COUNTY OF LOS ANGELES – DEPARTMENT OF MENTAL HEALTH ADULT SYSTEMS OF CARE – JAIL MENTAL HEALTH SERVICES MENTAL HEALTH SERVICES ACT Full Service Partnership

COUNTY OF LOS ANGELES – DEPARTMENT OF MENTAL HEALTHCOUNTY OF LOS ANGELES – DEPARTMENT OF MENTAL HEALTHADULT SYSTEMS OF CARE – JAIL MENTAL HEALTH SERVICESADULT SYSTEMS OF CARE – JAIL MENTAL HEALTH SERVICES

MENTAL HEALTH SERVICES ACTMENTAL HEALTH SERVICES ACT

Full Service Partnership Full Service Partnership

ProgramsPrograms

Reina Turner M.S., Acting Division Chief Reina Turner M.S., Acting Division Chief Housing Policy and Development Housing Policy and Development

Overview of MHSAOverview of MHSA

In November 2004, California voters In November 2004, California voters approved Proposition 63 - the Mental Health approved Proposition 63 - the Mental Health Services Act. The components of the MHSA Services Act. The components of the MHSA fund are:fund are:

1.1. Community Services and SupportsCommunity Services and Supports2.2. Prevention and Early InterventionPrevention and Early Intervention3.3. Capital Facilities and TechnologyCapital Facilities and Technology4.4. Education and TrainingEducation and Training5.5. InnovationInnovation

What Does Full Service Partnership Mean?What Does Full Service Partnership Mean?

Full ServiceFull Service:: providing a full range of services providing a full range of services necessary to assist clients in achieving their wellness necessary to assist clients in achieving their wellness and recovery goals by doing “and recovery goals by doing “whatever it takeswhatever it takes.”.”

What Does Full Service Partnership Mean?What Does Full Service Partnership Mean?PartnershipPartnership::

The FSP team partners with the client and his or her The FSP team partners with the client and his or her family, if desired, to develop and achieve the client’s family, if desired, to develop and achieve the client’s goalsgoals

The FSP team, client and family partners with The FSP team, client and family partners with community-based organizations, drug and alcohol community-based organizations, drug and alcohol programs, educational institutions, employers, health programs, educational institutions, employers, health care providers and other County departments such as care providers and other County departments such as Probation, Community and Senior Services and Children Probation, Community and Senior Services and Children and Family Services to help the client achieve his/her and Family Services to help the client achieve his/her

goals.goals.

Los Angeles County Focal Los Angeles County Focal PopulationsPopulations

ChildrenChildren (0 to 15) with severe emotional (0 to 15) with severe emotional disturbances and their families who are: disturbances and their families who are:

at risk of being removed from their homes; at risk of being removed from their homes;

in families affected by substance abuse in families affected by substance abuse issues;issues;

experiencing extreme behaviors at school; orexperiencing extreme behaviors at school; or

involved with Probation.involved with Probation.


(Continued)(Continued)

Transition Age YouthTransition Age Youth (16 to 25) suffering (16 to 25) suffering from severe mental health issues, who are:from severe mental health issues, who are: struggling with substance abuse disorders;struggling with substance abuse disorders;

homeless or at-risk or becoming homeless;homeless or at-risk or becoming homeless;

aging out of the children’s mental health, child aging out of the children’s mental health, child welfare or juvenile justice system;welfare or juvenile justice system;

leaving long-term institutional care; or leaving long-term institutional care; or

experiencing their first psychotic break.experiencing their first psychotic break.



AdultsAdults (26 to 59) who have severe and (26 to 59) who have severe and persistent mental illness who are: persistent mental illness who are: homeless; homeless; in jail;in jail;

frequent users of hospitals or emergency frequent users of hospitals or emergency rooms; cycling through different institutional rooms; cycling through different institutional and involuntary settings; orand involuntary settings; or

being cared for by families outside of an being cared for by families outside of an institutional setting.institutional setting.



Older Adults Older Adults (60 years +) who have severe (60 years +) who have severe and persistent mental illness and who are:and persistent mental illness and who are:

not currently being served and have reduced not currently being served and have reduced functioning;functioning;

homeless or at risk of being homeless; homeless or at risk of being homeless;

Institutionalized, or at risk of being Institutionalized, or at risk of being institutionalized; or institutionalized; or

in nursing homes, or receiving hospital or in nursing homes, or receiving hospital or emergency room services.emergency room services.

Full Service Partnership (FSP)Full Service Partnership (FSP)Program ElementsProgram Elements

Desired Consumer OutcomesDesired Consumer Outcomes

A safe place to liveA safe place to live A meaningful use of timeA meaningful use of time Supportive relationships with family, Supportive relationships with family,

friends and neighborsfriends and neighbors Decreased hospitalizations, incarcerations Decreased hospitalizations, incarcerations

and out-of-home placementand out-of-home placement

FSP ServicesFSP Services

Individualized, comprehensive and flexible Individualized, comprehensive and flexible treatment, support and rehabilitation treatment, support and rehabilitation services focused on recovery and services focused on recovery and wellnesswellness

Low staff-to-consumer ratio Low staff-to-consumer ratio

FSP Services cont.FSP Services cont.

24/7 availability 24/7 availability Field-based and/or in-home servicesField-based and/or in-home services Multidisciplinary Team Approach which Multidisciplinary Team Approach which

includes consumers and and family includes consumers and and family members members


Peer and parent support groupsPeer and parent support groups On-going outreach and engagementOn-going outreach and engagement Integrated services for those with co-Integrated services for those with co-

occurring substance abuse disordersoccurring substance abuse disorders Trauma-informed and trauma-specific Trauma-informed and trauma-specific

treatment servicestreatment services


Assistance with EntitlementsAssistance with Entitlements Support of family and othersSupport of family and others Development of Social SupportsDevelopment of Social Supports Assistance with Linkage to Health CareAssistance with Linkage to Health Care

FSP Services Cont. FSP Services Cont.

Transportation SupportTransportation Support Assistance with HousingAssistance with Housing Employment/Vocational ServicesEmployment/Vocational Services Educational ServicesEducational Services

Age Specific Aspects for Age Specific Aspects for Adult FSP ProgramsAdult FSP Programs

Emphasis on employment as a desired Emphasis on employment as a desired outcome with provision of an array of outcome with provision of an array of supported employment servicessupported employment services

Emphasis on promoting access to an array Emphasis on promoting access to an array of educational opportunities including of educational opportunities including supported educationsupported education

Ability to assist clients in developing self-Ability to assist clients in developing self-directed care plans including the Wellness, directed care plans including the Wellness, Recovery Action PlanRecovery Action Plan

Age Specific Aspects for Age Specific Aspects for Adult FSP ProgramsAdult FSP Programs

Emphasis on social integration as a desired Emphasis on social integration as a desired outcome and provision or an array of outcome and provision or an array of community integration servicescommunity integration services

Commitment to working with and educating Commitment to working with and educating familiesfamilies

Ability to provide money management or Ability to provide money management or arrange representative payee services when arrange representative payee services when appropriateappropriate

Adult FSP FundingAdult FSP Funding

approximately $15,000 per year for each approximately $15,000 per year for each enrolleeenrollee

$10,000 is allocated to provide mental health $10,000 is allocated to provide mental health services including but not limited to case services including but not limited to case management, medication support, and management, medication support, and psychiatric servicespsychiatric services

$5,000 is allocated for Client Supportive $5,000 is allocated for Client Supportive Services to assist with housing, employment Services to assist with housing, employment and educational related services.and educational related services.

Housing – Allowable ExpensesHousing – Allowable Expenses

Permanent HousingPermanent Housing Rental Deposits Rental Deposits Rent Subsidy Rent Subsidy Utility Bills and DepositsUtility Bills and Deposits Furniture and Household GoodsFurniture and Household Goods Repair of Housing Damages Caused By Repair of Housing Damages Caused By

ClientClient Prevention of Eviction ExpensesPrevention of Eviction Expenses

AB 2034 Program Experience in Housing AB 2034 Program Experience in Housing Homeless People with Serious Mental IllnessHomeless People with Serious Mental Illness

Martha R. Burt and Jacquelyn Anderson Martha R. Burt and Jacquelyn Anderson

December 2005December 2005

CSH Evidence SeriesCSH Evidence Series

FINDINGSFINDINGS Housing and program retention are strongly Housing and program retention are strongly

correlated.correlated. Programs serve consumers with abroad Programs serve consumers with abroad

array of challenges to finding and array of challenges to finding and maintaining housing.maintaining housing.

Programs have been successful in housing Programs have been successful in housing their consumers and helping them to retain their consumers and helping them to retain their housing, even when consumers face their housing, even when consumers face many challenges to housing stability.many challenges to housing stability.

FINDINGSFINDINGS

Disenrolled consumers are similar to Disenrolled consumers are similar to current enrollees in terms of the number current enrollees in terms of the number and severity of the challenges that they and severity of the challenges that they face.face.

The programs are using many different The programs are using many different strategies to find housing for consumers.strategies to find housing for consumers.

Despite successes, additional housing Despite successes, additional housing needs still exist.needs still exist.

IMPLICATIONS FOR MHSAIMPLICATIONS FOR MHSA

People with serious mental illness can People with serious mental illness can achieve housing stability with adequate achieve housing stability with adequate support.support.

Consumers with a greater number of Consumers with a greater number of challenges are not necessarily harder to challenges are not necessarily harder to house or keep housing, or in the program.house or keep housing, or in the program.

Getting consumers into housing is an Getting consumers into housing is an important step in recovery.important step in recovery.

CONTACT CONTACT INFORMATIONINFORMATION

Reina Turner, M.S.Reina Turner, M.S.695 South Vermont Avenue, 8695 South Vermont Avenue, 8thth Fl Fl

Los Angeles, California 90005Los Angeles, California [email protected]@dmh.lacounty.gov

(213) 251-6558(213) 251-6558

Documents

COUNTY OF LOS ANGELES – DEPARTMENT OF MENTAL HEALTH ADULT SYSTEMS OF CARE – JAIL MENTAL HEALTH SERVICES MENTAL HEALTH SERVICES ACT Full Service Partnership