Impact, Summer 1994 Page: 5
23 p. : ill.View a full description of this periodical.
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"We're learning to involve patients in their own care and to treat them
with dignity. So many people stereotype mental illness. Once you work
with them, you realize just how individual each person is. They're justpeople who need help.
Mary N. "Molly" Butler, former director of nurses at Big
Spring State Hospital, who retired in April 1993, after 26 years
of service to the hospital.Mentally Ill Persons in the
Criminal Justice System-In
addition to providing treatment
at Vernon State Hospital,
TXMHMR has an agreement
with four other agencies and the
Texas Council of Community
MHMR Centers to provide a
continuum of services to offend-
ers with mental illness. Increas-
ing numbers of mental health
authorities coordinate their ef-
forts with local jail systems.Dual Diagnosis-TXMHMR
and the Texas Commission on
Alcohol and Drug Abuse
(TCADA) are working together
to develop comprehensive ser-
vices for persons who have a
primary diagnosis of mental ill-
ness as well as a diagnosis of
substance abuse. State hospitals
and CMHMRCs (Community
MHMR Centers) provide treat-
ment to these dually diagnosed
individuals, although the hospi-Collaboration Brings Progress
Consumers, family members
and private providers play an
expanding role in mental health
service planning and delivery.
These groups participate in de-
veloping the agency's strategic
plan and revising standards for
service delivery. Representa-
tives of Texas Alliance for the
Mentally Ill (TEXAMI) and
Texas Mental Health Consumers
(TMHC) participate in the
agency's Quality Services Coun-
cil and Mental Health Planning
Advisory Council. TEXAMI and
TMHC members, along with
professionals from the private
sector, serve on teams monitor-
ing services at state hospitals.
With funds from a federal
system improvement block
grant, TXMHMR, Texas Mental
Health Consumers and Texas
Alliance for the Mentally Ill are
educating and involving con-
sumers and family members in
planning, providing and evalu-
ating public mental health ser-vices. The TXMHMR Office of
Consumer Affairs was initiated
by a proposal from TMHC in
1993. Staff are employed by
TMHC and the office is funded
by the block grant.
Additionally, TXMHMR has
established collaborative part-
nerships with universities, other
state agencies and medical
schools for developing and test-
ing innovative treatments and
services. One among several of
these partnerships is Harris
County Psychiatric Center, a
collaborative effort among
TXMHMR, MHMR Authority of
Harris County and the Univer-
sity of Texas Health Science
Center School of Psychiatry.
State hospitals and com-
munity MHMR centers also
work with colleges and univer-
sities to provide training and
internship opportunities for a
variety of professionals, in-
cluding nurses, psychologists
and psychiatrists.tals no longer treat persons
whose primary diagnosis is sub-
stance abuse.
Minorities-Recognizing that
Texas is a culturally diverse state,
TXMHMR established the Office
of Multicultural Services in 1989
with a grant from the Hogg
Foundation. The program direc-
tor trains MHMR staff statewide
on language and cultural differ-
ences, culturally relevant ap-
proaches to consumers and cul-
tural competency in mental
health services and standards.
Coordinating
Service Delivery
Case managers and other ser-
vice coordination staff-some of
whom are consumers-help indi-
viduals access appropriate
agency and community re-
sources. Service coordination for
children, adolescents, older
adults, minorities and people
who have both mental illness and
substance abuse diagnoses is ex-
pected to expand.
On a broader scale,
TXMHMR works with other
agencies and private providers to
close service gaps for homeless
persons, children, and individu-
als involved with the criminal
justice system. Interagency ef-
forts are beginning to target other
groups such as individuals with
mental illness who need voca-
tional services and those who are
older adults.11Mi 1;ix Summer 1994
5
" I
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Texas. Department of Mental Health and Mental Retardation. Impact, Summer 1994, periodical, Summer 1994; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1588625/m1/5/: accessed August 15, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.