Danielle Todaro PsyD Licensed Psychologist Fort B end County B ehavioral Health S ervices Objectives What is SMI SymptomsConditions of SMI Information on Mental Health Warrants ID: 931981
Download Presentation The PPT/PDF document "Understanding Serious Mental Illness" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Slide2Understanding Serious Mental Illness
Danielle Todaro, Psy.D.
Licensed PsychologistFort Bend County Behavioral Health Services
Slide3Objectives
What is SMI?
Symptoms/Conditions of SMIInformation on Mental Health WarrantsFinding treatment providersResources
Slide4What is Serious mental illness? (SMI)
Mental health disorders resulting in
functional impairment, which substantially interferes with or limits one’s ability to carry out daily activitiesPsychotic DisordersSevere mood disordersDepression & Bipolar Disorder
Combination of psychotic and mood symptoms (i.e. Schizoaffective Dx; Bipolar Dx w/ Psychotic Features)
Slide5Prevalence of Mental Illness & Serious Mental Illness
50
% of all lifetime mental illness begins by age 14, and 75% by age 2420.6% of U.S. adults experienced mental illness in 2019 (51.5 million people). This represents 1 in 5 adults.5.2% of U.S. adults experienced serious mental illness in 2019 (13.1 million people). This represents 1 in 20 adults.16.5% of U.S. youth aged 6-17 experienced a mental health disorder in 2016 (7.7 million people). 1 in 6 U.S. youth
3.8% of U.S. adults experienced a co-occurring substance use disorder and mental illness in 2019 (9.5 million people
)
Slide6Psychotic Disorders
Schizophrenia
Schizoaffective DisorderDelusional DisorderSubstance/Medication Induced Psychotic Disorder
Slide7Positive Symptoms
Delusions
Fixed beliefs that are not amenable to change in light of conflicting evidenceBizarre vs. Non-bizarreTypesPersecutoryReferentialGrandiose
Erotomanic
Somatic
Religious
Hallucinations
Perception-like
experiences that occur without an external stimulus
Vivid & clear-> full force and impact of normal perceptions
Not under voluntary control
Types
Auditory: Most common
Visual
Olfactory
Tactile
Slide8Negative symptoms
Diminished emotional expression (most common)
Avolition AlogiaAnhedoniaAsociality
Slide9Disorganized Thinking & Speech
Disorganized thinking -> inferred by their speech
Loose associationsTangentialityIncoherence or “word salad”
Slide10Substance-Induced
Psychosis
SubstancesSynthetic MarijuanaHallucinogensPCPLSDStimulants
Cocaine
Amphetamines
Effects
Short-term
Long-term
Sustained
Slide11Mood Disorders
Major Depressive Disorder
Bipolar I DisorderBipolar II DisorderSubstance/Medication Induced Bipolar and Related Disorder
Slide12Depression
Persistent
sad, anxious, or empty moodHopelessness Feelings of guilt, worthlessness, or helplessnessLoss of interest or pleasure in hobbies and
activities
Fatigue/loss of energy
Moving or talking more
slowly
Sleep
disturbance (insomnia or sleeping too much)
Difficulty concentrating, remembering, or making decisions
Feeling
restless or having trouble sitting
still
Appetite and/or weight changes
Aches
or pains, headaches, cramps, or digestive
problems
Thoughts of death or suicide, or suicide attempts
Slide13Mania
Feel very up or elated
Agitated or irritable moodInflated self-esteem/grandiosityDecreased need for sleepIncreased energy and activity levelsMore talkative then usual/speaking really fast Racing thoughtsEasily distractedEngage in risky behaviors
Slide14Substance-Induced Mood Disorders
Common substances which can induce mania:
StimulantsPhencyclidine (PCP)SteroidsSynthetic substances (e.g. bath salts)
Common substances which can induce depression:
Stimulants
Steroids
Medications (antibiotics/antiviral, cardiovascular, antidepressants, anticonvulsants,
anti-migraine,
smoking cessation, hormonal)
Commonly seen during withdrawal from drugs
Slide15Posttraumatic Stress Disorder (PTSD)
Exposure to actual or threatened traumatic event
Re-experiencing of event (intrusion)Avoidance of reminders of eventDisturbance in thinking and mood Frequent NightmaresTendency to startle easily (hypervigilance)Associated Behaviors
Difficulty regulating emotion
Difficulty maintaining stable interpersonal relationships
Slide16Developmental Disabilities
Intellectual Developmental Disorder (IDD; Intellectual Disability)
Deficits in intellectual and adaptive functioningConceptual DomainSocial DomainPractical DomainIntellectual functioning must be measured through clinical assessment and standardized intellectual testingOnset of deficits must be during developmental period
Autism Spectrum Disorder
Affects communication and behavior
Difficulty with communication and interaction with others
Restricted interests and repetitive behavior
Impacts ability to function in various life areas
Spectrum
Wide variation in type and severity of symptoms
Asperger’s
Dx
no longer in DSM
Slide17Mental Health Warrant
Authorizes
law enforcement to take a person into custody who shows symptoms of a mental illness and is likely to cause harm to himself or othersIt is not a warrant for arrestOrders a person to undergo a mental health evaluation by a doctor to determine if hospitalization is necessary
Requirements:
The
proposed patient must reside or currently be in Fort Bend
County
Current information
that shows the prospective patient is suffering from a mental illness and
is
an IMMEDIATE danger to him/herself or to
others
Past behavioral will not qualify
This can not be done if there person is in jail, must wait until release
Slide18Mental Health Warrant
With Insurance:
Locate a facility that will accept the patient and patient’s insuranceTake down the name and number for the facility admitting department (will be needed for the application)If the facility is in Harris County, you may
be referred to the Harris County Attorney’s Office for further
handling
Without
Insurance:
If
there is no insurance, you may try to locate a facility with an
indigent bed
available
If
no private facility will accept the proposed patient, contact
Texana
Center at
1-800-633-5686
If the only facility available to the proposed patient is Austin State Hospital, the commitment will take place in the City of Austin and Travis County courts will handle the
proceedings
Slide19How
do I file for a Mental Health Warrant in Fort Bend County?
Call the Justice of the Peace for the precinct where the proposed patient lives and let them know you will be coming in to complete an Application for a Mental Health Warrant. JP 1, Place 1 – 3114 Rosenberg St., Needville: 281-342-7807 or 979-793-3403JP 1, Place 2 – 1517 Eugene Heiman Circle, Ste. 100, Richmond: 281-341-3742JP 2 – 303 Texas Parkway (FM 2234), Rm. 107, Missouri City: 281-403-8080
JP 3 – 22333 Grand Corner Drive, Katy: 281-238-1460
JP 4 – 12919 Dairy Ashford, Ste. 100, Sugar Land:
281-491-6016
Slide20How do I file for a Mental Health Warrant in Fort Bend County?
If you have located a facility and are calling after hours, you may call the Sheriff’s Office Dispatch at 281-341-4665
Let the dispatcher know that you need to contact the Justice of Peace on call regarding a mental health commitment.If the Mental Health Warrant is issued, the warrant will be sent to the Sheriff (or Texana) for the transport of the patient to the facility.https://www.fortbendcountytx.gov/government/departments/administration-of-justice/county-attorney/mental-health-faqs
Slide21Fort Bend County Sheriff’s Office Crisis Intervention Team (CIT)
A specialized
unit formed within the Fort Bend County Sheriff’s Office that assists in helping individuals suffering from mental illnessAssist mental health consumers in crisis-> reaching appropriate care by diverting them away from incarceration or emergency rooms when possibleSpecialized training to de-escalate and assist with diverting consumersAlso provide training to other first responders in the county
Slide22Texana
CenterLocal Mental Health Authority
Public, not for profit, organization that provides behavioral healthcare and developmental disabilities services to residents of a six county area Austin, Colorado, Fort Bend, Matagorda, Waller and Wharton CountiesServices provided regardless of insurance or citizenship statusBehavioral Healthcare
IDD Provider Services (adults)
Authority Services
(intake & services coordination- adults and children with IDD)
Specialized Services (Autism Services)
Various locations
Organized by Behavioral Healthcare & Developmental Disabilities
Slide23Xena
Project
A 501(c)3 public charity providing various services to veteransPrograms offered to all veteransNo disability requirementAll/any career phasesAll/any era of service
Group & Individual Sessions
Family Reunification
Animal Encounter Therapy (primarily horses)
832-451-5982/www.thexenaproject.org
Slide24Types of Providers
Psychiatrist
Holds a Medical DegreePrimary focus is medication managementPsychologistHolds a Ph.D. or Psy.D. Doctoral DegreeCan provide counseling services and psychological evaluationProfessional Counselor Holds a Master’s Degree
Primary focus is providing counseling services
Ensure
that any provider you are seeking has an appropriate license for practice
Slide25Accessing Private Providers
Go through your insurance to see providers on your plan
Texas Psychological Association-texaspsyc.orgTexas Counseling Association-txca.orgHouston Psychological Association-psychologyhouston.orgPsychologytoday.comSee services providedInsurances acceptedSearch for types of providers
Slide26Local Psychiatric Hospitals
Austin State Hospital
(512) 452-0381 (STATE HOSPITAL)Bellaire Behavioral Hospital (713) 600-9500Cypress Creek Hospital (281) 586-7600Harris County Psychiatric Center (713) 741-5000Houston Behavioral Healthcare Hospital (832
) 834-7710
Kingwood Pines (281) 404-1001
Lonestar Behavioral Health (281
)
516-6200
Rusk State Hospital (903) 683-3421
(STATE HOSPITAL)
San Antonio State Hospital: (210) 532-8811
(STATE HOSPITAL)
Sun Behavioral Houston:
(713) 715-4297
St
. Joseph’s Medical
Center (713)-757-1000
West
Oaks
Hospital (713
) 995-0909
West
Park
Springs (832
)
726-1595 (only hospital in Fort Bend County)
Slide27Crisis Resources
Texana
Crisis Line: 1-800-633-5686Fort Bend County Sheriff Office Crisis Intervention Team (CIT)Non-Emergency: (281) 341-4665 (ask for CIT)Emergency: Call 911 and request CIT
Harris Center Crisis Line: (713) 970-7000 and press
1
Memorial Hermann Mental Health Crisis Clinics: (713)
338-6422
Spring
Branch
Meyerland
Humble
Veteran’s
Crisis
Line:
1-800-273-8255
and Press
1 or Text:838255
National Suicide Prevention Lifeline: 1-800-273-8255
Slide28Other Mental Health Resources
Fort Bend County Behavioral Health Services: (281) 238-3079
Texana Center: (281) 239-1300 (mental health authority in Fort Bend County)Access Health Behavioral Health Services: (281) 342-4530Harris Center: (713) 970-7000 (mental health authority in
Harris County)
Veteran’s Administration
Debakey
: (713) 791-1414
Richmond: (832) 595-7700
NAMI Greater Houston: (713) 970-4419
Substance Abuse Treatment:
Fort Bend Regional Council: (281) 207-2400
Houston Council on Recovery: (713) 942-4100
Slide29Contact Information
Fort Bend County Behavioral Health Services
281-238-3079
Slide30Questions?