An Outpatient Service Continuum Approach to Addressing and Reducing Mental Health Crises CBHDA All Members Meeting August 11, 2016 Debbie Innes-Gomberg, Ph.D. Los Angeles County Department of Mental Health
LA County MHSA Continuum of Care Outreach and Engagement and Linkage programs PEI Institutional Transition Hospital/Institutional Diversion Mental Health – Law Enforcement Teams SB 82 Alternative Crisis Services Intensive Community Services and Supports Wellness/Self-Help/Peer Support Services
LA County Department of Mental Health Urgent Care Center Outcomes Percent of Those with an Assessment at a Psychiatric Emergency Room within 30 Days of a UCC Assessment 7/1/15 – 1/31/16
LA County Department of Mental Health FSP Living Arrangement Outcomes- Adult
SB 82 Triage Grant Services Child and Youth Crisis Stabilization Teams- engagement and crisis services aimed at youth detained by DCFS with multiple placement disruptions within the last 12 months and who meet Specialty Mental Health criteria. Mobile Triage Teams- key populations include homeless, older adults and veterans Forensic Outreach Teams- transition services between the jail and the community Crisis Transition Specialist Teams – linkage services to clients served by mental health Urgent Care Centers
Tracking Impact of Triage Services After receiving Child and Youth Crisis Stabilization Team services- Only 6% were psychiatrically hospitalized Only 3% were detailed in juvenile hall 56% were successfully linked to mental heath services
Mobile Triage Team Quality Indicator Linkage to Mental Health Services +For Clients Provided with Mental Health Referral, totals based on number of clients who were seen more than once. ++For Clients Linked to Mental Health Services, totals based on number of clients who were provided a mental health referral. +++For Clients Linked to Mental Health Service for 60 Days, totals based on number of clients who were linked to a mental health service.
Mobile Triage Team Quality Indicator Clients Connected to Housing/Shelter +For Clients Provided with Housing/Shelter Referral, totals based on number of clients who were seen more than once. ++For Clients Linked to Housing/Shelter, totals based on number of clients who were provided a housing/shelter referral.
Mobile Triage Team Quality Indicator Inpatient and Outpatient Service Use
Crisis Transition Specialist Teams Percent of Clients Receiving Psychiatric Emergency/Inpatient Services or Incarcerated 30 days after CTST Service