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Developing an Integrated Response to Justice-Involved Combat Veterans with Mental Illness and Co-Occurring Disorders
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Developing an Integrated Response to
Justice-Involved Combat Veterans with Mental Illness
and Co-Occurring Disorders
Gilberto Rendon GonzalesThe Center for Health Care ServicesBexar County Mental Health [email protected]
Communicate - Connect - Collaborate
Veteran’s Veteran’s ServicesServices
Multiple Collaboratives/Initiatives for Veterans based in Bexar Multiple Collaboratives/Initiatives for Veterans based in Bexar CountyCounty
GI ForumGI Forum The San Antonio Veteran's Affairs CommissionThe San Antonio Veteran's Affairs Commission The Military Coordinating Council for Behavioral HealthThe Military Coordinating Council for Behavioral Health The Bexar County Veterans Service OfficeThe Bexar County Veterans Service Office Texas Resources for Iraq-Afghanistan Deployment, United WayTexas Resources for Iraq-Afghanistan Deployment, United Way The Bexar County Veterans Service OfficeThe Bexar County Veterans Service Office Family Strong AdvocacyFamily Strong Advocacy
Veteran’sCenters
Department Of Defense
Veterans Administration
Veterans Health AffairsVeterans Benefit Administration
Community Partners
NationalGuard
Military BasesLacklandRandophBrooksFt. Sam
Veterans Hospitals
Audie MurphyWilford Hall
Brookes Army Med
ArmedServices
Silos/Centers of Service
Texas Veteran’sCommission
GI Forum
VFW
American Legion
SA Veteran’s Affairs Commission
Family Strong
Military Coordinating Council for
Behavioral Health
United Way of SA
Bexar County Veterans Services
Texas Youth Suicide Prevention
Community Faith Based Services
CHCS Crisis and Restoration Centers
Full Time andPart Time ActiveDuty Veterans
DisabledAmericanVeterans
Texas Veteran’sLand Board
Communicate - Connect - Collaborate
NATIONAL COUNCIL MAGAZINE • JULY 2008Known as Military City USA, San Antonio ishome to approximately 150,000 veterans,nearly 30 percent of whom are retirees. Thecity houses three active military bases:Lackland Air Force Base, Randolph Air ForceBase, and Fort Sam Houston. Two formerbases, Brooks City Base and Kelly USA, alsoprovide military contracting supports andlocal city commerce. San Antonio’s veteransare served by three military hospitals—BrookeArmy Medical Center, Wilford Hall MedicalCenter, and Audie L. Murphy MemorialVeterans Hospital.
www.thenationalcouncil.org
Texas Fosters Partnerships for Care
For CHCS, opportunities to provide mental healthcare to veterans and their familiesresulted from strategic partnerships with local military hospitals and other
community agencies. CHCS identifies behavioral health services the militaryis providing to veterans and families in its facilities and helps to supplement
these services and adapt them to the community setting.
CountyJudgeUT
ConsumersFamily
PrivateHospitals
Adult Probation
Juvenile Justice
SASH
MH County Clerk
MH DistrictAttorney
CourtsNAMI
UHS
METRO HEALTH
CHCS
SHERIFFSAPD
DSHS
EMS
Mag
Pre Trial
CriminalJustice
Transformational
Collaborative
VA
Collaboration: It’s an unnatural act between…
…two or more unconsenting adults.
This slide proudly stolen from Dee Wilson
Law EnforcementDetention/Jail
CIT
Judicial/CourtsMagistrate, County, District
Mental HealthPublic and Private
Providers
Crisis Care CenterJail DiversionPsychiatric and Medical
ClearanceSpecialty Offender Services
CommunityDynamicCrisis Jail Diversion
Information Exchange
Pol
ice,
She
riff
Pro
batio
n, P
arol
e
Civil and CriminalT
reatment
Continuity of C
are
County City-wide
Emergency Services
Data exchange through• Community Collaborative• Crisis Care Center• Restoration Center • CIT/DMOT• Jail and Juvenile Detention• Statewide CARE Match
System County City-wideEntry Points
System Level
The Vet,Spouse,Family
Vocational ServicesEmployment
Law Enforcement
Treatment
HousingMedical
Jails
HomelessServices
•Early Identification•Access
•Treatment•Consumer Navigators
Public Safety Triage Facility
Restoration CenterGrand OpeningApril 15th, 2008
• Detox Facility• Community Court• Outpatient Substance Abuse Services
Haven for HopeHaven for Hope
The Community Wide InitiativeThe Community Wide InitiativeHaven for Hope and CHCS Haven for Hope and CHCS
collaborationcollaborationGoal:
To increase the community capacity To increase the community capacity for mental health, substance abuse for mental health, substance abuse
and detoxification servicesand detoxification services
The MAPThe MAP
CHCS Urgent Care Center (2)Emergency Psychiatric Screening
County Jail (6)
Community MedicalClinic (1)
CHCS Detox Center (3)
CHCS Substance Abuse Outpatient Services (5)
600 Bed HomelessResidential Facility (4)
GI Forum100/200
Bed Residential
900
Show Me The MoneyShow Me The Money Bexar County provides $34,000 for CIT Bexar County provides $34,000 for CIT
Training supportTraining support Bexar County provides $1.5 million for Bexar County provides $1.5 million for
MH Court with an additional $750,000 MH Court with an additional $750,000 for Substance Abuse, adds line item to for Substance Abuse, adds line item to County budgetCounty budget
City of San Antonio provides $1.0 City of San Antonio provides $1.0 million for Substance Abuse Servicesmillion for Substance Abuse Services
Hospital District provides $1.6 million Hospital District provides $1.6 million match, $500K for Dextox Beds, and match, $500K for Dextox Beds, and $250K for Outpatient Substance Abuse $250K for Outpatient Substance Abuse TreatmentTreatment