Innovation Project Requirements

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Myron Harvey
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Innovation Project #2: Mental Health Crisis Urgent Care Clinic 1 MHSA Steering Committee June 21, 2018 2 Innovation Project

Increase access to mental health services to underserved populations Increase the quality of mental health services, including

1 Innovation Project #2: Mental Health Crisis Urgent Care Clinic 1 MHSA Steering Committee June 21, Innovation Project Requirements Must contribute to learning Primary purpose (one or more of the following): Increase access to mental health services Increase access to mental health services to underserved populations Increase the quality of mental health services, including measurable outcomes Promote interagency and community collaboration Must align with the 5 Essential Elements Time-limited; not more than 5 years 1

2 Innovation Project #2 Mental Health Urgent Care Clinic 3 5 year project Project Purpose: Increase in access to appropriate mental health services Increase quality of mental health services Innovation Project #2 Learning Objectives What we will learn / try out : adapting Urgent Care Clinic/Medical model for individuals experiencing a mental health crisis 4 Is this adaptation an effective strategy for: reducing the use of local emergency departments for urgent mental health services reducing unnecessary or inappropriate psychiatric hospitalization Improve client experience and optimize client s continued wellness Improve and enhance system s continuity of care 2

Innovation Project #2 Learning Objectives

treatment model (vs Crisis Stabilization

3 Innovation Project #2 Learning Objectives Adaptations focus on: Incorporation of wellness and recovery principles into service delivery Extended hours outpatient treatment model (vs Crisis Stabilization Unit) Providing direct access to the Mental Health Plan (MHP) and Alcohol and Drug Services (ADS) Serving all ages Medical Screening 5 Mental Health Urgent Care Clinic This program is funded by the Division of Behavioral Health Services through the voter approved Proposition 63, Mental Health Services Act (MHSA) 6 3

Mental Health Urgent Care Clinic Service Overview Voluntary and immediate access to crisis intervention services Medi Cal outpatient clinic; Not a designated 5150 facility Walk in, face to face,

4 Mental Health Urgent Care Clinic Service Overview Voluntary and immediate access to crisis intervention services Medi Cal outpatient clinic; Not a designated 5150 facility Walk in, face to face, unscheduled services, including law enforcement referrals Integrated mental health/co occurring substance abuse disorder assessment and evaluation Medical screening Crisis intervention/brief intervention Immediate and short term medication support Peer and family member support and follow up 7 Mental Health Urgent Care Clinic Service Overview (cont d) Direct linkage to both the MHP and ADS services Linkage to Managed Care plans Linkage to other needed community based resources Transportation and transportation assistance from clinic to home or other resources 8 4

5 Accessing the Clinic The Mental Health Urgent Care is a walk in clinic available to all Sacramento County residents regardless of age, insurance or housing status. Law Enforcement may refer individuals who may benefit from Mental Health Urgent Care Clinic services when the crisis does not require an emergency response. Hospitals may refer or direct an individual who may benefit from Mental Health Urgent Care Clinic services 9 Who is the Clinic Serving? Mental Health Urgent Care Clinic opened on November 29, 2017 From November 29, 2017 to May 31, 2018, the Mental Health Urgent Care Clinic has served 1,337 clients from diverse backgrounds and ages 10 5

6 Who is Being Served at the Urgent Care Clinic? AGE 66% are between 26 and 59 years of age Average age is % 60+ 7% % % 11 Other Urgent Care Clinic Demographics? The majority of the clients being seen are: Gender Female (52%) Race White (48%); African American (19%) Ethnicity Non Hispanic (54%) Primary Language English speaking (92%) Living arrangement 8% are homeless 12 6

7 What Does the Data Say? Of the 1,337 served: o 1,153 unduplicated clients o 30% of clients utilized peer support services o 46% of clients were self referred o 17% (277) of admissions were placed on a 5150 hold Of those: 90% went to the Sacramento County ISU 10% went to the Emergency Department 13 Clients Linked to the MHP or ADS? 35% of those served were already linked to the Mental Health Plan (MHP) or Alcohol and Drug Services (ADS) BEFORE admission 26% of those served were linked to the MHP or ADS by the MHUCC 14 7

8 Who is Referring Clients to the Urgent Care Clinic? Referral Sources 50% 40% 30% 20% 10% 0% 46% 5% 0% 5% 2% 3% 36% 15 Success Stories. 16 8

Mental Health Urgent Care Clinic Hours of Operation Monday Friday 10am 10pm (admission to program closes at 9pm) Saturday Sunday 10am 6pm (admission to program closes at

9 Mental Health Urgent Care Clinic Hours of Operation Monday Friday 10am 10pm (admission to program closes at 9pm) Saturday Sunday 10am 6pm (admission to program closes at 5pm) Holidays 10am 6pm (admission to program closes at 5pm) Clinic Location 2130 Stockton Boulevard, Building 300 Sacramento, CA Contact Information (916)

Child & Adolescent Mental Health Services Databook, FY08-09

Child & Adolescent Mental Health Services Databook, FY08-09 Clients Receiving County- Unique clients funded Mental Health Services 17,779 ANASAZI CLIENTS, Q2-4 ONLY 15,179 Age Unique clients % Living Arrangement* Unique clients % Age 0 to 5 1,907 10.7% House or