Taking it to the Next Level:

The Potential Benefits of

Public/Private Partnerships

Success Through Collaboration

• Crisis Intervention Response Teams (CIRT)

• Crisis Consumer Stabilization Initiative (CCSI)

• Homeless Outreach Team (HOT)

• 911 Crisis Call Diversion Pilot Project (CCD)

State general revenue Harris

County funding influx

First privately funded grant

received

SAMHSA Federal PATH Grant

City of Houston funding

Second privately funded grant

received

Funding Timeline

Medicaid 1115 waiver

funding

20131965 1990 1999-2004 2009 2011 2012

County match

Public/Private Partnerships

“A public/private partnership is best described as one that pulls resources from some public entity, such as a local government, and

combines it with resources, usually financial, from private philanthropy. The reason behind these types of projects is simple:

Local, state, and federal governments simply don’t have the means to address the plethora of

needs in our communities. Private philanthropy, even with all of our combined resources, can’t do this on its own either. Therefore, combining our efforts maximizes the effectiveness of our work.”

-Excerpted from: Public-Private Partnerships: An Effective Way to Address Our Community’s Needs by Amanda Cloud, Simmons Foundation, Funders Together to End Homelessness Blog, September 2012

Private Philanthropy

• Innovation

• Collaboration

• Filling gaps

• Leveraging resources

• Strategic funding

• Collective Impact

Public vs Private FundingPublic Grants• Tedious application process

with little to no personal contact– May involve a site visit

• Tedious reporting process that focuses solely or mainly on quantitative factors

• Make allocations to government agencies and 501c3 non-profits

Private Grants

• Less difficult application process with more personal contact– Usually involves a site visit

plus additional conversations

– Different language & relationship building

• Less tedious reporting process that involves more qualitative reporting

• Make allocations to 501c3 non-profits

Private Funding Process

• Have initial conversation

• Attend information session (many times mandatory)

• Submit pre-application/letter of intent (LOI) for corresponding quarter/funding cycle

• Submit full application

• Possible site visit

Getting Started• Identify your gaps

– Where are you, what’s missing, where do you want to be?

– What will it take to get there?

• Seek out the assistance of the organizations you already collaborate with for advice, introductions, possible collaborations– Find your champions

• Make a plan and form a team– Highlight your work to get community buy-in

– Identify foundations (or individuals) interested in the areas you address based on their current giving

– Decide who will represent you, make initial contact, work on proposals, handle stewardship, etc.

– Who will be the fiscal agent?

Fiscal Agents

Salaries Equipment

Both 501c3 Non-Profits

Private Philanthropic SupportJoint The Harris Center/HPD Programs

Fall 2011-Present:$1.15 Million

• Psych Tech (CCSI)

• Wheelchair Accessible Van (HOT)

• Truck (HOT)

• ATV and Trailer (HOT)

• Documentary Film (HOT)

• Passenger Van (HOT)

• HelpLine Counselors (CCD)*

*Funded through 2-year pilot

After You Get Funding

Reporting

Donor Stewardship

Re-Applying

HOMELESS OUTREACH TEAM

Homeless Outreach TeamGOAL: To bridge the gaps that exist

between the police, the homeless, government agencies, and community providers.

METHODS:

• Build personal relationships with those living on the streets.

• Find out why those living on the streets are not taking advantage of the available help.

• Network and build relationships with service providers in order to find out what help is available.

• Match the person with the best provider and then assist that person though the process to the best of our ability.

Homeless Outreach Team

• 1-HPD Sergeant*

• 4-HPD Officers*

• 3-The Harris Center PATH** Case Managers

• 1-The Harris Center PATH** Supervisor

*Houston Police Department Mental Health Division

**PATH: SAMHSA Projects for Assistance in Transition from Homelessness

• Homeless Outreach Team members travel the streets of Houston to help facilitate basic services for homeless clients, many of whom have behavioral health needs, by providing linkage to various resources.

• Help clients obtain:

– Social Security Cards

– Passport Information

– Birth Certificates

– Homeless Letters

– Shelter Referrals

– Texas Identification

– Police Department Identification Letters

• Team maintains a working relationship with many local non-profits and social service providers.

Homeless Outreach Team:Meeting Clients Where They Are

HOT: A Public/Private Partnership

Frees Foundation

Simmons Foundation

Albert & Ethel Herzstein Charitable Foundation

Houston Police Foundation

Houston Police Foundation Frees Foundation

Frees Foundation, Simmons Foundation, & Funders Together to End Homelessness-Houston

Available on YouTube:#SHEPHERDSINBLUE

Success Through Collaboration

The Harris Center for Mental Health & IDD*

• Largest behavioral and developmental disability care center in Texas.

• Serves more than 45,000 people each year by offering a full range of community based programs .

• Partners with hundreds of community advocacy organizations, hospitals, foundations, governmental entities, non-profit groups and others to connect its consumers with the best available care.

*Formerly MHMRA of Harris County

Houston Police Department

• Largest police department in Texas.

– Over 5,300 Classified Employees

– Over 1,800 Civilian Employees

• In 2014, HPD responded to 32,544 calls for service coded as mental health related

– Less than 1% resulted in an arrest

• On average, HPD officers detain a person in a mental health crisis and file an emergency detention order every 2.5 hours

• HPD Mental Health Division is the only one of its kind in the nation

Psychiatric Emergency Services

PES at the (Neuropsychiatric

Center-NPC)

Mobile Crisis Outreach Team

(MCOT)

MHMRA Helpline

Crisis Intervention

Response Team (CIRT)

Critical Time Intervention

(CTI)

Crisis Stabilization Unit

(CSU)

Crisis Residential Unit

(CRU)

Chronic Consumer Stabilization Initiative

(CCSI)

Program Timeline

CIRT Expansion to include Harris

County Sheriff’s Office

Homeless Outreach Team (HOT)

20111999 2002 2003 2004 2008 2009

Joint ProgramsCrisis Intervention

Response Teams• Program partners a CIT officer or

deputy with a licensed mental health clinician

– 20 teams, 24/7, city/county-wide

– Only program in Texas

– One of three programs nationally

• OBJECTIVES:

– Respond to calls involving the most serious mentally ill individuals

– Conduct proactive and follow-up investigations on chronic mentally ill individuals

– Respond to SWAT and Hostage Negotiation Team calls as a resource for the scene commander

– Prisoner assessments at the city jails

– Transportation of individuals in crisis from local MHMRA clinics to emergency psychiatric facilities

Crisis Consumer Stabilization Initiative

• Designed to identify, engage, and provide services to individuals who have been diagnosed with serious and persistent mental illness and who have had frequent encounters with the Houston Police Department

– First time City of Houston has funded this kind of program

• OBJECTIVES:

– Reduce the number of interactions for clients with serious mental illness with the Houston Police Department

– Identify unmet needs and barriers in the community

– Link and coordinate clients with needed mental health treatment and psychosocial services

– Reduce the number of crisis admissions to local hospitals and ERs

Joint Programs911 Crisis Call Diversion Pilot Project

• Calls to 911 coded as mental health related but non-imminent risk may be diverted to HelpLine Counselors from The Harris Center co-located on the floor of the Houston Emergency Center

– Only program of its kind in the nation

– Two-year pilot began September 2015

• OBJECTIVES:– The caller to 911 will get immediate triage

to determine if there is any immediate risk.

– If appropriate, the caller will be connected live with a HelpLine Counselor located onsite at the Houston Emergency Center for a complete telephonic assessment.

– Appropriate referrals will be made as needed, including to The Harris Center’s Mobile Crisis Outreach Team, The Harris Center’s Crisis Counseling Unit, and/or the NeuroPsychiatric Center. Calls needing immediate emergency services will be connected to a CIRT or back to 911 with a specific dispatch request.

HOUSTON ENDOWMENT

Awards and Recognitions

CCSI: Recipient of the 2010 International Association of Chiefs of Police Community Policing Award

CCSI: Finalist, 2010 Herman Goldstein Award for Excellence in Problem-Oriented Policing

2010: HPD named one of six police departments nationwide selected by US Council of State Governments as a learning site for specialized policing responses for responding to individuals with mental illness

Awards and Recognitions

CCSI: Recipient of the 2015 International Association of Chiefs of Police Michael Shanahan Award for Excellence in Public/Private Cooperation

HOT: Finalist, 2015 International Association of Chiefs of Police Community Policing Award

Key Points to Remember• Development of key relationships

– Takes time, effort, and may not have an immediate return

• Who can make change happen?

• Community involvement and acceptance builds momentum for expanded community investment (financial and otherwise)

• No one individual is responsible for the finished product.

• EVERYONE contributes

Contact Information

Lillian Aguirre Ortiz, MSWDirector of Primary and Behavioral Health PolicyOne Voice Texas713-333-2242; lortiz@onevoicetexas.orgwww.onevoicetexas.org

Steve Wick, SergeantHomeless Outreach Team, Mental Health DivisionHouston Police Department832-394-4246; Steve.Wick@HoustonPolice.Orgwww.houstoncit.org

Ann MacLeod, LPC-S, NCCProgram Director, Crisis Intervention Response TeamThe Harris Center for Mental Health and IDD832-394-4245; ann.macleod@mhmraharris.orgwww.mhmraharris.org