This document discusses behavioral health indicators in Travis County and initiatives to address criminal justice and mental health issues. It outlines the formation of a Mayor's Mental Health Task Force in response to a tragic incident and their efforts to establish collaboration between mental health organizations. Initiatives described include Crisis Intervention Teams to respond to mental health calls, specialized court programs, and a community competency restoration project. Data is presented on the success of this project and homelessness rates. The document advocates using community indicators to drive social change and outlines proposed indicators to track, such as rates of individuals with mental illness in jail and psychiatric hospital readmissions. Contact information is provided for following up on these efforts.

1. Travis County Behavioral Health Indicators Project Susan Stone, J.D, M.D. Jim Van Norman, M.D. Abraham Minjarez, LPC, MBA Tara Powell, MPH, MSW

2. Texas Service System Perspective

3. BACKGROUND Tragic Incident Community Response Mayor’s Mental Health Task Force Monitoring Committee

4. Community “Collaboration” Mental Health Coordination Committee Healthy People 2000 Community Action Network Integral Care Committee Psychiatric Stakeholder’s Committee Mayor’s Mental Health Task Force Monitoring Committee Crisis Implementation Committee

7. Community Court

8. RERT

9. Project Recovery

11. Community Competency Restoration Project Total Served: 65 Felony: 25 Misdemeanor: 40 Total Restored: 38 (58%) Average days to restore Felony 44 days Misdemeanor 40 days

12. Community Competency Restoration Project Homelessness Data 38% homeless prior to admission into program 50% of misdemeanants homeless 20% of felons homeless Previous Hospitalizations Total # of previous hospitalizations prior to CCRP: 144

14. Building consensus around indicators

15. Blended funding

16. ATCIC

17. St. David’s Foundation

18. Hogg Foundation for Mental Health

19. City of Austin

20. Travis County

23. Hypotheses—Building the Story

24. Root Cause Analysis

25. No Cost/Low Cost Solutions

26. Policy Solutions

29. EDP Voluntary-Emotionally Disturbed person voluntarily committed

31. Crisis Intervention Team # of Cases

32. ROOT CAUSE ANALYSISCASE EXAMPLE

33. Turning the Curve Different ways to address 911 calls Transportation issues Housing, housing, housing Use of incentives Peer support Enforcement of ACT SSI Issues

34. Contact Information Susan A. Stone, J.D., M.D. Mayor’s Mental Health Task Force sstonejdmd@attglobal.net 512-360-3557