The Harris Center for Mental Health and IDD i hi- .. HARRIS 9401 Southwest Freeway, Houston, Texas 77074 - J CEN'l'E!I I,:: Steve Schnee Conference Room 104 Mentalllealth and IDD Trnr.s/omimg !.;w: Teleconference Available Phone number 1-877-422-8614 Extension 1982338# Program Committee Meeting March 16, 2021 11:30 am I. DECLARATION OF QUORUM II. PUBLIC COMMENTS 111. APPROVAL OF MINUTES A. Approve Minutes of the Board of Trustees Program Committee Held on Tuesday, January 19, 2021 (EXHIBIT P-1) IV. REVIEW AND COMMENT A. Mental Health Outpatient Services 1 st Quarter Report (EXHIBIT P-2 Mike Downey) B. Forensic Division Services Quarterly Report (EXHIBIT P-3 Monalisa Jiles) C. COVID-19 Community Outreach (EXHIBIT P-4 Jennifer Battle) V. EXECUTIVE SESSION-As authorized by §551.071 of the Texas Government Code, the Board of Trustees reserves the right to adjourn into Executive Session at any time during the course of this meeting to seek legal advice from its attorney about any matters listed on the agenda. VI. RECONVENE INTO OPEN SESSION VII. CONSIDER AND TAKE ACTION AS A RESULT OF THE EXECUTIVE SESSION VIII. INFORMATION ONLY IX. ADJOURN Veronica Franco, Board Liaison Bonnie Heliums, MED, LMFT, LCDC, AAC, JD Chairperson Program Committee The Harris Center for Mental Health and IDD Board of Trustees Page 2 of 41 BOARD OF TRUSTEES The HARRIS CENTER for Mental Health and IDD PROGRAM COMMITTEE MEETING TUESDAY, JANUARY 19, 2021 MINUTES Mrs. Bonnie Hellums, Board of Trustees Chair, called the meeting to order at 11:52 a.m. in Room 104 of the 9401 Southwest Freeway location, noting a quorum of the Committee was present. Committee Members in Attendance: Bonnie Hellums, Lois Moore, Robin Gearing, Jim Lykes Committee Member in Absence: None Other Board Members in Attendance: None I. DECLARATION OF QUORUM The meeting was called to order at 11:52 a.m. II. PUBLIC COMMENTS There were no requests for Public Comment. III. Approve the Minutes of the Board of Trustees Program Committee Meeting Held on Tuesday, November 10, 2020. MOTION BY: MOORE SECOND BY: SANTOS With unanimous affirmative votes BE IT RESOLVED that the Minutes of the Board of Trustees Program Committee meeting held on Tuesday, November 10, 2020 under Exhibit P-1, are approved and recommended to the Full Board for acceptance. IV. REVIEW AND COMMENT A. Comprehensive Psychiatric Emergency Program 1st Quarter Report, presented by Kim Kornmayer, attached in the Program Committee Agenda Packet under Exhibit P-2. B. Early Childhood Performance Report and Annual Determinations, presented by Bob Stakem and Marlene Hollier, attached in the Program Committee Agenda Packet under Exhibit P-3. V. EXECUTIVE SESSION There was no need for an Executive Session. Board of Trustees Program Committee Meeting (01/19/2021) MINUTES Page 1 of 2 Page 3 of 41 VI. ADJOURN There being no further business, the meeting adjourned at 11:56 a.m. Veronica Franco, Board Liaison Bonnie Hellums, Chairman Program Committee THE HARRIS CENTER for Mental Health and IDD Board of Trustees Board of Trustees Program Committee Meeting (01/19/2021) MINUTES Page 2 of 2 Page 4 of 41 Mental Health Outpatient Services Quarterly Report 1st Quarter 2021 Mike Downey, MBA, MA, LPC VP – Mental Health Outpatient Services Page 5 of 41 Service Delivery – Q1 Patients Served – Adults (AMH) • Northwest Clinic 5,402 Total AMH unduplicated • Northeast Clinic 2,936 18,373 • Southeast Clinic 5,059 • Southwest Clinic 3,505 • ACT / FACT Program 575 • New Start 1,062 • Substance Use (LCDC) Program 933 • Supported Employment 1,129 • Supported Housing 329 • Peer Services 402 • Collaborative Care 864 Patients Served – Children/Adolescents (CAS) • Southwest Clinic 1,615 Total CAS unduplicated • Southeast Clinic 912 4,073 • Northwest Clinic 459 • Co Location Program 887 • Juvenile Justice 267 • YES Waiver 324 • CPS Collaboration 47 Patients Served – Eligibility Services • Eligibility at NPC 1,473 2 Page 6 of 41 Intake and Eligibility – Q1 Psychiatric Intakes – AMH • Northwest Clinic 538 Total AMH • Northeast Clinic 343 2,054 • Southeast Clinic 611 • Southwest Clinic 333 • ACT / FACT Program 67 • New Start 162 Psychiatric Intakes – CAS • Southwest Clinic 131 Total CAS • Northwest Clinic 57 • Southeast Clinic 100 415 • Co Location Program 114 • Juvenile Justice 13 Initial LPHA Eligibility Intakes • Northwest AMH Clinic 525 Total AMH • Northeast AMH Clinic 489 2,070 • Southeast AMH Clinic 578 • Southwest AMH Clinic 478 Initial LPHA Eligibility Intakes • Southwest CAS Clinic 360 Total CAS • Co Location CAS Clinics 129 532 • YES Waiver 41 • Juvenile Justice 2 3 Page 7 of 41 Outpatient Census Patients Served by Quarter CAS Services 4400 4200 4000 4th 2019 1st 2020 2nd 2020 3rd 2020 4th 2020 1st 2021 AMH Services 19000 18000 17000 16000 15000 14000 4th 2019 1st 2020 2nd 2020 3rd 2020 4th 2020 1st 2021 4 Page 8 of 41 Key Outcomes Improvement in Functioning Schooling Improvement Living / Family Improvement CAS State Contract 25% CAS State Contract 60% CAS State Contract 67.5% 17% Total CAS Total CAS 77% Total CAS 93% SE CAS Clinic 22% SE CAS... 68% SE CAS Clinic 90% SW CAS Clinic 16% SW CAS... 84% SW CAS Clinic 95% Co Location 97% Co Location 15% Co Location 80% Improvement in Functioning Employment Improvement Residential Improvement Education Volunteering AMH State Contract 20% AMH State Contract 39.8% AMH State Contract 84% Improvement AMH State Contract 26.5% Total AMH 82% Total AMH 36% Total AMH 36% Total AMH 67% ACT/FACT 80% ACT/FACT 37% ACT/FACT 38% ACT/FACT 79% SW Clinic 34% SW Clinic 86% SW Clinic 33% SW Clinic 78% NW Clinic 34% NW Clinic 79% NW Clinic 41% NW Clinic 61% NE Clinic 43% NE Clinic 75% NE Clinic 33% NE Clinic 41% SE Clinic 33% SE Clinic 88% SE Clinic 51% SE Clinic 75% 5 Page 9 of 41 Accomplishments AMH and CAS Clinics: • Exceeded Adult Care Count for the 2021 contract year • Successful Acute Outpatient Treatment program start; 19 in service 25 served to date • OCR successfully transferred to 6160 South Loop, expect full census by end of January • CCBHC grant gained from SAMSHA for $1,900K per year, 2 years Integrated Care: • OPTUM rollout started, 250 patients identified for first wave of recruitment; outreach materials prepared • Training on OPTUM program completed; use of OPTUM portal and Care Management principles • Developed an Integrated Care library for staff to use with patients • Instituted monthly Primary Care staffing with UofH doctors at each clinic Continuity of Care Services: • 1,398 HCPC discharges • Assisted 1,473 patients at NPC in connecting with ongoing services Ancillary Services: • Supported Housing assisted 224 patients with rental funds, $295,612 • Established relationships with 5 new employers for Supported Employment, assisted 320 patients in gaining employment, worked with 1,129 clients • Start up of MAT (Medication Assisted Treatment) with HC Family Planning, $310M grant from HHSC • LCDC (Substance Abuse) Program provided services to 933 patients Business Office: • Started up use of Tejas MCO Generator saving considerable business office staff time (3 FTE) 6 Page 10 of 41 Action Plan AMH and CAS Clinics: • Continue tracking of DSRIP outcomes with the start of the new calendar year • Work towards hitting HHSC CARE target for Children’s services • Applying for SAMSHA Trauma Informed Care grant for Children ($400K/5 years) Integrated Care: • Begin identifying additional 250 patients for OPTUM program (Final total 1,500) • Redesign 3rd floor at SW Clinic to accommodate Integrated Care COC Services: • Expand our presence in the Courts to assist in connecting patients to THC Ancillary Services: • Develop a Supported Volunteering Program modeled after Supported Employment Business Office: • Cut the Red Tape – review and streamline the financial assessment and demographic processes to enhance patient experience • Develop an on demand OPI (phone) translation service 7 Page 11 of 41 Forensic Division Services Quarterly Report FIRST QUARTER FY 2021 Presented By: Monalisa Jiles, LPC, LMFT, LCDC, NCC, LBSW March 16, 2021 Vice President, MH Forensic Division Page 12 of 41 Forensic Overview • Competency & Sanity Unit • Dual Diagnosis Residential Program (DDRP) • Forensic Court Clinical Interview Unit (16.22) • Harris County Sheriff’s Office Jail Based Unit • Jail Based Competency Restoration (JBCR)* • Peer Re-Entry • Re-Entry Services Community Unit (RESCU)* • Texas Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI Jr.) • Texas Targeted Opioid Re-Entry (TTOR) • TRIAD Forensic Evaluation Unit (Juvenile Detention Center) • TRIAD Mental Health Services * Hiring of Staff 2 Page 13 of 41 Monthly Average Patients Served 1st Quarter Texas Targeted Opiod Re-Entry (TTOR) 31 TRIAD - Comprehensive MH Services 39 Peer Re-Entry 47 Texas Correction Office of Offenders with Medical and Mental Impairment, Jr 58 Dual Diagnosis Residential Program (DDRP) 78 TRIAD - Children's Forensic Evaluation Unit 94 Competency & Sanity Unit 137 Forensic Court Clinical Interview Unit (16.22) 937 Harris County Sheriff's Office Jail Based Unit 3,909 3 Page 14 of 41 Total Services Delivered 1st Quarter Texas Correction Office of Offenders with Medical and Mental Impairment, Jr 179 TRIAD - Children's Forensic Evaluation Unit 282 TRIAD - Comprehensive MH Services 296 Competency & Sanity Unit 410 Texas Targeted Opiod Re-Entry (TTOR) 701 Peer Re-Entry 840 Forensic Court Clinical Interview Unit (16.22) 2,811 Dual Diagnosis Residential Program (DDRP) 22,721 Harris County Sheriff's Office Jail Based Unit 63,943 4 Page 15 of 41 New Programs