Form O Consolidated Local Service Plan (CLSP)
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Health and Human Services Form O Consolidated Local Service Plan (CLSP) Local Mental Health Authorities and Local Behavioral Health Authorities 1 March 12, 2018 Contents Introduction ................................................................................................................................................................................................ 4 Vision, Mission, Values, Strategic Plan Update and Goals for 2017‐2019 .................................................................................................. 5 Vision ........................................................................................................................................................................................................... 5 Mission ........................................................................................................................................................................................................ 5 Values .......................................................................................................................................................................................................... 5 Goals I ‐ III .................................................................................................................................................................................................... 6 Purpose and Functions ................................................................................................................................................................................ 6 Purposes ...................................................................................................................................................................................................... 6 Functions of Integral Care as the designated Local Authority ................................................................................................................... 7 Functions of Integral Care as a Provider ..................................................................................................................................................... 9 Board of Trustees ...................................................................................................................................................................................... 10 History and Description ............................................................................................................................................................................ 11 Appointing Agencies ................................................................................................................................................................................. 12 Service Area ............................................................................................................................................................................................... 12 Populations Served ................................................................................................................................................................................... 12 Demographic Profile ................................................................................................................................................................................. 13 Section I: Local Services and Needs ........................................................................................................................................................ 14 I.A Mental Health Serves and Sites ........................................................................................................................................................... 15 I.B Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver Projects ......................................................... 37 I.C Community Participation in Planning Activities .................................................................................................................................. 39 Section II: Psychiatric Emergency Plan .................................................................................................................................................... 43 2 II.A Development of the Plan .................................................................................................................................................................... 44 II.B Crisis Response Process and Role of MCOT....................................................................................................................................... 45 II.C Plan for local, short‐term management of pre‐ and post‐arrest patients who are incompetent to stand trial ............................ 54 II.D Seamless Integration of emergent psychiatric, substance use, and physical healthcare treatment ............................................... 56 II.E Communication Plans ......................................................................................................................................................................... 57 II.F Gaps in the Local Crisis Response System ......................................................................................................................................... 58 Section III: Plans and Priorities for System Development ........................................................................................................................ 59 III.A Jail Diversion .................................................................................................................................................................................... 59 III.B Other Behavioral Health Strategic Priorities ................................................................................................................................... 65 III.C Local Priorities and Plans ................................................................................................................................................................ 76 III.D System Development and Identification of New Priorities ............................................................................................................. 80 Appendix A: Levels of Crisis Care ............................................................................................................................................................. 83 3 Introduction The Consolidated Local Service Plan (CLSP) encompasses all of the service planning requirements for Local Mental Health Authorities (LMHAs) and Local Behavioral Health Authorities (LBHAs). The CLSP has three sections: Local Services and Needs, the Psychiatric Emergency Plan, and Plans and Priorities for System Development. CLSP asks for information related to community stakeholder involvement in local planning efforts. HHSC recognizes that community engagement is an ongoing activity, and input received throughout the biennium will be reflected in the local plan. LMHAs and LBHAs may use a variety of methods to solicit additional stakeholder input specific to the local plan as needed. In completing the template, please provide concise answers, using bullet points. When necessary, add additional rows or replicate tables to provide space for a full response. Integral Care Integral Care serves as the Local Authority for mental health and intellectual developmental disabilities in Travis County, and administers an annual budget of more than $118,561,802.00 of local, state and federal funding from over 80 distinct funding sources at 47 owned/leased physical facilities during FY 2017. Integral Care operated under the name “Austin‐Travis County Mental Health and Mental Retardation Center” until September 2009, when its name was changed its name to Austin Travis County Integral Care in order to reflect evolving attitudes and terminology, and to honor the dignity of people who seek its services. Its name was changed to Integral Care in 2017. In 2017, Integral Care served more than 24,581 individuals and families, offering numerous services and programs year‐round. Individuals receiving services at Integral Care are often in dire need of treatment and often have a single or combined diagnosis of intellectual developmental disabilities, persistent mental illnesses and/or chemical dependency. Integral Care’s programs are administered through the following areas: Adult Behavioral Health, Child and Family Services, Intellectual and Developmental Disabilities, Psychiatric Crisis and Jail Diversion. Integral Care was re‐accredited by the Joint Commission on January 2018. Integral Care continues to offer numerous services and programs year‐round. Individuals receiving services at Integral Care are often in dire need of treatment and often have a single or combined diagnosis of intellectual developmental disabilities, persistent mental illnesses and/or chemical dependency. Integral Care’s programs and services are administered through the following areas: Adult Behavioral Health, Child and Family Services, Intellectual and Developmental Disabilities, Psychiatric Crisis and Jail Diversion. 4 Strategic Plan FY 2017‐2019 The 2017‐2019 Strategic Plan is a road map that sets the priorities for the organization and affects development of the annual agency budget and business plan: Vision Healthy Living for Everyone Mission To improve the lives of people affected by behavioral health and developmental and/or intellectual challenges Values People