HLS 16RS-1350 ORIGINAL 2016 Regular Session HOUSE CONCURRENT RESOL UTION NO. 112 BY REPRESENTATIVE CARPENTER MENTAL HEALTH: Requests a study of systems for providing appropriate mental health and behavioral health treatment in the capital region 1 A CONCURRENT RESOL UTION 2To urge and request the Capital Area Human Services District to conduct a study of systems 3 for providing appropriate mental health and behavioral health treatment in the capital 4 region as an alternative to hospitalization or detention in jails or other correctional 5 facilities of persons in mental health or behavioral health crisis, and to report 6 findings of the study to the Capital Region Legislative Delegation and the legislative 7 committees on health and welfare. 8 WHEREAS, access to health care, including mental health and behavioral health 9services, is a major public health concern throughout Louisiana; and 10 WHEREAS, this public health concern is very prominent in the capital region, as the 11Earl K. Long Medical Center, which was the state-owned public hospital in Baton Rouge, 12closed in 2013, and the city's only remaining centrally located hospital closed its emergency 13department in 2015 due to its inability to cover the cost of treating the overwhelming number 14of uninsured patients that it began to see in the aftermath of the closure of Earl K. Long; and 15 WHEREAS, as evidenced by the final passage of House Bill No. 1493 of the 2010 16Regular Session and final adoption and concurrence of House Concurrent Resolution No. 17129 and Senate Concurrent Resolution No. 21 of the 2015 Regular Session, the legislature 18has expressed serious concern regarding the issue of access to health care in the capital 19region; and 20 WHEREAS, this region was adversely affected by the 2013 closure of Baton Rouge's 21mental health emergency room extension, referred to hereafter as the MHERE, which had Page 1 of 3 HLS 16RS-1350 ORIGINAL HCR NO. 112 1operated as part of the Earl K. Long Medical Center and kept patients with mental illness 2from congesting hospital emergency departments and jails; and 3 WHEREAS, the MHERE was a type of crisis receiving center in which a staff of 4mental health and behavioral health specialists provided a high level of screening and 5assessment to people experiencing mental health or behavioral health crises; and 6 WHEREAS, the MHERE functioned to connect patients experiencing mental health 7or behavioral health crises to either acute or ongoing community-based treatment; 8diminished the need in the city and region for recurrent crisis services for persons suffering 9from mental illness, substance abuse, or both conditions; and served as a crisis continuum 10component that assisted law enforcement officers, hospital emergency departments, and jails 11by treating persons with mental health and behavioral health conditions in an appropriate 12setting; and 13 WHEREAS, since the closure of the Baton Rouge MHERE, public officials, 14community leaders, and public health advocates throughout the capital region have 15increasingly expressed concerns over the inadequacy of resources available for treatment of 16persons with mental health and behavioral health conditions, with these concerns relating 17equally to the well-being of persons whose critical health needs are going unmet and to the 18mounting financial burdens that hospitals and detention facilities have incurred through 19confining these persons in such costly settings. 20 THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby 21urge and request the Capital Area Human Services District to conduct a study of systems for 22providing appropriate mental health and behavioral health treatment in the capital region as 23an alternative to hospitalization or detention in jails or other correctional facilities of persons 24in mental health or behavioral health crisis. 25 BE IT FURTHER RESOLVED that the study and its resulting report shall address, 26without limitation, the following: 27 (1) Whether creation and maintenance of a system for providing appropriate mental 28health and behavioral health treatment in the capital region could be accomplished within 29the limits of the existing financial resources and healthcare infrastructure of the region. Page 2 of 3 HLS 16RS-1350 ORIGINAL HCR NO. 112 1 (2) The cost of creating and implementing a system for providing appropriate mental 2health and behavioral health treatment in the capital region if such a system cannot be 3created and maintained within the limits of the existing financial resources and healthcare 4infrastructure of the region. 5 BE IT FURTHER RESOLVED that in developing the study, the district may engage 6and obtain information and commentary from public officials, community leaders, public 7health advocates, and stakeholder groups at the discretion of the executive director of the 8district. 9 BE IT FURTHER RESOLVED that the district shall submit a written report of 10findings of the study required by this Resolution to the members of the Capital Region 11Legislative Delegation, the House Committee on Health and Welfare, and the Senate 12Committee on Health and Welfare no later than sixty days prior to the convening of the 2017 13Regular Session of the Legislature of Louisiana. 14 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the 15executive director of the Capital Area Human Services District. DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] HCR 112 Original 2016 Regular Session Carpenter Urges and requests the Capital Area Human Services District to conduct a study of systems for providing appropriate mental health and behavioral health treatment in the capital region as an alternative to hospitalization or detention in jails or other correctional facilities of persons in mental health or behavioral health crisis. Requires the district to submit a written report of findings of the study to the members of the Capital Region Legislative Delegation and the legislative committees on health and welfare no later than 60 days prior to the convening of the 2017 R.S. Page 3 of 3