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Mental Health Unit Now Open With 16  Beds

By Sonya Campbell
The Daily Times     
Published May 20, 2009

After six years in the making, the Hill Country Community Mental Health Mental Retardation Center’s Crisis Stabilization Unit is open and accepting patients.

The unit, located behind Kerrville State Hospital, accepted its first patient Friday, the same day the facility opened, according to Linda Werlein, Hill Country MHMR chief executive officer.

On Tuesday, the 16-bed facility was at half occupancy, she said, noting last-minute minor construction still was under way.

The CSU accepts mental-health patients, 18 and older — from a 19-county region — who are experiencing acute psychiatric crisis.

“We don’t take criminal commitments,” Werlein said.

Patients must either be court-committed or referred by a hospital, law enforcement, doctor or emergency room. They can stay at the “Medicaid-eligible” facility for as many as 14 days.

While at the facility, patients undergo assessments, including evaluations of their medical and psychosocial needs, and are provided with a treatment plan in line with a recovery-based model.

Patients’ ability to function in the community, living arrangements and jobs are among criteria factored into their individual treatment plans.

The facility’s goal is not only to stabilize its patients but to help them successfully be reintegrated into the community as fully functioning members of society, Werlein said.

For instance, a patient with a history of mental illness, who has stopped taking his medication and becomes delusional, is admitted to the facility. Following their admission to the CSU, the patient is assessed, placed on medication again, stabilized and either released or sent to another state hospital.

Patients can be admitted to the facility 24 hours a day, seven days a week.

About the project

Werlein credited State Rep. Harvey Hilderbran and his staff as being instrumental in acquiring funding to remodel the facility.

In 2008, the MHMR Center received $463,831 for the facility’s operation. The money was part of $25 million awarded to mental health centers by the Texas Department of State Health Services.

Other contributors included the Peterson, Ruby Stevens, James Avery and Meadows foundations, as well as individual donors.

Werlein said Hill Country MHMR gave $1 million for the remodeling effort, and Kerr County provided a road and parking lot for the facility.

Also, Bank of the Hills, First State Bank of Uvalde, Kerr County Federal Credit Union, Llano National Bank, Wells Fargo and private donors helped pay for landscaping and equipment.

Today, the building houses a “high-tech unit,” Werlein said, noting while the facility initially began as a pilot project, it has since been deemed “permanent” by state legislators.

Community benefits

In addition to helping individuals in crisis, the facility offers community benefits, as well, including jobs and payroll.

Hill Country MHMR employs about 160 people and has an estimated $5.6 million payroll in Kerr County.

Werlein said the Kerrville facility has 38 “hand-picked,” full-time employees, including nurses, mental health professionals, social workers and psychologists.

Another advantage is gained by law enforcement, who in the past spent a significant amount of time and money transporting civil commitment patients to state hospitals outside of the county.

Werlein said that job is now the clinic’s responsibility.

And while each county within the facility’s coverage area pays Kerr County, as the host, for court commitments, all 19 are treated the same. None receive any special advantages over another, Werlein said.

So what’s next?

Plans are under way for an open house celebration. But at this point, the date and time are unavailable.

More details about the event will be forthcoming, Werlein said.