By: Teresa Luna
University of Phoenix
June 14, 2010
Ms. Becky Brown
There are many governmental agencies within the healthcare system. One of most interesting and heart-wrenching agencies is a local governmental agency called Terrell State Mental Hospital. This agency is well known in the state of Texas for its carefree healthcare. They have a longstanding relationship with the families of its patients and are a major contributor to the city of Terrell’s financial windfall. They produce over ten million a year for the city of Terrell, which allows this city to take care of its mental inpatients and make sure they have the best treatment possible. History of Terrell State Mental Hospital
According to Mike Hansen (2008), Terrell State Mental Hospital is a 582 room facility that is joint commission accredited and a Medicare certified psychiatric inpatient hospital that is operated under the direction of the Texas Department of State Health Services. This hospital is responsible for many types of illnesses and is an independent, not for profit organization, which has many programs to offer its patients. These programs include an adult acute program, a children’s and adolescence program, a forensics program, geriatric service, an intensive behavioral program and an intermediate care program, all of which has their patients best interest at heart. This hospital was opened in July 1885 and has grown to double its original size and is still running strong to this day. This is a local governmental agency which can compare with national agencies such as The Centers of Disease Control or a state governmental agency such as Health and Human Services in many ways, but the most common factor between these agencies is their ability to help the ill to get over disease or keep from getting a physical or mental illness. This agency houses over 775 patients and employees over 175 people. It is a functioning psychiatric hospital, which cares for its mentally ill patients over four county lines. They monitor their facilities and patients for any new mental illnesses which may develop. This agency also serves the rich, the poor, all races and all minorities in the state of Texas. The Community Relations Department at Terrell State Hospital has three areas of responsibility, which includes volunteer services, public information and fundraising. They provide services and items that the state cannot supply by law or by limitation of funds. This agency has done a tremendous job with curing its patients or at least advancing them to live in society. Admission Process
When a person first arrives at the hospital they will be greeted at the admissions office by the staff, which are well trained to address language and cultural needs as well as special needs such as those of the visually impaired or hearing impaired. Then a meeting with the chief psychiatrist will take place to cover the needs and reasoning for the patient being admitted then paperwork will be completed covering reason for hospitalization. Then the patient will be shown around the facility and introduced to the staff that will be caring for the patient. Afterwards, an evaluation will be done by the doctor to determine what needs are to be met. The only motto of this staff is the patient always comes first. Structure and Funding
Terrell State Mental Hospital is designed in a matrix structure where the professionals focus on project teams and report to a general manager or a vice president. Because these professionals can work on several projects it is very important to have strong central oversight from the senior managers to ensure people do not stray from the projects they work on. According to Ninomiya (2009), with this style of management system workers report to more than one supervisor at a time. The idea is to share knowledge and personnel to maximize effectiveness. This hospital receives their funding from...