1. BEHAVIORAL HEALTH INTEGRATION PHASE 1 Merced County Mental Health Alcohol and Drug Services

2. WE HAVE STAFF CO-LOCATED ON SITE AT THE PRIMARY CARE FACILITY TO WORK WITH PHYSICIANS, NURSES AND THEIR PATIENTS STARTING WITH 2 FOUR HOUR DAYS PER WEEK HAVE DONE PRESENTATIONS TO PHYSICIANS ABOUT THE SCREENING TOOL Primary Care

3. Behavioral Health Screening Form

4. Behavioral Health Screening Form-Spanish

5. THE FORM WILL BE GIVEN AT THE FRONT DESK AT PRIMARY CARE PATIENTS WILL FILL OUT THE FORM WHILE THEY ARE WAITING FOR THEIR APPOINTMENT FRONT DESK STAFF WILL GIVE IT TO THE TREATING PHYSICIAN, WHO WILL REVIEW WITH THE PATIENT Behavioral Health Screening Form Cont.

6. IF THE PHYSICIAN FEELS THAT THERE IS ANY ONE AREA THAT IS NEEDED FOR FURTHER FOLLOW UP AND THE PATIENT IS AGREEABLE TO MEET WITH AN AOD COUNSELOR, THEN THE AOD COUNSELOR WILL BE CALLED IN TO HAVE THE WARM HAND OFF FROM THE PHYSICIAN AOD COUNSELOR WILL THEN OBTAIN A RELEASE OF INFORMATION AND CONTINUE WITH FURTHER SCREENING UTILIZING THE SIMPLE SCREENING AND/OR THE ASAM Behavioral Health Screening Form Cont.

7. SCREENING FORMS WILL NOT BE A PART OF THE PATIENTS MEDICAL RECORD, AT THIS TIME ALL AOD ASSESSMENTS AND PAPERWORK WILL BE KEPT IN SEPARATE CHARTS Merced County Mental Health Alcohol and Drug Services

8. MENTAL HEALTH CLINICIAN WILL BE ON SITE 20 HOURS PER WEEK TO SERVE AOD CLIENTS THAT DO NOT MEET MEDICAL NECESSITY WILL CONDUCT ASSESSMENTS FOR CO-OCCURING DISORDERS PROVIDE GROUP THERAPY AND PSYCH-EDUCATION GROUPS Integration of Mental Health Clinicians at AOD sites

9. WE CURRENTLY HAVE PROBATION CO-LOCATED WITH OUR CHILDREN'S TEAM AS WELL AS OUR ADULT AOD JUDICIAL TEAM THIS PROVIDES A ONE STOP FOR CLIENTS TO SEE THEIR PROBATION OFFICERS BEFORE OR AFTER THEIR TREATMENT APPOINTMENTS IT IS A NON- ADVERSARIAL APPROACH (DRUG COURT MODEL) IN HANDLING THE CLIENTS CASES AND TREATMENT PROGRESS MENTAL HEALTH AND AOD STAFF ARE CO-LOCATED AT JUVENILE HALL TO PROVIDE AOD AND MH SERVICES AND FACILITATE A WARM HAND OFF WHEN CLIENTS ARE RELEASED TO COMMUNITY Integration of Probation, Mental Health and AOD sites