Bluebonnet trails community services: advancing care coordination and diversion services - through this grant, bluebonnet trails community services (btcs) will serve 1,600 adults and youth in…

Bluebonnet trails community services: advancing care coordination and diversion services - through this grant, bluebonnet trails community services (btcs) will serve 1,600 adults and youth in central texas who are experiencing serious mental illness (SMI), serious emotional disturbance (SED), and CO-occurring disorders (COD). To address their needs, btcs will enhance access to integrated services through specialized jail diversion coordination; school- and field-based services for adults and youth with a recent behavioral health crisis; police department-based mobile crisis response; and specialized care coordination for individuals with SMI or SED seeking recovery from substance use disorders. Btcs will serve at least 400 individuals per project year using evidence-based practices such as psychosocial rehabilitation; care coordination and case management; cognitive behavioral therapy; screening, brief intervention and referral to treatment; and wellness recovery action planning. To address the unique needs of our service area, btcs has aligned our project with three primary goals: (1) increase timely access to pre- and post-booking jail diversion for persons experiencing an SMI, SED, or COD; (2) increase access to coordinated behavioral health services to reduce the risk of crisis or crisis relapse; and (3) advance ccbhc services through infrastructure development supporting processes for collecting, reporting, and tracking encounter, outcome, and quality data. To measure goal progress, btcs has committed to ten objectives designed to improve behavioral health access. To increase timely access to pre- and post-booking jail diversion for persons experiencing an SMI, SED, or COD, btcs identifies the following objectives: (1) a jail diversion coordinator will conduct an assessment to include treatment recommendations within two business days for at least 90% of persons referred each project year; (2) btcs will track annual post-booking jail diversion data for persons with CO-occurring MH and IDD conditions, demonstrating a >5% increase, year over year, in the number of persons diverted from jail into treatment; (3) two police department-based mobile crisis clinicians will document 100% of encounters, including hospital and jail diversion outcome data, when deployed to conduct a behavioral health crisis assessment; and (4) btcs will track annual arrest diversion data with a partnering police department, demonstrating a >5% increase, year over year, in the number of persons diverted from an arrest. To increase access to coordinated behavioral health services to reduce the risk of crisis or crisis relapse, btcs identifies the following objectives: (1) five school and field-based clinicians will coordinate crisis facility discharge plans with partnering independent school districts and families for at least 75% of youth admitted into the program; (2) btcs will track annual hospital recidivism rates for youth and adults enrolled in the program, maintaining a