical medical issue, substance use disorder Specific focus on individuals who are African American • CommUnity Care nurse “dual-credentialed” to access both Integral Care and CommUnity Care electronic health records M3 Outcomes: Emergency Department Visits Compare equal time length pre-enrollment and post- enrollment Overall decrease: 341 admissions pre-enrollment decreased to 139 (59%) Eight people increased admissions (median 2.4 additional admissions) 26 people decreased admissions (median 4, mode 1) Mental Health admissions decreased 73 to 23 (68%) Four people increased admissions (median 1.5) 10 people decreased admissions (median 1 – eight people went down to zero) Oak Springs Clinic Downtown Team • 5.5 FTE positions funded by DACC • Receives referrals for intensive community based behavioral health care from DACC and HOST • Has nursing, prescriber and peer recovery coach services embedded • Served 70 clients in FY 23 • 89% of participants received a housing support service • 76% connected to a behavioral health or primary care provdier Housing First ACT Team Eligibility: Individuals with a serious mental illness who have experienced multiple of lengthy hospitalizations and or crisis episodes and have experienced Chronic Homelessness Treatment Model: Evidence Based Model that includes approximately 12 Team Members including: Prescriber, Registered Nurse, Peer, Qualified Mental Professionals, Housing Stability Specialist and Landlord Outreach Specialist FY 2022 Outcomes: Those served by the City ACT team experienced 60% decreases across the spectrum of utilization, including hospitalizations, ER visits, and emergency EMS services resulting in $40,055 per client cost reduction per participant over 12 months. 40% of clients showed improved on Adults Needs and Strengths Assessment following 12 months of enrollment. 77% of clients were housed. • • • • Community and Service Integration • Staff onsite at Sunrise Community Church • Food pantry co-located at 3000 Oak Springs Clinic • Dedicated respite bed for individuals experiencing homelessness/housing instability • Housing Stability Specialists embedded in adult behavioral health clinics • Robust homeless prevention and diversion funding Questions?