Behavioral Health Innovative Remote Onsite Assistance Delivery (InnROADs) Andrew Gruchy, LCSW Deputy Director, Community Behavioral Health and Recovery Services Cynthia White, LMFT Program Manager II, Community Recovery Services www.SBCounty.gov
InnROADs – An MHSA Innovation Project Page 2 Innovation projects are funded through the Mental Health Services Act (MHSA) Innovation Component. An Innovation project is defined as one that contributes to learning rather than a primary focus on providing a service. County mental health programs shall expend funds for their innovation projects upon approval by the Mental Health Services Oversight and Accountability Commission (MHSOAC). • WIC § 5830(e)
InnROADs – An MHSA Innovation Project Page 3 Time-limited Pilot Project Maximum of five (5) years from the start date of the project. Successful parts of the project may continue under a different funding source or be incorporated into existing services. Projects may be terminated prior to planned end date. (9 CCR § 3910.10)
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Hidden Homeless Page 5
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Hidden Homeless Page 7
InnROADs Project Page 8 Create an intensive, field-based engagement model that supports multidisciplinary/multiagency teams that meet, engage and provide treatment to individuals experiencing homelessness where they live and are comfortable within their homeless communities. Participating agencies: Department of Behavioral Health (DBH) Department of Aging and Adult Services (DAAS) Department of Public Health (DPH) Sheriff’s Department (Sheriff’s)
InnROADs Project Page 9 Engagement and Treatment Teams: Engagement Teams Social Service Practitioner/Social Worker (DAAS) Peer and Family Advocate (DBH) Clinician (DBH) Nurse (PHD) Alcohol and Drug Counselor (DBH) Law enforcement representative (Sheriff’s) Treatment Team (DBH) Nurse Practitioner Medical assistant
InnROADs Project Page 10 InnROADs will: Focus on engagement and relationship building. Provide incentives to build rapport. Provide help to non traditional family members, such as pets. Take basic physical and mental health care to the areas homeless individuals live in rural San Bernardino County. Connect individuals to the appropriate system of care.
InnROADs Project Page 11 Multiagency multidisciplinary teams to allow for real-time problem solving. The use of the Listen, Empathize, Agree and Partner (LEAP) training by all agencies. Creation of a field-based engagement and treatment model where services are brought to the individual in need. Assisting pets instead of pets being a barrier, by creating an opportunity for pets to be the catalyst of engagement into services for homeless individuals. Utilizing Housing Problem Solving techniques as a proactive engagement strategy that focuses on multiple contacts to build trust.
Evaluation Components Page 12 Learning Goal 1 : Examine the effectiveness of a mobile, multi-agency team effective in serving and supporting the needs of those individuals experiencing homelessness, as individuals, as family units and as communities. Analyze how collaboration to address multiple, interrelated needs “saves” time, and resources, for both consumers and partner agencies. “The collaboration with different programs saves time, money and resources. The InnROADs team is respected in the community and known for providing care, treatment, and compassion to those individuals experiencing homelessness in our area.” - Jeramy S., CT II, DBH Learning Goal 2: Examine the relationship between consumer-centered engagement techniques and consumer readiness for treatment. Analyze which techniques are particularly well suited for different age groups, cultural groups, family structures and diagnoses. “Step 1 -Bringing water, food and a blanket can be the first step in an exploration of how to begin to address the needs according to the priorities of the client or negotiating what can be done. Step 2-Listening. People need to be heard and being consistent and reliable to whatever commitment was made, as well as collaborating with others and giving a warm handoff makes for the greatest success.” - Debbie W., RN II, DPH
Evaluation Components Page 13 Learning Goal 3: Examine the effectiveness of behavioral health services and treatments in the field, including medication, therapy, rehabilitation and enhancing/strengthening support systems. Analyze which services and treatments are particularly well-suited for different age groups, cultural group, family structures and diagnosis. “The elderly population benefit from intervention from clinicians to address mental health, SUD and l inks to housing programs that can help to stabilize their situation. All InnROADs team members coordinate to provide input and information regarding programs and resources available to the homeless. All age groups including adult, young adult and adolescents are encountered in homeless encampments and individuals who welcome the resources available are engaged in genuine conversations using the LEAP method. Services, treatments and resources are appropriately presented to each population as needed and consideration is taken towards cultural, ethnic and individual family structures.” – Ron G., AOD Counselor, DBH
Evaluation Components Page 14 Learning Goal 4: Examine how geographic information system (GIS) can be used as a collaborative tool to better understand patterns, needs and opportunities for continuous quality improvement by front line staff, supervisors, administrators and county level agencies. “ GIS can be useful in displaying data associated with trends regarding illnesses, crime and gang activity, unemployment statistics, and homelessness. GIS can reveal gaps where services and treatment are lacking. GIS can provide information that can facilitate more accurate data presentations, help community-based organizations understand community data, and facilitate a better understanding of the community by mapping community needs and assets.” - Dahlia A., CTII, DBH
InnROADs Outreach Page 15 Victor Valley Rescue Mission Christmas Celebration “This day was different than any of my normal days, I was able to experience the work of art of InnROADs. Seeing the smiles, laughter, happiness and joy that each individual had, made me see why this program was very much needed. Being able to help those that were in need of our services or any other services for that matter. Just being able to engage and assist all persons in need. I am glad to have been there to witness the duties of my teams and be able to say that I am a part of InnROADs” -Ilona L. OA III
InnROADs Outreach Page 16 Perris Hill Park Event “ I think the event that was most effective in reaching and serving the homeless population was the Perris Hill event. A group was able to canvas the surrounding area to inform various groups, tents, homes that we were setting up and the services available to them. The Mobile Treatment Unit was set up for STD testing and vaccines. We were set up to give out water, snacks, and sleeping bags. A table and chairs was set up for the social worker to assist individuals. We served about 100 people that day. A homeless couple was eventually housed because of that encounter. Several needs were met that day. It was organized and was a great team effort .” – Debbie W. RNII
InnROADs Outreach: July – December 2019 Page 17 July August September October November December East 25 40 28 40 West 25 50 63 50 47 High 10 27 26 63 105 64 Desert Joshua 11 69 Tree
Public Health Efforts Page 18 Vaccinations • Influenza (flu shots) – 145 • Hepatitis A – 119 Rapid Testing • HIV and Syphilis – 76 *InnROADs Medical Team Log - 2019
Questions Page 19 Questions & Discussion Thank you!
Questions Page 20 For questions or comments, please contact: Cynthia White, LMFT Program Manager II cwhite@dbh.sbcounty.gov (909) 421-4612
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