Division of Behavioral Health Update Mark Stringer Director

Division of Behavioral Health Update Mark Stringer, Director Division of Behavioral Health Missouri Department of Mental Health 1

Overview 1. Community Mental Health Liaisons 2. Mental Health First Aid (MHFA) 3. Crisis Intervention Team (CIT) Training 4. Emergency Room Enhancement Projects 5. NAMI Family Programs 6. New Fulton State Hospital 7. Addiction Services 2

Community Mental Health Liaisons 30 Liaisons Work with courts, hospitals, law enforcement, schools, treatment agencies, and families Over 7, 500 contacts with law enforcement have been made. Over 3, 500 referrals have been made. 3

Mental Health First Aid (MHFA) MHFA helps people identify, understand, and respond to signs of mental illness. Over 11, 000 Mental Health First Aiders have been trained in Missouri. 4

Crisis Intervention Team (CIT) Training Improves the way law enforcement officers respond to people in mental health crises. Prevents unnecessary time in jail, and reduces injuries. CIT training has been provided to over 800 law enforcement officers. 5

Emergency Room Enhancement Projects Help for people with mental illness and substance use disorder who are in emergency rooms often Targets 7 areas of the state: Kansas City, St. Louis, Central, Southwest, Southeast, and Northeast 6

Project Sites and Participating Hospitals St. Louis (Behavioral Health Network) Springfield (Burrell) Barnes-Jewish Hospital Christian Hospital Mercy Hospital Jefferson St. Alexius Hospital St. Louis Regional Psychiatric Stabilization Center St. Louis University Hospital SSM De. Paul Health Center SSM St. Joseph’s Health Center – Wentzville SSM St. Mary’s Health Center St. Louis Regional Psychiatric Kansas City (Re. Discover, Truman BH, Tri. County MH, Comprehensive MH, Swope) Truman Medical Center - Lakewood Campus, Behavioral Health ED, and Medical Hospital St. Luke’s Research Hospital Two Rivers Liberty Hospital North Kansas City Hospital HCA Hospitals Mercy Hospital - Springfield Cox. Health Hospital - Springfield Citizens Memorial Hospital – Bolivar (working towards) Ozarks Community Hospital – Bolivar (establishing) Jordan Valley Community Medical Health Center (FQHC) - Springfield Columbia (Burrell) Bothwell Regional Health Center - Sedalia Boone Hospital - Columbia MU Emergency Medicine Department – Columbia Katy Trail Community Health Center (FQHC) – Sedalia Fitzgibbons Hospital Carroll County Medical Center Moberly Regional Hospital Rolla (Pathways) Salem Memorial District Hospital Phelps County Regional Medical – Rolla Hermann Area District Hospital – (working towards) Hannibal (Mark Twain BH) Northeast Regional Medical Center - Kirksville Hannibal Regional Hospital Scotland County Memorial - Memphis (working towards) Samaritan Hospital – Macon (working towards) Poplar Bluff (Family Counseling Center) Twin Rivers Regional Medical Center - Kennett Pemiscot Memorial Hospital - Hayti Poplar Bluff Regional Medical Center John J. Pershing Veteran’s Hospital 7

Emergency Room Enhancement Projects Outcomes: ◦ 61% reduction in ER visits and hospitalizations ◦ 68% reduction in homelessness ◦ 24% reduction in unemployment ◦ 107% increase in treatment enrollment ◦ 103% fewer arrests 8

NAMI Family Programs NAMI has provided Family-to-Family and Basics training to over 500 family members with loved ones suffering from mental illness. 9

Current Biggs Forensic Center (Maximum Security) 10

The New Facility The State is working with an international architectural firm to plan for construction of a new 300 -bed high security facility at Fulton State Hospital. Some features of the facility may be based in part on the design of the new St. Elizabeth’s Psychiatric Hospital in Washington, D. C. 11

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Medication Assisted Treatment that combines medication with counseling and social support. It is an important part of the services available to people struggling with addiction to alcohol or other drugs. 15

ADA Disease Management Targets high-cost persons on Medicaid who have both a serious medical condition and a substance use disorder. 107 individuals are enrolled in services. 16

We want the people we serve to be - OUT of jails and psychiatric hospitals IN stable housing IN good jobs IN good health OUT of risk for bigger problems 17

Thank You! 18