83R23326 AED-F
 
  By: Garcia S.B. No. 1912
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to disease management practices of local mental health
  authorities.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 533.0354, Health and Safety Code, is
  amended by amending Subsections (a) and (b) and adding Subsection
  (a-1) to read as follows:
         (a)  A local mental health authority shall ensure the
  provision of assessment services, crisis services, and intensive
  and comprehensive services using disease management practices for
  children with serious emotional, behavioral, or mental disturbance
  and adults with severe mental illness who are experiencing
  significant functional impairment due to a mental health disorder
  defined by the Diagnostic and Statistical Manual of Mental
  Disorders, 5th Edition (DSM-5), including:
               (1)  bipolar disorder;
               (2)  [,] schizophrenia;
               (3)  major depressive disorder, including single
  episode or recurrent major depressive disorder;
               (4)  post-traumatic stress disorder;
               (5)  schizoaffective disorder, including bipolar and
  depressive types;
               (6)  obsessive compulsive disorder;
               (7)  anxiety disorder;
               (8)  attention deficit disorder;
               (9)  delusional disorder;
               (10)  bulimia nervosa, anorexia nervosa, or other
  eating disorders not otherwise specified; or
               (11)  any other diagnosed mental health disorder [, or
  clinically severe depression and for children with serious
  emotional illnesses].
         (a-1)  The local mental health authority shall ensure that
  individuals are engaged with treatment services that are:
               (1)  ongoing and matched to the needs of the individual
  in type, duration, and intensity;
               (2)  focused on a process of recovery designed to allow
  the individual to progress through levels of service;
               (3)  guided by evidence-based protocols and a
  strength-based paradigm of service; and
               (4)  monitored by a system that holds the local
  authority accountable for specific outcomes, while allowing
  flexibility to maximize local resources.
         (b)  The department shall require each local mental health
  authority to incorporate jail diversion strategies into the
  authority's disease management practices to reduce the involvement
  of the criminal justice system in [for] managing adults with the
  following disorders as defined by the Diagnostic and Statistical
  Manual of Mental Disorders, 5th Edition (DSM-5):
               (1)  schizophrenia;
               (2)  [and] bipolar disorder;
               (3)  post-traumatic stress disorder;
               (4)  schizoaffective disorder, including bipolar and
  depressive types;
               (5)  anxiety disorder; or
               (6)  delusional disorder [to reduce the involvement of
  those client populations with the criminal justice system].
         SECTION 2.  This Act takes effect January 1, 2014.