Orange County Health Care Agency Behavioral Health Services
Mental Health Services Act (MHSA) Stakeholder Meeting Report Category/Title: Frequent Utilizers of Service _________________________________________
Date: 8/2/05 Time: 9-11 a.m. Facilitator: Vickie Mortensen Recorder: Bruce Marcus Meeting Location: Total number of Attendees per meeting: _ 12___ Coordinator: Vickie Mortensen Contact No.: 714-834-5722
405 West 5th St. Santa Ana, California Conference Room 512
Breakdown by Gender: _7____ Male _5___ Female _____ Other _____ Decline to State Breakdown by role in the MH System: _____ Client/Consumer _____ Family Member 12 Service Provider _____ Other
Breakdown by Primary Language: 12_ English _____ Spanish _____ Vietnamese _____ Other ________________
Breakdown by Ethnicity 0__ African American 1__ Asian/Pacific Islander 1__ Latino ____ American Indian 10_ Caucasian _____ Other
Breakdown by: 0 __ Total # of Ralph’s Vouchers Distributed 0__ Total # of OCTA Bus Passes Distributed 0__ Total # of consumers transported 0__ Total # of family members transported 0__ Total # of childcare recipients _____ Other ________________
Breakdown by: 0_ Total # of people requesting a Spanish Translator _ 0__ Total # of people requesting a Vietnamese Translator
Stakeholder Group Questions: What are the problems you face? What do you need to make better? What are the outcomes you want? What kinds of services need to be in place to achieve them?
General Meeting Comments (type):
I. PROBLEMS • Lack of outpatient manpower • • • • • • • • • • • Lack of sufficiently intensive outpatient services following acute psychiatric hospitalization Insufficient coordination of care Lack of flexibility in providing outpatient services Lack of broad continuum of placement options Shortage of adequate housing options, including low cost housing Lack of supportive housing services Insufficient placement resources for dual diagnosis consumers (i.e., co-occurring substance abuse and/or medical conditions) Lack of resources to obtain benefits acquisition for consumers Insufficient resources for Representative Payee Program Poor linkage from acute psychiatric hospitals to outpatient services for aftercare Insufficient IMD beds, especially IMD beds in Orange County
II. SOLUTIONS • Increase availability of intensive outpatient services • • • • • • • • • • • • Expand AB 2034 and PACT Programs Develop Crisis Residential Programs Expand Crisis Stabilization Services Develop a Peer Advocate and “Life Coach” Program Develop Supportive Housing Increase the number of Board and Care homes that provide supplemental services for consumers with substance abuse related problems Provide augmented treatment services at selected Board and Care homes Establish Placement Specialists at County and contracted outpatient clinics Develop a comprehensive Representative Payee Program Expand the use of a Representative Payee system Educate Mental Health Plan treating psychiatrists regarding the use of professional Representative Payees Establish a Warm Line that operates 24/7
• • • •
Increase communication between outpatient programs and acute psychiatric hospitals Provide increased substance abuse education for high utilizers of mental health services Expand the availability of detoxification beds Develop a Hospitalist program
III. OUTCOMES • Reduction in number of hospital days used • Reduction in number of jail incarcerations • • • • • • Reduction in homelessness of frequent utilizers of services Increase the number of frequent utilizers of service who obtain safe and adequate housing Increase the enrollment of frequent utilizers in entitlement programs (Medi-Cal, Social Security) and other benefits Increase involvement in vocational and recreational activities Increase number of days of sobriety for consumers with co-occurring substance abuse Decrease the number of suicide attempts