1. Strategies & Service Delivery Model of Mental Health Service in Los Angeles Li Wan Sum, Monica Wong Chi Hung

2. Presentation Outline Brief introduction of agency visits in LA Pacific Clinic - Project Highlights : Intensive School-based program : Intensive Day Treatment Program Asian Pacific Family Centre Maryvale

3. Schedule of Study Visit in LA (1) DayTimeAgencies visited / programService naturePeople meet Day 1 (23/10) Pm  Asian Pacific Family Asian Pacific Family Clinic - Rosemead Out-patient Psychiatric Service Mr Sam Ng & Ms. Pheobe Chan EvenDinner with Mr Sam Ng & Ms. Pheobe Chan (LCSW) // Day 2 (24/10) AmCity of Angel Medical CentrePsychiatric HospitalMr Sam Aganov Pm  MaryvaleMaryvale Girls HomeDr Vincent Castro PmAsian Youth CentreChildren & Youth Service Ms May To Day 3 (25/10) Am  Pacific Clinic - FoothillPacific Clinic - Foothill Outpatient Psychiatric Service Ms Irene Pines

4. Schedule of Study Visit in LA (2) DayTimeAgencies visited / programService naturePeople meet Day 3 (25/10) Pm  Asian Pacific Family Clinic - East Mental Health Prevention Dr Rocco Cheng Day 4 (26/10) Am  Pacific Clinic - PasadenaPacific Clinic - Pasadena Children outpatient Day Treatment Dr Sam Mulembo & Mr Daniel Tang Pm  Pacific Clinic – Pasadena (Oak Knoll School) Intensive School-based Program Dr Sam Mulembo& Mr Daniel Tang Day 5 (27/10) AmNational Asian Pacific American Families against Substance abuse Mental Health Prevention Dr Ford Kuramoto PmMeeting with government officials of Department of Mental Health Government Department Mr. Phillip Chen

5. Pacific Clinics (1) Founded in 1926 as Pasadena Child Guidance Clinic One of the largest community-based non- profit agency behavioral mental health agencies with over 1,000 staff worked in more than 80 multiple locations in Southern California, especially LA county Services are targeted to treat persons with a board range of mental health concerns

6. Pacific Clinics (2) Provide a full range of services includes outpatient services, (psychiatric services, group counseling and day treatment) outreach crisis intervention and consultation services to seriously emotionally disturbed individuals and families who cannot pay for services Supported by county contracts, United Way funds, federal and state grants, private donations

7. Pacific Clinics (3) Recruit multilingual staff from all cultural background to provide culturally and linguistically sensitive services linguistically Multidisciplinary team includes psychologists, psychiatrists, clinical social workers, art therapists, marriage and family therapists, substance abuse counselors, nurses, case manager and occupational therapists Web site: www.pacificclinics.org

8. APFC - Rosemead

10. Continuum of Care Intensive Day Treatment  Intensive School-based Program  Intensive Outpatient Treatment  Outpatient Treatment

11. Continuum of Care Outpatient Treatment - meeting the individuals and their families 1 to 2 hours a week in the clinics

12. Continuum of Care Intensive Outpatient Treatment - meeting the consumers and their families 2 to 3 times a week - other than providing services in the clinics, therapists may go to the schools and homes of the consumers to offer intensive outpatient treatment for them

13. Continuum of Care Intensive Outpatient School- based Program - special education in special school - therapists (LCSW, LMFT, LP, psychiatrist & LPT) station in the school - after about 6 months treatment, may return to normal school - the ratio: 3 : 8 or 3 : 12 (consumer : therapists)

14. Intensive School-based program - Oak Knoll School

22. Intensive Day Treatment Program (1) Serving consumers with age from 4 to 18 Rehabilitate individuals with severe emotional and behavioral impairments rendering them unable to function at home, school, community 4 hours highly structured therapeutic daily treatment aimed at learning skills relevant to their functional impairment 90 days of duration followed by review of DMH ( Department of Mental Health)

23. Intensive Day Treatment Program (2) Daily treatment program for individuals with one or some of the following mental health issues: - diagnosis with a major mental illness - behavioral problems like, aggressive or destructive and engaged in “risky” behaviors - emotional problems like, being depressed and withdrawn

24. Intensive Day Treatment Program (3) The treatment program offer Monday through Friday afternoons from 1pm-5pm (after-school) with structured milieu The scope of services include: - individual, group and family therapy - diagnostic assessment - activities such as arts and recreation - crisis intervention

25. Intensive Day Treatment Program (4) Treatment plans implemented with multi-level behavioral modification technique are made with these children and they work on their goals daily, support from the counselors and meet with their primary therapist once a week. The program provide support at school by working closely with school teachers and school officials offering recommendations in classroom management conducive to the children

26. Intensive Day Treatment Program (5) Families are involved to participate in family therapy to learn appropriate parenting skills to ensure that structure is place at home ： ”SOC” – Systems of Care - home-based program with case manager, therapists and “family advocates” (former consumer, hired staff) providing clinical assessment and individual sessions to family members of the consumers - engaged family in treatment and stress on skill building aiming at stabilize the children, families in the community

27. Intensive Day Treatment Program (6) To conclude, the program offer a comprehensive approach to treatment by providing multi-level (individual, family and group level) treatment within one treatment setting.

28. Intensive Day Treatment Program

32. Asian Pacific Family Centre (1) A division of Pacific Clinics established ten years ago with 2 service locations in Rosemead and City of Industry Emphasizing education and prevention rather than cure Provide professional and culturally competent behavioral health services to meet the psychological needs of the growing Asian Pacific populations in the greater San Gabriel Valley area of Los Angeles Country

33. Asian Pacific Family Centre (2) APFC provide multidisciplinary, multilingual and multicultural behavioral health care services include prevention, counseling and treatment services in English and a total of nine Asian languages and dialects Ultimate goal is to facilitate the Asian immigrant families to adjust successfully to their new communities

34. Asian Pacific Family Centre - East

35. APFC – Service Programs (1) S.C.A.L.E. (School, Community, and Law Enforcement) - Serving Asian children and youth who are at high risk for delinquent and criminal behaviors through early case identification, family case management, and consultation liaison with school authorities and law enforcement personnel - Providing individual counseling and tools for critical thinking and decision-making that help the youth to deal with life’s stress and challenges within a more effective and pro-social, productive manner

36. APFC – Service Programs (2) I.D. (Important Decisions) for Success - A youth development program aimed at early intervention, which serve elementary school children in the East San Gabriel Valley through age-appropriate gang and violence prevention education - Issues include making good decisions, dealing with peer influences and pressures, and handling bullies- all with the aim of heading off pre-teen gang involvement, are discussed with the participants (mentorship scheme)

37. APFC – Service Programs (3) A.A.F.E.N. (Asian American Family Enrichment Network) - Serving Asian American families including: Chinese, Korean, Vietnamese through bilingual family needs assessment, parent education class, parent support groups, family club activities, information and referral services - A corps of dedicated parent volunteers has helped the Network to grow to almost 1,200 families trained in the last four years. These parents help to lead programs and raise funds for the centre

38. Maryvale (1)

39. Maryvale (2)

40. Maryvale (3)

41. Maryvale (4)

42. Maryvale (5)

43. Maryvale (6)

44. Maryvale (7)

45. Maryvale (8) History: - founded in 1856 by the Daughters of Charity of St. Vincent de Paul (non-profit Catholic agency) as the LA Orphan Asylum - private donors helped to reconstructed the girls home in present location in 1953 with the new name of “Maryvale” - planning to construct a new Day Care Center and Family Resource Center in the near future - Web Site: www.maryvale-ca.org

46. Maryvale (9) Program & Services - provides long-term therapeutic care and a safe, healing environment to girls between the ages of 6 to 18 in a 24-hour residential treatment program - other services includes: day care, foster family program and aftercare services - collaboration with the DMH to provide mental health services

47. Maryvale (10) Service Target: - serving about 90 children with a history of abuse, neglect and inadequate parenting who come from broken homes, regardless of their race or color - referred by various placement agencies of the Department of Children & Family Service, the Probation Department and the Juvenile Court

48. Maryvale – Residential Treatment Program Staffing: psychiatrists, psychologists, social workers, special education teachers, recreational therapist and group workers Program content: - structured residential group living - special education classes - year-round planned after school activities (Family Living Skills Program, Vocational Training Program, Volunteer Program and Campus Ministry Program)

49. ~Thank You~

50. Pacific Clinic in Rosemead

51. Dinner with LCSW of APFC

52. City of Angel Medical Centre (1)

53. City of Angel Medical Centre (2)

54. City of Angel Medical Centre (3)(3)

55. Maryvale

56. Asian Youth Centre (1)

57. Asian Youth Centre (2)

58. Asian Youth Centre (3)

59. Asian Youth Centre (4)(4)

60. Pacific Clinic in Foothill

61. Pacific Clinic in Pasadena

62. National Asian Pacific American Families Against Substance Abuse

63. Meeting with officials of Department of Mental Health of LA County (1)

64. Meeting with officials of Department of Mental Health of LA County (2)(2)

65. Mental Health Service of LA County