Missouris Department of Mental Health

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Missouris Department of Mental Health
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Department of Mental Health

• Responsibilities
• Serves as the States Mental Health Authority,
  establishing philosophy, policy and standards of
  care.
• Provides services as the safety net for
  individuals and families who need a level of
  support not available in the private sector
• Purchases mental health services and supports for
  more than 170,000 Missourians each year
• Mental Health Commission
• Seven members appointed to four year terms by the
  Governor and confirmed by the Senate
• Appoints the Department Director who is confirmed
  by the Senate and serves as principle policy
  advisor to the Department Director.

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Disorders and Disabilities

• Alcohol Drug Abuse and Addictions
• Mental Illness
• Mental Retardation and other Developmental
  Disabilities

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Disorders and Disabilities

• Alcohol Drug Abuse and Addictions
• Alcohol and drug abuse have the broadest impact
  on Missourians of any illnesses or disorders
  treated by the Department as a result of being a
  contributing factor to
• Congenital disorders
• Domestic violence
• Child abuse and neglect
• Crime, and
• Motor vehicle accidents
• Compulsive Gambling

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Disorders and Disabilities

• Mental Illness
• Biological basis
• Thought and Mood Disorders
• Age of onset varies
• Both single episodes and chronic disorders
• Focus
• Medical interventions
• Development of skills and abilities
• Providing supports

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Disorders and Disabilities

• Developmental Disabilities
• Generally present from birth
• Intellectual, Physical and Communication
  Disorders that may be lifelong or of extended
  duration and limit
• Self-care
• Receptive and expressive language development and
  use
• Learning
• Self-direction
• Capacity for independent living or economic
  self-sufficiency
• Mobility
• Manifested prior to age 22
• Focus
• Development of skills and abilities
• Providing supports

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Developmental Disabilities
Consumers and their families can present with
multiple or very complex diagnoses/needs that
require a blending of services and expertise from
more than one program or clinical discipline
Substance Abuse
Mental Illness
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Department of Mental Health

• Divisions
• Alcohol and Drug Abuse
• Comprehensive Psychiatric Services
• Mental Retardation and Developmental Disabilities
• Offices
• Deputy Director
• Medical Director
• General Counsel
• Administration

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Alcohol and Drug Abuse

• Prevention Evidence-based Approaches
• Community 2000
• School-based Initiatives
• Community-based programs focused on high risk
  youth
• Treatment -74,851 served in FY05
• Primary Recovery-24,076
• CSTAR-17,250
• Womens Treatment Programs 375 drug free babies
  
• Adolescent Treatment Programs
• Opiod Treatment-1078
• Substance Abuse Traffic Offender Program (SATOP)
  -32,060
• Compulsive Gambling-387
• Oxford Houses

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Alcohol and Drug Abuse

• Budget
• FY05 116.5 million 125 FTE
• Federal 67
• General Revenue 22
• Other 11
• Prevention 13
• Treatment 81
• SATOP 3
• Compulsive Gambling 0.4
• Administration 2.6

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Comprehensive Psychiatric Services

• Target populations-73,930 served in FY05
• Adults with severe mental illness
• Schizophrenia, major depression, bipolar
  disorder, and anxiety disorders
• Children with serious emotional disorders
• In danger of out-of-home placement
• Adults and children with acute psychiatric
  conditions
• Emergency room visits for psychiatric disorders
  increased from 4.9 per 1000 population in 1993 to
  8.7 in 2002.
• Hospital admissions for psychiatric disorders
  increased from 93.1 per 10,000 population in 1993
  to 111.5 in 2002.
• Forensic clients committed by a criminal court
• Sexually Violent Predators

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Comprehensive Psychiatric Services

• Operates Inpatient Care-8125 served in FY05
• Acute Psychiatric Care
• Western Missouri Mental Health Center
• Mid Missouri Mental Health Center
• Metropolitan St. Louis Psychiatric Center
• Long Term Psychiatric Care
• Southeast Missouri Mental Health Center
• St. Louis Psychiatric Rehabilitation Center
• Fulton State Hospital
• Southwest Missouri Mental Health Center
• Northwest Psychiatric Rehabilitation Center
• Missouri Sexual Offender Treatment Center
• Childrens Facilities
• Hawthorn Childrens Psychiatric Hospital
• Cottonwood Residential Treatment Center

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Comprehensive Psychiatric Services

• Contracts with- 70,804 served in FY05
• 25 Administrative Agents providing comprehensive
  services
• Crisis Intervention
• Outpatient Services
• Community Psychiatric Rehabilitation (CPR)
• Targeted Case Management (TCM)
• Access to residential options and hospital care
• State facility diversion and aftercare including
  civil involuntary and forensic conditional
  releases
• Other affiliated agencies to provide services and
  supports to specific populations and a variety of
  community agencies for housing
• Budget
• FY05 381 million 4517 FTE
• General Revenue 70
• Federal 29
• Other 1

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Mental Retardation Developmental Disabilities

• Developmental Disabilities-26,505 in FY05
• Include
• Autism, mental retardation, cerebral palsy,
  epilepsy, downs syndrome, head injuries, and
  other condition, occurring before the age of 22,
  that delay or limit mental or physical
  development and interfere with basic life
  activities.
• Affect
• One (1) out of every 75 babies born in Missouri
• More than 100,000 Missourians and their families.

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Mental Retardation Developmental Disabilities

• Operates-1208 residents in FY05
• (now approx 1000)
• Eleven Regional Centers
• Serve as the entry point into the system
• Provide case management services
• Six habilitation centers
• St. Louis Developmental Disability Treatment
  Center
• Bellefontaine Habilitation Center
• Higginsville Habilitation Center
• Southeast Missouri Residential Services
• Nevada Habilitation Center
• Marshall Habilitation Center

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Mental Retardation Developmental Disabilities

• 25,297 served in community in FY05
• Contracts with
• County DD Boards (Senate Bill 40) to provide
• Case management
• Habilitation services and support
• A variety of housing options
• A wide range of community agencies to provide
  habilitation services and supports, and housing
  options
• Participates in First Steps
• Administers Medicaid programs
• Home and Community-based Medicaid Waivers
• Sarah Lopez Medicaid Waiver

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Budget

• FY05 434.7 million 4511 FTE
• General Revenue 50
• Federal 47
• Other 3