The Hanover County Community Profile: Mental Health Services
Mental Health Services, Intellectual Disabilities Services and Substance Abuse
Services are provided by the Hanover County
Community Services Board.
Mental health client characteristics indicate that men and women
are equally likely to require Mental Health and Intellectual Disabilities
services; however, men are 1.7 times more likely to require substance
abuse services (2003 data). Five years' data suggest that there
was a slight increase in the need for mental health and intellectual disabilities
services between 1998 and 2003. (It should be noted that the data
for all MH/MR/SA services is missing for the year 2000. To examine
the possibility of trends, the 1999 and 2001 data in all categories
was averaged for 2000.)
Substance abuse clients declined from 1999 to 2002, but experienced
an increase in 2003. Substance abuse clients aged thirteen to seventeen
increased between 1999 and 2001, then began a downward trajectory
in 2002 and 2003.
The number of adults and children hospitalized with mental health
diagnoses, including substance abuse, have remained relatively steady
for fiscal years 2001 through 2004, averaging 214 adults and 53
children each year. On average, more men (83) were hospitalized
than women (72); however, boys and girls were hospitalized in equal
numbers when averaged over the four year period. There was a 16%
decrease in involuntary commitments between 2001 and 2002, leveling
off for years 2003 and 2004. The police are the most common referral
source for both voluntary and involuntary hospitalizations. Consult
the following table for additional information on voluntary and
involuntary mental health, intellectual disabilities and substance abuse
commitments.
MH/MR/SA Hospitalizations
| |
2001 |
2002 |
2003 |
2004 |
Average |
| Total Hospitalizations |
300 |
253 |
258 |
257 |
267 |
| Adults |
225 |
216 |
212 |
202 |
214 |
| Involuntary Hospitalizations |
146 |
162 |
159 |
154 |
155 |
| Hospitals |
|
| St Mary's |
54 |
25 |
29 |
27 |
34 |
| Richmond Community |
60 |
63 |
38 |
39 |
50 |
| Capitol Med Center |
23 |
n/a |
n/a |
n/a |
23 |
| MCV |
3 |
15 |
28 |
21 |
17 |
| Tucker's Pavillion |
1 |
14 |
12 |
21 |
12 |
| CSH |
3 |
4 |
0 |
4 |
3 |
| Other |
4 |
41 |
52 |
42 |
35 |
| Out of Catchment/Trnsient |
39 |
32 |
34 |
30 |
34 |
| Private Provider |
27 |
39 |
37 |
50 |
38 |
| Open CSB cases |
30 |
45 |
38 |
45 |
40 |
| Disposition of Hearings |
|
| Commitment: |
81 |
81 |
90 |
97 |
87 |
| CSH |
3 |
3 |
0 |
0 |
2 |
| Piedmont |
0 |
1 |
0 |
2 |
1 |
| MCV |
1 |
8 |
16 |
15 |
10 |
| St Mary's |
27 |
12 |
14 |
19 |
18 |
| Richmond Community |
33 |
27 |
19 |
25 |
26 |
| Tucker's Pavillion |
0 |
6 |
14 |
15 |
9 |
| Other |
17 |
25 |
27 |
21 |
23 |
| Stayed Voluntarily |
12 |
24 |
14 |
20 |
18 |
| Ordered to Outpatient |
15 |
2 |
4 |
3 |
6 |
| Released |
34 |
52 |
51 |
28 |
41 |
| Other |
4 |
3 |
0 |
6 |
3 |
| Referral Sources |
|
| Ashland Police |
19 |
17 |
9 |
6 |
13 |
| Hanover Sheriff's Office |
49 |
49 |
66 |
52 |
54 |
| Family |
15 |
12 |
16 |
14 |
14 |
| Friend |
3 |
0 |
6 |
0 |
2 |
| MRMC-ER |
33 |
37 |
29 |
32 |
33 |
| Self |
11 |
12 |
6 |
6 |
9 |
| Jail |
3 |
6 |
1 |
0 |
3 |
| Prvt Prvdr/Physician |
3 |
8 |
4 |
14 |
7 |
| CSB staff/Sunrise House |
3 |
11 |
13 |
24 |
13 |
| Other |
7 |
10 |
9 |
6 |
8 |
| Sex |
|
| Female |
68 |
83 |
73 |
64 |
72 |
| Male |
78 |
79 |
86 |
90 |
83 |
| Race |
|
| White |
113 |
135 |
133 |
116 |
124 |
| Black |
31 |
21 |
21 |
33 |
27 |
| Hispanic/Native American |
1 |
0 |
0 |
0 |
0 |
| Other |
0 |
6 |
5 |
5 |
4 |
| Voluntary Hospitalizations |
79 |
54 |
52 |
48 |
58 |
| Hospitals |
|
| St Mary's |
34 |
22 |
14 |
17 |
22 |
| Richmond Community |
12 |
5 |
11 |
6 |
9 |
| Tucker's Pavillion |
10 |
12 |
12 |
8 |
11 |
| MCV |
5 |
7 |
2 |
5 |
5 |
| Other |
18 |
8 |
12 |
12 |
13 |
| Open to CSB |
35 |
25 |
25 |
22 |
27 |
| Sex |
|
| Female |
41 |
38 |
28 |
27 |
34 |
| Male |
38 |
16 |
24 |
21 |
25 |
| Race |
|
| White |
62 |
50 |
51 |
43 |
52 |
| Black |
15 |
3 |
1 |
4 |
6 |
| Hispanic/Native American |
1 |
0 |
0 |
0 |
0 |
| Other |
0 |
1 |
0 |
1 |
0 |
| Children |
75 |
37 |
46 |
53 |
53 |
| Involuntary Hospitalizations |
42 |
23 |
25 |
39 |
32 |
| Hospitals |
|
| VTCC |
13 |
9 |
5 |
19 |
12 |
| Tucker's Pavillion |
20 |
10 |
10 |
10 |
13 |
| Poplar Springs |
9 |
2 |
8 |
8 |
7 |
| Other |
0 |
2 |
2 |
2 |
2 |
| Out of Catchmnt/Transient |
5 |
5 |
3 |
3 |
4 |
| Private Provider |
21 |
10 |
10 |
13 |
14 |
| Open CSB cases |
9 |
8 |
7 |
15 |
10 |
| Disposition of Hearings |
|
| Commitment: |
23 |
10 |
9 |
23 |
16 |
| VTCC |
8 |
4 |
3 |
9 |
6 |
| Commonwealth Children's Ctr |
n/a |
n/a |
0 |
2 |
1 |
| Dejarnette |
2 |
0 |
n/a |
n/a |
1 |
| Tucker's Pavillion |
10 |
4 |
3 |
9 |
7 |
| Other |
3 |
2 |
5 |
3 |
3 |
| Stayed Voluntarily |
5 |
2 |
6 |
5 |
5 |
| Ordered to Outpatient |
2 |
0 |
0 |
0 |
0 |
| Released |
11 |
10 |
10 |
9 |
10 |
| Other |
1 |
1 |
0 |
2 |
1 |
| Referral Sources |
|
| Ashland Police |
1 |
0 |
1 |
0 |
0 |
| Hanover Sheriff's Office |
21 |
9 |
11 |
18 |
15 |
| Family |
5 |
4 |
2 |
8 |
5 |
| Friend |
0 |
0 |
0 |
1 |
0 |
| School |
4 |
2 |
5 |
4 |
4 |
| Self |
0 |
1 |
0 |
0 |
0 |
| Prvt Prvdr/Physician |
3 |
0 |
0 |
1 |
1 |
| CSB Clinician |
1 |
0 |
0 |
2 |
1 |
| MRMC-ER |
3 |
5 |
4 |
3 |
4 |
| Other |
4 |
2 |
2 |
2 |
3 |
| Sex |
|
| Female |
22 |
9 |
8 |
19 |
15 |
| Male |
20 |
14 |
17 |
18 |
17 |
| Race |
|
| White |
37 |
19 |
22 |
32 |
28 |
| Black |
4 |
5 |
2 |
5 |
4 |
| Hispanic/Native American |
1 |
0 |
0 |
0 |
0 |
| Other |
0 |
0 |
1 |
0 |
0 |
| Voluntary Hospitalizations |
33 |
13 |
21 |
16 |
21 |
| Hospitals |
|
| VTCC |
8 |
2 |
7 |
4 |
5 |
| Tucker's Pavillion |
18 |
10 |
10 |
9 |
12 |
| Other |
7 |
1 |
4 |
3 |
4 |
| Open to CSB |
9 |
7 |
8 |
11 |
9 |
| Sex |
|
| Female |
21 |
6 |
15 |
11 |
13 |
| Male |
12 |
7 |
6 |
5 |
8 |
| Race |
|
| White |
29 |
10 |
18 |
14 |
18 |
| Black |
3 |
3 |
3 |
2 |
3 |
| Hispanic/Native American |
0 |
0 |
0 |
0 |
0 |
| Other |
1 |
0 |
0 |
0 |
0 |
| Grants |
|
|
39 |
44 |
42 |
| Mental Health |
n/a |
n/a |
31 |
41 |
36 |
| Voluntary |
n/a |
n/a |
12 |
20 |
16 |
| Involuntary |
n/a |
n/a |
19 |
21 |
20 |
| Substance Abuse |
n/a |
n/a |
8 |
3 |
6 |
| Voluntary |
n/a |
n/a |
7 |
1 |
4 |
| Involuntary |
n/a |
n/a |
1 |
2 |
2 |
n/a: not applicable
Source: Hanover County Community Services Board |
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