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MH Commission Packet December 13, 2018
Office: 3282 Adeline Street, Berkeley, CA 94704 • [email protected] (510) 981-7644 • (510) 596-9299 FAX
Health, Housing & Community Services Mental Health Commission To: Mental Health Commissioners From: Karen Klatt, Commission Secretary Date: December 5, 2018 Documents Pertaining to 12/13/18 Agenda items: Agenda Item Description
Page
2. A.
Approval of December 13, 2018 Meeting Agenda
1
2. C.
Approval of October 25, 2018 Meeting Minutes
3
3.
Discussion and Possible Action on Subcommittee Reports -Diversity Subcommittee
• National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care
• Unruh Civil Rights Act
5
7 4.
Discussion and Possible Action on Mental Health Commission 2018/2019 Work Plan Draft Council Report
• Draft Council Item on Mental Health Commission 2018/2019 Work Plan
• Exhibit A: Mental Health Commission for the Cities of Berkeley/Albany Work Plan 2018/2019
9
11
6.
Discussion and Possible Action on the Mental Health Commission By-Laws
• ByLaws: Mental Health Commission for the Cities for Berkeley and Albany
18
7.
Berkeley Mental Health Staff Presentation on Policies and Procedures
• Berkeley Mental Health Policy and Procedure Manual Table of Contents
26
11.
Mental Health Manager Update
• Memorandum, Steve Grolnic-McClurg, Mental Health Manager • BMH Caseload Statistics for October 2018
32 34
Email Correspondence
Description
• ATTENTION: MENTAL HEALTH COMMISSION 37
Health, Housing & Community Services Department Mental Health Commission
Berkeley/Albany Mental Health Commission
Regular Meeting Thursday, December 13, 2018
Time: 7:00 p.m. – 9:00 p.m. North Berkeley Senior Center 1901 Hearst Ave., Workshop B
AGENDA All Agenda Items are for Discussion and Possible Action
Public Comment Policy: Members of the public may speak on any items on the Agenda and items not on the Agenda during the initial Public Comment period. Members of the public may also comment on any item listed on the agenda as the item is taken up. Members of the public may not speak more than once on any given item. The Chair may limit public comment to 3 minutes or less.
7:00 pm 1. Roll Call
2. PRELIMINARY MATTERSA. Action Item: Agenda ApprovalB. Public CommentC. Action Item: Approval of the October 25, 2018 Minutes
3. Discussion and Possible Action on Subcommittee Reports-Site Visit Subcommittee-Diversity Subcommittee-Accountability Subcommittee
4. Discussion and Possible Action on Mental Health Commission2018/2019 Work Plan Draft Council Report
5. Current mental health news update (oral report) on prevention, earlyintervention, continuum of care and direct services since last MentalHealth Commission meeting
6. Discussion and Possible Action on the Mental HealthCommission By-Laws
7. Berkeley Mental Health Staff Presentation on Policies andProcedures – Yvette Katuala
8. Discussion and Possible Action on how to get a larger sampleon the Consumer Survey
A Vibrant and Healthy Berkeley for All Office: 3282 Adeline St • Berkeley, CA 94703 • (510) 981-7644
(510) 596-9299 FAX • [email protected]
9. Discussion and Possible Action on a recruitment strategy fornew Mental Health Commissioners
10. Berkeley Mental Health Staff Announcements/Updates
11. Berkeley Mental Health Manager Update
12. Prioritize Agenda Items for January Meeting
13. Announcement
9:00pm 14. Adjournment
Communications to Berkeley boards, commissions or committees are public record and will become part of the City’s electronic records, which are accessible through the City’s website. Please note: Email addresses, names, addresses, and other contact information are not required, but if included in any communication to a City board, commission or committee, will become part of the public record. If you do not want your e-mail address or any other contact information to be made public, you may deliver communications via U.S. Postal Service or in person to the secretary of the relevant board, commission or committee. If you do not want your contact information included in the public record, please do not include that information in your communication. Please contact the secretary to the relevant board, commission or committee for further information. The Health, Housing and Community Services Department does not take a position as to the content.
Contact person: Karen Klatt, Mental Health Commission Secretary at 981-7644 or [email protected].
Communication Access Information: This meeting is being held in a wheelchair accessible location. To request a disability-related accommodation(s) to participate in the meeting, including auxiliary aids or services, please contact the Disability Services specialist at 981-6418 (V) or 981-6347 (TDD) at least three business days before the meeting date. Please refrain from wearing scented products to this meeting. Attendees at trainings are reminded that other attendees may be sensitive to various scents, whether natural or manufactured, in products and materials. Please help the City respect these needs. Thank you.
SB 343 Disclaimer Any writings or documents provided to a majority of the Commission regarding any item on this agenda will be made available for public inspection in the SB 343 Communications Binder located at the Family, Youth and Children’s Clinic at 3282 Adeline St, Berkeley.
3282 Adeline St.• Berkeley, CA 94703 • (510) 981-7644 • (510) 596-9299 FAX [email protected]
2
Department of Health, Housing & Community Services Mental Health Commission
Berkeley/Albany Mental Health Commission Unadopted Minutes
North Berkeley Senior Center Regular Meeting 1901 Hearst Ave. October 25, 2018 7:00pm Workshop B
Members of the Public Present: None. Staff Present: Steve Grolnic-McClurg, Karen Klatt.
1. Call to Order at 7:07pmCommissioners Present: Erlinda Castro, boona cheema, Margaret Fine, Ben Ludke,Shirley Posey. Commissioners Absent: Cheryl Davila (arrived 7:08), Shelby Heda,Paul Kealoha-Blake, Vylma Ortiz.
2. Preliminary MattersA. Approval of the October 25, 2018 Agenda
M/S/C (Castro, Fine) Approve the October 25, 2018 Mental HealthCommission Meeting Agenda – PASSEDAyes: Castro, cheema, Fine, Ludke, Posey; Noes: None;Abstentions: None; Absent: Heda, Davila (arrived 7:08), Kealoha-Blake, Ortiz.
B. Public Comment – None.
C. Approval of the September 27, 2018 Meeting minutesM/S/C (Heda, Davila) Move to approve the September 27, 2018 Meeting minuteswith amendments - PASSEDAyes: Castro, Davila, Fine, Ludke, Posey; Noes: None;Abstentions: cheema; Absent: Heda, Kealoha-Blake, Ortiz.
3. Committee Reports-Fiscal/Program/Technology Accountability SubcommitteeM/S/C (Fine, Davila) Move to amend the name of the Fiscal/Program/TechnologyAccountability Subcommittee to be named the Accountability Subcommittee -PASSEDAyes: Castro, cheema Davila, Fine, Ludke, Posey; Noes: None;Abstentions: None; Absent: Heda, Kealoha-Blake, Ortiz.
-Diversity SubcommitteeM/S/C (Fine, Davila) Move that the list that’s contained under Mental HealthResources in the Library be linked to the Mental Health website in an easilyaccessible place - PASSEDAyes: Castro, cheema Davila, Fine, Ludke, Posey; Noes: None;Abstentions: None; Absent: Heda, Kealoha-Blake, Ortiz.
A Vibrant and Healthy Berkeley for All
3282 Adeline Street, Berkeley, CA 94703 Tel: 510.981-7644 Fax: 510.596-9299 TDD: 510.981-6903 3
Mental Health Commission – October 25, 2018
4. Status Report on Mental Health Commission By-Laws – Moved to DecemberMeeting Agenda.
5. Staff Announcements/Updates – Staff Secretary, Karen Klatt announced thatBerkeley Mental Health is seeking volunteers to be Consumer Satisfaction surveyorsand handed out a flier on who to contact to be a surveyor. Ms. Klatt also handed out thelatest MH Commission Membership Grid to provide information on where there arevacancies on the Commission; and announced that the MHSA FY19 Annual Update andthe MHSA Innovations Trauma Informed Care Plan Update will be on the City CouncilAgenda for approval on October 30th, and that the Trauma informed Care Plan Updatewill also be on the MHSOAC Agenda for approval on November 14th. Lastly Ms. Klattannounced that she will be out of the office from October 26th through November 5th onvacation.
6. Review of Grievance Procedure – No Action Taken.
7. Mental Health Manager Update – No Action Taken.
8. Prioritize Agenda Items for December Meeting – Mental Health Commission By-Laws;How to get a larger sample for the Consumer Survey; Recruitment strategy for newCommission members; Staff presentation either on Fiscal or Policies and Procedures.
9. Announcement – Vice Chair, Castro reminded Commissioners about the “Dia De LosMuertos” event that the City of Berkeley and Bahia are sponsoring on Friday, December
2nd from 5:00pm-8:00pm at James Kenney Park on 8th Street, between Virgina and CedarStreets; and Commissioner Posey spoke about the Alameda County Mental Health Courtand encouraged Commissioners to attend at least once for educational purposes, it is heldevery Thursday, at 2:00pm.
10. Adjournment – 9:00pm
Minutes submitted by: Karen Klatt, Commission Secretary
A Vibrant and Healthy Berkeley for All
3282 Adeline Street, Berkeley, CA 94703 Tel: 510.981-7644 Fax: 510.596-9299 TDD: 510.981-6903
4
National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care
The National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities by establishing a blueprint for health and health care organizations to:
Principal Standard:
1. Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diversecultural health beliefs and practices, preferred languages, health literacy, and other communication needs.
Governance, Leadership, and Workforce:
2. Advance and sustain organizational governance and leadership that promotes CLAS and health equity through policy,practices, and allocated resources.
3. Recruit, promote, and support a culturally and linguistically diverse governance, leadership, and workforce that areresponsive to the population in the service area.
4. Educate and train governance, leadership, and workforce in culturally and linguistically appropriate policies andpractices on an ongoing basis.
Communication and Language Assistance:
5. Offer language assistance to individuals who have limited English proficiency and/or other communication needs, atno cost to them, to facilitate timely access to all health care and services.
6. Inform all individuals of the availability of language assistance services clearly and in their preferred language,verbally and in writing.
7. Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individualsand/or minors as interpreters should be avoided.
8. Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by thepopulations in the service area.
Engagement, Continuous Improvement, and Accountability:
9. Establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse themthroughout the organization’s planning and operations.
10. Conduct ongoing assessments of the organization’s CLAS-related activities and integrate CLAS-related measures intomeasurement and continuous quality improvement activities.
11. Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact of CLAS on healthequity and outcomes and to inform service delivery.
12. Conduct regular assessments of community health assets and needs and use the results to plan and implementservices that respond to the cultural and linguistic diversity of populations in the service area.
13. Partner with the community to design, implement, and evaluate policies, practices, and services to ensure culturaland linguistic appropriateness.
14. Create conflict and grievance resolution processes that are culturally and linguistically appropriate to identify, prevent,and resolve conflicts or complaints.
15. Communicate the organization’s progress in implementing and sustaining CLAS to all stakeholders, constituents, andthe general public.
5
The Case for the Enhanced National CLAS Standards
Of all the forms of inequality, injustice in health care is the most shocking and inhumane. — Dr. Martin Luther King, Jr.
Health equity is the attainment of the highest level of health for all people (U.S. Department of Health and Human Services [HHS] Office of Minority Health, 2011). Currently, individuals across the United States from various cultural backgrounds are unable to attain their highest level of health for several reasons, including the social determinants of health, or those conditions in which individuals are born, grow, live, work, and age (World Health Organization, 2012), such as socioeconomic status, education level, and the availability of health services (HHS Office of Disease Prevention and Health Promotion, 2010). Though health inequities are directly related to the existence of historical and current discrimination and social injustice, one of the most modifiable factors is the lack of culturally and linguistically appropriate services, broadly defined as care and services that are respectful of and responsive to the cultural and linguistic needs of all individuals.
Health inequities result in disparities that directly affect the quality of life for all individuals. Health disparities adversely affect neighborhoods, communities, and the broader society, thus making the issue not only an individual concern but also a public health concern. In the United States, it has been estimated that the combined cost of health disparities and subsequent deaths due to inadequate and/or inequitable care is $1.24 trillion (LaVeist, Gaskin, & Richard, 2009). Culturally and linguistically appropriate services are increasingly recognized as effective in improving the quality of care and services (Beach et al., 2004; Goode, Dunne, & Bronheim, 2006). By providing a structure to implement culturally and linguistically appropriate services, the enhanced National CLAS Standards will improve an organization’s ability to address health care disparities.
The enhanced National CLAS Standards align with the HHS Action Plan to Reduce Racial and Ethnic Health Disparities (HHS, 2011) and the National Stakeholder Strategy for Achieving Health Equity (HHS National Partnership for Action to End Health Disparities, 2011), which aim to promote health equity through providing clear plans and strategies to guide collaborative efforts that address racial and ethnic health disparities across the country. Similar to these initiatives, the enhanced National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services. Adoption of these Standards will help advance better health and health care in the United States.
Bibliography:
Beach, M. C., Cooper, L. A., Robinson, K. A., Price, E. G., Gary, T. L., Jenckes, M. W., Powe, N.R. (2004). Strategies for improving minority healthcare quality. (AHRQ Publication No. 04-E008-02). Retrieved from the Agency of Healthcare Research and Quality website: http://www.ahrq.gov/downloads/pub/evidence/pdf/minqual/minqual.pdf
Goode, T. D., Dunne, M. C., & Bronheim, S. M. (2006). The evidence base for cultural and linguistic competency in health care. (Commonwealth Fund Publication No. 962). Retrieved from The Commonwealth Fund website: http://www.commonwealthfund.org/usr_doc/Goode_evidencebasecultlinguisticcomp_962.pdf
LaVeist, T. A., Gaskin, D. J., & Richard, P. (2009). The economic burden of health inequalities in the United States. Retrieved from the Joint Center for Political and Economic Studies website: http://www.jointcenter.org/sites/default/files/upload/research/files/The%20Economic%2 0Burden%20of%20Health%20Inequalities%20in%20the%20United%20States.pdf
National Partnership for Action to End Health Disparities. (2011). National stakeholder strategy for achieving health equity. Retrieved from U.S. Department of Health and
Human Services, Office of Minority Health website: http://www.minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1&lvlid=33&ID=286
U.S. Department of Health and Human Services. (2011). HHS action plan to reduce racial and ethnic health disparities: A nation free of disparities in health and health care. Retrieved from http://minorityhealth.hhs.gov/npa/files/Plans/HHS/HHS_Plan_complete.pdf
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). Healthy people 2020: Social determinants of health. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=39
U.S. Department of Health and Human Services, Office of Minority Health (2011). National Partnership for Action to End Health Disparities. Retrieved from
http://minorityhealth.hhs.gov/npa World Health Organization. (2012). Social determinants of health. Retrieved from http://www.who.int/social_determinants/en/
6
State of California
CIVIL CODE
Section 51
51. (a) This section shall be known, and may be cited, as the Unruh Civil Rights Act.
(b) All persons within the jurisdiction of this state are free and equal, and no matter what their sex, race, color, religion, ancestry, national origin, disability, medical condition, genetic information, marital status, sexual orientation, citizenship, primary language, or immigration status are entitled to the full and equal accommodations, advantages, facilities, privileges, or services in all business establishments of every kind whatsoever.
(c) This section shall not be construed to confer any right or privilege on a person that is conditioned or limited by law or that is applicable alike to persons of every sex, color, race, religion, ancestry, national origin, disability, medical condition, marital status, sexual orientation, citizenship, primary language, or immigration status, or to persons regardless of their genetic information.
(d) Nothing in this section shall be construed to require any construction, alteration, repair, structural or otherwise, or modification of any sort whatsoever, beyond that construction, alteration, repair, or modification that is otherwise required by other provisions of law, to any new or existing establishment, facility, building, improvement, or any other structure, nor shall anything in this section be construed to augment, restrict, or alter in any way the authority of the State Architect to require construction, alteration, repair, or modifications that the State Architect otherwise possesses pursuant to other laws.
(e) For purposes of this section: (1) “Disability” means any mental or physical disability as defined in Sections
12926 and 12926.1 of the Government Code. (2) (A) “Genetic information” means, with respect to any individual, information
about any of the following: (i) The individual’s genetic tests. (ii) The genetic tests of family members of the individual. (iii) The manifestation of a disease or disorder in family members of the individual. (B) “Genetic information” includes any request for, or receipt of, genetic services,
or participation in clinical research that includes genetic services, by an individual or any family member of the individual.
(C) “Genetic information” does not include information about the sex or age of any individual.
(3) “Medical condition” has the same meaning as defined in subdivision (i) of Section 12926 of the Government Code.
STATE OF CALIFORNIA
AUTHENTICATED ELECTRONIC LEGAL MATERIAL
7
(4) “Religion” includes all aspects of religious belief, observance, and practice.(5) “Sex” includes, but is not limited to, pregnancy, childbirth, or medical conditions
related to pregnancy or childbirth. “Sex” also includes, but is not limited to, a person’s gender. “Gender” means sex, and includes a person’s gender identity and gender expression. “Gender expression” means a person’s gender-related appearance and behavior whether or not stereotypically associated with the person’s assigned sex at birth.
(6) “Sex, race, color, religion, ancestry, national origin, disability, medicalcondition, genetic information, marital status, sexual orientation, citizenship, primary language, or immigration status” includes a perception that the person has any particular characteristic or characteristics within the listed categories or that the person is associated with a person who has, or is perceived to have, any particular characteristic or characteristics within the listed categories.
(7) “Sexual orientation” has the same meaning as defined in subdivision (s) ofSection 12926 of the Government Code.
(f) A violation of the right of any individual under the federal Americans withDisabilities Act of 1990 (Public Law 101-336) shall also constitute a violation of this section.
(g) Verification of immigration status and any discrimination based upon verifiedimmigration status, where required by federal law, shall not constitute a violation of this section.
(h) Nothing in this section shall be construed to require the provision of servicesor documents in a language other than English, beyond that which is otherwise required by other provisions of federal, state, or local law, including Section 1632.
(Amended by Stats. 2015, Ch. 282, Sec. 1. (SB 600) Effective January 1, 2016.)
8
INFORMATION CALENDAR [Meeting Date (Month Day, yyyy)]
To: Honorable Mayor and Members of the City Council
From: Mental Health Commission
Submitted by: boona cheema, Chairperson, Mental Health Commission
Subject: Work Plan 2018/2019
INTRODUCTION The Mental Health Commission is submitting the 2018/2019 Work Plan which was adopted by the Commission on April 26th 2018.
CURRENT SITUATION AND ITS EFFECTS In 2016 the City Council created a requirement for the submission of annual work plans. The commission created its first work plan which was adopted on April 26th, 2018.
M/S/C (Fine, Ortiz) Adopt the 2018 Work Plan: Ayes: Castro, cheema, Kealoha-Blake, Ludke, Marasovic, Ortiz, Posey: Noes: None Absent: Davilla, Heda.
Berkeley Mental Health is well funded and when fully staffed has the ability to serve its mandated consumers. The partnership with the commission will assure that the services provided continue to improve and reach more underserved populations in the city.
BACKGROUND This is the first time that this commission has developed a work plan, the process itself brought out the best in the commission’s talents and skills. We then created the following working committees: Accountability, Diversity, Site Visit, and By-Laws.
The committees are meeting on a monthly basis and moving forward with making recommendations to BMH on a regular basis. If and when needed we will submit recommendations to the City Council for action. All the committees are working hard towards accomplishing the goals set forth in the plan.
ENVIRONMENTAL SUSTAINABILITY We do not expect any action related to this section.
POSSIBLE FUTURE ACTION When appropriate we will send recommendations to the City Council for action. We will also submit our annual report in early 2019 which will include the progress on we are making in meeting our goals.
9
FISCAL IMPACTS OF POSSIBLE FUTURE ACTION We do not expect that there will be a financial impact upon the city to accomplish our goals, however we might recommend changes within the existing allocations in the budget of the Berkeley Mental Health Department.
CONTACT PERSON Karen Klatt, Commission Secretary, Health, Housing & Community Services
Attachments: Exhibit A: Mental Health Commission 2018/2019 Work Plan
10
EXHIBIT A: Me
ntal H
ealth
Co
mm
ission
for th
e C
ities o
f Be
rkele
y and
Alb
any
WO
RK
PLA
N 2
018
—M
ay 1, 2
018
to M
ay 31
201
9
MISSIO
N an
d V
ISION
:
1.
We
aim to
add
ress th
e m
en
tal health
crisis in o
ur co
mm
un
ity wh
ere
a large n
um
ber o
f un
she
ltere
d p
eop
le are un
served, u
nd
erserved an
d/o
rin
app
rop
riately se
rved b
y pu
blic go
vern
me
nt system
s.
2.
We
aim to
en
sure th
at a dive
rsity of p
eop
le—
inclu
din
g pe
op
le o
f colo
r, child
ren, fam
ilies, yo
uth
, the LG
BTQ
com
mu
nity, an
d sen
iors—
receive me
ntal
he
alth in
terve
ntio
ns an
d se
rvices that are
respectfu
l and
tailore
d to
the
ir me
ntal h
ealth n
eed
s.
3.
Thro
ugh
ou
r wo
rk, we
aim to
strength
en
the
core valu
es/gu
idin
g prin
ciples o
f 1) welln
ess, re
cove
ry and
resilience
-orien
ted
mo
dels; 2
) com
mu
nity
collab
oratio
n; 3) syste
ms d
evelo
pm
en
t and
inte
gration
amo
ng B
MH
, CB
Os an
d o
the
r en
tities; 4) cultu
ral com
pete
ncy; an
d 5
) con
sum
er an
d fam
ily-d
riven
service
s.
Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
R
esp
on
sible
P
rogress N
ote
s
Mem
orialize
A
great deal o
f kno
wled
geexists in
the system
, amo
ngst
stakeho
lders, p
rovid
ers,co
nsu
mers, vo
lun
teers, an
d th
elarger co
mm
un
ity abo
ut th
ep
ub
lic men
tal health
system fo
rth
e Cities o
f Berke
ley and
Alb
any.
Data C
ollectio
n
Th
e Men
tal Health
Co
mm
ission
will ap
pro
ach B
MH
, CB
Os,
stakeho
lders, co
nsu
mers,
inclu
din
g un
sheltered
peo
ple in
encam
pm
ents an
d o
ther
Make re
com
men
datio
ns to
B
erkeley M
ental H
ealth an
d th
e B
erkeley C
ity Co
un
cil regardin
g th
e pu
blic m
ental h
ealth system
fo
r the C
ities of B
erke
ley and
A
lban
y regard
ing th
e status o
f u
nsh
eltered p
eop
le with
men
tal illn
ess and
recom
men
datio
ns
regardin
g the reso
urces n
eeded
to
imp
rove th
e qu
ality of th
eir lives.
bo
on
a cheem
a
Shirley P
osey
Caro
le M
arasovic
Pau
l Kealo
ha-
Blake
11
locatio
ns w
ho
live with
men
tal illn
ess to gath
er info
rmatio
n.
Th
rou
gh co
nversatio
ns,
meetin
gs and
written
materials,
the M
ental H
ealth C
om
missio
nw
ill collect an
d review
this
info
rmatio
n. Th
e Men
tal Health
Co
mm
ission
will also
requ
estad
ditio
nal in
form
ation
to m
akereco
mm
end
ation
s to B
MH
and
the B
CC
.
Th
e Men
tal Health
Co
mm
ission
will create
repo
rtsm
emo
rializing co
nversatio
ns
with
peo
ple w
ith m
ental illn
essan
d o
thers to
con
tribu
te their
info
rmatio
n to
mee
t this go
al.
GO
AL T
WO
:
En
sure
a dive
rsity of p
eo
ple
, inclu
din
g peo
ple
of co
lor, yo
uth
, LGB
TQ an
d se
nio
rs, have
access to cu
lturally co
mp
eten
t (respectfu
l and
tailored
) men
talh
ealth
inte
rven
tion
s and
services fro
m th
e p
ub
lic men
tal health
care system
for th
e C
ities o
f Berkeley an
d A
lban
y.
En
sure
BM
H an
d C
BO
S brin
g aware
ne
ss and
visibility ab
ou
t me
ntal h
ealth to
a dive
rsity of gro
up
s and
the larger co
mm
un
ity to red
uce stigm
a and
discrim
inatio
n.
Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
s resp
on
sible
Pro
gress
Ge
ne
ral Diversity A
ssessme
nt
R
equ
est do
cum
entatio
n,
repo
rts and
any evalu
ation
sw
hich
sho
w th
at this go
al isb
eing m
et.
Increase
d kn
ow
ledge
of B
MH
and
CB
O
capacity an
d id
entify
gaps.
Erlida C
astro
Margaret Fin
e
Ben
Lud
sky
12
M
eet with
the cu
rrent D
iversityan
d M
ulticu
ltural P
rogram
staffan
d p
articipate
on
the B
MH
Co
mm
ittee related
to it.
R
eview m
aterials bein
g used
intrain
ings an
d w
orksh
op
s.
A
ssess the effo
rts BM
H an
dco
ntracte
d C
BO
’s efforts in
redu
cing d
iscrimin
ation
and
stigma.
To w
rite a written
rep
ort w
ith
recom
men
datio
ns.
Diversity Strate
gy
W
ork w
ith B
MH
and
CB
Os to
stren
gthen
and
deep
en servin
ga d
iversity of p
eop
le accord
ing
to b
est practice
s for th
ed
elivery of m
ental h
ealthin
terven
tion
s and
services
(pro
cess orien
ted
strategies by
CalM
HSA
)
A
sk CalM
HSA
abo
ut effectively,
emp
athetically u
sing m
aterials
in clien
t con
text.
En
sure
that m
aterials are
available in
med
ical and
men
talh
ealth w
aiting ro
om
s and
invisib
le locatio
ns at C
BO
s and
oth
er imp
ortan
t en
tities serving
a diversity o
f peo
ple an
d th
elarger co
mm
un
ity.
CalM
HSA
– Techn
olo
gy INN
:
P
articipate in
develo
pin
g the
BM
H IN
N p
lan fo
r $4
00
,000
expen
ditu
res in jo
int
To en
sure th
at a d
iversity o
f grou
ps fe
el w
elco
me an
d h
ave a sen
se of b
elon
ging
wh
en in
teractin
g with
B
MH
and
CB
Os b
oth
w
ithin
and
ou
tside th
e o
rganizatio
ns.
13
agreemen
t with
CalM
HSA
to
pro
vide effective, em
path
etic te
chn
olo
gy inn
ovatio
ns to
B
MH
. Ensu
re these in
no
vation
s are cu
lturally co
mp
etent
(respectfu
l and
tailored
) to
meet th
e need
s of a d
iversity of
grou
ps u
sing th
em.
Seek te
chn
olo
gy to p
rovid
e a ran
ge of m
ental h
ealth
resou
rces available o
n an
app
fo
r a diversity o
f perso
ns to
h
ave exped
ient access to
in
form
ation
abo
ut reso
urces.
GO
AL T
HR
EE: Bu
ild a Stro
ng P
artnersh
ip w
ith B
MH
, the
CB
Os, th
e C
om
mu
nity an
d C
on
sum
ers, lo
cal gove
rnm
en
t, and
oth
er stakeho
lders.
A
pp
oin
t an in
divid
ual
Co
mm
ission
er to e
ach o
f the
in
tern
al BM
H C
om
mittee
s
Each
Co
mm
ission
er attend
s regu
lar mee
tings an
d m
akes statu
s repo
rts to th
e MH
C.
In
vite BM
H staff to
Co
mm
ission
m
eetings
In
vite CB
O’s to
presen
t to
com
missio
n
En
surin
g a dive
rsity of
grou
ps are
represe
nted
on
in
tern
al BM
H
com
mittees an
d
repo
rt to M
HC
abo
ut
the statu
s of th
e co
mm
ittees. B
uild
deep
er u
nd
erstand
ing o
f cu
rrent p
rogram
s, q
uality an
d d
epth
of
service so
we
make
recom
men
datio
ns
wh
ich are fu
lly in
form
ed.
Vylm
a Ortiz
bo
on
a cheem
a
14
GO
AL FO
UR
: Assess fin
ancial acco
un
tability o
f Be
rkeley M
ental H
ealth
and
relate
d C
BO
s.
Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
s resp
on
sible
Pro
gress
Id
entify all existin
g BM
Hd
ocu
men
ts pertain
ing to
finan
cial accou
ntab
ility.
R
equ
est these d
ocu
men
ts from
BM
H.
R
eview an
d an
alyze the
do
cum
entatio
n.
G
ather rele
vant re
searchre
gardin
g finan
cial evaluatio
n,
particu
larly regardin
g MH
SAan
d re
lated
pro
grams
To p
rovid
e an
alysis/oversigh
t to
the B
erke
ley City
Co
un
cil abo
ut th
e use
of go
vernm
ent an
d
oth
er fun
din
g for th
e p
ub
lic men
tal health
system
for th
e Cities o
f B
erkeley an
d A
lban
y.
.
Margaret Fin
e
Ch
eryl Davilla
bo
on
a cheem
a
GO
AL FIV
E: Review
and
assess pro
gram n
eed
s, service
s, facilities, inclu
din
g challe
nge
s and
any p
rob
lems an
d m
ake recom
men
datio
ns.
Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
s re
spo
nsib
le P
rogress
O
btain
do
cum
en
tation
nee
de
dfro
m B
MH
and
CB
Os to
reviewan
d asse
ss pro
grams
To p
rovid
e analysis/o
versight to
th
e Be
rkeley C
ity Co
un
cil abo
ut
the u
se of go
vernm
ent p
rogram
reso
urces fo
r the p
ub
lic men
tal h
ealth system
for th
e Cities o
f B
erkeley an
d A
lban
y. Synth
esize in
form
ation
and
write rep
ort re:
info
rmatio
n co
llected fo
r B
erkeley C
ity Co
un
cil.
Make re
com
men
datio
ns th
at in
clud
e iden
tified strate
gies &
resou
rces n
eeded
to im
pro
ve the
Same as ab
ove
15
pu
blic m
ental h
ealth system
for
the C
ities of B
erkeley an
d A
lban
y.
Fu
rthe
r ob
tain o
utco
mes d
atato
assess p
rogram
s.See ab
ove.
C
on
firm B
MH
and
CB
Os h
aveim
ple
me
nte
d p
erform
ance
evalu
ation
to m
easu
rep
rogram
effective
ne
ss.
G
ather rele
vant re
searchre
gardin
g pro
gram evalu
ation
,p
articularly re
gardin
g MH
SAan
d re
lated
pro
grams
See abo
ve.
W
rite M
HC
Re
po
rt with
Re
com
me
nd
ation
s for
Be
rkeley City C
ou
ncil.
GO
AL Six: M
ake site visits to B
erkeley Men
tal Health
pro
grams, as w
ell as to
CB
O p
rogram
s wh
ich p
rovid
e m
ental h
ealth services in
Berkeley an
d A
lban
y with
, to
be
com
e m
ore in
form
ed
and
familiar w
ith th
e con
tinu
um
of in
terve
ntio
ns an
d se
rvices. M
ee
t with
staff and
con
sum
ers o
f these services
Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
s resp
on
sible
Pro
gress
C
reate
clear p
urp
ose
and
de
velo
p p
roto
cols fo
r sitevisits.
An
integrate
d
app
roach
to service
delivery. Stream
line
the p
rovisio
n o
f a co
ntin
uu
m o
f services.
Erlind
a P
aul
Caro
le Sh
irly
Id
en
tify do
cum
en
tation
ne
ed
ed
and
revie
w th
at be
fore
the
site visits, in
clud
ing
con
tracts.
16
U
nd
ertake site
visits.
GO
AL SEV
EN: Su
bm
it An
nu
al Re
po
rt 201
8 to th
e B
erkele
y City C
ou
ncil.
Ke
y Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
Resp
on
sible
Co
mm
ents
W
rite A
nn
ual R
ep
ort 2
018
Su
bm
it An
nu
al Re
po
rt toM
en
tal He
alth C
om
missio
n
O
btain
Ap
pro
val by M
ental
Health
Co
mm
ission
to Su
bm
itto
the
Be
rkeley C
ity Co
un
cil
Su
bm
it to th
e B
erkeley C
ityC
ou
ncil
To in
form
the B
CC
on
th
e con
tinu
ou
s wo
rk o
f the B
AM
HC
GO
AL EIG
HT
: Stay curre
nt an
d d
issem
inate
info
rmatio
n o
n e
viden
ce-b
ased
best p
ractices u
sed
and
relate
d d
evelop
me
nts regard
ing p
ub
lic me
ntal h
ealth
system
s for in
ven
tion
s and
service
s.
Ke
y Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
Resp
on
sible
Co
mm
ents
R
ese
arch W
HO
and
related
me
ntal h
ealth o
rganizatio
ns
that se
t do
me
stic and
/or
un
iversal evid
en
ce-b
ased
be
stp
ractices fo
r the
delivery o
fp
ub
lic me
ntal h
ealth system
s.
Learn fro
m an
d ap
ply
app
rop
riate strategies.
GO
AL N
INE: In
crease P
ub
lic Edu
cation
on
Men
tal He
alth an
d W
ellness, p
articularly to
red
uce stigm
a and
discrim
inatio
n.
Ke
y Actio
n Ste
ps
Time
line
Expecte
d O
utco
me
Pe
rson
Resp
on
sible
Co
mm
ents
H
old
Signatu
re Eve
nt
May 20
19
in M
ay is M
ental H
ealth M
on
th
Pu
blic Ed
ucatio
n
Full C
om
missio
n an
d
all Stakeho
lders
17
BYLAWS
MENTAL HEALTH COMMISSION for the CITIES FOR BERKELEY and ALBANY
ARTICLE I
NAME
The name of the Commission shall be the Mental Health Commission of the City of Berkeley.
ARTICLE II AUTHORITY
Pursuant to Section 5604 of the Welfare and Institutions Code of the State of California and Resolution No. 65,945-N.S., a Mental Health Commission of the City of Berkeley is hereby established.
ARTICLE III POWERS and DUTIES
MENTAL HEALTH COMMISSION
The Commission shall exercise its powers and duties according to the Welfare and Institutions Code § 5650 and City of Berkeley, Resolution No. 65,945-N.S.:
1. Review and evaluate the community’s mental health needs, services, facilities and special problems including as to Berkeley Mental Health.
2. Review any City agreements entered into pursuant to WIC § 5650, if submission of a performance contract is required by the State.
3. Advise the governing body and the local mental health director as to any aspect of the local mental health program.
4. Review and approve the procedures used to ensure citizen and professional involvement at all states of the planning process.
5. Submit an annual report to the governing body on the needs and performance of the
City’s mental health system.
6. Review and make recommendations on applicants for the appointment of a local director of mental health services. The commission shall be included in the selection process prior to the vote of the governing body.
7. Review and comment on the City’s performance outcome data and communicate its findings to the State Mental Health Planning Council.
18
8. Pursuant to WIC § 5604.2(a)(8), the City Council may transfer additional duties or authority with the Commission.
9. Develop By-Laws, in accordance with § 5604.5 and approved by City Council, including at the discretion of the Commission, the creation of an Executive Subcommittee.
ARTICLE IV
STATE REQUIREMENTS for COMMISSION MEMBERSHIP
The Commission shall be composed of thirteen (13) members, appointed by the City Council of the City of Berkeley, except as set forth in Section 2(1). The membership shall conform to the following:
1. One (1) member of the Commission shall be the Mayor of the City of Berkeley. The City of the City of Berkeley may designate a person of its choice to serve instead of the Mayor as a member of the Commission.
2. Two (2) members of the Commission shall be residents of the City of Albany. The
remaining members shall be residents of the City of Berkeley. At least one (1) of the two (2) Albany members shall be representative of the Special Public Interest, as defined below.
3. Members of the Commission shall be persons representative of the public interest in mental health as follows:
a. Special Public Interest: Not less than seven (7) of the members representing the Public Interest and shall be persons or parents, spouses, siblings, or adult children of persons who are receiving or have received mental health services.
i. At least three (3) of the members representing the special public interest shall be persons who are receiving or have received mental health services.
ii. At least three (3) of the members representing the special public interest shall be parents, spouses, sibling, or adult children of persons who are receiving or have received mental health services.
b. General Public Interest: The remaining five (5) members shall be designated as General Public Interest and shall be person representing a broad range of disciplines, professions, and fields of knowledge.
4. No Member of the Commission or his or her spouse shall be a full-time or part-time employee dealing with mental health services of the City of Berkeley, the County of
19
Alameda and/or the State of California. No Member shall be a paid member of the governing body of a mental health contract agency.
ARTICLE V
COMPOSITION OF THE COMMISSION The composition of the Commission shall reflect the membership requirements, the demographics of the minority populations in the Cities of Berkeley and Albany and the overall demographics of these Cities (the last as feasible). The composition shall reflect the diversity of the client population of the Division of Mental Health for the Cities of Berkeley and Albany as required by applicable law, policy and procedure.
ARTICLE VI APPOINTMENT PROCESS FOR
MENTAL HEALTH COMMISSION MEMBERS Whenever a vacancy occurs on the Mental Health Commission, the following steps shall be taken:
1. The Berkeley City Clerk will announce the existence of the vacancy on the City of Berkeley website. When the vacancy is a seat previously held by an Albany resident, the Secretary will forward the announcement in a timely manner to the Albany City Clerk.
2. The Mental Health Commission shall publicize the vacancy and solicit applications for appointment. The announcement shall be distributed based on the priorities set by the Mental Health Commission. Depending on the specific category to be filled, announcements may also be sent to special interest organizations.
3. Albany Applicants only: Applications from Albany residents for either of the two Albany seats shall be forwarded to the Albany City Clerk.
a. The Albany City Council will review the Albany applicants and make recommendations for appointment to the Commission.
b. The Albany City Council is responsible for communicating its
recommendations in a timely manner to the Berkeley City Clerk for submission to the Commission Secretary.
c. While the Commission makes the recommendation to the Berkeley City Council for Commission appointments, the Albany City Council’s recommendations have priority in the selection process.
4. When an application is submitted, the Secretary will first review the application for eligibility pursuant to the criteria stated in these bylaws. The Secretary will then distribute applications from qualified applicants to the Commissioners and place them in the Communications binder for public reviewing prior to the next Mental
20
Health Commission meeting. Applicants are encouraged to attend Commission meetings prior to appointment so that they may become familiar with the work of the Commission.
5. The Commission shall conduct interviews of qualified applicants. After the interview, the Commission shall decide whether to recommend the applicant to the City Council for appointment. If the Commission decides to recommend the appointment, the Secretary will send a Consent Item to Council on behalf of the Commission.
6. All members of commissions shall sign an Affidavit of Residency of the Cities of Berkeley or Albany, take an Oath of Office and file a Statement of Economic Interest with the Berkeley City Clerk within 30 days of appointment. These documents shall be filed directly through the City Clerk, or by Secretaries of Commissions
ARTICLE VI
TERMS OF OFFICE OF MEMBERS
The term of each member of the Commission shall be for three (3) years. Commissioners shall serve not more than eight consecutive years on a Commission. Commissioners that have served the maximum of eight years on a certain Commission shall not be eligible to serve on that same Commission until a two year break in service has occurred.
ARTICLE VII ABSENCES
Members of the Commission must be present at least one hour, or 50% of the entire meeting, whichever is less, to be counted as present for the purposes of attendance. Commissioners shall be terminated for failure to attend three consecutive meetings or to attend 50% of all regular meetings during a 6 month reporting period.
ARTICLE VIII ELECTION AND TERMS OF OFFICERS
The majority of the Commissioners shall elect a Chair and Vice-Chair for a one-year term and hold office until their successors are elected, or until their terms as members of the Commission expire. Elections should occur during the month of February. The election of new officers must be listed as an agenda item. New officers shall take office at the following meeting. No Commissioner shall serve as Chair for more than two consecutive years. The results of the vote shall be publicly announced and the vote recorded in the Commission meeting minutes.
21
ARTICLE IX
DUTIES OF THE OFFICERS The Chair, or in her or his absence the Vice-Chair, shall perform the following duties pursuant to the Commissioner’s Manual:
1. The Chair presides at all meetings of the Commission and ensures that the work of the Commission is accomplished. To this end the Chair must exert sufficient control of the meeting to eliminate irrelevant, repetitious or otherwise unproductive discussion.
2. The Chair must ensure that all viewpoints are heard and are considered in a fair and
impartial manner.
3. The Chair ensures that Commission bylaws, if any, and procedures are followed. The Chair cannot make rules related to the conduct of meetings; only the full Commission may do so.
4. The Chair appoints Commission members to temporary subcommittees subject to
the approval of the full Commission.
5. The Chair approves the agenda prior to distribution. This approval is limited to the structure and order of the agenda and does not grant the Chair the authority to remove items submitted by Commissioners or staff if submitted by the established deadline.
6. The Chair signs correspondence on behalf of the Commission.
7. The Chair represents the Commission before the City Council. Other Commissioners may be the representative with the formal approval of the Commission by motion and vote.
8. The Chair approves Commission reports to Council.
9. The Chair or a quorum of the Commission may call a special meeting. The Chair may also cancel a regular meeting.
10. The Chair and Vice-Chair have full rights to vote and to make or second motions.
ARTICLE X MEETINGS
The Commission shall meet up to ten times per year at a regularly scheduled day and time. Additional meetings may be held with approval of the City Council. Regular meetings shall be held on the last Thursday of each month at 7:00 pm.
22
ARTICLE XI QUORUM
The Commissioners shall have a quorum in order to take action on any business. A quorum is the minimum number of Commissioners or subcommittee members who must be present for the valid transaction of business. If a quorum of the Commission is not present at a scheduled Commission meeting, the members who are present can adjourn the meeting to a set time and place or they can continue the meeting as a committee pursuant to § Section 54955 of the Brown Act.
ARTICLE XII
TEMPORARY SUBCOMMITTEES
The Commission or the Chair, with the confirmation of the Commission, may appoint several of its members but fewer than the quorum of the present body to serve as a temporary subcommittee. Subcommittees must be comprised of at least two members. These subcommittees are defined by all of the following characteristics:
1. Composed of less than a quorum of the parent body.
2. Composed of only members of the parent body.
3. Have a finite purview established by the parent body.
4. Have a set target date to report back to the parent body.
5. Have a set target ate to report back to the parent body.
6. Terminate within one year, unless the parent body reviews and extends the timeline.
7. Have no regular meeting schedule set by the parent body.
8. Have no alternate Commissioner assigned to attend meetings, even as an observer, if his or her presence would create a quorum of the parent body.
Subcommittees are advisory only to the parent commission, not to Council. They are tasked with making a recommendation to the parent Commission.
ARTICLE XIII ADVISORY DUTIES TO THE BERKELEY CITY COUNCIL
The Mental Health Commissions shall submit reports as mandated by the Berkeley City Council, including to ensure that a wide variety of viewpoints are provided from Commissioners and the public and the Commission’s recommendations.
23
ARTICLE XIV
ANNUAL COMMISSION WORK PLAN
The Mental Health Commission shall establish an annual work plan at the start of each fiscal year pursuant to the City Council’s formal action in 2016. The work plan should contain the Commission’s mission statement, goals, resources, activities, outputs and desired outcomes.
ARTICLE XV
CONFLICTS OF INTEREST Commissioners shall not engage in conflicts of interest. Commissioners as public officers, acting in their official capacity, are prohibited from making contracts in which they have a person, including financial, interested under Government Code § 1090. There is an exception if the Commissioner is an officer, member, director or employee of a non-profit corporation which is to receive a contract in question and the law does not prohibit the contract itself. The Commissioner must disclose his or her interest, the minutes of the commission must reflect this disclosure, and the individual commissioner must disqualify himself or herself from participating in any manner, either directly or indirectly, in making or influencing any decision related to the contract.
ARTICLE XVI COMPENSATION FOR ELIGIBLE COMMISSIONERS
The City Council provides a $40 stipend payment for meeting attendance in order to remove barriers from “citizen participation” on Commissions. Commissioners whose annual federal income tax filed jointly is below $20,000 per year shall be entitled to receive stipend payments for compensation of expenses as set forth in the Commissioner’s Manual.
ARTICLE XVII PUBLIC COMMENT
The Mental Health Commission welcomes and invites public comment at its meetings according to the following:
1. Members of the public must be allowed to speak on any item under the Commission’s purview, even if it is not on the agenda (generally two to three minutes per speaker).
2. No member of the public shall be required to provide their name at a Commission meeting.
3. Public comment cannot be used to start a discussion between Commissioners or to
take action in response to comments.
24
4. For items on the agenda, the Brown Act requires that public comment be permitted prior to the Commission voting on the item.
5. The Brown Act allows a Commission to adopt reasonable regulations to govern public comments.
ARTICLE XVIII
BROWN ACT - MEETINGS
The Commission shall further comply with the Brown Act including:
1. All “meetings” shall be conducted in compliance with the Brown Act, Gov. Code §§ 54950, et seq.
2. “Meetings” constitute any contact between a quorum of the Mental Health Commission, directly or through intermediaries to hear, discuss, deliberate, or take action “on any matter within the subject matter jurisdiction” of the City or Commission.
3. “Meetings” include retreats, forums, workshops, and similar types of events.
4. “Meetings” can be in-person, by telephonic or other electronic medium, or through intermediaries.
5. With a few narrow exceptions not applicable to most Commissioners, all meetings of legislative bodies must be open to the public.
ARTICLE XIV
COMMISSIONERS’ MANUAL The Commission shall conduct its business in accordance with Commissioner’s Manual for the City of Berkeley
ARTICLE XV
ROBERT’S RULES OF ORDER
The Commission shall conduct its business in accordance with Robert’s Rules of Order.
25
POLICY AND PROCEDURE MANUAL Training and other presentations
POLICY # POLICY NAME
1.0 ADMINISTRATION *1.1 Policy Development, Revision and Implementation 1.2 Policy Definitions 1.3 Use of Interpreter Services for Clinician-Client Consultation and Other
Adminstrative Services 1.4 Written Translation Services for Clinical and Adminstrative Use *1.5 Stipend and Reimbursement in Liu of Expenses for Consumers and Family
Members Providing Certain Services to the Mental Health Division 1.7 Communication Policy 2.0 PERSONNEL 2.1 Code of Conduct 2.2 Conflict of Interest 2.3 Staff Conflict Resolution 2.4 Background Checks and Fingerprinting Requirements **2.5 OIG and Other Exclusion List Monitor, Oversight and Reporting 3.0 CLINIC OPERATIONS *3.2 Eligibility and Residence Criteria 3.3 Transfer Procedures between FYC and ASP 3.5 Change of Provider 3.6 Hours of Operations 3.7 Head of Service **3.8
Determining Liability Utilizing the Uniform Method for Determining Ability to Pay
Health Housing and Community Services Mental Health Divison
26
4.0 SERVICE DELIVERY 4.1 Informing Materials: Informed Consent 4.2 Consent for Services 4.8 Representative Payee Support Services 4.10 Family Partnership Policy 4.11 HIV/AIDS and Substance Abuse Status in Client Record 4.13 Intensive Service Team: Afterhours Standby: “24/7” Services 4.18 4.19
“5150” and the Involuntary Psychiatric Evaluation Service Delivery Policy 1521 University Ave.
5.0 CLIENT RIGHTS 5.1 Consumer Access to Medical Records *5.2 Mental Health Advance Directives *5.3 Consumer Problem Resolution 5.4 Medi-Cal Guide to Mental Health Services 6.0 SAFETY AND SECURITY 6.1 Workplace Safety and Security 6.2 Health and Safety Responsibilities for Supervisors and Staff 6.3 Responding to Threats of Violence from the Community 6.4 Responding to Threats of Violence from Consumers 6.5 Stay-Away Order and Temporary Restraining Orders 6.6 Use of the Paging System Codes **6.7 Safety in the Field 6.9 Pest Control Measure 6.10 Bloodborne Pathogens 6.11 Disaster Preparedness 6.12 Use of Emergency Public Information and Warning System (EPIW) ALSO REFER TO CITY SAFETY AND HEALTH DOCUMENTS CoB Health and Safety Policies and Procedure Manual
CoB 911 Emergency Action Plan
CoB Injury and Illness Prevention Program
CoB Blood borne Pathogens Manual
CoB Violence in the Workplace Policy
CoB Earthquake Procedures
Memo: April 1, 2008 RE: Employee Violence in the Workplace
27
7.0 TRAINING 7.1 Intern Service Agreement 7.2 Internship Due Process Procedure 7.3 Internship Matching Process 8.0 LAW AND ETHICS 8.1 Licensing and Scope-of-Practice 8.2 Confidentiality and the Security of Personally Identifiable Health
Information 8.3 Release of Protected Health Information 9.0 QUALITY IMPROVEMENT 9.1 Quality Improvement Plan 9.2 Utilization Management Process and Appeals 9.3 Quality of Care and Unusual Incident Reporting 9.4 Peer Review 9.5 Notice of Action Reporting 10.0 COMPLIANCE ACTIVITIES 10.1 Compliance Policy 10.2 Clinical Documentation 10.3 Fraud, Abuse and Misuse of City Resources **10.4 Protection of Whistleblower Policy 10.5 HIPAA Compliance Policy 10.6 Client Chart Chain of Custody 11.0 FINANCIAL ACTIVITIES 12.0 PROGRAM SPECIFIC POLICIES TAY/TIP
12.1 New Staff Orientation and Supervision 12.2 TIP Enrollment and Disenrollment 12.3 TIP Client Rights
BHS
28
12.20
MCT 12.40
ASP
12.60 Use of City of Berkeley Fleet Vehicles 13.0 MEDICATION *13.1 Drug Distribution Policy and Procedure 13.2 Transportation and Delivery of Medication 13.3 Physician Consultation Referral 13.4 Authority in Emergent Clinicial Matters
A. FORMS
24/7 Resources (PDF) 24/7 Call Log (PDF) 24/7 Equipment Log (PDF) 24/7 Client Flyer (PDF) 5150 Advisement Form (English PDF) 5150 Advisement Form (Spanish PDF) 5150 Form (PDF) Advance Directive Form (PDF) Advance Directive Summary Information (PDF) Assessment Update (Fillable) Assessment Update (PDF) Authorization to Release Information (Fillable) Authorization to Release Information (PDF) Become Your Own Payee Checklist (PDF) Bomb or Other Threat Checklist (PDF) Caregiver’s Affidavit (Fillable) Change of Provider Log (PDF) Checklist for Minor Consent (PDF) Client Recovery Care Plan (English- Fillable by Client and Provider) Client Recovery Care Plan (English- Fillable by Provider) Client Recovery Care Plan (Spanish- PDF) Code of Conduct (PDF) Compliance Report Form (PDF) Consent for Services- FYC (Fillable PDF) Consent for Services- BHS (Fillable PDF)
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Family Partnership Form (PDF) FYC Group Progress Note (PDF) Informing Materials Handout (PDF) Informing Materials/ Informed Consent Forms (PDF) Intake Assessment (Fillable) Medi-Cal Member Handbook (PDF) Meds- Only UM Form (PDF) Minor Consent Form (PDF) Money Management Contract (PDF) Policy Acknowledgement Form (PDF) Policy Suggestion Form (PDF) Quality of Care and Unusual Incident Reporting Form (PDF) Utilization Management Form (Fillable) Utilization Management Form (PDF)
B. RESOURCESAlcohol and Other Drugs Resources: Cherry HillCalifornia Code of RegulationsCAPIC CriteriaContract BoilerplateCreating a Psychologically Healthy WorkplaceGlobal Assessment of Functioning and the 5 Axial DiagnosisDMH FormsDMH Letter and NoticesDMH Medicaid Managed Care GuidelinesDMH NOA FAQsDMH Scope of Practice FAQsDSM – ICD 9 CrosswalkMedical Necessity Criteria for Specialty Mental Health ServicesMedical SpanishMedi-Cal Reimbursement RatesMental Health Law and RegulationsMental Health Referrals for Ethnically Diverse CommunitiesMental Health/ Medi-Cal Billing ManualMental Health Services DescriptionsMental Status Exam TerminologyPatient’s Right Information (also Russian, Spanish, Vietnamese, Chinese,Cambodian, Tagalog)Reasons for Medi-Cal Billing RecoupmentTaxi Companies that Accept Taxi VouchersMental Health Organizational Chart
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Psychiatric Services Referral Policy and Procedures Policy & Procedure for Emergent Physician Referral Medication Handling Policy and Procedures
14.0 ELECTRONIC DEVICES **14.1 Use of Wireless Devices by Agency Personnel in the Field **14.2 Authorization for Texting
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To: From: Date: Subject:
MEMORANDUM
Mental Health Commission Steven Grolnic-McClurg, Mental Health Manager December 5th, 2018 Mental Health Manager Report
Adult Triage Grant The mental health division has entered into a contract to receive $614,834 over three years from the Mental Health Oversite and Accountability Commission (MHOAC), a statewide organization that ran a competitive RFP process using State funds that were set aside for funding crisis and triage programs.
The Mental Health Division currently operates a Community Assessment and Triage (CAT) team at 1521 University Avenue at the Adult Mental Health Clinic. Community members can contact the CAT team for screening, assessment, and referral to the appropriate level of mental health treatment by either walking into the clinic at 1521 University Avenue between 8 am and 1:30 pm Monday –Thursday or calling the CAT phone line 981-5244 between the hours of 8 am and 4 pm. The funding will support the mental health division in expanding the staffing for the CAT phone line for up to three years.
With the additional funding, this phone line will be available for individuals who are in a mental health crisis to call in order to reach a mental health clinician. The exact hours the new “crisis” services on this phone will be available and the starting date of the new program are not yet set – we anticipate getting the new program up and going in March and will be publicizing this when we have clear hours and a date to start operations.
Residents of Berkeley who are having a mental health crisis can currently call Crisis Support Services of Alameda County 24 hours a day at 1-800-309-2131 to talk with a trained crisis counselor. Residents of Berkeley can also call the Berkeley Police Department (BPD) Non-Emergency number 24 hours a day at 981-5900 to request a MCT evaluation or call 911 if they or a loved one are in a life threatening mental health crisis. This grant funding will allow the Mental Health Division to create another option for individuals who are in crisis to reach help.
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Children’s Triage Grant The Mental Health Division has been awarded a children’s triage grant from the MHOAC for $216,098 as well. After getting City Council approval and entering into a contract with MHOAC, this funding will allow the division to add a dedicated crisis clinician at Berkeley High School for the academic year 19-20. Having a dedicated crisis clinician will improve crisis services at the high school and free up other staffing to spend more time doing treatment and referral.
Consumer Survey The mandated State consumer survey period has concluded. This year we had clinicians give out flyers inviting consumers to come to the clinics to complete a survey, and tried giving surveys out in the field for return to the clinics. There were staff available during the survey period inviting consumers to fill out surveys during the survey period. We collected a total of 73 surveys. Of the 51 survey forms collected from the Adult Clinic on Alcatraz, 21 were completed, 5 partially completed and 25 were not attempted. Of the 21 surveys forms collected from Adult Clinic on University, 13 were completed, 3 partially completed and 5 were not attempted. Of the 3 survey forms distributed to youth and families in the field by the Family, Youth and Children’s Clinic, 1 was returned completed.
Health Equity The Health Equity Committee met in October. The group looked at data connected to involuntary holds in Berkeley and Albany. The data, which comes from Alameda County showed that individuals are being placed on involuntary holds at rates very similar to the Medi-Cal population in Berkeley and Albany, and extremely close to the rates that individuals are being seen by the mental health division.
Wellness Center Alameda County continues to work on getting Board approval for the construction agreement with Bonita House, and with developing a contract with the City of Berkeley for the $750,000 that we will be contributing to the construction costs. It is hoped that the contract will be developed in time to get City Council approval in January.
Adult Clinic at 2640 Reconstruction The construction contract for 2640 MLK is currently out for bid, and bids from possible vendors are due on December 18th. The Public Works Department is aiming to get Council authority to enter into a contract with the successful bidder in January, and for work to begin in February.
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Be
rkele
y Me
ntal H
ealth
Caselo
ad Statistics fo
r
Octo
be
r 20
18
A
du
lt Service
s In
ten
ded
Ratio
of
staff to clie
nts
Clin
ical Staff P
ositio
ns Fille
d
# of clie
nts
Mo
nth
ly Co
st P
er
Particip
ant
Pe
r Bu
dge
t*
Fiscal Year 20
19
D
em
ograp
hics as o
f Sep
tem
ber, 20
18 – D
ata In
com
plete
Pe
r Ye
llow
Fin
Ad
ult, O
lde
r Ad
ult an
d TA
Y Fu
ll Service
Partn
ership
(FSP)
(High
est level o
utp
atien
t clin
ical case m
anagem
en
t and
treatm
en
t)
1-1
0 fo
r clinical
staff. 6
Clin
icians
1 Team
Lead
66
$1
,844
6
9 C
lients
Am
erican
Ind
ian: 1
A
PI: 2
A
frican-A
me
rican: 2
7
Hisp
anic: 2
Oth
er: 24
Wh
ite: 1
3
Male: 43
Fem
ale: 26
Ad
ult FSP
Psych
iatry 1
-10
0
.35
FTE 5
8 $
497
Co
mp
reh
en
sive Co
mm
un
ity Tre
atme
nt (C
CT)
(High
level ou
tpatie
nt clin
ical case
man
agem
en
t and
treatm
en
t)
1-2
0
9.5
Clin
icians
.5 Lead
Clin
ician
1 N
on
-Degreed
C
linical
1 M
anager
153
$
922
1
66 C
lients
AP
I: 8
African
-Am
erican
: 59
H
ispan
ic: 7 O
ther: 39
W
hite
: 53
Male: 91
Fem
ale: 75
CC
T Psych
iatry 1
-20
0
1.0
130
$
312
Focu
s on
Ind
ep
end
en
ce T
eam
(FIT) (Lo
we
r level o
f care, o
nly fo
r in
divid
uals p
reviou
sly on
FSP o
r C
CT)
1-2
0 Team
Lead,
1-5
0 P
ost M
asters
Clin
ical 1
-30
No
n-D
egreed
Clin
ical
1 C
linical
Sup
ervisor, I
Licensed
C
linician
, 1 C
HW
Sp
./ No
n-
Degreed
Clin
ical
97
$36
3
9
8 C
lients
AP
I: 2
African
Am
erican: 39
H
ispan
ic: 3
Oth
er: 15
W
hite
: 39
Male: 62
Fem
ale: 36
FIT P
sychiatry
1-2
00
.5
8
6 $
350
34
Family, Y
ou
th an
d C
hild
ren
’s Service
s In
ten
ded
Ratio
of staff
to clie
nts
Clin
ical Staff P
ositio
ns
Filled
# of clie
nts
Mo
nth
ly C
ost P
er P
articipan
t P
er
Bu
dge
t*
Fiscal Year 20
19
D
em
ograp
hics as o
f D
ecem
ber, 2
018
– Data
Inco
mp
lete P
er Y
ello
wFin
Ch
ildren
’s Full Service
P
artne
rship
1
-8
2.0
Clin
ical 1
2 $
2,2
07
16
Clien
ts A
PI: 1
A
frican-A
me
rican: 8
H
ispan
ic: 2 O
ther: 1
W
hite
: 4
Male: 10
Fem
ale: 6
Early and
Pe
riod
ic Scree
nin
g, D
iagno
stic and
Tre
atmen
t P
reven
tion
(EPSD
T) /Ed
ucatio
nally R
elate
d M
ental
Health
Services (ER
MH
S)
1-2
0
2.5
Clin
ical 5
9 $
834
61
Clien
ts A
PI: 4
A
frican-A
me
rican: 2
2
Hisp
anic: 9
Oth
er: 15
Wh
ite: 11
M
ale: 41
Female: 2
0
High
Scho
ol H
ealth
Ce
nte
r and
B
erkeley Te
chn
olo
gical A
cadem
y
1-6
Clin
ician (m
ajority o
f tim
e spen
t on
crisis co
un
seling)
1 C
linical
Lead,1
.5
Clin
ical, 5
Inte
rns
Treatmen
t: 76
G
rou
ps: 1
4
Dro
p In
(Crisis):
96
N/A
N
/A
Crisis, A
CC
ESS, and
Ho
meless
Services Staff R
ation
C
linical Staff
Po
sition
s Filled
Total # o
f C
lients/In
ciden
ts
Ho
meless O
utreach
and
Treatm
ent Team
(HO
TT) 1
-10
Case
Man
ager 1
-3 Te
am
Lead
1 Te
am Lead
2
Case M
anagers
24
enro
lled clien
ts for
the m
on
th.
50
no
n-en
rolle
d
ind
ividu
als received
ou
treach.
HO
TT Psych
iatry 1
-10
0 0
0
35
Mo
bile C
risis N
/A
3 C
linician
s,
146
Incid
ents
6
1 5
150 Evals
2
1 5
150 Evals
leadin
g toin
volu
ntary
transp
ort
Transitio
nal O
utre
ach Team
(TO
T) N
/A
1 C
linician
, 1 N
on
-Licen
sed Staff
63
Co
ntacts
No
t reflected in
abo
ve chart is Early C
hild
ho
od
Co
nsu
ltation
, AC
CESS, W
ellness an
d R
eco
very Pro
gramm
ing, o
r Family Su
pp
ort.
*M
on
thly C
ost To
Be D
etermin
ed – B
ud
get in n
ew fo
rmat, re
qu
ires add
ition
al analysis to
iden
tify treatmen
t team co
sts.
36
37
