October 15th, CoC Learning 2019 1 pm – 3 pm Hub 2425 Bisso Lane, Concord
1. Introductions
Presenter Details Agenda Item ▪ Contra Costa Council on Homelessness member ▪ 1. Welcome/Introductions Call to order ▪ Discussion of Mental Health services available through Healthcare for the ▪ Michael Myette, Healthcare for the Homeless 2. Behavioral Health Resources for People Homeless, information about the ▪ Paolo Gargantiel, Behavioral Health Access Line Behavioral Health Access Line and Experiencing Homelessness ▪ Michelle Richardson, Alcohol and Other Drugs Alcohol and Other Drug Treatment services. ▪ CES Updates ▪ Shelby Ferguson, H3 ▪ Funding Updates ▪ Jaime Jenett, H3 3. CoC Update ▪ System Map & Next Steps ▪ Jamie Klinger, H3 ▪ Race & Ethnicity Assessment ▪ Standing Item. Community ▪ 4. Community Announcements All announcements. ▪ Standing Item. Future items of ▪ 5. Pin it All discussion and scheduling to be considered.
2. Behavioral Health Resources for People Experiencing Homelessness Michael Myette, Healthcare for the Homeless Paolo Gargantiel, Behavioral Health Access Line Michelle Richardson, Alcohol and Other Drugs
Healthcare for the Homeless Michael Myette, LCSW Mental Health Program Supervisor Healthcare for the Homeless
HCH Mission Statement Our mission is to improve the health of the homeless population in Contra Costa County by in incr creasin ing ac access to health care and by providing a team- ori oriented ap approach to health care that focuses on har arm reduction and in integration of behavioral and medical services
Who We Serve HCH provides health services to adults, children and families who meet the federal definition of homelessness
HCH Team Medi edical Providers Men ental Healt ealth Clini linical Spec pecialists Den enti tists s an and Reg egis istered Den ental l Assis ssistants ts Reg egis istered Nur urse ses (RN (RN) Pub ublic Heal ealth Nur urse Com ommunity Healt ealth Wor orkers (C (CHW) Heal ealth Educator HCH seeks to address barriers to care and fact HC ctors th that t contr tribute to homelessness th thro rough an in integ egrated model l of f care re
HCH Mental Health Services Staff: 5 Licensed Mental Health Clinicians Loc ocatio ion: Shelters, Ambulatory Clinics, Mobile Vans, and Field Based Referr rrals ls: Provider Warm-Hand-Offs CORE Outreach Shelter Staff Ser ervic ices: Mental Health Assessments Brief Therapy Clinical Case Management Referral Connection to Specialty MH and AOD Services MH & Wellness Groups in the Shelters
HCH Mental Health Th Ther erapeutic ic/C /Clin inical Cas ase Man anagement t Mode odel Ide Ideal Goa oal Outreach and rapport building for system disconnected and disenfranchised consumers Brief therapy and CM support, and as needed, connection to longer term BH services Com ommon Rea eali lity Often lifestyle challenges, AOD issues and past negative experience with system create ambivalence and stop/go engagement. HCH clinicians provide an open door policy and often provide longer term therapeutic case management support for such consumers with difficulty engaging with the larger system support services. HMIO IOT – Recent Multi-Departmental collaboration with BH, H3 and HCH to create a more robust outreach and treatment support system for these challenging cases.
Mult ulti Depa epartmental l Colla ollabor oration to o Sup upport MH Outr utreach, , Trea eatment an and Con onnection to o Spe pecia ialty MH Car are an and AOD Ser ervic ices HMIOT – Heal ealth Car are for or the the Hom omeles ess Homeless 4 Licensed Mental Health Clinicians – regionally assigned & shelter based Mental Heal ealth Hou ousi sing an and Hom omele lessness CORE Team -- 2 Social Workers Illness Shelters -- 5 MH Graduate Interns Outreach Beha ehavioral l Heal ealth Licensed Mental Health Clinician – part of regional assignment and and shelter based Transition Team Support Treatment Psychiatrist visiting shelters Rapid Access Appointment Support for Specialty MH
Street Outreach Team Chronic disease management Addic iction Treatment Safe Injection Kits/Narcan Wound Care POCT HIV, HVC, & Syphilis MH Therapy/C /Case Management/L /Linkage STI Screening/Treatment Medicatio ions Linkage to Services Calfresh Application Assistance Mult ltid idis iscip ipli linary ry team: : o Medical Doctor o Mental He Health Cl Clin inic ician o Registered Nurse o Community Health Worker o Partners with H3 H3 CORE Ou Outreach
“Mobile” Clinics Fixed (one location) vans on certain days across Contra Costa County
Mobile Van Clinic Sites
HCH Ambulatory Services
Shelter Based Care Brookside Shelter- Concord Shelter Richmond
HCH Respite Care • 26 Bed Male/Female Shelter Facility With Attached Health Clinic • Medically Vulnerable In Need Of Recuperative Medical Services • Hospitalized Homeless Direct Discharge To Respite Shelter • Services Ser s include: o Stabilize Decompensated Illness o Mental Health Stabilization o Rehabilitation, Recuperative Opportunity o Brief Therapy and Clinical Case Management o Connect to Medical Care o Connect to Behavioral Health o Assist with Medical Coverage o Provide Health Education and MH support groups
Medication Assisted Treatment (MAT) The CCHS MAT Program addresses opioid addiction with the use of medications, in combination with counseling and behavioral therapies, to provide a “whole patient” approach Ser Services s include: Comprehensive treatment plan Nurse Case Management Mental Health Counseling Participation in social support groups known as Choosing Change If someone is interested in this program or wants more information: Call the Alcohol and Other Drug (AOD) hotline at 1-80 800-846 846-1652 1652
For More information or to make appointments Visit us online at www.cchealth.org/hch HCH Main in Lin ine: (925) 608-5300 Dental Main Line: (925) 608-5350 MAT/AOD Hotline: 1-800-846-1652 211 for all other resources
Behavioral Health Access Line Paolo Gargantiel, LCSW Contra Costa County Mental Health Acting Access Line Program Supervisor
Contra Costa County Behavioral 1-888-678-7277 Health ACCESS LINE
Answers to Frequently Asked Questions for PROVIDERS
▪ The Behavioral Health Access Line is the gateway to Contra Costa County’s Behavioral Health system of care, a community resource line that serves as the main point of entry into the county’s mental health clinics, Network Provider services, and substance use disorder treatment programs What is the ▪ It is the Mental Health Plan Authorization Line for Contra Costa County MediCal beneficiaries seeking and needing connection to Specialty Mental Health services, via outpatient programs that Behavioral include Network Providers, Community Based Organizations, and Mental Health Clinics Health ▪ It is the centralized screening and referral point for linkage to Access Line? Contra Costa’s Alcohol and Other Drug System of Care, including Perinatal, Outpatient, Residential, Medication Assisted Treatment, and Withdrawal Management Services ▪ As the “front door” welcoming uninsured and MediCal-eligible Clients to integrated services, the Access Line makes every effort to assist all callers and exhaust all known resources related to community mental health and substance use disorder treatment
▪ Connect Clients to appropriate behavioral health services via a comprehensive telephonic screening and triage process, which includes determining insurance eligibility, clinical acuity, and level of care ▪ Assist with mental health emergencies and crisis situations via brief phone intervention and crisis/emergency triage (i.e., referral to ER, 911, PES, Welfare Check, Mobile Crisis Response Teams, Miller Wellness Center) ▪ Facilitate scheduling of initial intake appointments to County Mental Health Clinics and Substance Use Disorder treatment programs, for those that meet the requirements What does ▪ Provide referrals to CBOs, low-fee options, or MediCal authorization to a the Access Network of mental health providers, including Therapists and Psychiatrists, according to acuity and coverage requirements ▪ Provide information and referral to community resources that promote Line do? wellness, recovery, and resiliency, including support groups, Transportation Assistance Programs, and Homeless services ▪ Provide brief intervention and AOD counseling by Substance Use Counselors, including use of Motivational Interviewing strategies ▪ Manage a volume of over 300 calls per day from Clients, caregivers, providers, and community members ▪ Manage a volume of over 600 referrals per month from Primary Care Providers and Children & Family Services ▪ Assist in navigating the Contra Costa County Behavioral Health System of Care and troubleshooting barriers to accessing services
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