1. THR Behavioral Health Service Line
May 14, 2018
Executive Summary
Behavioral Health Services Overview
BH Volume
Top Diagnoses
Mansfield Recovery & Wellness Center
Texas Alcohol/Drug Use & Treatment
Texas Mental Health Summary Data & Treatment
National Inpatient & Outpatient BH Trend
Questions

2. Executive Summary
THR’s healthcare delivery system includes a very large number of patients with Behavioral Health diagnoses
Serving these THR patients as well as community clients throughout North Texas is an important focus and challenge for THBH

3. Texas Health Behavioral Health Services Overview
Call Center
Transfer Center
Mobile Assessment Team & iPad Assessments
6 Inpatient Psychiatric facilities
Residential Addiction Treatment – Mansfield Recovery & Wellness Center
16 Intensive Outpatient Clinics
16 Partial Hospital Programs
Employee Assistance Program

4. BH Volume
In 2017, across all THR services 27,553 primary behavioral health encounters were provided:
20,320 primary Psychiatric encounters occurred; this is 74% of all primary behavioral health encounters at THR
7,253 primary Alcohol/Drug encounters occurred; this is 26% of all primary behavioral health encounters at THR and, of these:
3,114 primary Alcohol/Drug encounters were for dependence (addiction)
In 2016, in all THR Emergency Departments alone, there were:
59,771 encounters (or 8% of all ED Admissions) involving any Psychiatric diagnostic mention (not just primary dx) and
141,277 encounters (or 20% of all ED Admissions) involving any Alcohol/Drug diagnostic mention (not just primary dx)
= 201,048 combined Psychiatric and Alcohol/Drug Emergency Dept. encounters
Inpatient Admission = 1 encounter; outpatient encounters = visits
All data is from THR HIM 4

5. BH Volume
Throughout all of THR (all levels of care and programs), primary BH diagnoses:
43% of diagnoses are for Mood (Affective) Disorders
26% are for Mental and behavioral disorders due to psychoactive substance use
16% are for Anxiety, dissociative, stress-related, somatoform and other nonpsychotic disorders
And for these primary BH diagnoses
44% of encounters occur in THR Emergency Departments
31% occur on inpatient units
25% occur in outpatient settings 5

6. BH Call Center, Transfer Center, Mobile Assessment Team Volume
Annual Total Calls to / from Call & Transfer Center
2016: 215,109
2017: 254,751
Annual Total Transfer Requests to Transfer Center
2016: 8,973 requests; 5,870 made
2017: 11,404 requests; 8,025 made
Mobile Assessment Team Assessed Patients
2016: 8,492
2017: 12,960
The Mobile Assessment Team has now begun using Tele-Behavioral Health assessments to reduce wait time

7. Top BH Diagnoses - 2017 Throughout all of THR and all levels of care:
20,320 or 74% of behavioral health encounters were for a primary psychiatric disorder
7,233 or 26% were for a primary alcohol/drug disorder
27,553 total behavioral health encounters were provided

8. Texas Health Mansfield Recovery & Wellness Center
Residential Treatment Center for Drugs and Alcohol
Average Length of Stay varies based on clinical need
Building has a total of 80 beds, 70,000 square foot state-of-the art facility
Currently accepting adult men and women
Plans are to open adolescent unit with the next few months

9. Texas Health Mansfield Recovery & Wellness Center
Dedicated to alcohol and drug addiction recovery with a focus on overall well-being:
Yoga and tai chi studios
Swimming pool
Modern gym
Outdoor walking trails
How to refer to THRWC:
Call THRWC at or the THR Behavioral Health Call Center at to schedule an appointment
Structured, Person-Centered Therapy:
Educational and process groups
Psychiatrist and physicians
Recovery specialists led groups
Discharge planning groups
Nursing education groups
Onsite AA/NA meetings
Family support group weekly in which we offer support services to current and discharged family members. This is the same night as our alumni meetings, so that family and alumni can come together to the facility but attend separate meetings

10. Texas Alcohol/Drug Use & TreatmentIn
An annual average of about 25,000 individuals aged 12 or older (0.11% of all individuals in this age group) had used heroin in the past year
An annual average of about 1,305,000 individuals aged 12 or older (6.0% of all individuals in this age group) had an alcohol use disorder in the past year.
In a single-day count in 2015, 35,293 individuals in Texas were enrolled in substance use treatment — a decrease from 36,875 individuals in 2011, but an increase from 31,375 individuals in 2012 and 34,704 individuals in 2013.
In a single-day count in 2015, 9,833 individuals in Texas were receiving methadone in opioid treatment programs as part of their substance use treatment—an increase from 9,630 individuals in 2011 and 9,581 individuals in 2012, but a decrease from 11,649 individuals in 2013.
Source: SAMHSA Texas Behavioral Health Barometer 2017

11. Texas Alcohol/Drug Treatment
Among individuals in Texas enrolled in substance use treatment in a single-day count in 2015:
45.1% were in treatment for a drug problem only
14.9% were in treatment for an alcohol problem only
40.0% were in treatment for both drug and alcohol problems
Source: SAMHSA Texas Behavioral Health Barometer 2017

12. Texas Mental Health Data & Treatment
In an annual average of about 272,000 adolescents aged (11.5% of all adolescents) had experienced a Major Depressive Episode (MDE) in the past year
From 2011 to 2015 an annual average of about 77,000 adolescents with past year MDE received treatment (33.4% of al adolescents with past year MDE); this means 66.6% did not receive treatment
From , an annual average of about 678,000 adults aged 18 or older (3.5% of all adults) had serious thoughts of suicide in the past year
In , an annual average of about 645,000 adults aged 18 or older (3.3% of all adults) had a Serious Mental Illness in the past year; of these, 38% received treatment and 62% did not
In the sixteen county North Texas county region, in 2016*:
420,456 substance abuse visits were provided
620,324 mental health visits were provided
134,999 visits for combined mental health/substance abuse
* Source: North Texas Community Health Collaborative, BH Community Needs Assessment, Dr. Sushma Sharma

13. Projected National BH Inpatient Discharges Volume & Percent Change From 2017
Nationally, by volume and percent change, psychoses will account for 62% of all inpatient discharges followed by Alcohol/Drug Abuse or Dependence at 16% of all discharges
Nationally, over the next five years:
National inpatient Behavioral Health discharges are projected to grown by 6% for adults and 5% for children and adolescents (data not shown)
National outpatient Behavioral Health services are projected to grow by 10% for adults and 8% for children and adolescents (data not shown)
Source: Sg2