SAN BERNARDINO COUNTY: DATA NOTEBOOK 2018 FOR CALIFORNIA - - PowerPoint PPT Presentation

Behavioral Health

www.SBCounty.gov

SAN BERNARDINO COUNTY: DATA NOTEBOOK 2018

FOR CALIFORNIA BEHAVIORAL HEALTH BOARDS AND COMMISSIONS Presented by: San Bernardino County Department of Behavioral Health Commission and Department of Behavioral Health February 7, 2019

www.SBCounty.gov

Slide 2 Behavioral Health

• CA Behavioral Health Planning Council:
• Who is the agency:
• Consumer and Family member advisory board to state and

local government, the Legislature, and residents of CA regarding mental health services in CA.

• What is its purpose:
• Advocate on behalf of adults with severe mental illness and

children with severe emotional disturbance and their families.

• Advise the Legislature on behavioral health issues, policies

and priorities in CA.

• Promote cross-system collaboration to address the issues of

access and effective treatment for the recovery, resiliency and wellness of Californians living with severe mental illness.

Background & Purpose

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Slide 3 Behavioral Health

• Local Behavioral Health Boards/Commissions:
• What is their role regarding the Data Notebook:
• Required to annually review performance data for

mental health services in their county and report the findings to the CA Behavioral Health Planning Council.

• Encouraged to participate in reviewing and developing

the responses for the Data Notebook.

• Opportunity for boards/commissions and counties to

work collaboratively to identify critical issues important to our county. BH Boards/Commissions

www.SBCounty.gov

Slide 4 Behavioral Health

• Data Notebook:
• What is the purpose:
• Structured format for reviewing information and reporting on

specific mental health services in each county. The structure and questions are designed to meet the following goals:

• Assist local boards/commissions to meet their legal

mandates to review data and report on performance,

• Serve as an educational resource about behavioral health

data for local boards,

• Obtain opinion and thoughts of local

boards/commissions regarding specific topics, and

• Identify unmet needs and make recommendations.

Background & Purpose

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Slide 5 Behavioral Health

• Survey Approach: to collect data as the

foundation for an overall needs review for the populations of Child, TAY, Adult and Older Adult

• Evaluation of Services, Barriers to Access, and

Unmet Needs

• Mental Health Services Act (MHSA) and its

Program Components

Data Notebook 2018 Theme

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Slide 6 Behavioral Health

Evaluation of Services

 Pre-Crisis and Crisis Services: Prevention and Early Intervention (PEI) programs, Community Crisis Response Teams (CCRT), Crisis Stabilization Units (CSU), Crisis Walk-In Clinics (CWIC)  Assessment: Outpatient clinics  Medication Education & Management: Outpatient clinics  Case Management: Outpatient clinics, Corrections to a Safer Community (CTASC)  24-Hour Treatment Services: Lanterman-Petris-Short Act hospitals, Crisis Residential Treatment (CRT) centers (Underserved: lack of inpatient beds for children)  Rehabilitation and Support Services: Choosing Healthy Options to Instill Change and Empowerment (CHOICE) Barstow location  Vocational Services: Referrals (Underserved: TAY and Adult)  Residential Services: Board and Care facilities (Underserved: TAY, Adult and Older Adults)

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Slide 7 Behavioral Health

• Program Funding
• Specialized Professional Expertise
• BH Workforce/Providers
• Clients dispersed outlying areas (Exception: Children)
• Transportation
• Available Appointment Times
• Fear Government Involvement
• Linguistic Needs
• Culturally relevant needs
• Forensic background

Major Barriers to BH Service Access

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Slide 8 Behavioral Health

 Pre-Crisis and Crisis Services: Crisis Stabilization Units (ages 13+), Crisis

Intervention Team training, Triage Engagement and Support Teams in emergency depts.

 Assessment: Referral, Screening, Assessment and Treatment (RSAT) and

Screening, Assessment and Treatment (SAT) services for children, CHOICE Barstow location, Diversion Opportunities for Outpatient Recovery Services (DOORS), extended Organized Delivery System (ODS)

 Medication Education and Management: extended ODS  Case Management: CHOICE Barstow, CTASC, Electroconvulsive Treatment,

permanent supportive housing, homeless/housing for Full Service Partnership (FSP), DOORS, extended ODS

 24-Hour Treatment Services: Crisis Residential Treatment centers (ages 18-

59)

 Rehabilitation and Support Services: CHOICE Barstow, DOORS, extended

ODS, Therapeutic Foster Care treatment, Foster Family Agency (FFA) services providers, homeless/housing for FSP

 Residential Services: extended ODS, new shelter bed contract providers,

Children Residential Intensive Services (ChRIS), Short-Term Residential Therapeutic Program (STRTP) service providers

New ly Implemented Programs (2015-current)

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Slide 9 Behavioral Health

• Pre-Crisis and Crisis Services
• Recovery Based Engagement Support Teams (RBEST), CA

Health Facilities Financing Authority (CHFFA) facility: CSU

• Assessment
• Screening, Assessment and Referral Center (SARC)/American

Society of Addiction Medicine (ASAM)

• Case Management
• Eating Disorders
• Twenty-four Hour Treatment Services
• CA Health Facilities Financing Authority (CHFFA) facility: CSU

Temporary, One-Time or Time Limited Funding

www.SBCounty.gov

Page 10 Behavioral Health

Mental Health Services Act (MHSA) and its Program Components

MHSA

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Slide 11 Behavioral Health

• Five Core MHSA Components:
• Community Services and Support (CSS)
• Prevention and Early Intervention (PEI)
• Innovation (INN)
• Capital Facilities and Technological Needs (CFTN)
• Workforce Education and Training (WET)
• Three of the five are funded through ongoing revenue into

MHSA Fund: CSS, PEI and INN

• Two had initial funding, but no current funding stream from

MHSA Fund: CFTN and WET MHSA Components and Funding

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Slide 12 Behavioral Health

Full Service Partnership

• field-based services for

individuals diagnosed with severe mental illness or serious emotional disturbance who would benefit from intensive service program

• differs from traditional,

clinic-based outpatient care Successful CSS, INN or PEI Funded Programs

*May include TAY

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Slide 13 Behavioral Health

Recovery Based Engagement and Support Teams

• voluntary, client-centered

project providing field- based services to individuals with untreated mental illness through assisted outpatient treatment model

• holistic approach to the

needs of the consumers, are highly flexible and unencumbered by traditional limits of services

Successful CSS, INN or PEI Funded Programs

29%

decrease in Psychiatric Hospital Days

43%

decrease in Psychiatric Hospital Admissions

www.SBCounty.gov

Slide 14 Behavioral Health

Child and Youth Connection: Screening, Assessment, Referral and Treatment

• Access and linkage to treatment,

connecting children with severe emotional disturbances to medically necessary care and treatment

• Screening, Assessment, Referral, and

Treatment

• serves at-risk children (0-6)

experiencing social, physical, behavioral, developmental, and/or physiological issues

• Early Identification and Intervention

Services

• serves children (0-8) experiencing

social, physical, behavioral, developmental, and/or psychological issues not requiring intensive interventions

Successful CSS, INN or PEI Funded Programs

www.SBCounty.gov

Slide 15 Behavioral Health

• CA Behavioral Health Planning Council (2018). San

Bernardino County: Data Notebook 2018 for California Behavioral Health Boards and Commission (pp. 2-5, 9-11, 13- 17).

• CA Department of Health Care Services (2018). California

Behavioral Health Planning Council. Accessed January 25, 2019 from https://www.dhcs.ca.gov/services/MH/Pages/CBHPC%20Over view.aspx. References