LOUISIANA Community Mental Health Services Block Grant ...

Pacific Islander: 2 0.1%
White: 498 19.5%
The data collected showed that the most common hurricane-related risk factors were: displacement
from home for one week or more; damage to home; financial loss; prolonged separation from
family; unemployed; situation exacerbated by past trauma; evacuated quickly with no time to
prepare.
HEALTH, MENTAL HEALTH, MH REHABILITATION SERVICES &
CASE MANAGEMENT
FY 2011 - ADULT PLAN
Individuals with Serious Mental Illnesses often have co-occurring chronic medical problems.
Therefore, it is important to enhance a collaborative network of primary health care providers
within the total system of care. The Office of Mental Health continues to develop holistic initiatives
that offer comprehensive and blended services for vulnerable children and adults experiencing
psychiatric and physical trauma, including those in acute crisis. In addition, Louisiana‟s extensive
system of public general hospitals provides medical care for many of the state‟s indigent population,
most of whom have historically had no primary care physician. Over the past few years, OMH‟s
acute psychiatric inpatient services have been moved under the Louisiana Health Sciences Center-
Health Care Services Division (LSUHSC-HCSD), and LSU Shreveport public general hospitals. It
is believed that continuity of care is often better served under LSU and that those persons admitted
with acute psychiatric problems might then receive the best physical assessment and treatment as
well as care for their psychiatric problems. Adults who are clients of state operated mental health
clinics or Medicaid funded Mental Health Rehabilitation (MHR) Services also benefit from a
systematic health screening. Further, MHR providers who provide services to children, youth, and
adults must assure through their assessment and service plan process that the whole health needs of
their clients are being addressed in order to get authorization for the delivery of services through the
Medicaid Behavioral Healthcare Unit. The OBH clinics work very closely with private health
providers as well as those within the LSUHSC-HCSD.
Outpatient mental health services have historically been provided through a network of
approximately 45 licensed community mental health clinics (CMHCs) and their 27 outreach clinics.
These are located throughout OBH geographic regions and LGEs. The CMHC facilities provide an
array of services including: screening and assessment; emergency crisis care; individual evaluation
and treatment; medication administration and management; clinical casework services; specialized
services for children and adolescents; and in some areas, specialized services for those in the
criminal justice system.
The CMHCs serve as the single point of entry for acute psychiatric units located in public general
hospitals and for state hospital inpatient services. All CMHCs operate at least 8 a.m. - 4:30 p.m.,
five days a week, while many are open additional hours based on local need. CMHCs provide
additional services through contracts with private agencies for services such as Assertive
Community Treatment (ACT) type programs, case management, consumer drop-in centers, etc.
OBH is cognizant of the fact that some of these services are limited and not available statewide, and
efforts to improve access are constantly being made.
PART C LOUISIANA FY 2011 PAGE 102
SECTION III: ADULT PLAN – CRITERION 1
COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH SERVICES -- SYSTEM OF CARE & AVAILABLE SERVICES