1. Nevada County Behavioral Health Crisis, Access, and Linkage Services Welfare & Institutions Code Section 5150 et al.

2. Nevada County Behavioral Health Adult System of Care 2 Psychiatrist/ Nursing Services Drug and Alcohol Services Referral/Assessm ent/Linkage Housing Programs Odyssey/ Supportive Independent Living Access Team Receives referrals and intake calls Contract/In House Therapy for BH Clients Adult System of Care Navigator Link NonBH Individuals to Other Services Mental Health Court/Forensic Liaison/AB 109 Therapist Healthy Outcome Integration Team (HOIT) Case Management Turning Point Assertive Community Treatment AOT Catherine Lane Conservatorship s with Public Guardian Vocational Training/SSI Linkage Crisis Services 5150 Assessment Inpatient Respite Crisis Stabilization Unit Peer Support Peer Counseling Training

3. Involuntary Hospitalization Welfare and Institution Code 5150  Who qualifies?  Danger to self – suicidal  Danger to others – homicidal  Gravely disabled due to mental illness – unable to provide for food, clothing, shelter  Where do 5150 assessments happen?  Mostly at the Emergency Department of local hospitals where Crisis Workers are available 24 hours to see anyone in the community  NCBH Clinics  Wayne Brown Correctional Facility or Juvenile Hall 3

4. Involuntary Hospitalization 5150  NCBH Crisis Line  (530) 265-5811  24 hours, daily for anyone in the community  Clients, family, and others can call if worried about someone who may be in an mental health crisis.  Supportive Phone Counseling  Referrals for NonCrisis Services at BH and other agencies 4

5. Other Services  Other Crisis-related Services  Insight Respite Center Individuals who have a home but need respite as their mental health problems escalate may spend a few days to a couple of weeks in a home setting receiving supportive peer counseling.  Crisis Stabilization Unit (CSU) located next to ED at Sierra Nevada Memorial Hospital (expected opening, Nov 17, 2015) 5

6. Other Services  Access/Intake Services  265-1437  24 hours via Phone  Business Hours for Walk-ins  Screening for BH Services  Referrals for Services in the Community  Arrange Intake Assessments  Meet State criteria or Medical Necessity. » Has a Mental Health Diagnosis » Severely disabled in Work, Social, Self-Care or Other functioning, or Danger to Self/Other  Mild/Moderate Individuals Referred to Managed Care Plans 6

7. Other Services  Linkage Services  New Navigator Position  Brendan Phillips, 265-1437  Helps Individuals Navigate/Link Services » Jail Visits/Law Enforcement Ride Along » Hospital/ED Contacts » Hospitality House » Manage Care Plans for Primary care, Psychiatry, and Therapy » Drug Treatment in Residential Facilities, CORR, Common Goals, and Other Services 7

8. Other Services  Behavioral Health Services  Psychiatry/Nursing  Psychotherapy-In House or Limited Network  Drug and Alcohol Services » Referral, and Linkage to Residential  Limited Housing (SIL: Supportive Independent Living)  Odyssey House-24 Hr Residential Facility  Turning Point Assertive Community Treatment » Laura Law/AOT  BH Case Management/Service Coordination 8

9. Other Services  Behavioral Health Services (Continued)  Peer Counseling Training  Vocational Training (Snack Shack)  Case Manage/Service Coordination  Mental Health Court  Conservatorship  Healthy Outcome Integration Team (HOIT)  SSI Linkage for BH Clients  Patient Rights Advocate 9

10. Misdo Competency Process 10 Defendant is likely incompetent on Misdo 1368 and 1370 Hearings, eval by BH for 1368 and treatment plan at 1370 hearing, 90 days one follow hearing on progress. Is the defendant in court and the doubt is declared? BH evaluates the defendant. Does the client meet 5150 criteria? Grave Disability? BH does Preliminary Assessment for 5150, Involuntary Hospitalization by PD contacting Darryl Quinn, via email, which can happen in jail yes BH places in a inpatient facility, and use of involuntary meds if necessary to staibilize Is the client competent? No If defendant agrees, BH completes report and recommendations for treatment and sends to PD and DA Is the case being dropped based on time served? No yes PD can refer client based on treatment recommendations and/or refer to BH Forensic Liaison, Brendan Phillips Resolve the legal Case if competent or drop the charges