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

Behavioral Health 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

Background & Purpose  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. Behavioral Health Slide 2 www.SBCounty.gov

BH Boards/Commissions  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. Behavioral Health Slide 3 www.SBCounty.gov

Background & Purpose  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. Behavioral Health Slide 4 www.SBCounty.gov

Data Notebook 2018 Theme  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 Behavioral Health Slide 5 www.SBCounty.gov

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 ) Behavioral Health Slide 6 www.SBCounty.gov

Major Barriers to BH Service Access  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 Behavioral Health Slide 7 www.SBCounty.gov

New ly Implemented Programs (2015-current)  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 Behavioral Health Slide 8 www.SBCounty.gov

Temporary, One-Time or Time Limited Funding  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 Behavioral Health Slide 9 www.SBCounty.gov

MHSA Page 10 Mental Health Services Act (MHSA) and its Program Components Behavioral Health www.SBCounty.gov

MHSA Components and Funding  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 Behavioral Health Slide 11 www.SBCounty.gov

Successful CSS, INN or PEI Funded Programs Full Service Partnership *May include TAY  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 Behavioral Health Slide 12 www.SBCounty.gov

Successful CSS, INN or PEI Funded Programs Recovery Based Engagement and Support Teams 29%  voluntary, client-centered decrease in project providing field- Psychiatric based services to Hospital Days individuals with untreated mental illness through assisted outpatient treatment model  holistic approach to the 43% needs of the consumers, are decrease in highly flexible and Psychiatric unencumbered by Hospital traditional limits of Admissions services Behavioral Health Slide 13 www.SBCounty.gov

Successful CSS, INN or PEI Funded Programs 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 Behavioral Health Slide 14 www.SBCounty.gov

References  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. Behavioral Health Slide 15 www.SBCounty.gov