ACCESS TO MENTAL HEALTH CARE DEPARTMENT OF MENTAL HEALTH PREVENTION AND OUTCOMES DIVISION Rebeca Hurtado, LCSW, MPA Geraldine Gomez, LCSW
Objectives To increase awareness of the Department of Mental Health (DMH) To build knowledgebase on how to access DMH services To identify when and how to refer for DMH services
County of Los Angeles – Department of Mental Health The n ation’s largest county – based public MH system Directly-Operated sites County Contracted Agencies Co-Located Sites Partnerships
Populations Served All Age groups Child (0-15 years) TAY (16-25 years) Adult (26-59 years) Older Adult (60 + years) Funding Types Medi-Cal Indigent Funds Sliding Scale
Continuum of Care COLLABORATIONS/ PREVENTION EARLY INTERVENTION OUTPATIENT INTENSIVE RESIDENTIAL/OTHER CO-LOCATIONS • Universal Prevention • Programs aimed at • Office or partially • Services are mostly • Live in placement • DCFS targets general treating an early field based field based that work in • DPSS public as a whole diagnosis with short services from a conjunction with • DHS term services clinic • 24/7 crisis response Psychiatric hospitals • DPH • Selective Prevention component • LAPD targets individuals at- • Example: Evidence • Example: General • Locked placement • School Districts risk of developing Based Practices Outpatient • Multi-disciplinary (IMD) for conserved • LACOE mental illness (EBPs) short-term Programs and team services with a individuals • Arts Commission therapies Recovery, frequency of two + • Superior Court • Example: Partners in Resilience, and times a week. • Day Treatment • Juvenile Hall Suicide Prevention, Re-integration Stigma Reduction (RRR), PEI • Example: Full programs Service Partnerships (FSP) and • Day Treatment Intensive (DTI)/Therapeutic Pre-School
Prevention Services TO ENGAGE, OUTREACH, AND DEVELOP PARTNERSHIPS IN ORDER TO CREATE TRAUMA INFORMED ORGANIZATIONS AND COMMUNITIES TO MITIGATE THE IMPACT OF TRAUMA AND AID THE PREVENTION OF MENTAL ILLNESS.
Tertiary Prevention (Direct Services) Secondary (Targeted) Prevention Primary (Universal) Prevention
Defining Mental Health (MH) Emotional, psychological, and social well-being Affects how we think, feel, and act Determines how we handle stress, relate to others, and make choices
Common Symptoms in Children Changes or irregularities in: Sleep habits Eating habits Emotional Dysregulation Developmental milestones Responses to the environment Poor school performance Psycho somatic complaints
Common Symptoms in Adults Prolonged changes in mood Changes in sleeping and appetite Unexplained physical complaints Changes in mental state or thoughts Seeing or hearing things or talking to self Growing inability to cope with day to day Suicidal or homicidal thoughts Substance use
Common Symptoms in Pregnant or Post-Partum Women Changes in Mood Bonding and attachment difficulties Intrusive thoughts Feeling that is a bad mother or should not be a mother Worries or thoughts about hurting baby
DMH Services
Common Clinical Services Therapy Psychiatry/Medication Support Case Management Services (Referrals & Linkage) Support and Education Groups
How to Access DMH Services DMH Website : www.dmh.lacounty.gov ACCESS Line:1-800-854-7771 Service Area Age Group Navigators
DMH Website http://dmh.lacounty.gov/wps/portal/dmh
Get Help Now!
DMH Provider Directory
ACCESS HOTLINE
Referral vs Linkage Referral providing information on who to reach or how to be connected to a specific service Linkage is the actual connection (enrollment) in service
Service Area Navigators Role of a Navigator Familiarity with Service Area providers and programs Consultation to find best fit for services Provide referral information for all age groups Advocate for the high need clients/families to gain access to services Collaborate, network, and partake with service area stakeholders
Birth to Five Coordinators Typically Infant-Family and Early Childhood Mental Health Specialist – Napa Fellows Consultation on program recommendations for children Birth to Five Coordinate trainings
Linking to Care Go to DMH Is help needed Is there a MH website, Call to access MH services need? ACCESS or services? Navigator Provide Contact agency information to for an intake person in need appointment or or linking walk-in dates
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