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Reinvestment Grant#RFA06H16GS1 <br /> Working Draft <br /> ® Mental Health Connections —Working to develop a centralized access point for <br /> information, referral, and care coordination around mental health services; <br /> ® Diversion Strategies —Working on solutions and alternatives for the mentally ill <br /> in the criminal justice system. <br /> As the Diversion Strategies group began their assessment of the community, it was <br /> quickly realized that a Mental Health Court was critically needed to increase access, <br /> decrease client recidivism and facilitate county wide support surrounding incarcerated <br /> individuals who present with mental health issues Strategic planning to implement a <br /> Mental Health Court Program in Indian River County began in 2009 under the leadership <br /> of Judge Cynthia Cox of the Circuit Court of the Nineteenth Judicial Circuit and Indian <br /> River County Sheriff Deryl Loar. The Indian River County Mental Health Court began <br /> operations on January 27, 2015, and the plan is reviewed quarterly. In the first year, <br /> IRCMHC served 120 individuals when the capacity was set for 60. As a result of the <br /> Mental Health Court pilot, there have been some improvements in the continuum of care <br /> and services to the incarcerated. However, due to the higher than expected number of <br /> referrals, timely coordinated access to mental health and substance abuse services has <br /> not yet fully realized. Some of the biggest challenges, other than funding, that IRCMHC <br /> faces are: the coordination of care, timely access to services, and the ability to track <br /> services and outcomes for individuals throughout their involvement and up to one year <br /> after discharge from the program and housing. SEFBHN excels in these areas and, with <br /> this increased funding, we will be empowered to more rigorously implement our <br /> coordination of care strategies to most effectively serve this fragile and challenging <br /> population. <br /> The SEFBHN coordination of care goals will directly impact the overall strategic plan <br /> for creating positive outcomes for the individuals and the greater community served by <br /> this grant award. The short-term goals of implementing care coordination are to: improve <br /> transitions from acute and restrictive to less restrictive community-based levels of care <br /> through education and training of network providers and activities by the SEFBHN <br /> Coordination of Care and Quality Teams; increase diversions from state mental health <br /> treatment facility admissions; decrease avoidable hospitalizations, inpatient care, <br /> incarcerations, and homelessness; and, increase the focus on coordination of care <br /> activities that support community integration and whole health and wellness and <br /> empowering self-direction. And, the long-term goals of implementing care coordination <br /> are to: shift from an acute care model of care to a recovery model; offer an array of <br /> services and supports to meet an individual's chosen pathway to recovery; through <br /> coordination of care activities and collaboration with network providers and stakeholders, <br /> identify opportunities for enhancing or modifying services and supports that promote <br /> recovery oriented care. <br /> Sustainable changes are possible through access to timely, appropriate and monitored <br /> services. One of the most significant impediments to the target population is mental illness <br /> and/or co-occurring substance abuse, and the lack of access to social services and <br /> treatment for these issues, particularly for individuals facing homelessness and without <br /> medical insurance. Through active engagement with our network of providers and our <br /> online data portal, SEFBHN is able to track each consumer's overall participation in <br /> services creating opportunities to intervene with adaptive strategies when necessary in <br /> Page 12 of 33 <br />