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Home My WebLink AboutResolution - 2009-R0171 - Memo Of Understanding - Lubbock Regional Mental Health Mental Retardation Center - 04/27/2009Resolution No. 2009-RO171 April 27, 2009 Item No. 5.17 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK, TEXAS:. THAT the City Council of the City of Lubbock hereby authorizes execution of a Memorandum of Understanding, and any associated documents, by and between the City of Lubbock Police Department and the Lubbock Regional Mental Health Mental Retardation Center. Said Memorandum is attached hereto and incorporated in this Resolution as if fully set forth herein and shall be included in the minutes of the Council. Passed by the City Council this 27th day of Aril , 2009. z ' &'<Z7 TOM MARTIN, MAYOR ATTEST: CQ,U,-" Rebec a Garza, City Secretary APPRO` FD AS TO C LATENT: J Dale Holton, Chief of Police APPROVED AS TO FORM: 0/,v Harold Willard, Asst. City torney HWAh/ccdocs/Reno-TxDot (MHMR Center).res March 06, 2009 Resolution No. 2009-RO171 Lubbock Regional Mental Health Mental Retardation Center Memorandum of Understanding (Lubbock Regional MHMR Center — Lubbock Police Department) THIS MEMORANDUM OF UNDERSTANDING is entered into by and between the agencies shown below. I. AGENCIES: The Receiving Agency: Lubbock Police Department The Performing Agency: Lubbock Regional Mental Health Mental Retardation Center IL STATEMENT OF SERVICES TO BE PERFORMED: Services to be provided by the Performing Agency are: 1) determining whether detainees referred by the Lubbock Police Department have a mental illness and/or mental retardation diagnosis and 2) determining whether the individual meets commitment criteria under State Law. (See Exhibit A.) III. OBLIGATIONS OF THE PERFORMING AGENCY (a) The services to be provided by the Performing Agency will be provided in accordance with the Protocol as set forth in Exhibit A. IV. OBLIGATIONS OF THE RECEIVING AGENCY (a) Receiving Agency shall adhere to the Protocol as set forth in Exhibit A. V. TERM OF AGREEMENT: This Agreement is to begin May 1, 2009 and shall terminate April 30, 2010. THE UNDERSIGNED AGENCIES do hereby certify that, (1) the services specified above are necessary and essential for activities that are properly within the statutory functions and programs of the affected agencies and (2) the proposed arrangements serve the interest of efficient and economical administration. RECEIVING AGENCY AND ITS AGENT further certify that it has the authority to enter into this agreement for the above services. PERFORMING AGENCY AND ITS AGENT further certify that it has the authority to perform the services specified into this agreement under the provisions of Chapter 534 of the Texas Health & Safety Code Ann., as amended, RECEIVING AGENCY Lubbock Policc D�je-partment By: r.� Dale Holton Chief of Police By: Thomas Esparza Assistant Chief of Police Date: April 27, 2009 CITY OF LUBBOCK e Tom Martin, Mayor ATTEST Rebec Garza, City Secretary APPROVED AS TO FORM &a& M&P Harold Willard, Assistant City Attorney PERFORMING AGENCY Lubboc Re Tonal Center By. Cathy Pope Chief Executive Officer By:- 1 ffM JJVLWW-�' Robyn Johnsto Contract Managome t Director Date: 8 EXHIBIT 66A99 Resolution No. 2009—RO171 MUMIRSection 1 — Provision of Care, Treatment, Lubbock P�uuaal M.wal. ileahli and Services Nlt:utal RCtal-J:3troll €'urter Magistrate's Warrant for the City of Lubbock Effective Date: May 1, 2009 Reviewed/Revision Date: Board Policy The Center provides care, treatment, and services in a safe, therapeutic, and ethical manner Administrative Policy The provider of crisis services must be available 24 hours a day, 365 days a year, to perform immediate screenings and assessments of consumers in crisis. Magistrate's Warrants for the City of Lubbock, TX: 1. Families, friends or other concerned parties may seek a magistrate's warrant for involuntary commitment [Texas Mental Health Code, Subchapter B, Sec. 573.011(a) (1-7)] through the Triage/Assessment Unit of Lubbock Regional MHMR Center (LRMHMRC). 2. If the person who is subject of the warrant resides within the city limits of Lubbock, TX, the following steps shall be followed. 3. Upon completion of the warrant (appropriate signatures, notary seal, etc.), the crisis team will contact the, mental health representative for Lubbock County, Judge Tom Head, 775-1086. 4. The judge's mental health representative will confirm that the judge is available to sign the warrant. 5. A crisis unit staff person or other designated staff person will transport the warrant to the Lubbock County Courthouse for signature. 6. After the signature is obtained, the staff person will transport the warrant back to LRMHMRC. 7. A second copy of the warrant is made and posted in the Triage/Assessment area for future reference if needed. 8. Upon arrival back to LRMHMR — SRC, the crisis staff will contact the Lubbock Police Department (LPD) dispatcher notifying the Police Department there is a warrant that is ready to serve (note: magistrate's warrants will be classified as "Priority 3" calls by LPD). 9. The crisis team will notify the receptionist area of the expected arrival time of an LPD officer who will serve the warrant. 10. An LPD officer will be dispatched to LRMHMRC SRC. 11. LPD Priority 3 calls are normally dispatched within a thirty (30) minute time frame. If the person is violent or uncooperative, the LPD should be advised of this and a higher Priority may be assigned this call by LPD dispatch. 12. If there are delays to the estimated time of arrival, the LPD dispatcher will notify the crisis team staff. 13. Upon the officer's arrival to SRC, officers may park in the designated law enforcement parking located just east of the front portico. 14. The LPD officers will report to the receptionist area where they will inform the receptionist they are here to meet with the crisis team staff regarding a magistrate's warrant. 15. The crisis team member and responding LPD officers will meet in a private area to discuss the case and share all known and pertinent details. 16. Crisis staff will accompany the LPD officer to serve the warrant. 17. LRMHMRC staff will use their own transportation, following the LPD officer to the location of the person to be served. 18. Upon arrival to the person's location, the LRMHMRC staff will conduct a crisis assessment using the crisis elements of the Adult Texas Recommended Assessment Guidelines (Adult - Section 1 — Provisions of Gare, Treatment & Service Policy for Magistrate's Warrant — City of Lubbock Page 1 of 2 EXHIBIT "A" TRAG) or the Child and Adolescent Texas Recommended Assessment Guidelines (CA- TRAG) or other DSHS-approved screening tool. 19. This assessment will determine whether the individual will require further psychiatric evaluation by a physician. 20. If no further evaluation is needed, the person is informed of the decision. 21. For other options available to the consumer, refer to policy and procedure for service package 0. 22. The LPD officer and crisis worker will return to other duties as assigned. 23. If further evaluation is needed, the crisis team member will contact the SRC on-call physician for further instruction. Persons Transported to SRC for Further Evaluation 24. If, based on the phone conversation with crisis staff, the physician determines a need for further evaluation regarding possible hospitalization, the crisis response team will arrange for the most appropriate means of transport to SRC. If LPD transports, the need for restraints shall be determined by the LPD officer according to LPD's current policies and procedures. 25. The on-call physician will meet the LPD officer, the crisis worker and the person to be assessed at SRC. 26. The LPD officer, the crisis worker and the physician will determine if the officer can be released from his role in this process. If it is determined that the LPD officer may have to remain an "extended" period of time, the LPD officer will notify his supervisor who shall be responsible for the final decision as to the time an officer can remain. Anytime period over 45 minutes will normally be considered an "extended" period of time. 27. An LPD officer may be reactivated at any point until the person is admitted to SRCH. 28. The physician will perform his/her assessment. 29. If the physician deems the person does not meet criteria for hospitalization, the person is released and crisis team member will make transportation arrangements to return the person to the point of apprehension. 30. If the person is found to meet criteria for hospitalization, prior established procedures are followed to ensure transition into the in-patient unit. 31. If a more detailed medical clearance is requested by the physician on-call after the person has arrived at SRC, the crisis worker will contact Lubbock Aid ambulance to transport the individual to UMC ER. 32. The crisis worker will alert the UMC ER of estimated arrival time and of the services being requested. 33. Medical clearance is done in accordance with previously agreed upon protocols between SRCH and UMC ER. Persons In Need of Medical Clearance at University Medical Center 34. Refer back to step #21. If, based on the phone conversation with crisis staff, the physician determines that the person in need of further evaluation regarding hospitalization appears to have physical needs requiring emergency medical care, crisis response team will arrange for the most appropriate means of transport to SRC. Normally this will be by EMS. If it becomes necessary for the LPD officer to transport, please refer back to #24. 35. The crisis worker will alert the UMC ER of estimated arrival time and of the services being requested. 36. Medical clearance is done in accordance with previously agreed upon protocols between SRCH and UMC ER. 37. The crisis team staff will notify Joanne Harwood, crisis line supervisor, and Leonard Valderaz, Hospital Administrator, by e-mail of all individuals sent to UMC ER for medical clearance. `For policies and procedures pertaining to Lubbock, Crosby, Lynn, Hockley and Cochran counties, refer to Procedure entitled "Obtaining Magistrate's Warrants for Lubbock Regional MHMR Center Rural Areas. References Texas Mental Health Code, Subchapter B, Sec. 573.011(a) (1-7)] 2009 Contract, Amendment Item V — Crisis Services Standards Texas Administrative Code Chapter 412, Subchapter G, Rule 412.315 Chapter 412, Subchapter G, Rule 412.314 Utilization Management Guidelines — Lubbock Regional MHMR Center Section 1— Provisions of Care, Treatment & Service Policy for Magistrate's Warrant — City of Lubbock Page 2 of 2