Behavioral Health Department Employee Survey - …agenda.slocounty.ca.gov/agenda/sanluisobispo/4455/QXR0...Behavioral Health Department Employee Survey - Service Gaps Q4 What other

Behavioral Health Department Employee Survey - Service Gaps

81.48% 88

6.48% 7

4.63% 5

2.78% 3

2.78% 3

1.85% 2

0.00% 0

0.00% 0

0.00% 0

0.00% 0

Q1 Please tell us which work group yourepresent:

Answ ered: 108 Skipped: 0

Total 108

# Other (please specify) Date

1 Program Supervisor 8/29/2014 4:57 PM

2 Drug Testing 8/29/2014 4:57 PM

3 supervisor 8/29/2014 4:57 PM


5 Medic ation Manger Also. 8/13/2014 11:50 AM

DirectTreatment...

Prev entionandEarly...

Psychiatry/Nursing

MedicationManager

ProgramSuperv isor

Worker Aide

Administrativ eSupport

Clerical/Records

Fiscal Serv ices

Behav ioralHealth Board...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Answ er Choices Responses

Direc t Treatment Servic e provider (e.g. Therapist, Spec ialist, Case management, etc .)

Prevention and Early Intervention provider

Psyc hiatry/Nursing

Medication Manager

Program Supervisor

Worker Aide

Administrative Support

Cleric al/Rec ords

Fisc al Servic es

Behavioral Health Board Member

Attachment 10 Behavioral Health Current Service Delivery March 2015

Page 1 of 28


34.26% 37

19.44% 21

14.81% 16

12.04% 13

9.26% 10

5.56% 6

4.63% 5

Q2 How long have you worked in theBehavioral Health Department (MentalHealth or Drug & Alcohol Services)?


Total 108

1 - 5 years

6-10 years

6 months - 1year

11-15 years

More than 20years

Less than 6months

16-20 years

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

34.26%

19.44%

14.81%

12.04%

9.26%

5.56%

4.63%


1 - 5 years

6-10 years

6 months - 1 year

11-15 years

More than 20 years

Less than 6 months

16-20 years


Page 2 of 28


54.21% 58

50.47% 54

42.06% 45

41.12% 44

41.12% 44

34.58% 37

Q3 From your observationsand/orexperience, please mark the service

elements you feel could be improved,increased, or developed. Please select

your top five:Answ ered: 107 Skipped: 1

Spanishlanguage...

Timely accessto serv ices

Sufficientlinkage and...

Detoxification(short-term...

Psychiatryserv ices

Sufficientstaff for BH...

Supportiv eHousing

Clinic basedtherapy for...

Sober Liv ingEnv ironments

SubstanceAbuse tx...

CommunityEducation on...

Mental Healthtx serv ices ...

Ev ening/w eekendserv ices

Emergencyaccess to...

CrisisStabilization

Publicengagement o...

Priority forspecial...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

54.21%

50.47%

42.06%

41.12%

41.12%

34.58%

33.64%

30.84%

29.91%

23.36%

23.36%

22.43%

20.56%

19.63%

18.69%

12.15%

7.48%


Spanish language servic es

Timely ac c ess to servic es

Suffic ient linkage and navigation (warm hand-offs)

Detoxific ation (short-termresidential)

Psyc hiatry servic es

Suffic ient staff for BH intakes


Page 3 of 28

Behavioral Health Department Employee Survey - Service Gaps33.64% 36

30.84% 33

29.91% 32

23.36% 25

23.36% 25

22.43% 24

20.56% 22

19.63% 21

18.69% 20

12.15% 13

7.48% 8

Total Respondents: 107

# Of these choices, w hich do you feel is MOST needed: Date

1 Detoxific ation residential treatment 8/29/2014 4:57 PM

2 Community Education 8/29/2014 4:57 PM

3 Spanish speaking servic es 8/29/2014 4:57 PM

4 c ooc c uring related servic es & short term, step-down residential 8/26/2014 3:31 PM

5 Sober living environments 8/21/2014 9:54 AM

6 Spanish speaking servic es 8/18/2014 9:27 AM

7 Spanish language servic es - Latino outreac h workers are swamped and it would be nic e to have more Spanish speaking staff insc hools and in the loc al c linic s...

8/14/2014 9:39 AM

8 Suffic ient linkage and navigation (warm hand offs) 8/14/2014 8:11 AM

9 Detox 8/13/2014 4:55 PM

10 Substance Abuse Tx Services on School Campuses 8/13/2014 4:32 PM

11 Suffic ient linkage and navigation 8/13/2014 4:15 PM

12 Spanish Language Servic es 8/13/2014 4:11 PM

13 Suffic ient staff for BH intakes 8/13/2014 2:18 PM

14 Spanish language servic es 8/13/2014 1:35 PM

15 Supportive Housing and Sober Living Environments 8/13/2014 12:46 PM

16 detoxific ation (short-termresidential) 8/13/2014 12:43 PM

17 All are linked together/c ritic ally important 8/13/2014 12:36 PM

18 Timely ac c ess to servic es 8/13/2014 11:50 AM

19 supportive housing 8/13/2014 11:37 AM


21 Psyc hiatry servic es 8/13/2014 11:00 AM

22 All are equally important 8/13/2014 10:52 AM

23 Timely Ac c ess to Servic es 8/12/2014 6:04 PM


25 residential tx (detox) 8/11/2014 11:01 AM

26 T imely Intakes all c linic s and Adult T herapy in SLO. 8/11/2014 9:32 AM

27 Spanish language 8/8/2014 8:26 PM

28 Spanish servic e providers: Lic ensed therapists, not just translaters 8/8/2014 10:38 AM

29 Therapy for Adults--Co-Oc c urring Population 8/8/2014 9:25 AM

30 Inc rease number of c ase managers and dec rease administration whic h has gotten out of c ontrol over the past few years.8/7/2014 3:35 PM

31 More servic es in the sc hools 8/7/2014 9:24 AM

32 Suffic ient staff for intakes 8/6/2014 5:53 PM

33 Supportive Housing 8/6/2014 5:03 PM

34 Stability in our Psyc hiatrist staffing for c linic s per c ontinuity of c are for c lients who are experienc ing exc essive c hanges inproviders (exc ept at YS--where additional MD staffing would be benefic ial)

8/6/2014 4:47 PM

35 residential living environments in San Luis Obispo County 8/6/2014 4:09 PM

Supportive Housing

Clinic based therapy for adults

Sober Living Environments

Substanc e Abuse tx servic es on sc hool c ampuses

Community Educ ation on spec ialty BH issues

Mental Health tx servic es on sc hool c ampuses

Evening/weekend servic es

Emergenc y ac c ess to medic ations

Crisis Stabilization

Public engagement on BH issues

Priority for spec ial populations


Page 4 of 28

Behavioral Health Department Employee Survey - Service Gaps36 timely ac c ess to all servic es 8/6/2014 3:00 PM

37 Detoxifac tiion 8/6/2014 1:50 PM

38 psyc hiatry servic es 8/6/2014 12:13 PM

39 Suffic ient staff 8/6/2014 10:49 AM

40 Psyc hiatry servic es- turnover & availability. 8/6/2014 10:44 AM


42 Suffic ient linkage and navigation/Spanish servic es 8/6/2014 9:18 AM


44 Evening Weekend services 8/6/2014 8:19 AM

45 More c lient oriented c hild psyc hiatrists that do thorough assessments and evals.8/5/2014 10:44 PM

46 bring both Drug & Alc SPECIALIST= BH THERAPIST 8/5/2014 8:22 PM

47 spanish language servic es 8/5/2014 4:55 PM

48 Crisis servic es 8/5/2014 4:50 PM

49 Suffic ient Staff for BH Intakes 8/5/2014 4:39 PM



52 Community Educ ation on spec ialty BH issues 8/5/2014 4:10 PM

53 I feel that on this list psyc hiatric servic es are most needed. T here is a huge gap regarding the c are of non-c riminal patients withc o-oc c urring disorders. They are passed around between Mental Health, CHC and now the Holmen Group. The only plac e wherethey are seen for psyc hiatric evaluation and medic ation is by our one, part time Nurse Prac titioner here at DAS. Bec ause she alsohandles our alc ohol and opiate detox program, the wait to see her c an be long. Those patients with these c omplic ated drug andmental health issues often c annot remain in our program long enough to be seen by her. Further, our servic es are limited in timeand these patients require years, maybe lifelong c are. I am c onc erned that when they c omplete our program there will not be aservic e that we c an “hand them of to” for c ontinued c are. Consequently, suffic ient linkage and navigation is the sec ond area ofservic es most needed.

8/5/2014 3:54 PM

54 Clinic based therapy for adults 8/5/2014 3:30 PM

55 spanish servic es and psyc hiatry servic es 8/5/2014 3:17 PM

56 Crisis Stabilization and c risis for c hildlren 8/5/2014 3:10 PM


58 Detox (short term residential) 8/5/2014 2:25 PM

59 detox/ sober living for youth and adult 8/5/2014 2:25 PM


61 Timely ac c ess to Mental Health servic es 8/5/2014 2:07 PM

62 T here is a gap in North c ounty ERMHS treatment. Not only do the c lients have to travel to get servic es,8/5/2014 1:54 PM

63 Supportive housing/SLE's 8/5/2014 1:53 PM


Page 5 of 28


Q4 What other consumer services aremissing, need significant improvements,

or need increased resourcing in ourcontinuum of care?


# Responses Date

1 Closely monitoring people who leave the PHF and help the c lient find strength based solutions on how to develop better c opingskills. Maybe a person to follow up for at least 30 days anyone who lands on the PHF (non-LPS) so they will feel supported andc an then ac c ess c risis help if needed.

8/29/2014 4:57 PM

2 Reduc ed intake paperwork ac ross the agenc ies. 8/29/2014 4:57 PM

3 Ac c ess to MHSA intensive servic es on a 24/7 basis 8/26/2014 3:31 PM

4 Parenting c lasses c ombined with options for triaging to assessment, intervention and support for struggling parents. More earlyintervention with parents I believe is essential.

8/21/2014 9:54 AM

5 I would like to see the intake proc ess streamlined to enable families to ac c ess servic es more quic kly.8/14/2014 9:39 AM

6 Better Public Relations,Community Outreac h 8/14/2014 8:11 AM

7 San Luis Obispo County Alumni Group Ac c ess. 8/13/2014 4:32 PM

8 Labor Isues Raises for employees 8/13/2014 4:23 PM

9 Bi-lingual servic es 8/13/2014 4:15 PM

10 Transportation assistanc e 8/13/2014 4:11 PM

11 Family therapy servic es in the evenings 8/13/2014 2:00 PM

12 Caregiver support groups 8/13/2014 1:35 PM

13 Family T herapy to address reunific ation issues after inc idenc e of Intimate Partner Violenc e; as it is, the perpetratorand vic timend up bac k together and the c yc le of violenc e c ontinues.

8/13/2014 12:46 PM

14 Servic es for extended non-substanc e using family/friends/support system - you're only as "rec overed" as your environment willallow - we need help for families - updated treatment options other than Matrix Model - based on stimulant dependenc e - alsopresented too "old sc hool" the "you must do this" versus giving c hoic es - In rasing c hildren we give c hoic es - in substanc edependenc e c hoic es need to be options - and differing opinions allowed to be explored - If I tell someone "Be Smart Not Strong"I don't give them the option of giving definitions of what that means to them - or c oming to their own c onc lusions on what thatmeans - all lessons too blac k and white without allowing proc ess - or for individual personalities -

8/13/2014 12:36 PM

15 Caseloads are very high whic h makes it so c lient's do not get the c are they need and sometimes "fall through the c rac ks".8/13/2014 11:13 AM

16 Youth servic es rehab servic es for emotionally disturbed c hildren are very nec essary for many to make improvement but in southc ounty we do not have any outdoor area to work with c lients on these skills. It is the unstruc tured outdoor times that c ause c lient'sthe most diffic ulty and typic ally where they have aggressive behavior outbursts. It seems we do not have a protoc ol for Spanishspeaking only c lients with need for a mobile c risis evaluation. Our Latino outreac h therapist has a waiting list.

8/13/2014 11:12 AM

17 All direc t c are staff should have ac c ess c omputers. All direc t c are staff and worker aides need to have their own c omputersto bemore effic ient and save time.

8/13/2014 11:08 AM

18 A c ontrac t with Maxine Lewis Homeless Shelter and ECHO to have one bed per night for c risis c ontac ts that have no plac e to goin the middle of the night. It c ould possibly prevent some hospitalizations in the middle of the night sinc e some c onsumers do notknow resourc es after hours. A direc t phone line to them would be helpful as well.

8/13/2014 11:03 AM

19 Spec ific ally, it seems like c ommunity educ ation in sc hools would be helpful. It appears that many youth c onsumers feelmisunderstood by both peers and staff.

8/13/2014 11:00 AM

20 Allowanc e of substanc e abuse testing at time of intake 8/13/2014 10:52 AM

21 Psyc hiatric c are for moderatelyimpaired (Holman)-no psyc hiatrists available for c hildren8/11/2014 11:01 AM

22 Traditional MH Servic es have suffered. Med Managers have too high a c aseload, Youth Therapists in NC have too high ac aseload. It is a shame that people are referred to MH and c an't get in to see someone for an intake for "weeks" and sometimesmonths.

8/11/2014 9:32 AM

23 Housing for MI c onsumers with c hildren Staff for c ase management8/8/2014 8:26 PM

24 Evening hours 8/8/2014 10:38 AM

25 We need more Co-Oc c urring treatment availiability. 8/8/2014 9:25 AM

26 Get some psyc hiatrists in to the system that are not running their private prac tic es on c ounty time.8/7/2014 3:35 PM

27 Integrated servic es with DAS and Mental Health. At mental health I see c lients having to wait 60 days for a mental healthassessment only to be denied due to dual diagnosis issues when they really need servic es.

8/7/2014 11:20 AM

28 Relevant support servic es to parents, families and grandparents raising c hildren 8/7/2014 9:24 AM

29 Integrated servic es, adequate c linic spac e, streamline FSP ac c ess. 8/6/2014 5:53 PM

30 Spec ialty equipment for all Case Managers, suc h as individual lap top c omputersthat c an be taken out into the field. T his wouldhelp make better use of time for c ase managers.

8/6/2014 5:03 PM

31 Youth Servic es needs a more permanent home/site; development of a youth c ampus near the BH c ampus would be exc ellentlong term planning/investing in this servic e delivery system.

8/6/2014 4:47 PM


Page 6 of 28

Behavioral Health Department Employee Survey - Service Gaps32 Memebers of our Spanish speaking, migrant and potentially undoc umented c ommunities must feel at home and welc omed when

seeking support through our servic es. MH does a good job in many of these areas, but there is still so muc h forther we c an go.8/6/2014 3:59 PM

33 Open drop-in support/psyc hoeduc ational groups for non-c lients in need of information or brief support.8/6/2014 2:29 PM

34 I think that there needs to be more c ase managers, and better ac c ess to MD's. I think that it is a mistake to only have one DualDisorders T herapist at a mental health c linic . I would like to see more individual therapy at the c linic s.

8/6/2014 12:13 PM

35 More staff therapists in youth servic es to relieve tremendous c aseloads.8/6/2014 10:49 AM

36 Re-dedic ation to c ore servic es is needed. Mission c reep appears to have oc c urred that waters down c linic al effec tiveness.8/6/2014 10:44 AM

37 BILINGUAL STAFF!!!! 8/6/2014 9:25 AM

38 Open c ommunic ation between various departments 8/6/2014 9:18 AM

39 T reatment servic es for spec ialty populations, i.e. Autism and eating disorders8/6/2014 8:46 AM

40 I think more educ ation and prevention c ould be helpful. 8/6/2014 8:22 AM

41 More staffing to fulfill the c urrent needs in the c ommunity and to provide a high level of c are.8/6/2014 8:12 AM

42 Consultations with the psyc hiatrist at the team meetings level for better c ase c oordination.8/5/2014 10:44 PM

43 c ontinue to bridge the gap between agenc ies 8/5/2014 8:22 PM

44 Adult family therapy. c ontinuity of c are following polic y and proc edures so everyone knows what to exc ept espec ially the PHFwho are 1st line dealing with polic e ED after hour c risis walk ups phone c alls and other agenc ies.

8/5/2014 4:55 PM

45 phf servic es/c risis/ac c ess to therapy and psyc hiatrist 8/5/2014 4:50 PM

46 Improve PHF c are. More beds, In- patient therapy and c ase management, appropriate disc harge planning.8/5/2014 4:39 PM

47 Spanish language servic es inc luding direc t servic es (e.g., therapy, c ase management, etc ) as well as providing forms and otherdoc umentation in Spanish are the most important issues to me. I see Spanish speaking families wait longer to rec eive assessmentsand direc t servic es than their English speaking c ounterparts. Often there is a 6 month plus waitlist for Spanish speaking servic es.Families often drop out or disappear before ever rec eiving servic es due to the long wait and lac k of trac king while the family is onthe list. Also bec ause of the limited bilingual staff, families may not rec eive a c linic ian trained in working with a spec ificissue/population suc h as birth to 5. Also bec ause of the limited bilingual staff, c linic ians may be asked to do things outside oftheir job duties whic h takes away from their time with c lients to meet the language need in other areas suc h as translatingdoc uments. In addition to limited Spanish speaking resourc es for families, there needs to be more outreac h to the Spanishspeaking population to help them understandand navigate our system, as well as reduc e stigma assoc iatedwith mental healthservic es.

8/5/2014 4:13 PM

48 Afterc are for PHF c lients. 8/5/2014 4:12 PM

49 Larger outpatient fac ilities to ac c ommodate integrating all areas of servic e. No. Co. OP c linic only one that was started andmaintained. Larger outpatient c linic s to allow room for growth, more groups and supportive groups. Inc reased demand on PostPHF/Hospitalizations having suffic ient linkage, c oordination and bec oming a spec ialty servic e unto itself c ausing strain on OPc linic ians. Poor c ommunity educ ation and knowledge of resourc es available. No development in South County of a c ommunityresourc e/referenc e book. One exists in No. County that provide book on servic es available for numerous needs, ie; help forhomeless, food banks, emergenc y financ ial asst.,medic al c are other than CHC. Poor linkage and c ommunic ation between CHCand MH.

8/5/2014 4:10 PM

50 What I feel is most needed is not on the first list. I think that we need to have residential a drug and alc ohol treatment fac ility inthis c ounty.

8/5/2014 3:54 PM

51 Housing seems to be the main issue for many of our c lients.8/5/2014 3:42 PM

52 Mental Helath Servic es for mild autism 8/5/2014 3:30 PM

53 soc ialization groups for kids 8/5/2014 3:17 PM

54 When c hildren are hospitalized we need better servic es. Even a more friendly looking room, fresh paint and some new/c lean toysand books would be great. Anything to make it look less sc ary to kids.

8/5/2014 3:10 PM

55 refreshed super user training to stay updated on anasazi training 8/5/2014 2:45 PM

56 PHF for youth 8/5/2014 2:39 PM

57 Definitely Spanish Speaking servic es. 8/5/2014 2:25 PM

58 Servic es for TAY 8/5/2014 2:25 PM

59 I see way to many c lients on DAS tereatmentwaitlists, I feel we set them up to fail when not in servic e.8/5/2014 2:19 PM

60 System to better assess for level of c are needed and assist in linking to appropriate level.8/5/2014 2:17 PM

61 Need for more sober living environments and funding for same 8/5/2014 2:07 PM

62 Training for LMFT and LCSW for supervisinginterns. 8/5/2014 1:54 PM

63 Need strong family c omponent 8/5/2014 1:53 PM

64 Medic ally assisted SLE's where c lients that have COD or Co-Morbidities c ould have their medic al needs addressed. Many of ourc lients have either suboxone tx or psyc hotropic medic ations and supportive housing and SLE's are not willing or able to provideservic es.

8/5/2014 1:50 PM


Page 7 of 28


25.93% 28

74.07% 80

Q5 Wouldyou like to be contacted forfurther discussion?


Total 108

Yes

No

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

25.93%

74.07%


Yes

No


Page 8 of 28


Q6 Please tell us your name and emailaddress if you would like to be contacted:


# Responses Date

1 ishapiro@c o.slo.c a.usIdee Shapiro 8/29/2014 4:57 PM

2 Jim Roberts or Jon Nibbio jim@fc ni.org, jon@fc ni.org 8/26/2014 3:32 PM

3 Jim Pearc e LMFT jpearc e@c o.slo,c a.us 8/21/2014 9:55 AM

4 Rolando Rojas rrojas@c o.slo.c a.us 8/14/2014 8:12 AM

5 Darc i Hafley dhafley@c o.slo.c a.us 8/13/2014 4:11 PM

6 Kristin Bahner kbahner@c o.slo.c a.us 8/13/2014 11:12 AM

7 Alex [email protected] 8/13/2014 11:09 AM

8 Jeffrey Elliott, PsyD - jelliott@c o.slo.c a.us 8/13/2014 10:53 AM

9 eburt@c o.slo.c a.us 8/11/2014 9:32 AM

10 Stephanie Buc hler, LCSW sbuc hler@c o.slo.c a.us 8/8/2014 10:39 AM

11 Rebec c a Mc Garigle rmc garigle@c o.slo.c a.us 8/8/2014 9:25 AM

12 Lauren Lederer llederer@c o.slo.c a.us 8/7/2014 11:21 AM

13 Alexander [email protected] 8/6/2014 5:04 PM

14 Dave Mayfield dmayfield@c o.slo.c a.us Vic ente YS 8/6/2014 4:48 PM

15 Manuel Barba [email protected] 8/6/2014 4:00 PM

16 maxelrod@c o.slo.c a.us 8/6/2014 3:00 PM

17 Ray Ford- rford@c o.slo.c a.us 8/6/2014 10:44 AM

18 Ray Irey rirey@c o.slo.c a.us 8/6/2014 8:47 AM

19 Triesha Miller Psyc htec [email protected] om 8/5/2014 4:55 PM

20 Donna Hayes, LPT [email protected] 8/5/2014 4:11 PM

21 Cynthia Caldeira, LMFT c c aldeira@c o.slo.c a.us 8/5/2014 3:56 PM

22 Anne Griffin [email protected] o.c a.us 8/5/2014 3:18 PM

23 Mic helle Gaulden mgaulden@c o.slo.c a.us 8/5/2014 3:11 PM

24 jhodges@c o.slo.c a.us 8/5/2014 3:06 PM

25 atrigueros@c o.slo.c a.us 8/5/2014 2:45 PM

26 Wendy Clodfelter wc lodfelter@c o.slo.c a.us 8/5/2014 1:55 PM

27 Elisa Leigan eleigan@c o.slo.c a.us 8/5/2014 1:50 PM


Page 9 of 28


100.00% 7

0.00% 0

0.00% 0

0.00% 0

0.00% 0

0.00% 0

0.00% 0

0.00% 0

0.00% 0

0.00% 0



Total 7


1 board member-consumer 8/29/2014 4:55 PM


Worker Aide

DirectTreatment...


MedicationManager

Psychiatry/Nursing


Clerical/Records

Fiscal Serv ices

ProgramSuperv isor

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



Worker Aide



Medication Manager

Psyc hiatry/Nursing


Cleric al/Rec ords

Fisc al Servic es

Program Supervisor


Page 10 of 28


40.00% 2

20.00% 1

20.00% 1

20.00% 1

0.00% 0

0.00% 0

0.00% 0



Total 5

1 - 5 years

Less than 6months

6 months - 1year

16-20 years

6-10 years

11-15 years

More than 20years

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

40.00%

20.00%

20.00%

20.00%


1 - 5 years

Less than 6 months

6 months - 1 year

16-20 years

6-10 years

11-15 years

More than 20 years


Page 11 of 28


57.14% 4

57.14% 4

57.14% 4

42.86% 3

42.86% 3

42.86% 3





Psychiatryserv ices

Supportiv eHousing

Spanishlanguage...


CrisisStabilization












0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

57.14%

57.14%

57.14%

42.86%

42.86%

42.86%

42.86%

42.86%

28.57%

14.29%

14.29%

14.29%

14.29%




Supportive Housing





Page 12 of 28


42.86% 3

28.57% 2

14.29% 1

14.29% 1

14.29% 1

14.29% 1

0.00% 0

0.00% 0

0.00% 0

0.00% 0



1 detox 8/29/2014 4:55 PM

2 Crisis Stabilization 8/29/2014 9:02 AM


4 MH servic es on sc hool c ampuses 8/22/2014 2:54 PM













Page 13 of 28





# Responses Date

1 money 8/29/2014 4:55 PM

2 VID, c ommunity c ollaborative efforts working with the c hronic inebriate population sinc e there are c urrently no c ase managementservic es for D&A.

8/25/2014 1:36 PM


Page 14 of 28


42.86% 3

57.14% 4



Total 7

Yes

No

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

42.86%

57.14%


Yes

No


Page 15 of 28




# Responses Date

1 karl ric hard hansen ssn553-72-3474 krh@kc bx.net 8/29/2014 4:55 PM

2 Theresa Sc ott - tsc ott@c enc alhealth.org 8/25/2014 1:37 PM

3 David Riester davidriester@sbc global.net 8/23/2014 3:55 PM


Page 16 of 28


60.69% 88

9.66% 14

6.21% 9

4.83% 7

4.83% 7

4.83% 7

3.45% 5

2.07% 3

2.07% 3

1.38% 2



Total 145



2 Drug Testing 8/29/2014 4:57 PM

3 supervisor 8/29/2014 4:57 PM


5 board member-consumer 8/29/2014 4:55 PM

6 Medic ation Manger Also. 8/13/2014 11:50 AM

7 Drug Testing 8/13/2014 11:33 AM

8 Crisis Response laison/Transfer Coordinator 8/6/2014 4:52 PM


DirectTreatment...

Clerical/Records



Fiscal Serv ices


Psychiatry/Nursing

MedicationManager

ProgramSuperv isor

Worker Aide

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



Cleric al/Rec ords



Fisc al Servic es


Psyc hiatry/Nursing

Medication Manager

Program Supervisor

Worker Aide


Page 17 of 28

Behavioral Health Department Employee Survey - Service Gaps10 management 8/5/2014 1:53 PM


Page 18 of 28


31.94% 46

18.06% 26

14.58% 21

12.50% 18

10.42% 15

6.94% 10

5.56% 8



Total 144

1 - 5 years

6-10 years

11-15 years

6 months - 1year

More than 20years

16-20 years

Less than 6months

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

31.94%

18.06%

14.58%

12.50%

10.42%

6.94%

5.56%


1 - 5 years

6-10 years

11-15 years

6 months - 1 year

More than 20 years

16-20 years

Less than 6 months


Page 19 of 28


55.94% 80

53.15% 76

44.76% 64

38.46% 55

36.36% 52

34.97% 50




Spanishlanguage...


Psychiatryserv ices




Supportiv eHousing





CrisisStabilization






0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

55.94%

53.15%

44.76%

38.46%

36.36%

34.97%

34.27%

27.27%

26.57%

25.87%

23.78%

23.08%

22.38%

20.98%

20.28%

13.29%

6.99%









Page 20 of 28


27.27% 39

26.57% 38

25.87% 37

23.78% 34

23.08% 33

22.38% 32

20.98% 30

20.28% 29

13.29% 19

6.99% 10



1 Detoxific ation residential treatment 8/29/2014 4:57 PM

2 Community Education 8/29/2014 4:57 PM

3 Spanish speaking servic es 8/29/2014 4:57 PM

4 detox 8/29/2014 4:55 PM


6 c ooc c uring related servic es & short term, step-down residential 8/26/2014 3:31 PM


8 MH servic es on sc hool c ampuses 8/22/2014 2:54 PM

9 Sober living environments 8/21/2014 9:54 AM

10 Spanish speaking servic es 8/18/2014 9:27 AM

11 Spanish language servic es - Latino outreac h workers are swamped and it would be nic e to have more Spanish speaking staff insc hools and in the loc al c linic s...

8/14/2014 9:39 AM

12 Suffic ient linkage and navigation (warm hand offs) 8/14/2014 8:11 AM

13 Spanish Language servic es 8/13/2014 4:59 PM

14 Detox 8/13/2014 4:55 PM


16 Substance Abuse Tx Services on School Campuses 8/13/2014 4:32 PM

17 Suffic ient linkage and navigation 8/13/2014 4:15 PM


19 Suffic ient staff for BH intakes 8/13/2014 2:18 PM


21 Supportive Housing and Sober Living Environments 8/13/2014 12:46 PM

22 detoxific ation (short-termresidential) 8/13/2014 12:43 PM

23 All are linked together/c ritic ally important 8/13/2014 12:36 PM




27 People that speak spanish 8/13/2014 11:36 AM

28 Suffic ient staffing for BH Intakes- More integrated, no wrong door 8/13/2014 11:33 AM



31 Substance abuse TX on school campuses 8/13/2014 10:55 AM

32 All are equally important 8/13/2014 10:52 AM




Supportive Housing












Page 21 of 28

Behavioral Health Department Employee Survey - Service Gaps36 I believe all are equally important. 8/12/2014 1:22 PM

37 residential tx (detox) 8/11/2014 11:01 AM

38 T imely Intakes all c linic s and Adult T herapy in SLO. 8/11/2014 9:32 AM

39 Substanc e Abuse/Mental Health tx svs on sc hool c ampuses 8/10/2014 12:22 PM

40 Spanish language 8/8/2014 8:26 PM

41 Spanish servic e providers: Lic ensed therapists, not just translaters 8/8/2014 10:38 AM

42 Therapy for Adults--Co-Oc c urring Population 8/8/2014 9:25 AM

43 Inc rease number of c ase managers and dec rease administration whic h has gotten out of c ontrol over the past few years.8/7/2014 3:35 PM

44 More servic es in the sc hools 8/7/2014 9:24 AM


46 Suffic ient staff for intakes 8/6/2014 5:53 PM


48 Quic k Ac c ess to mental heatlh servic es 8/6/2014 4:52 PM

49 Stability in our Psyc hiatrist staffing for c linic s per c ontinuity of c are for c lients who are experienc ing exc essive c hanges inproviders (exc ept at YS--where additional MD staffing would be benefic ial)

8/6/2014 4:47 PM

50 residential living environments in San Luis Obispo County 8/6/2014 4:09 PM

51 timely ac c ess to all servic es 8/6/2014 3:00 PM

52 Suffic ient staff for BH Servic es 8/6/2014 1:53 PM

53 Detoxifac tiion 8/6/2014 1:50 PM

54 psyc hiatry servic es 8/6/2014 12:13 PM

55 Suffic ient staff 8/6/2014 10:49 AM

56 Psyc hiatry servic es- turnover & availability. 8/6/2014 10:44 AM


58 Suffic ient linkage and navigation/Spanish servic es 8/6/2014 9:18 AM


60 psyc hiatry servic es 8/6/2014 8:20 AM

61 Evening Weekend services 8/6/2014 8:19 AM

62 More c lient oriented c hild psyc hiatrists that do thorough assessments and evals.8/5/2014 10:44 PM

63 bring both Drug & Alc SPECIALIST= BH THERAPIST 8/5/2014 8:22 PM

64 Timely ac c ess 8/5/2014 5:10 PM


66 T imely ac c ess to servic es / MH is far too slow 8/5/2014 4:55 PM

67 Crisis servic es 8/5/2014 4:50 PM

68 Suffic ient Staff for BH Intakes 8/5/2014 4:39 PM



71 Community Educ ation on spec ialty BH issues 8/5/2014 4:10 PM

72 T imely ac c ess to servic es (waitlist) 8/5/2014 3:54 PM

73 I feel that on this list psyc hiatric servic es are most needed. T here is a huge gap regarding the c are of non-c riminal patients withc o-oc c urring disorders. They are passed around between Mental Health, CHC and now the Holmen Group. The only plac e wherethey are seen for psyc hiatric evaluation and medic ation is by our one, part time Nurse Prac titioner here at DAS. Bec ause she alsohandles our alc ohol and opiate detox program, the wait to see her c an be long. Those patients with these c omplic ated drug andmental health issues often c annot remain in our program long enough to be seen by her. Further, our servic es are limited in timeand these patients require years, maybe lifelong c are. I am c onc erned that when they c omplete our program there will not be aservic e that we c an “hand them of to” for c ontinued c are. Consequently, suffic ient linkage and navigation is the sec ond area ofservic es most needed.

8/5/2014 3:54 PM

74 Clinic based therapy for adults 8/5/2014 3:30 PM

75 spanish servic es and psyc hiatry servic es 8/5/2014 3:17 PM

76 Crisis Stabilization and c risis for c hildlren 8/5/2014 3:10 PM

77 Timely ac c ess to servic es 8/5/2014 2:42 PM


79 Detox (short term residential) 8/5/2014 2:25 PM

80 detox/ sober living for youth and adult 8/5/2014 2:25 PM


82 Timely ac c ess to Mental Health servic es 8/5/2014 2:07 PM


Page 22 of 28

Behavioral Health Department Employee Survey - Service Gaps83 Detox residents 8/5/2014 1:54 PM

84 T here is a gap in North c ounty ERMHS treatment. Not only do the c lients have to travel to get servic es,8/5/2014 1:54 PM

85 Supportive housing/SLE's 8/5/2014 1:53 PM

86 Crisis stabilization 8/5/2014 1:53 PM

87 Timely ac c ess to servic es 8/5/2014 1:51 PM


Page 23 of 28





# Responses Date

1 Closely monitoring people who leave the PHF and help the c lient find strength based solutions on how to develop better c opingskills. Maybe a person to follow up for at least 30 days anyone who lands on the PHF (non-LPS) so they will feel supported andc an then ac c ess c risis help if needed.

8/29/2014 4:57 PM

2 Reduc ed intake paperwork ac ross the agenc ies. 8/29/2014 4:57 PM

3 money 8/29/2014 4:55 PM

4 Ac c ess to MHSA intensive servic es on a 24/7 basis 8/26/2014 3:31 PM

5 VID, c ommunity c ollaborative efforts working with the c hronic inebriate population sinc e there are c urrently no c ase managementservic es for D&A.

8/25/2014 1:36 PM

6 Parenting c lasses c ombined with options for triaging to assessment, intervention and support for struggling parents. More earlyintervention with parents I believe is essential.

8/21/2014 9:54 AM

7 I would like to see the intake proc ess streamlined to enable families to ac c ess servic es more quic kly.8/14/2014 9:39 AM

8 Better Public Relations,Community Outreac h 8/14/2014 8:11 AM

9 Crisis residential servic es Board and Cares (more than what we have already).8/13/2014 4:59 PM

10 San Luis Obispo County Alumni Group Ac c ess. 8/13/2014 4:32 PM

11 Labor Isues Raises for employees 8/13/2014 4:23 PM

12 Bi-lingual servic es 8/13/2014 4:15 PM

13 Transportation assistanc e 8/13/2014 4:11 PM

14 Family therapy servic es in the evenings 8/13/2014 2:00 PM

15 Caregiver support groups 8/13/2014 1:35 PM

16 Hire more HIT2's for medic al rec ords department. We are understaffed. Work is growing and not enough staff to keep up with thegrowth.

8/13/2014 1:10 PM

17 More HIT 8/13/2014 12:53 PM

18 Family T herapy to address reunific ation issues after inc idenc e of Intimate Partner Violenc e; as it is, the perpetratorand vic timend up bac k together and the c yc le of violenc e c ontinues.

8/13/2014 12:46 PM

19 Servic es for extended non-substanc e using family/friends/support system - you're only as "rec overed" as your environment willallow - we need help for families - updated treatment options other than Matrix Model - based on stimulant dependenc e - alsopresented too "old sc hool" the "you must do this" versus giving c hoic es - In rasing c hildren we give c hoic es - in substanc edependenc e c hoic es need to be options - and differing opinions allowed to be explored - If I tell someone "Be Smart Not Strong"I don't give them the option of giving definitions of what that means to them - or c oming to their own c onc lusions on what thatmeans - all lessons too blac k and white without allowing proc ess - or for individual personalities -

8/13/2014 12:36 PM

20 Mobile Crisis as a willing partner 8/13/2014 11:37 AM

21 T here needs to be extra help in the front offic e in SLO. It is ridic ulious8/13/2014 11:36 AM

22 I would like to see business hrs reflec t needs rather than a blanket 8-5. DAS does a lot of after 5 hours and would like to see amodific ation of support hours 9-6.

8/13/2014 11:33 AM

23 Caseloads are very high whic h makes it so c lient's do not get the c are they need and sometimes "fall through the c rac ks".8/13/2014 11:13 AM

24 Youth servic es rehab servic es for emotionally disturbed c hildren are very nec essary for many to make improvement but in southc ounty we do not have any outdoor area to work with c lients on these skills. It is the unstruc tured outdoor times that c ause c lient'sthe most diffic ulty and typic ally where they have aggressive behavior outbursts. It seems we do not have a protoc ol for Spanishspeaking only c lients with need for a mobile c risis evaluation. Our Latino outreac h therapist has a waiting list.

8/13/2014 11:12 AM

25 All direc t c are staff should have ac c ess c omputers. All direc t c are staff and worker aides need to have their own c omputersto bemore effic ient and save time.

8/13/2014 11:08 AM

26 A c ontrac t with Maxine Lewis Homeless Shelter and ECHO to have one bed per night for c risis c ontac ts that have no plac e to goin the middle of the night. It c ould possibly prevent some hospitalizations in the middle of the night sinc e some c onsumers do notknow resourc es after hours. A direc t phone line to them would be helpful as well.

8/13/2014 11:03 AM

27 Spec ific ally, it seems like c ommunity educ ation in sc hools would be helpful. It appears that many youth c onsumers feelmisunderstood by both peers and staff.

8/13/2014 11:00 AM

28 More supervisor c ontac t with c ounselors. Supervisors should be sitting in on group meetings to observe c ounselors.8/13/2014 10:55 AM

29 Allowanc e of substanc e abuse testing at time of intake 8/13/2014 10:52 AM

30 Psyc hiatric c are for moderatelyimpaired (Holman)-no psyc hiatrists available for c hildren8/11/2014 11:01 AM

31 Traditional MH Servic es have suffered. Med Managers have too high a c aseload, Youth Therapists in NC have too high ac aseload. It is a shame that people are referred to MH and c an't get in to see someone for an intake for "weeks" and sometimesmonths.

8/11/2014 9:32 AM


Page 24 of 28

Behavioral Health Department Employee Survey - Service Gaps32 Communic ation between family members & staff of mentally ill/Substanc e Abuse issues with loved ones, they are not heard and

should be very muc h c onsidered8/10/2014 12:22 PM

33 Housing for MI c onsumers with c hildren Staff for c ase management8/8/2014 8:26 PM

34 Evening hours 8/8/2014 10:38 AM

35 We need more Co-Oc c urring treatment availiability. 8/8/2014 9:25 AM

36 Get some psyc hiatrists in to the system that are not running their private prac tic es on c ounty time.8/7/2014 3:35 PM

37 Integrated servic es with DAS and Mental Health. At mental health I see c lients having to wait 60 days for a mental healthassessment only to be denied due to dual diagnosis issues when they really need servic es.

8/7/2014 11:20 AM

38 Relevant support servic es to parents, families and grandparents raising c hildren 8/7/2014 9:24 AM

39 Intake of supportive billing information and c ommunic ation of c lient obligations.8/7/2014 8:59 AM

40 Integrated servic es, adequate c linic spac e, streamline FSP ac c ess. 8/6/2014 5:53 PM

41 Spec ialty equipment for all Case Managers, suc h as individual lap top c omputersthat c an be taken out into the field. T his wouldhelp make better use of time for c ase managers.

8/6/2014 5:03 PM

42 inpatient ER medic al detox, expansion of the inpatient psyc h servic es for adults/adolesc ents.8/6/2014 4:52 PM

43 Youth Servic es needs a more permanent home/site; development of a youth c ampus near the BH c ampus would be exc ellentlong term planning/investing in this servic e delivery system.

8/6/2014 4:47 PM

44 Memebers of our Spanish speaking, migrant and potentially undoc umented c ommunities must feel at home and welc omed whenseeking support through our servic es. MH does a good job in many of these areas, but there is still so muc h forther we c an go.

8/6/2014 3:59 PM

45 Open drop-in support/psyc hoeduc ational groups for non-c lients in need of information or brief support.8/6/2014 2:29 PM

46 I think that there needs to be more c ase managers, and better ac c ess to MD's. I think that it is a mistake to only have one DualDisorders T herapist at a mental health c linic . I would like to see more individual therapy at the c linic s.

8/6/2014 12:13 PM

47 More staff therapists in youth servic es to relieve tremendous c aseloads.8/6/2014 10:49 AM

48 Re-dedic ation to c ore servic es is needed. Mission c reep appears to have oc c urred that waters down c linic al effec tiveness.8/6/2014 10:44 AM

49 BILINGUAL STAFF!!!! 8/6/2014 9:25 AM

50 Open c ommunic ation between various departments 8/6/2014 9:18 AM

51 T reatment servic es for spec ialty populations, i.e. Autism and eating disorders8/6/2014 8:46 AM

52 I think more educ ation and prevention c ould be helpful. 8/6/2014 8:22 AM

53 More staffing to fulfill the c urrent needs in the c ommunity and to provide a high level of c are.8/6/2014 8:12 AM

54 Consultations with the psyc hiatrist at the team meetings level for better c ase c oordination.8/5/2014 10:44 PM

55 c ontinue to bridge the gap between agenc ies 8/5/2014 8:22 PM

56 Outpatient c linic based servic es 8/5/2014 5:10 PM

57 Adult family therapy. c ontinuity of c are following polic y and proc edures so everyone knows what to exc ept espec ially the PHFwho are 1st line dealing with polic e ED after hour c risis walk ups phone c alls and other agenc ies.

8/5/2014 4:55 PM

58 Staff need c onsistent training in Wellness and Rec overy and what that really means.8/5/2014 4:55 PM

59 phf servic es/c risis/ac c ess to therapy and psyc hiatrist 8/5/2014 4:50 PM

60 Improve PHF c are. More beds, In- patient therapy and c ase management, appropriate disc harge planning.8/5/2014 4:39 PM

61 Spanish language servic es inc luding direc t servic es (e.g., therapy, c ase management, etc ) as well as providing forms and otherdoc umentation in Spanish are the most important issues to me. I see Spanish speaking families wait longer to rec eive assessmentsand direc t servic es than their English speaking c ounterparts. Often there is a 6 month plus waitlist for Spanish speaking servic es.Families often drop out or disappear before ever rec eiving servic es due to the long wait and lac k of trac king while the family is onthe list. Also bec ause of the limited bilingual staff, families may not rec eive a c linic ian trained in working with a spec ificissue/population suc h as birth to 5. Also bec ause of the limited bilingual staff, c linic ians may be asked to do things outside oftheir job duties whic h takes away from their time with c lients to meet the language need in other areas suc h as translatingdoc uments. In addition to limited Spanish speaking resourc es for families, there needs to be more outreac h to the Spanishspeaking population to help them understandand navigate our system, as well as reduc e stigma assoc iatedwith mental healthservic es.

8/5/2014 4:13 PM

62 Afterc are for PHF c lients. 8/5/2014 4:12 PM

63 Larger outpatient fac ilities to ac c ommodate integrating all areas of servic e. No. Co. OP c linic only one that was started andmaintained. Larger outpatient c linic s to allow room for growth, more groups and supportive groups. Inc reased demand on PostPHF/Hospitalizations having suffic ient linkage, c oordination and bec oming a spec ialty servic e unto itself c ausing strain on OPc linic ians. Poor c ommunity educ ation and knowledge of resourc es available. No development in South County of a c ommunityresourc e/referenc e book. One exists in No. County that provide book on servic es available for numerous needs, ie; help forhomeless, food banks, emergenc y financ ial asst.,medic al c are other than CHC. Poor linkage and c ommunic ation between CHCand MH.

8/5/2014 4:10 PM

64 A way for people who aren't involved in the c ourt/c riminal justic e system to get help. It's almost as if c lients aren't rec eiving helpuntil the point of arrest. Need to do outreac h and get the population before that c riminal rec ord affec ts their lives.

8/5/2014 3:54 PM

65 What I feel is most needed is not on the first list. I think that we need to have residential a drug and alc ohol treatment fac ility inthis c ounty.

8/5/2014 3:54 PM

66 Housing seems to be the main issue for many of our c lients.8/5/2014 3:42 PM

67 Mental Helath Servic es for mild autism 8/5/2014 3:30 PM

68 soc ialization groups for kids 8/5/2014 3:17 PM


Page 25 of 28

Behavioral Health Department Employee Survey - Service Gaps69 When c hildren are hospitalized we need better servic es. Even a more friendly looking room, fresh paint and some new/c lean toys

and books would be great. Anything to make it look less sc ary to kids.8/5/2014 3:10 PM

70 Consistenc y in psyc hiatrists, not loc um tenens. 8/5/2014 3:00 PM

71 refreshed super user training to stay updated on anasazi training 8/5/2014 2:45 PM

72 PHF for youth 8/5/2014 2:39 PM

73 Definitely Spanish Speaking servic es. 8/5/2014 2:25 PM

74 Servic es for TAY 8/5/2014 2:25 PM

75 I see way to many c lients on DAS tereatmentwaitlists, I feel we set them up to fail when not in servic e.8/5/2014 2:19 PM

76 System to better assess for level of c are needed and assist in linking to appropriate level.8/5/2014 2:17 PM

77 Need for more sober living environments and funding for same 8/5/2014 2:07 PM

78 Provide all D&AS c linic s w/the same programs, rather than just SLO c linic availability.Case in point: DEJ & Prop 36 availableonly to SLO. It should be available to all c linic s. It would lessen the busiest load from D&AS rec eption. T oo muc h disparity ofworkload in all the c linic s

8/5/2014 1:54 PM

79 Training for LMFT and LCSW for supervisinginterns. 8/5/2014 1:54 PM

80 Need strong family c omponent 8/5/2014 1:53 PM

81 Medic ally assisted SLE's where c lients that have COD or Co-Morbidities c ould have their medic al needs addressed. Many of ourc lients have either suboxone tx or psyc hotropic medic ations and supportive housing and SLE's are not willing or able to provideservic es.

8/5/2014 1:50 PM

82 internet / mobile devic e ac c ess to ac c ount information, medic al history, billing, online payments, appointments, resourc es, etc8/5/2014 1:48 PM


Page 26 of 28


23.81% 35

76.19% 112



Total 147

Yes

No

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

23.81%

76.19%


Yes

No


Page 27 of 28




# Responses Date

1 ishapiro@c o.slo.c a.usIdee Shapiro 8/29/2014 4:57 PM

2 karl ric hard hansen ssn553-72-3474 krh@kc bx.net 8/29/2014 4:55 PM

3 Jim Roberts or Jon Nibbio jim@fc ni.org, jon@fc ni.org 8/26/2014 3:32 PM

4 Theresa Sc ott - tsc ott@c enc alhealth.org 8/25/2014 1:37 PM

5 David Riester davidriester@sbc global.net 8/23/2014 3:55 PM

6 Jim Pearc e LMFT jpearc e@c o.slo,c a.us 8/21/2014 9:55 AM

7 Rolando Rojas rrojas@c o.slo.c a.us 8/14/2014 8:12 AM

8 Nancy Mancha-Whitcomb [email protected] 8/13/2014 5:00 PM

9 Darc i Hafley dhafley@c o.slo.c a.us 8/13/2014 4:11 PM

10 Rita Elaine Jordison 461-6065 8/13/2014 12:53 PM

11 Kristin Bahner kbahner@c o.slo.c a.us 8/13/2014 11:12 AM

12 Alex [email protected] 8/13/2014 11:09 AM

13 Jeffrey Elliott, PsyD - jelliott@c o.slo.c a.us 8/13/2014 10:53 AM

14 eburt@c o.slo.c a.us 8/11/2014 9:32 AM

15 Stephanie Buc hler, LCSW sbuc hler@c o.slo.c a.us 8/8/2014 10:39 AM

16 Rebec c a Mc Garigle rmc garigle@c o.slo.c a.us 8/8/2014 9:25 AM

17 Lauren Lederer llederer@c o.slo.c a.us 8/7/2014 11:21 AM

18 Alexander [email protected] 8/6/2014 5:04 PM

19 Dave Mayfield dmayfield@c o.slo.c a.us Vic ente YS 8/6/2014 4:48 PM

20 Manuel Barba [email protected] 8/6/2014 4:00 PM

21 maxelrod@c o.slo.c a.us 8/6/2014 3:00 PM

22 Ray Ford- rford@c o.slo.c a.us 8/6/2014 10:44 AM

23 Ray Irey rirey@c o.slo.c a.us 8/6/2014 8:47 AM

24 Coralyn Brett I speak up quite a bit, so I think most people know what I am talking about, if you don't please feel free to c ontac tme! Thank you for asking

8/5/2014 4:56 PM

25 Triesha Miller Psyc htec [email protected] om 8/5/2014 4:55 PM

26 Donna Hayes, LPT [email protected] 8/5/2014 4:11 PM

27 Cynthia Caldeira, LMFT c c aldeira@c o.slo.c a.us 8/5/2014 3:56 PM

28 Anne Griffin [email protected] o.c a.us 8/5/2014 3:18 PM

29 Mic helle Gaulden mgaulden@c o.slo.c a.us 8/5/2014 3:11 PM

30 jhodges@c o.slo.c a.us 8/5/2014 3:06 PM

31 atrigueros@c o.slo.c a.us 8/5/2014 2:45 PM

32 Wendy Clodfelter wc lodfelter@c o.slo.c a.us 8/5/2014 1:55 PM

33 Elisa Leigan eleigan@c o.slo.c a.us 8/5/2014 1:50 PM

34 Jim Sc arletta jsc arletta@c o.slo.c a.us 8/5/2014 1:48 PM


Page 28 of 28

Documents

Behavioral Health Department Employee Survey - …agenda.slocounty.ca.gov/agenda/sanluisobispo/4455/QXR0...Behavioral Health Department Employee Survey - Service Gaps Q4 What other