Mental Health

Community and Hospital Outreach

Community Mental Health Liaison (CMHL)

The CMHL works to form better community partnerships between COMTREA, law enforcement, and courts to save valuable resources that might otherwise be expended on unnecessary jail, prison, and hospital stays, and to improve outcomes for individuals experiencing behavioral health crises. The CMHL also follows-up with those referred, from Jefferson County, in order to track progress and ensure success. Through the CMHL program, those experiencing behavioral health crises, who have frequent interaction with law enforcement and the courts will have improved access to behavioral health treatment. This is done through a collaboration with local partners, including law enforcement in the Crisis Intervention Team.

Emergency Room Enhancement (ERE)

The ERE program encourages communication and collaboration between hospital and community mental health center staff. When an individual presents to a local ED three times in three months or six times in a year, the hospital will contact the ERE Coordinator. Upon receiving the call, the ERE Coordinator meets with the referred individual at the hospital and assists with facilitation of needed services post discharge. Since the individuals being referred to the ERE program are typically quite vulnerable, the ERE Coordinator provides intensive case management services to the individual for up to six months. Once the individual is stable enough, the ERE Coordinator facilitates internal transfer to a lower level of care.

Hospital Community Linkage Inpatient Program

The HCL inpatient program involves collaboration between inpatient psychiatric staff and community mental health center staff. Psychiatric social workers identify inpatient individuals with a serious mental health or substance use disorder. HCL staff travel to the hospital to meet with the referred individual and assists with connection to services post discharge, if desired.

Disease Management 3700 (DM 3700)

In the DM 3700 program, the Department of Mental Health compiles quarterly lists of unserved Medicaid consumers with a serious mental health or substance use disorder and over $20,000 in Medicaid expenses over the past year. The list is provided to the DM 3700 Coordinator to contact all individuals and connect them to needed services. The goal of the program is to reduce the amount hospital visits the individual has, thus reducing the overall Medicaid costs.

Community Support / CASE MANAGEMENT

Disaster and Crisis Response

Evidence-Based Therapy and Coaching

Housing Services

Assisted Living Facility

The Keaton Center Assisted Living Facility offers housing and around-the-clock care to residents. The facility provides two semi-private and 12 private bedrooms, two common areas, full kitchen service, and scheduled activities and outings for residents. Residents have access to all COMTREA services to ensure their overall health and well-being.

Community Housing Services

We seek to reduce the incidence of homelessness and domestic violence in Jefferson County and assist individuals and their families with mental illness, addiction disorder, and other disabilities with obtaining and sustaining safe and stable housing.

Our staff provides resources and intervention as appropriate to the goals and needs of the individual as assessed during the intake evaluation or initial contact. Our staff provide a minimum of linkage and referrals to individuals who request services but are not eligible for a specific program.

Referrals may come from the individual or from hospitals, family members, guardians, state inpatient psychiatric facilities, and other professionals providing services. The current housing program is the Supportive Community Living Program.

COMTREA is involved in the Missouri Balance of State Continuum of Care to assist those who are currently *literally homeless or fleeing or attempting to flee domestic violence or stalking. Those who meet the criteria can apply to the housing-first prioritization list (this is not a waiting list). To apply, current clients should contact their case manager or community support specialist; new clients may contact the Housing Department.

Rental Assistance Program (RAP)

The Emergency Rental Assistance Program (ERAP) provides assistance to income qualified households whose ability to pay rent and utilities has been impacted by COVID-19. Eligible tenants can apply for financial assistance to be
paid directly to their landlord or utility provider. Financial assistance includes rent, utilities, rent arrears, and utility arrears. This program is being offered in partnership with Jefferson County. This project is being supported, in whole or in part, by Federal Award Number ERA 0433 awarded to County of Jefferson by U.S. Department of the Treasury.

Learn more at www.jfcac.org/erap.html.

*Literally homeless, according to Housing and Urban Development (HUD) is defined as: someone living in an INHABITABLE environment, such as sleeping outside, sleeping in an abandoned building, sleeping in a vehicle, staying at a homeless or DV shelter, etc. The applicant can be staying in a hotel and motel and apply if their stay is being paid for by an agency, church, organization, etc. and not paid for by self, friends, or family. ‘Couch surfing’ does not account as being literally homeless according to HUD.

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