1. TAY System of Care Department of Behavioral Health
Andre’s Slide
André Bossieux MS, Program Manager II

2. Agenda
TAY Centers County Wide Drop-In Services Outpatient Mental Health Services (FSP) TAY Housing TAY Crisis Residential Treatment (CRT) TAY Outcomes TAY Program Funding  Components Collaborative Partners Lessons Learned & Challenges!
Andre’s Slide
Department of Behavioral Health

3. Why TAY? Children and Family Services
4,223 children were in out-of-home care as of June 30, 2014
582 were ages 16 to 18
190 were ages 19 and older
303 youth currently in Extended Foster Care (AB12) as of July 7, 2015
Receive Support until age 21
Probation
9,438 TAY were in Probations system in FY 14/15
Homeless
In 2014, there were over 36,886 homeless public school students in San Bernardino
9,955 from Grade Levels 9-12
Hospitalizations
In ,906 children/youth were hospitalized for Mental Health Issues
Sources HS Annual Report, KidsData.Org, Probation
Foster youth are often ill-equipped to handle the realities of adult life at such a young age.
Department of Behavioral Health

4. TAY Centers Overview
Transitional Age Youth (TAY) Centers provide integrated services to unserved, underserved and inappropriately served youth ages 16 to 25 with emotional and/or behavioral issues.
Goals: Independence, reduce hospitalizations or higher level of care, reduce involvement in criminal justice system and reduce homelessness.
TAY Centers: Drop-in Services/Outpatient Mental Health Services
No cost
Peer Driven
Countywide: Ontario, Victorville, Yucca Valley
Multi-Disciplinary Teams
Andre’s Slide
Clinic Supervisor
Psychiatrist
Clinical Therapist
Social Worker
AOD Counselor
Peer and Family Advocate
Department of Behavioral Health

5. One Stop TAY Centers “Drop-in” Services
Peer support
Community linkage and support
Shower facilities
Laundry facilities
Computer/internet access
Recreational activities
Skill building groups
Educational events/presentations
Peer selected/driven groups
Job skill, Self-esteem, Cooking, Fitness group and many more…
445 Unduplicated TAY Clients FY 13/14
Department of Behavioral Health

6. Outpatient Mental Health Services
Full Service Partnership (FSP)
Individual and Group Counseling/Therapy
Intensive Case Management
24/7 Crisis and Supportive Services
Crisis intervention/stabilization services
Medication Evaluation and Management
Integrated treatment for co-occurring disorders
Activities of Daily Living Skills Classes
Housing Assistance
Transportation Assistance
Education Assistance
Employment/Vocational Assistance
Community Linkage and Support
Community Reintegration
Self-sufficiency Assistance ( Applying for public benefits Medi-cal, SSI, SDI, etc.. )
“Whatever it takes” to help individuals on their path to recovery and wellness.
417 FSP Clients FY 13/14
*417 FSP Clients
Department of Behavioral Health

7. FSP Clients Served in FY 13/14 by Region & Diagnosis
Department of Behavioral Health

8. TAY HOUSING Master Leasing Vouchers (HUD) TAY with own income
6 Rancho TAY in FY 13/14
4 San Bernardino TAY in FY 13/14
Board and Care (Licensed)
Interim assistance, SSI or own income
106 TAY served in FY 13/14
Currently serving 43 TAY
Emergency Shelter Beds
MHSA Housing funded
Assist in completing applications for Master Leasing DBH Programs.
Assist in completing applications and referrals for Board and Care facilities.
Provide emergency shelter bed housing.
Department of Behavioral Health

9. Crisis Residential Treatment (CRT) Program
Voluntary CRT Center for TAY ages 18 to 25 in need of higher level of care than outpatient mental health but lower than a psychiatric hospital.
Peer Driven
14 Bed
Services 24 hours a day, 365 days a year
30 to 90 day stay
Co-ed
Services include:
Individual and Group Therapy
Crisis Intervention
Medication Support
Drug and alcohol counseling/referrals
Prevocational preparation
Rehabilitation/Recovery (daily living skills)
Wellness Recovery Action Plans
Prerelease/discharge preparation and planning
Department of Behavioral Health

10. STAY FY 13/14 TAY Served by Diagnosis
88 Youth Served
Department of Behavioral Health

11. TAY Outcomes Youth Served FY 13/14
TAY System of Care provided services to over 900 TAY youth at risk and/or with mental health issues access appropriate services TAY were diverted from psychiatric hospitalization and/or higher levels of care by accessing TAY CRT (The STAY) services. Future of TAY System of Care… Expand One Stop TAY Center Services to unserved areas Sustain current TAY CRT Expand and increase TAY CRT’s services countywide
Department of Behavioral Health

12. DBH & TAY Program Funding
The TAY System of Care is funded by a combination of Mental Health Services Act (MHSA), Medi-cal Federal Financial Participation and 2011 Realignment funding.
One Stop TAY Centers are funded by the MHSA Community Services and Supports (CSS) component. The estimated program MHSA expenditure for FY 15/16 is $5,795,799.
The TAY CRT (The STAY) is funded by the MHSA Innovation (INN) component. The estimated MHSA program expenditure for FY 15/16 is $2,500,000.
Need to Update
Department of Behavioral Health

13. PMII Program County & Community Collaborations
Collaborative Partners Program Manager II Collaborative assignments: County Foster Care Services Steering Committee (monthly) CFS Extended Foster Care (EFC) Coordination meeting County Schools Foster Youth Services meeting (quarterly) Drug and Gangs Taskforce (monthly) ILP (Independent Living program) taskforce (monthly) CPAC (Community Policy Adversary Committee) (monthly) County Mentorship Taskforce (monthly) Behavioral Health Commission (monthly) California State Mental Health Directors Association TAY committee co-chair (monthly) CFS Family 2 Family Committee (monthly) DBH Shelter Bed Services Administrative Chair (ongoing) Regional (DAC) District advisory committees (monthly) HYTF (County Homeless Youth Taskforce) (monthly) DOR (Department of Rehabilitation) (quarterly) Chaffey College Extended Opportunity Programs (EOPS) Advisory Committee Homeless Provider Regional Committee Inland Empire Concerned African American Churches (IECAAC) Faith in Motion Coalition Inland Empire Fatherhood Coalition Work Force Investment Board (WIB) Youth Council San Bernardino PD Crime Intervention Partnership Program (CIPP) (monthly)
Andre’s Slide
Department of Behavioral Health

14. Lesson’s Learned & Challenges!
Involve stakeholders and keep them involved and invested.
Shared Vision between County and Contracts agencies is key.
Look for continual reinvention of the program to maintain interest and individualize supports.
Create an attractive, youth friendly environment.
Foster relationships and bring together child serving systems and cultures to build a sustainable and comprehensive system of care for TAY.
Prepare/Increase the number of Housing providers to meet the needs of TAY Population.
Department of Behavioral Health

15. Locations Mental Health Systems Ontario One Stop TAY Center
316 East E Street
Ontario, CA 91764
(909)
Victor Community Support
Services
Victorville TAY Center
14360 St. Andrews Drive, Suite 11
Victorville, CA 92395
(760)
Valley Star Community Services
One Stop TAY Center
Palms Hwy, Suite 102
Yucca Valley, CA 92284
(760)
San Bernardino One Stop TAY Center
The STAY (CRT)
780 East Gilbert Street
San Bernardino, CA 92415
 (909)
Department of Behavioral Health