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Crystal Fox

๐Ÿ‘ค Speaker
365 total appearances

Appearances Over Time

Podcast Appearances

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

It would be sent to the CMH and they'd be bound to hear the treatment plan.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

Within 30 days, get it back to the probate court so you can make sure they're actually doing their job and we're off and running.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

And what you need is the judge involved from beginning to end when the petition is filed.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

So we measure now when we get someone who comes in for a pickup order to have their loved one transported to the hospital for an evaluation, we measure how many petitions we get after that.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

We're running around 25%.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

So what happens to the other 75%?

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

We don't have the answer to that yet.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

So we're at the front end.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

We make sure that the deferment process is followed.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

So what happens is if someone is hospitalized, there's a deferment conference with CMH and the individual and the lawyer.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

If they work out a treatment plan, that becomes the plan, and there's a deferment.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

But what has happened historically is the hospital doesn't invite CMH to the table, patient signs a deferral, and it's a deferral to nowhere.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

So we're trying to tighten up the ship all the way through the end.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

And we're measuring things.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

For example, we measure how many people we put on an AOT order are getting treatment within 30 days.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

And we know that number.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

And we know what provider is hitting the target.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

Right now, the best provider is 75%, which doesn't sound great, but it's better than zero.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

Well, the Michigan Mental Health Commission back in 2004 came to the conclusion that mental illness was treatable, recovery was possible, provided you intervened early.

Tony Mantor: Why Not Me ?
NSSC: Voices of Change Part 1: Serious Mental Illness, Missed Care, and the Criminal Justice Gap

And early intervention was the key and now waiting for crisis.