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Published byDale Reynolds Modified over 9 years ago
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Mental Health and Substance Abuse Needs and Gaps FY 2013
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Provide legislators with information on behavioral health services in Idaho’s Region 2. Demonstrate the effects of current funding for mental health and substance abuse services Recommendations about services based on research data PURPOSE
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3 years of data collection 25 Stakeholders Responded Treatment Providers Schools Hospitals Justice System Law enforcement Prosecutors Judicial system RESEARCH
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Suicide 6 th highest in U.S. - 49% higher than U.S. average Nez Perce County - 21 suicides per 100,000 Nationally – 13.7 suicides per 100,000 $36 million - Cost of attempts per year in Idaho $850,000 – Medical cost of completed suicides Idaho Funding $36.64 per capita expenditures for mental health Lowest in U.S. Idaho Mental Health Facts
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Dedication and commitment of the Behavioral Health Providers and Regional Mental Health Board Specialty Courts Veterans Court established 2013 Currently 36 Mental Health Court participants Graduates 20 Mental Health Court 43 DUI Court 77 Drug Court CIT Training by Law Enforcement Region 2 Strengths
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“Children’s Mental Health is Preventative Mental Health” Jennifer Griffis
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Percentage of Children Served with Mental Health Diagnoses 2011-12 10-80% of children served 2012-13 10-80% of children served 2013-14 10-85% of children served School Social Workers & Counselors – 8 districts
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More school-based services More psychiatric and medication management services for children and youth More community-based services for children and families Accessible services for low-income families Transportation Easier access in rural areas Local inpatient treatment for children & youth Needs and Gaps
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“Research has shown early intervention and effective treatment of children’s mental health needs have positive correlation to improved school performance, less involvement with juvenile justice system, and reduced cost for mental health treatment into adulthood.” Parent and Advocate To the Legislature
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FY 2010 35 children/youth FY 2011 28 children/youth FY 2012 38 children/youth FY 2013 Unavailable Health and Welfare Crisis Response
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Youth in Idaho Juvenile Justice System with mental health diagnosis o 70.2% Youth with Co-occurring Disorders o 39.2% Youth with Substance Abuse Disorder o 59.6% Juvenile Justice System
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Hospitals - ER Visits Mental Health 2010 1532 Visits 2011 1649 Visits 2012 1584 Visits * 2013 Unavailable *estimate based on 1 st quarter statistics Drugs and Alcohol 2010 160 Visits 2011 158 Visits 2012 140 Visits* 2013 Unavailable
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Hospital Admissions Mental Health 2010 499 Admissions 2011 529 Admissions 2012 456 Admissions* 2013 734 Admissions Drug and Alcohol 2010 242 Admissions 2011 272 Admissions 2012 252 Admissions* 2013 Unavailable
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ER - Mental Health and Substance Abuse 2010 - $672,296 2011 - $877,190 2012 - $722,824* Inpatient Mental Health 2013 -$429,000 Hospital Cost of Indigent Care
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Number of Medicaid clients served 2011 50-300 clients 2012 66-250 client 2013 86-250 clients Percentage of clients covered by all types of government funding 60-100 % Private Providers 4 Agencies
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Excessive rules and regulations cost businesses and reduce patient care Closing of rural Dept. of Health and Welfare Office left major gap in services Need for Crisis Housing Need for state-funded detox facility Need for residential treatment for clients with substance use disorders Private Providers Needs and Gaps
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“We are the ones that have to look people in the eye and say ‘nope-sorry-can’t help you’… Ultimately the state will end up paying more for in-patient care, child protection, and incarceration but the lines never seem to be drawn from here to there.” Private Provider To the Legislators
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FY 2010 265 individuals FY 2011 274 individuals FY 2012 340 individuals FY 2013 unavailable Region 2 Health and Welfare Crisis Response
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Prosecuting Attorneys 6 Prosecutors Mental Health Cases involving Mental Health conditions 5-75% 2010-13: increase in cases involving mental health conditions appearing for court disposition Substance Abuse Cases involving Alcohol and/or Drugs 5-90% 2010-13: increase in cases involving substance use disorders appearing for court disposition
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“ My primary concern is public safety…I believe a true financial analysis would show that the cost of handling the mentally ill as criminals (a system poorly suited to good outcomes for the mentally ill) is in the long run as or more expensive than providing treatment.” Prosecutor’s Concern
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Ability of defendants to pay for mental health services has decreased in the last three years. Court costs of working with defendants with mental health needs are more than other cases. Ability to find competent resources in the rural areas of district is decreasing. Needs and Gaps
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“While Mental Health Court is helpful for some, many of these people would not be committing crimes if their mental illness was being properly addressed.” “Without the ability to address underlying mental health issues, the ability to treat substance abuse issues, and modify behaviors are significantly impaired. We lack something even as basic as an ACT team or an office for mental health professionals to meet defendants in our area.” To the Legislature
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“It is far less expensive to properly treat mental illness than incarcerate them as criminals -- not to mention the avoidable damage to the community by allowing their condition to deteriorate to where they are engaging in criminal conduct and victimizing others.” “A person’s mental health needs, and a community’s response, are ongoing and need to be maintained with a large measure of certainty and consistency. Thus, random spurts of money are totally ineffective.” To the Legislature
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Law Enforcement - 1 Mental Health Holds 2012 – 3 2013 – 1 M H Transports 2012 – 3 2013 – 1 Average amount of officer time per transport: 3 hours Attempted suicides 2012 – 7 2013 – 9 Completed suicides 2012 – 1 2013 – 0 Average amount of hours involved per attempt and per suicide: 5 hours
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Mental Health Transports 2011 38 transports 80 hours of officer time $2800 personnel cost 2012 54 transports 110 hours of officer time $3850 personnel cost Law Enforcement - 2
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Lowered response time for other concerns Fewer officers available to respond Increased cost of calling in off- duty officers Training cost for officers on mental health issues Effect on Law Enforcement
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Officer Safety Safety of emotionally disturbed person Safety of citizens Accurate identification of mental health issues by responding officer Law Enforcement’s Concerns
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“Law enforcement interaction with persons with mental health issues or emotionally disturbed persons (EDP) has increased over the past decade. The time and resources expended to address this problem is a resource and financial drain upon any law enforcement entity.” To the Legislature
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Court System Request for Mental Health Commitment Nez Perce County
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Reduce load on Justice System and increase funding for mental health & substance abuse services. Greater regional control of funding allocation. Increase access to services in rural and frontier areas. Increase services in schools. Increase community services for children and families. Local detox unit and residential treatment for substance use disorders Increase funding for prevention. Recommendations
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