1. Integrated Service Programs Start-Up and Implementation or “The Whatever it Takes Programs” Adrian Carroll, MFT Chief, Adult System of Care Stanislaus County Behavioral Health and Recovery Services Frances Freitas, LCSW Mental Health Program Coordinator Homeless and Housing Services Sacramento County Division of Mental Health

2. INTEGRATED SERVICE PROGRAM The Fundamentals (Start-Up)

3. GOAL 1To understand the fundamentals of an Integrated Service Program (ISP) Objectives 1. To define an ISP 2. To identify the values and principles of an ISP 3. To identify the basic program design of an ISP 4. To identify the core components of an ISP

4. Definition An integrated services program is a value based, recovery focused, outcome oriented and community based program providing comprehensive support services to adults with psychiatric disabilities or children/youth with serious emotional disturbances. Minimal services are brokered and the expectation is to provide a “whatever-it-takes” approach to keep individuals/families housed and safe.

5. 1.VALUES AND PRINCIPLES Recovery focused Strength based Consumer driven Culturally competent Harm reduction

6. 2.Basic Program Design Small client:Staff ratio - 1:10-15 Multi-disciplinary staffing Field based services 24/7 response Supported housing Employment services Integrated treatment: substance use/abuse and mental health

7. 3.Core Components “Whatever-it-takes” Range of housing options Program and service flexibility No criteria – example: medication adherence; clean and sober Individualized service planning Outcome data Collaborations On-going training/in-services

8. IMPLEMENTATION

9. GOAL 2 To understand what is needed to implement an ISP Objectives 1. To identify program philosophy 2. To identify staffing configuration 3. To identify housing types and acquisition 4. To identify realistic time frame for full enrollment 5. To identify data collection mechanism 6. To identify community/neighborhood issues

10. 1.Program Philosophy Mission statement – what is the mission of your program Train to principles of recovery, resiliency and wellness Inclusion of consumers in training and decision making Wellness focus No fail program

11. 2.Staffing Program Director Service Teams (Personal Service Coordinator) Team Leads Housing Coordinator Employment/Benefits Coordinator Clinical Director Nurse Psychiatrist

12. 3.Housing Housing First Understand fair housing laws and practice (Corporation for Supportive Housing: (www.csh.org) Develop housing network – landlords property managers Master leasing Program rental subsidies Written rental Agreements Other rental subsidies Shelter+Care

13. 4.Admission Procedure Criteria – Clear Criteria for referral sources – How to access the program Assessment Process – WHAT ARE THE CLIENTS WISHES Immediate need housing

14. 5.Data Collection/outcomes Identify how the data will be collected and evaluated – success of program dependent on outcomes Why collect data Critical outcomes Housing stability Employment/Education Reduce recidivism in hospitalization/jail How to verify accuracy of data

15. 6.Community/neighborhood issues Good neighbor policy Protecting confidentiality Local politics