Presentation to Mental Health Board January 14, 2013 Eva Lomeli, LCSW
Referral Process: APS *Multiple consults Linkage for Clients already in the system
Some enga gage gemen ent efforts ts Others ers regu gular ar contacts ts An And d crisis s interv erven entions. ions. Some Clients ts had more than 15 f face to face contacts acts and countl tles ess s collatera eral contacts. cts.
8 Clients ts with SMI: 5 with Bipolar I with Psychosis 1 Anxiety DO and Hoarding 1 Anxiety DO, Dependent Personality DO and to r/o Developmental delay 1 diagnosed with Schizophrenia 7 OA caregive givers rs living g with Indivi vidu duals als with SMI who were refusin sing g M.H. H. Treatm atment nt 1 Care recipient with late Onset Psychosis 1 OA family member caregiver with Bipolar II and caregiver burnout 5 Care recipients with Bipolar I DO with paranoia and psychosis or Schizoaffective Bipolar Type 3 Individuals in their 60’s with late onset Psychosis All three educated professionals with long work history and no history of Mental Illness. All lacked insight about their psychosis and refused mental health treatment. Theme: Electromagnetic fields and biosynthetic engineering
5 5 Clien ents ts wi with Dement ntia ia based Pa Parano noia ia or psychosi hosis: 2 Clients ents with severe e Axis s II Borderlin erline Persona nali lity ty Disorde der 2 Clien ents ts wi with housing ing and financia ncial stressors rs 1 Client ent with APS finan ancial cial abuse 1 Clien ent t wi with seve vere re life e losses es relate ted to medical cal conditi tion on
Age Insurance ce type: 4 Clients under 50 8 Medical 8 Clients in their 60’s 7 Medicare only 7 Clients in their 70’s 10 Kaiser or HMO 8 Clients in their 80’s 1 Private pay 2 Clients in their 90’s 1 uninsured 2 unknown Languag uage: e: 28 Primarily English speaking Clients Housing: 14 Home owners Ethnici city: 11 Renters 20 Caucasian Clients 3 in subsidized housing 5 Hispanic Clients 1 Homeless 2 Middle Eastern Clients 1 African American Client 6 6 Clients at risk of losing, or l lost housing: 1 Greek Client 3 due to SMI, 1 due to Dementia, 1 due to financial abuse, 1 due to financial stressors (Cal fresh access s barrier for SSI recipients)
Medicare only Client’s and lack Clients nts with SMI refusing ing of access to needed eded reso sour urces: ces: treat atme ment: 81 yo female Bed bound. No Stigma about mental illness access to IHSS, as a result, with abusive caregiver. Client’s right to self determination 70 yo male legally blind and with hoarding problem. No Possible liability issues: access to IHSS Providing Crisis Intervention to Ct’s who are refusing services 83 yo female completely but need them isolated with deteriorating health with no access to On Lok services. Also evicted due raise in housing cost. 400 sq ft studio rent $1,159.00, SDI income $1,158.00 mo.
Expand services to this underserved, unreached Client population Create a service team or have APS M.H. provider working out of a service team
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