Developing an Integrated Response to

Justice-Involved Combat Veterans with Mental Illness

and Co-Occurring Disorders

Gilberto Rendon GonzalesThe Center for Health Care ServicesBexar County Mental Health Authorityggonzales@chcsbc.org

Communicate - Connect - Collaborate

Veteran’s Veteran’s ServicesServices

Multiple Collaboratives/Initiatives for Veterans based in Bexar Multiple Collaboratives/Initiatives for Veterans based in Bexar CountyCounty

GI ForumGI Forum The San Antonio Veteran's Affairs CommissionThe San Antonio Veteran's Affairs Commission The Military Coordinating Council for Behavioral HealthThe Military Coordinating Council for Behavioral Health The Bexar County Veterans Service OfficeThe Bexar County Veterans Service Office Texas Resources for Iraq-Afghanistan Deployment, United WayTexas Resources for Iraq-Afghanistan Deployment, United Way The Bexar County Veterans Service OfficeThe Bexar County Veterans Service Office Family Strong AdvocacyFamily Strong Advocacy

Veteran’sCenters

Department Of Defense

Veterans Administration

Veterans Health AffairsVeterans Benefit Administration

Community Partners

NationalGuard

Military BasesLacklandRandophBrooksFt. Sam

Veterans Hospitals

Audie MurphyWilford Hall

Brookes Army Med

ArmedServices

Silos/Centers of Service

Texas Veteran’sCommission

GI Forum

VFW

American Legion

SA Veteran’s Affairs Commission

Family Strong

Military Coordinating Council for

Behavioral Health

United Way of SA

Bexar County Veterans Services

Texas Youth Suicide Prevention

Community Faith Based Services

CHCS Crisis and Restoration Centers

Full Time andPart Time ActiveDuty Veterans

DisabledAmericanVeterans

Texas Veteran’sLand Board

Communicate - Connect - Collaborate

NATIONAL COUNCIL MAGAZINE • JULY 2008Known as Military City USA, San Antonio ishome to approximately 150,000 veterans,nearly 30 percent of whom are retirees. Thecity houses three active military bases:Lackland Air Force Base, Randolph Air ForceBase, and Fort Sam Houston. Two formerbases, Brooks City Base and Kelly USA, alsoprovide military contracting supports andlocal city commerce. San Antonio’s veteransare served by three military hospitals—BrookeArmy Medical Center, Wilford Hall MedicalCenter, and Audie L. Murphy MemorialVeterans Hospital.

www.thenationalcouncil.org

Texas Fosters Partnerships for Care

For CHCS, opportunities to provide mental healthcare to veterans and their familiesresulted from strategic partnerships with local military hospitals and other

community agencies. CHCS identifies behavioral health services the militaryis providing to veterans and families in its facilities and helps to supplement

these services and adapt them to the community setting.

CountyJudgeUT

ConsumersFamily

PrivateHospitals

Adult Probation

Juvenile Justice

SASH

MH County Clerk

MH DistrictAttorney

CourtsNAMI

UHS

METRO HEALTH

CHCS

SHERIFFSAPD

DSHS

EMS

Mag

Pre Trial

CriminalJustice

Transformational

Collaborative

VA

Collaboration: It’s an unnatural act between…

…two or more unconsenting adults.

This slide proudly stolen from Dee Wilson

Law EnforcementDetention/Jail

CIT

Judicial/CourtsMagistrate, County, District

Mental HealthPublic and Private

Providers

Crisis Care CenterJail DiversionPsychiatric and Medical

ClearanceSpecialty Offender Services

CommunityDynamicCrisis Jail Diversion

Information Exchange

Pol

ice,

She

riff

Pro

batio

n, P

arol

e

Civil and CriminalT

reatment

Continuity of C

are

County City-wide

Emergency Services

Data exchange through• Community Collaborative• Crisis Care Center• Restoration Center • CIT/DMOT• Jail and Juvenile Detention• Statewide CARE Match

System County City-wideEntry Points

System Level

The Vet,Spouse,Family

Vocational ServicesEmployment

Law Enforcement

Treatment

HousingMedical

Jails

HomelessServices

•Early Identification•Access

•Treatment•Consumer Navigators

Public Safety Triage Facility

Restoration CenterGrand OpeningApril 15th, 2008

• Detox Facility• Community Court• Outpatient Substance Abuse Services

Haven for HopeHaven for Hope

The Community Wide InitiativeThe Community Wide InitiativeHaven for Hope and CHCS Haven for Hope and CHCS

collaborationcollaborationGoal:

To increase the community capacity To increase the community capacity for mental health, substance abuse for mental health, substance abuse

and detoxification servicesand detoxification services

The MAPThe MAP

CHCS Urgent Care Center (2)Emergency Psychiatric Screening

County Jail (6)

Community MedicalClinic (1)

CHCS Detox Center (3)

CHCS Substance Abuse Outpatient Services (5)

600 Bed HomelessResidential Facility (4)

GI Forum100/200

Bed Residential

900

Show Me The MoneyShow Me The Money Bexar County provides $34,000 for CIT Bexar County provides $34,000 for CIT

Training supportTraining support Bexar County provides $1.5 million for Bexar County provides $1.5 million for

MH Court with an additional $750,000 MH Court with an additional $750,000 for Substance Abuse, adds line item to for Substance Abuse, adds line item to County budgetCounty budget

City of San Antonio provides $1.0 City of San Antonio provides $1.0 million for Substance Abuse Servicesmillion for Substance Abuse Services

Hospital District provides $1.6 million Hospital District provides $1.6 million match, $500K for Dextox Beds, and match, $500K for Dextox Beds, and $250K for Outpatient Substance Abuse $250K for Outpatient Substance Abuse TreatmentTreatment