Upload
noah-campbell
View
217
Download
1
Tags:
Embed Size (px)
Citation preview
1
The Rural East Texas Health Network
Who we are:
Anne Bondesen – Project Director for the Rural East Texas Health Network
David Cozadd – Director of Operations for the Burke Center
3
The region we represent:
Add map of area
4
The “lay of the land”:
12 Counties 11,000 square miles Population - 370,000 Rural communities – (money &
transportation issues)
Our local region, larger than 5 states
5
Challenges
7
Contributing challenges:
Funding cuts Limited healthcare resources Rising costs Greater than 20% uninsured System at capacity
8
Shortage of Resources: Medically and Psychiatrically
underserved area Health Care Professional Shortage Mental Health Care Professional
shortage No other comprehensive providers Lost inpatient beds locally and
state-wide No forensic psych beds available
9
Burden placed on Hospitals and Law Enforcement
Long distances to resources Hurricanes Katrina & Rita 20% increase in hospitalizations Psychiatric beds stay full Overflow to hospitals and jails Heavy workload on hospitals &
law enforcement departments Frustrated and outraged
Nacogdoches, TX to Louisville, KY = 818 miles
An estimated travel time = 13 hours 36 minutes
Nacogdoches, TX to El Paso, TX = 820 miles
Estimated Driving Time = 13 hours 48 minutes
11
12
Addressing the Problem
13
The Rural East Texas Health Network
Created in 2006 through a federal HRSA Network Planning Grant
In 2007, received Mental Health Transformation grant through the Texas Health Institute.
In 2008, received HRSA Network Development Grant
14
Purpose of the RETHN: Line of communication between stakeholders
Line of communication between community and mental health provider
Educate community on issues and needs
Create a united voice working towards common goals
Provide a mechanism for collaborative problems solving
04/19/23 15
RETHN Boards Local Advisory Boards
Regional Board of Directors
16
In 2007, our request proposal for funds for a regional Psychiatric Emergency Service Center (PESC)
Already organized and poised for action Need already identified 25% financial match received from
community Support letters from stakeholders Pledge from Temple Foundation
17
The Results
18
PESC established:
Locked Extended Observation Unit: up to 48 hour observation, assessment, and intervention
Unlocked Voluntary Residential Unit: up to two weeks stay
Staffing?
19
PESC - What we do: Accept people for evaluation 24/7 Staff will screen for
appropriateness Do a comprehensive evaluation Telemedicine Begin to work quickly to alleviate
symptoms and stabilize Move to a lesser level of care
within 48 hours (higher level in limited cases)
Work to return people to their homes and community
20
PESC - Who we serve:
Persons 18 years of age or older AND
Persons coming from any of our 12 counties AND
Persons who have a mental illness AND
Persons who are in imminent danger of harming themselves or others due to their mental illness
21
PESC - What we are not:
We are not a hospital We are not a jail We are not a drunk tank, detox
facility or alcohol/drug treatment facility
We are not a homeless shelter We are not an Alzheimer or
dementia treatment facility
22
PESC implementation:
Protocols and Procedures were created
Trainings were held across the region
Opened on December 8, 2008 Opened in temporary location in
Nacogdoches
23
24
New PESC in Lufkin:
Outcomes: Have admitted over 2,000 clients since
opening in December 2008 Reduction in time involvement by law
enforcement and hospital emergency departments
Reduction in costs Reduction in higher utilization of more
intensive treatment resources Less intrusive care option for consumers
27
Further progress in staying out of hospital emergency departments
Substance abuse Continuing adequate funding and
resources Creating a new demand for outpatient
treatment Medication and transportation needs Forensics
Continuing Challenges:
04/19/23 28
Other projects: Telemedicine/conferencing Web-site for RETHN Patient Information Index Mental Health Awareness
QUESTIONS
30
David Cozadd: (936) 639-1141; [email protected]
Anne Bondesen: (936) 465-0357; [email protected]
Contact Information: