Healthy People…Healthy CommunityGulf Bend Center

Gulf Bend Center

• 2013 marks 43 years of continuous service to our communities. The Center was created under the Texas Mental Health and Mental Retardation Act of 1965 which established a statewide system of locally governed public community mental health and mental retardation centers and codified in the Health & Safety Code. The Center also has a 501(C)(3) tax exempt status.

Our Mission

• To improve the quality life of persons and their families affected by mental illness and/or intellectual and developmental disorders. – Mental Health Safety Net; crisis services, indigent care– Community Based Mental Health; case management, skills

training, psychiatric, counseling, medication, housing, employment, benefit assistance

– IDD; Intermediate Care Facilities, Home and Community Based Services, case management, habilitation, employment

– Community Support; critical incident response/debriefing, Mental Health First Aide, Out reach and education, hospitals, law enforcement

The Facts

• According to the National Council for Community Behavioral Health, “People living with serious mental illnesses are dying 25 years earlier than the rest of the population, in large part due to unmanaged physical health conditions.” (April 2009) Co-occurring mental and physical health issues are common in the general population but are significant for persons with serious mental illness.

• Data shows, on average more than 68% of adults with a mental disorder had at least one medical condition, and 29% of those with a medical disorder also had a mental health condition. People with schizophrenia and bipolar disorder are up to three times more likely to have three or more chronic conditions compared to people without these disorders.

The Facts

• Approximately 1/3 of adults and 2/3 of children with SMI/SED receive no services at all.

• Approximately 2/3 of others with mental health conditions receive no care at all.

• Public mental health clients die about 25 years younger than other Americans.

• An estimated 60-80% of these deaths are due to treatable chronic diseases.

• An estimated 20-40% are due directly to mental illness.

The Facts

• Serious Mental Illness– Adults: 5.8% – Children: 10%

• Overall Mental Illness– Adults: 25%– Children: 20%

• Our communities

Population Served and Funding Source

• Department of State Health Services– Adult MH funded target = 608 per month

• Actual Served = 900• 50% Medicaid : 50% Indigent

– Child/Adolescent target = 125• Actual Served = 185• 95% Medicaid : 5% indigent

• Leveraging funding critical for expanding capacity for the SPMI

The Facts of Mental Health Care

• Root causes of premature death:– Lack of basic primary health care– Metabolic effects of psychotropic

medications– Lifestyle factors

• substance abuse, homelessness, nutrition, exercise, social belonging

Nutrition and Mental Health

• People easily understand the connection between nutritional deficiencies and physical illness.

• Depression is more typically thought of as strictly biochemical-based or emotionally-rooted. On the contrary, nutrition can play a key role in the onset as well as severity and duration of depression.

• Many of the easily noticeable food patterns that precede depression are the same as those that occur during depression. These may include poor appetite, skipping meals, and a dominant desire for sweet foods

• A balanced mood and feelings of wellbeing can be protected by ensuring that our diet provides adequate amounts of complex carbohydrates, essential fats, amino acids, vitamins and minerals and water.

Solutions require a Paradigm Shift

• Today…Silo Care…• Our vision: Integrated, Whole Person,

Care– The Fundamental Tenants

• Provision of primary care is essential• Provision of mental health care is essential• Facilitation of WELLNESS model is essential

– “We must move to the left of the treatment continuum…we must address behavior.” (Dr. Ron Manderschied.

Driving Transformation

• Collaboratively implement Whole Person Integrated Care Wellness Model

nutrition

Primary care

Behavioral Health Care

community

housing

The Center Piece: The Wellness Community

• The Wellness Community Bridges the Gaps by Offering Safe, Healthy, and Socially Interactive Living Situation…The Outcome; Healthy People…Healthy Community

• The Wellness Community