PeerLINKS Funded by MHSA Innovations Funds 1 Why is PeerLINKS - PowerPoint PPT Presentation

PeerLINKS Funded by MHSA Innovations Funds 1

Why is PeerLINKS needed? In FY2015-16, 5,956 persons were hospitalized at • least once. 1 30.5% had at least two admissions during that fiscal • year. 1 1,887 individuals were admitted to a crisis • residential home . 1 Many of these individuals “do not become effectively • connected with relevant, follow up services and have limited social supports .” 2 2

Peer Support Individuals with lived experience who support • others living with mental illness (including struggles with sobriety). Able to model recovery and provide hope . • Have personally experienced challenges and • successes navigating the mental health system . 3

Provide peer support with the goal of connecting participants to services and resources , as well as increasing and strengthening their support network. 4

Who Do We Serve? - Adults living with a Serious Mental Illness - Multiple acute care visits in previous year - Not effectively connected to resources / services or lack a strong support network - Receiving Medi-Cal or Medi-Cal eligible - Referred by one of our sites: → Scripps Mercy’s inpatient unit and emergency department → UC San Diego’s inpatient unit → Vista Balboa Crisis Center → New Vistas Crisis Center 5

Enhanced Peer Support Services 1 2 3 4 5 6

for everyone! Work with our participants’ goals and preferences. Do with our participants rather than for them. Understand participants’ experiences, model recovery and provide hope. 7

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PeerLINKS Preliminary Results July 2016 - June 2018 Evidence of REDUCED Enrolled READMISSION 461 to participants Connected HOSPITALS with 2142 *30-day recurrence rate: pre PeerLINKS: 25.6% services and post PeerLINKS: 17.9% resources 349 126 Connections Connections to to Mental Health Substance Use *Includes 117 participants enrolled in PeerLINKS during Services Services calendar year 2017 with an index event (i.e., hospitalization) identified in Cerner BHS.

Improved Level of Recovery MORS Follow-up Milestones of Recovery Scale Baseline 1 Extreme risk 41.3% 3.3% 2 High risk/not engaged 19.3% 87.3% 2.0% 16.0% 10.7% 3 High risk/engaged 26.7% 4 Poorly coping/not engaged 2.7% 2.7% 6.7% 6.7% 47.3% 5 Poorly coping/engaged 8.7% 6 Coping/rehabilitating 1.3% 24.0% 10.0% 77.3% 7 Early recovery 0.0% 4.0% 2.0% 8 Advanced recovery 0.0% *Preliminary FY2017-18 results: pre-post assessment of 150 participants

Statistically Significant Improvements Global Memory / Health Cognition Depression Anxiety Resilience Suicidality Substance Anger Use * Based on FY2016-17 results and preliminary FY2017-18 results

PeerLINKS HOUSING* Additional UNEMPLOYED** More independent: Improvements 43.8% Baseline: Unchanged: 87.0% 40.1% Most recent: Less independent: 64.5% 16.1% Improved Active SUPPORT EXPERIENCING COMPETITIVELY NETWORK HOMELESSNESS* EMPLOYED** Baseline: Baseline: 27.0% 5.8% Most recent: Most recent: 16.8% 18.1% * Preliminary FY2017-18 results: pre-post assessment of 137 participants **Preliminary FY2017-18 results: pre-post assessment of 138 participants

Works Cited: 1 . U C S a n D i e g o’s H e a l t h S e r v i c e s R e s e a r c h C e n t e r. A d u l t a n d O l d e r A d u l t B e h a v i o r a l H e a l t h S e r v i c e s Sy s t e m w i d e A n n u a l R e p o r t F i s c a l Ye a r 2 0 1 5 - 2 0 1 6 . R e t r i e v e d f r o m : h t t p s : / / w w w. s a n d i e g o c o u n t y. g o v / c o n t e n t / d a m / s d c / h h s a / p r o g r a m s / b h s / T R L / T R L % 2 0 S e c t i o n % 2 0 6 / A O A B H S % 2 0 A n n u a l % 2 0 R e p o r t % 2 0 F Y % 2 0 2 0 1 5 - 1 6 _ F I N A L . p d f 2 . C o u n t y o f S a n D i e g o , H e a l t h a n d H u m a n S e r v i c e s A g e n c y ( J a n u a r y 1 2 , 2 0 1 6 ) . R e q u e s t f o r P r o p o s a l s ( R F P ) N o . 7 2 4 1 . C o u n t y o f S a n D i e g o , H e a l t h a n d H u m a n S e r v i c e s A g e n c y P e e r A s s i s t e d Tr a n s i t i o n s . I s s u e d 1 - 1 2 - 1 6 . A v a i l a b l e a t : h t t p s : / / b u y n e t . s d . c o u n t y. c a . g o v 13

PeerLINKS L e a d A g e n c y : N A M I S a n D i e g o C o n t a c t : S u b - C o n t r a c t o r : R I I n t e r n a t i o n a l L u z L . P i n t o E va l u a t i o n Te a m : U C S a n D i e g o l u z p i n t o @ n a m i s d . o r g 14