Funding & Service Summary
Burke’s mission is to provide the highest-quality and most compassionate and comprehensive mental health and developmental disability services to every client in East Texas that needs them.
To meet this mission, Burke has established Strategic Initiatives to direct the work of Burke leadership and staff, review the FY 2017 Strategic Initiatives.
To inform clients, community members, elected officials of our performance, impact and financial management, we periodically provide snapshots of our various departments. The following information is current as of March 2016.
Burke provides award-winning mental health and intellectual and development disability services to anyone that needs them in 12 East Texas counties: Angelina, Houston, Jasper, Nacogdoches, Newton, Polk, Sabine, San Augustine, San Jacinto, Shelby, Trinity, and Tyler.
Mental Health Services
Individual Served by Mental Health Programs
Preadmission Screening and Resident Reviews (PASRR)
Burke began conducting PASRR screenings in 2013. The screenings assist in the identification of individuals who have a mental illness or intellectual disability. This allows staff to further evaluate the need for nursing home care and identify other specialized services that may be needed.
Currently, Burke manages 1,000 PASRR reviews for the service region each year.
Burke developmental disabilities services are tailored for each client’s personal and unique needs. We work with each client and family member to develop the most appropriate course of care that will help achieve individual goals.
Burke Industries provides some clients an opportunity to obtain job skills training and ongoing employment. Developmental disability services at Burke require an intake appointment at which the individual’s history, diagnoses, and needs are evaluated.
Burke Early Childhood Intervention Services help children birth to age three overcome difficulties in early development. Together, parents and staff work to improve the child’s physical, cognitive, social, and adaptive development to build a stronger foundation for the child’s future.
While changes in program eligibility criteria have reduced annual service figures, children enrolled in care receive more intensive services.
Burke receives state and federal funds administered by the Department of Assistive and Rehabilitative Services, the Department of Aging and Disability Services, and the Department of State Health Services for Early Childhood Intervention, Intellectual and Developmental Disability and Mental Health services respectively. Insurance payments including Medicare, Medicaid and commercial policies for client services are an additional source of funds. Burke staff and clients earn funds from IDD enterprise activities and contracted services. Additional funds include contributions from county governments and hospitals for special projects, local donations and other in-kind sources of funds.
Funding by Division
Burke has seen significant increases in funding in the last two years due to increases in mental health funding from the last two legislative sessions and through the implementation of the Texas 1115 Medicaid Transformation Waiver Program. This additional funding has allowed Burke to increase service capacity.
1115 Medicaid Transformation Waiver
Following are specific project areas / objectives for which Burke received funding via the 1115 Medicaid Transformation Waiver.
1. Expand Capacity: Adding staff and resources to serve more people needing mental health services.
2. Expand Telemedicine: Upgrading equipment and adding telemedicine to new sites in Jasper, Woodville, and Trinity.
3. Primary Care Integration: Partnering with the Angelina Cities/County Health District to create a primary care clinic in our Lufkin facility to provide needed medical treatment for those we serve. We have placed mental health specialists in the Health District clinic so that their patients can receive behavioral health support.
4. Specialized Teams: Focusing services on persons with complex or re-occurring needs by creating a team of experts to closely provide and coordinate their care. This means home visits, frequent contacts and specialized programs to reduce repeated crises or criminal justice involvement.
5. Peer Support: Hiring individuals who are recovering from mental illness to provide services and supports in our programs. Research has shown that their experience and encouragement helps others on their recovery journey and can significantly improve outcomes for those they serve.
6. Detox and Treatment: Adding a detoxification component to our Mental Health Emergency Center and are partners with the Alcohol and Drug Abuse Council (ADAC) to provide ongoing recovery support and treatment.
7. Mental Health Education, Outreach, and Engagement: Implementing a public education and outreach program using a variety of media platforms to improve engagement in behavioral healthcare services and promote mental health. We will incorporate proven on-line and social media resources as an adjunct to care for those we serve.
As of December 2015, Burke employs 604 individuals; 399 full-time and 205 part-time.
Over the past five years, staff turnover ranged from 15-22%; the FY15 turnover rate is 18.6%. The chart to the right depicts years of service among Burke employees; with an average of 5.6 years.
Nearly half of Burke employees reside in Angelina County, 21% live in Nacogdoches and 7% live in Polk County. The remaining 15.5% live in other Burke region counties.