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House Committee on Public Health Interim Report

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House Committee on Public Health Interim Report Interim Report to the 86th Texas Legislature HOUSE COMMITTEE ON PUBLIC HEALTH December 2018 HOUSE COMMITTEE ON PUBLIC HEALTH TEXAS HOUSE OF REPRESENTATIVES INTERIM REPORT 2018 A REPORT TO THE HOUSE OF REPRESENTATIVES 86TH TEXAS LEGISLATURE FOUR PRICE CHAIRMAN COMMITTEE CLERK SANDRA TALTON ASSISTANT COMMITTEE CLERK ELIZABETH FARLEY Committee On Public Health December 14, 2018 Four Price P.O. Box 2910 Chairman Austin, Texas 78768-2910 The Honorable Joe Straus Speaker, Texas House of Representatives Members of the Texas House of Representatives Texas State Capitol, Rm. 2W.13 Austin, Texas 78701 Dear Mr. Speaker and Fellow Members: The Committee on Public Health of the Eighty-fifth Legislature hereby submits its interim report including recommendations for consideration by the Eighty-sixth Legislature. Respectfully submitted, _______________________ Four Price, Chairman ______________________________ _____________________________ J.D. Sheffield , Vice Chairman Representative Diana Arévalo ______________________________ _____________________________ Representative Cindy Burkett Representative Garnet Coleman ______________________________ _____________________________ Representative Nicole Collier Representative Philip Cortez ______________________________ _____________________________ Representative R.D. "Bobby" Guerra Representative Stephanie Klick ______________________________ _____________________________ Representative Tom Oliverson Representative Bill Zedler ACKNOWLEDGMENTS The Chairman, the Vice-Chairman, and the members of the House Committee on Public Health would like to acknowledge and thank Ms. Sandra Talton, Committee Director, for her dedication throughout the entire committee process and for preparation of this report. The Chairman, the Vice-Chairman, and the Members of the House Committee on Public Health also express gratitude to Ms. Elizabeth Farley, Assistant Committee Clerk, for her assistance during the committee process and in the writing of this report and to each Member's respective office staff for their efforts on the success of the House Committee on Public Health. TABLE OF CONTENTS HOUSE COMMITTEE ON PUBLIC HEALTH ........................................................................... 1 EXECUTIVE SUMMARY ............................................................................................................ 1 INTRODUCTION .......................................................................................................................... 4 INTERIM STUDY HEARINGS .................................................................................................... 7 CHARGE 1 – WOMEN’S HEALTH SERVICES AND THE TEXAS MATERNAL MORTALITY AND MORBIDITY TASK FORCE ...................................................................... 9 Background ........................................................................................................................... 10 Statistics/Trend Data ............................................................................................................. 10 Texas Women’s Health Programs ........................................................................................ 11 Texas Maternal Mortality and Morbidity Task Force........................................................... 13 Substance Use ....................................................................................................................... 14 Challenges ............................................................................................................................. 14 Recommendations ................................................................................................................. 15 CHARGE 2 – TRAUMATIC BRAIN INJURY, ALZHEIMER’S, AND DEMENTIA ............. 16 Alzheimer's Disease and Dementia ....................................................................................... 17 Background ........................................................................................................................... 17 Statistics ................................................................................................................................ 17 State Funding ........................................................................................................................ 18 Brief Explanation of Alzheimer's Disease and Dementia ..................................................... 18 Research Developments ........................................................................................................ 19 Care Providers ....................................................................................................................... 20 Organizations and State Programs ........................................................................................ 21 Alzheimer’s Association ....................................................................................................... 21 Texas Department of State Health Services.......................................................................... 22 Texas Assisted Living Association ....................................................................................... 23 Challenges Related to Alzheimer's and Dementia ................................................................ 23 Traumatic Brain Injury ......................................................................................................... 24 Background ........................................................................................................................... 24 Statistics ................................................................................................................................ 24 State Funding ........................................................................................................................ 24 Research ................................................................................................................................ 25 Recent Legislation Specific to School Athletics ................................................................... 27 Treatment and Recovery ....................................................................................................... 27 Texas Health and Human Services Commission .................................................................. 28 Challenges Related to TBI .................................................................................................... 28 Recommendations ................................................................................................................. 29 CHARGE 3 – SERVICES FOR CHILDREN WITH MENTAL ILLNESS ................................ 30 Background ........................................................................................................................... 31 Statistics ................................................................................................................................ 31 Services and Programs .......................................................................................................... 31 Texas Health and Human Services Commission .................................................................. 31 Local Mental Health Authorities .......................................................................................... 33 Bluebonnet Trails Community Services - A Collaborative Example of an LMHA and an Independent School District to Provide Integrated Healthcare ............................................. 33 Austin Independent School District ...................................................................................... 34 Region 4 Education Service Center ...................................................................................... 35 Supporting Children with Intellectual and Developmental Disabilities With Mental Health Disorders or Who Have Experienced Trauma ...................................................................... 36 Trauma and Grief .................................................................................................................. 37 The Trauma and Grief Center ............................................................................................... 37 University of Texas Medical Branch .................................................................................... 38 Early Psychosis Intervention................................................................................................. 38 Clarity Child Guidance Center - A Center for Children's Treatment Services ..................... 39 Hurricane Harvey Task Force on School Mental Health Supports ....................................... 39 Challenges ............................................................................................................................. 41 Recommendations ................................................................................................................. 41 CHARGE 4 – THE OVERLAYS AMONG HOUSING INSTABILITY, HOMELESSNESS, AND MENTAL ILLNESS ..................................................................................................................... 43 Background ........................................................................................................................... 43 Statistics ................................................................................................................................ 44 Housing Initiatives ...............................................................................................................
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