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Mental Health (Adults & Children)
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Adult Mental Health Services are delivered through a Disease Management Model

WHAT IS DISEASE MANAGEMENT?
Treatment of Major Depression, Bipolar and/or Schizophrenia Disorders that focuses on an individual’s outcomes, selected services, tools, and strengths in order for them to recover.

WHAT IS RECOVERY?
“A deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and/or roles. It is a way of living a satisfying, hopeful, and contributing life even with limitations caused by illness” (Anthony, 1993).

  • Recovery is a process that takes place over time
  • It promotes balance in a person’s life
  • It develops the whole person
  • Its focus is on potential
  • It involves changing thinking and attitude
  • It promotes emotional and spiritual growth
  • It begins with self-acceptance
  • It’s activated through a willingness to self-change
  • It’s is a hand up, not a hand out. Hill Country strives to help individuals lead independent, productive lives.

TREATMENT IS BASED ON THE BASIC PRINCIPLES THAT EVERYONE NEEDS

  • A sense of power
  • A sense of uniqueness
  • Positive role models and mentors
  • Problem solving skills
  • Conflict resolution skills

FOUNDATIONS OF DISEASE MANAGEMENT

  • Recovery
  • Community Integration
  • Good Clinical Practice Guidelines
  • Good Utilization Management
  • Good Business Practice

DISEASE MANAGEMENT MODEL

  • Builds on current strengths of individual.
  • Teaches skills to help reach “real life” goals.
  • Promotes recovery within limitations of the disease through encouraging independence.
  • Focuses on community integration.
  • Focuses on whole-person and not just the disease.
  • Requires participation of individuals served.
  • Services are determined by individual’s needs.

BASIC DISEASE MANAGEMENT PRINCIPLES

  • Treatment based on specific diagnosis and level of need.
  • A system of service delivery based on progression of recovery.
  • Outcomes that help individuals reach real life goals, increase community integration, and support progression toward recovery.
  • Community integration through building on an individual’s skills.
  • A system of services reflecting level of need matched with clinically appropriate resources. It is structured to progress from more intense levels of service to less intense and eventual graduation.
  • Service delivery that is designed to reduce psychiatric hospitalization, reduce substance abuse, and encourage jail diversion.
  • Services reflect right treatment, for appropriate length of time, and delivered in the appropriate setting.
  • Individualized services based on a set of practice guidelines.

WELLNESS STRATEGY
What is it that the individual needs and wants in order to recover?
A Wellness Strategy, looking at an individual’s activities 24 hours a day, 7 days a week, is completed for every adult mental health patient at Hill Country to ensure that they receive:

  • Regular Physical Exercise
  • Adequate Sleep
  • Healthy Diet
  • Referral to outside agencies for funding assistance as needed and available.
  • Linkage with at least 2 community supports specific to the individual’s needs, such as the National Alliance for the Mentally Ill, Peer Support Groups, local churches, Narcotics Anonymous, and Alcoholics Anonymous.

PSYCHIATRIC REHABILITATION

  • Identifies desired outcomes and real life goals of an individual.
  • Builds on strengths and focuses on positives in an individual’s life.
  • Strengthens and teaches skills necessary for individual to cope with their disease.

AREAS AN INDIVIDUAL MAY FIND ASSISTANCE THROUGH PSYCHIATRIC REHABILITATION AND
SELF MANAGEMENT TRAINING/EDUCATION INCLUDE:

  • Stress Management

  • Coping Skills

  • Symptom Management

  • Medication Education

  • Activities of Daily Living

  • Budgeting

  • Problem Solving

  • Accessing Services

  • Communicating Effectively

  • Social Skills

  • Development of Natural Supports

  • Family Training Education

  • Illness Education

  • COPSD Groups

  • Anger Management

  • Supported Employment

  • Supported Housing

SERVICE PACKAGES *
SERVICES WILL BE AUTHORIZED IN ONE OF THE FOLLOWING PACKAGES
BASED ON DIAGNOSIS AND EACH INDIVIDUAL’S NEEDS
*As of 5/17/04 (Subject to Change)

Available Services
Authorization Period
Service Package 1
365 Days
Service Package 2
180 Days
Service Package 3
180 Days

Service Package 4
180 Days**

Clinical Coordination 6 Hours 3 Hours N/A

64.5 Hours – all services combined

RN Medical  N/A N/A 3.25 Hours
Pharmacological Management 5 Hour
s by MD or RN
2.5 Hours
by MD or RN
2.5 Hour
s by MD or RN
Psychiatric Rehabilitation – Individual
 
6.5 to 9.25 Hours 3.25 to 4.5 Hours combined group and/or individual 19.75 Hours (Case Management)
Psychiatric Rehabilitation – Group 3 to 16.5 Hours Plus Add-on Service up to an additional 6 Hours 24 Hours (Case Management)
Psychotherapy (CBT)  N/A 20 Hours N/A
Supported Employment  Add-on Service up to 6 Hours Add-on Service up to 3.5 Hours 60 Hours

** Service Package 4 includes Pharmacological Management, Patient & Family Education, Case Management, Psychiatric Rehabilitation Services, Supported Employment, Housing Services, and Co-Occurring Psychiatric & Substance Abuse Services

Peer Support
Peer Support programs offer individuals a unique, experiential learning opportunity for people with any serious mental illness who are interested in establishing and maintaining their wellness and recovery. Through care and share time, diagnosis education, medication education, wellness education, role play, socialization, and education on every day life and every day solutions, individuals learn from others living with their illness how to increase self-esteem, increase self-awareness, and increase self-management. Peer support opportunities are available for individuals suffering from mental illness as well as individuals suffering from both mental illness and substance abuse. For more information on Peer Support opportunities in your area, please contact Martha Toles at mtoles@hillcountry.org or via phone at 830-792-3300.

Hill Country MHDD Centers Mental Health Clinics by County

Mental Health Crisis Number 1-877-466-0660

Clinic  County

Contact Number

Kendall County MH Center
221 Fawn Valley Dr. #500
Boerne, TX 78006
Bandera Toll free: 1-800-325-8931
Phone: (830) 249-9328
Fax: (830) 249-9238
Blanco MH Clinic
1008 13th Street
Blanco, TX 78606 
Blanco Toll free: 1-844-327-1274
Phone: (512) 392-8953
Fax: (830) 833-3100
Scheib MH Center
1200 N. Bishop
Suite 200
San Marcos, TX 78666 
Blanco Toll free: 1-888-648-3947
Phone: (512) 392-7151
Fax: (512) 392-5444
Comal County MH Center
358 Landa Street
Suite 300
New Braunfels, TX 78130
Comal Toll free: 1-888-315-3277
Phone: (830) 620-6221
Fax: (830) 620-5302
Kimble County MH Center
110 South 10th Street
Junction, TX 76849
Edwards Toll free: 1-800-325-3482
Phone: (325) 446-3233
Fax: (325) 446-3489
Gillespie County MH Center
183 Industrial Loop
Fredericksburg, TX 78624
Gillespie Toll free: 1-888-290-4777
Phone: (830) 997-8023
Fax: (830) 997-4320
Scheib MH Center
1200 N. Bishop
Suite 200
San Marcos, TX 78666 
Hays Toll free: 1-888-648-3947
Phone: (512) 392-7151
Fax: (512) 392-5444
Kyle MH Center
1300 Dacy Lane
Kyle, TX 78640 
Hays Toll free: 1-844-327-1274
Phone: (512) 392-8953
Fax: (512) 833-3100
Wimberley MH Center
501 Old Kyle Road
Wimberley, TX 78676 
Hays Toll free: 1-844-327-1274
Phone: (512) 392-8953
Fax: (512) 833-3100
Kendall County MH Center
221 Fawn Valley Dr. #500
Boerne, TX 78006
Kendall Toll free: 1-800-325-8931
Phone: (830) 249-9328
Fax: (830) 249-9238
Kerr County MH Center
500 Thompson Drive
Kerrville, TX 78028
Kerr Toll free: 1-888-445-5232
Phone: (830) 257-6553
Fax: (830) 896-4448
Kimble County MH Center
110 South 10th Street
Junction, TX 76849
Kimble Toll free: 1-800-325-3482
Phone: (325) 446-3233
Fax: (325) 446-3489
Val Verde County MH Center
1927 N. Bedell
Del Rio, TX 78840
Kinney Toll free: 1-800-826-6268
Phone: (830) 774-8702
Fax: (830) 774-1262
Llano County MH Center
102 B East Young Street
Llano, TX 78643
Llano Toll free: 1-800-682-7382
Phone: (325) 247-5895
Fax: (325) 247-3252
Kimble County MH Center
110 South 10th Street
Junction, TX 76849
Mason Toll free: 1-800-325-3482
Phone: (325) 446-3233
Fax: (325) 446-3489
Medina County MH Center
728 18th Street
PO Box 433
Hondo, TX 78861
Medina Toll free: 1-800-832-6743
Phone: (830) 426-4362
Fax: (830) 426-4366
Kimble County MH Center
110 South 10th Street
Junction, TX 76849
Menard Toll free: 1-800-325-3482
Phone: (325) 446-3233
Fax: (325) 446-3489
Uvalde County MH Center
328 Crystal City Highway
Uvalde, TX 78801
Real Toll free: 1-800-662-6052
Phone: (830) 278-2501
Fax: (830) 278-4041
Kimble County MH Center
110 South 10th Street
Junction, TX 76849
Schleicher Toll free: 1-800-325-3482
Phone: (325) 446-3233
Fax: (325) 446-3489
Kimble County MH Center
110 South 10th Street
Junction, TX 76849
Sutton Toll free: 1-800-325-3482
Phone: (325) 446-3233
Fax: (325) 446-3489
Uvalde County MH Center
328 Crystal City Highway
Uvalde, TX 78801
Uvalde Toll free: 1-800-662-6052
Phone: (830) 278-2501
Fax: (830) 278-4041
Val Verde County MH Center
1927 N. Bedell
Del Rio, TX 78840
Val Verde Toll free: 1-800-826-6268
Phone: (830) 774-8702
Fax: (830) 774-1262

Links
For more information and resources, please visit the following links:

National Alliance for the Mentally Ill (NAMI) www.nami.org
Texas NAMI www.namitexas.org
National Mental Health Association www.nmha.org
Substance Abuse and Mental Health Services Administration www.samhsa.gov
Texas Department of State Health Services www.dshs.state.tx.us

PDF's
Disease Management Case Studies
Disease Management Brochure
DM and Mental Health

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Hill Country MHDD Centers
819 Water Street, Suite 300
Kerrville, Texas 78028
Phone: (830) 792-3300
Toll-Free: (833) HCMHDDC (426-4332)
info@hillcountry.org