Compassion Behind Bars Adult Custody Mental Health Services Santa Clara County Rolonda Jackson, RN Manager Adult Custody Mental Health Chris Engelstad, LCSW Senior Healthcare Program Manager
Current State of Adult Custody Mental Health Services • Title 15 and IMQ accreditation • Staffing – Inpatient and Outpatient • Booking Process – Intake and Assessment • Services while housed in jail • Transition out of jail (e.g. – medication, support, etc.)
Insert Frontline video • Jail / Prison the de facto mental health hospital system that can’t say no.
Volume of Services for Fiscal Year 2013-2014 • Total Interviews FY 13/14 38,825 • Total Clients Seen (all interviews) 12,893 • Crisis (Assessments/Referrals/15-Min. & Welfare checks) 29,555 • Interviews by Gender • Males 27,715 • Females 11,110
Current Efforts Current Efforts to improve quality of care • Multi-County Jail Collaborative Event • Improve Triage Workflow • Decrease wait times of the initial visit with a mental health provider • Custody Mental Health Quality Improvement Program
Current Efforts Current Efforts to improve quality of care • Increased Mental Health Providers • Relocated mental health clinics near the housing areas • Policy change to reflect current prescription for 30 days and 90 days supply • Suicide Prevention Program
Barriers • Barriers to providing optimal care • No discharge planning team • Limited placement in the community • No Healthlink (electronic medical record)
Solutions • Solutions to break down barriers and provide measurable steps to provide the best care to people with mental illness. • Healthlink • Brief screenings • Process of hiring more mental health clinicians
Solutions • Solutions to break down barriers and provide measurable steps to provide the best care to people with mental illness. • Increasing collaboration with Re-Entry Center (RRC) • Pursuing a grant to develop a discharge planning team • Collaborative efforts with Community Coordinate Transition Plan (CCTP) • Put together a team to help patients with discharge needs
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