HomeMy WebLinkAbout70-085RE50LUfI0N ACCEPTTNG A PROPOSED
ALLOCATION OF NATTONAL MEDtTAL iiEAL'TH ACT FUNDS
WHEREAS, the State of California Depaxtment of Mental
Hygiene has indicated its intent to allocate National Mental
Health Act funds to the County of Butteo
NOW, THEREFORE, BE IT RESOLVED that this Board of
Supervisors, on behalf of th.e Mental Health Director, he~e~6y
agrees to accept said allocation and abide by all of the terms
and conditions thereofe
BE IT Fi1RTHER RE50LVED that the Mental Heal~h Director
of the County of Butte is hereby authorized to execute all contracts
and/or documents necessary to receive said allocation.
BE IT FURTHER RESOLVED that a certified copy hereof be
forwarded to the State Department of Mental Hygiene.
PASSED AND ADOPTED by the Board of Supervisors of the
County of Butte, State of California, t[~is ~,5~~ day of J~~ ,
I970, by the following vote:
AYES: '~.i.pervisors Howsden ~ MeK3.llop ~ l~eq~nolds; Cha~.rman
Aunaway
NdES: ~otte
ABSENT: Supernisor Maxon /
(/
(,
0. E. D A A , aa.rman
Board o~ Supervisors \
.ATTEST:
CLARK A. I~IELSOL~T, County Clerk
and ex-officio C1erk of the
Board o£ 5upervisors
By E~~ G' /Gc.-~.r-.
7D. ~'S
~l~I ___
ST~iNDARD `AGRELMENT - nPPRO~~o aY ~H~
STATE`OF CALIFORNIA ATTORXEY GENERAL
STU 2 (REV 3/70)
THIS AGREEMEA'T, made and entered into this ~S~ day of ~u1~' , T9~~ ,
in the State of California, by and between Sate of
California, through its duly elected or appointed~ (lll3~j- TITLE OF OFFICER AGTING FOR STATE
fied and acting DEPUTY DIRECTOR
^ CDNTRACTOR
^ STATEpGENCY
~ OEPT. OF GEN. SER.
^ CONTROLLER
AGENCY ^
DEPARTMENT OE NlENTAL HYGZENE
r~reuJ~rr cuueu ine a~u~e, ui~u
COUN~Y.OF BUTTE - ~~~
hereajter called the Conhactvr.
WITNESSETH: That the Contractor for and in consideration of the covenants, conditions, agreements, and sfipulations of the State
hereinafter expressed, does hereby agree to furnish to Yhe State services and materials, as follows:
fSet forth senrice to be rendered 6y Contractor, amount to 6e paid Contracmr, time for pe~formance or completion, and attacl~ plans and specifrcations, if any.J
To initiate and comglete a project to demonstrate Che feasibility of using video tape
for psychzatric consultation in remo~e geographical areas. A complete naxrative
description is attached and incorporated as Addendum B.
Tlie Contiractor agrees to carry out the contxact zn accordance with his 1970-71 application
for £ederal Comprehensive Health Service Act funds under provisions of Public Health
Service Act, Secti.on 314(d).
itnder this agreement, the State agrees tio reimburse the Contractar a maximum amount of
7.t,*enty Seven Thousand Three Hundred Seventy Dollars ($27,370) ~or the period July 1, 1970
through June 30, 1971,
Addendum A and Exhibit III are hereby made a pa~t o£ this agreement.
"For work or services perfoxmed under this contract; no individual shall be paid rfrages
or salary by Contractor eithar (1) in excess of $18.75 per hour during any 24-hour period,
or (2).moxe than'$150.00 for any 24-hour period, ouC of funds payable by State to Contractor.
hereundex."
"The travel allowance in Che project budget approved by the Depaxtment of Menta3. Hygiene
shall be expended by ConCractor only for expenses a.ncurred by Contractor for actual
(TIJMBLE)
The provisions on the reverse side hereof constitute a part of this agreement.
IN WITI~ESS WHEREOF, this agreement has been executed by the parties hereto, upon the date fust above written.
County of Butte - ~~
p ~,r CONTRACTOR IIF OTHER THAN AN INDIVIDUAL, STATE WHETHER A CORPOAFTIOW,
STATL' OF CALIFO~IVTA PARTNEfl51EIP, ETC.) ~
/?
AGENCY BY (AUTH0~12f IGHATURE) q ~ ~~
DEPAItTMENT OF MENTAL HYGIENE - J=' ~.i_~<< _
gY (A~THORIZEO SIGNATURE~ 7E7LE D TOR~
~ ~ BUTTE COUiV`~Y MENTAL TH SIIZVTCES
TITLE ADDRE55
D eputy Director, Division of Local Programs 2279 Del`Oro Oroville Californi
fCONT1NUED ON ~~~~~ -SHEETSEACH ~BEA`RING-NAME OF CONTRACTOR) FUND ~ ~ _ -~ ~ -. - " ~ ~
.. - ._ .. -'~~.. ~'. .
DONOCW19tCInThiSSpQC2 ' ~- `AMOUNY OF 7HI5 ESTIMATE APPFOPRIATION . , ~~
,$ ~
,, •~ . UhEENCUMBERE€] BALANCE ITEM ~ CHAPTER. , STATl1TES FISGAL YEAR
. . . . . . .. . . ~ ~- • ,
A~J. INCREASING ENCUMB- FLJNCTION
RANCE
~~ ~ . -- ~ ~ ~ 'A~J. DECREASING ENCUMB- LINE ITEM ALLOTMENT
._' __ . ' .. _ ._ . _._._ ~RANCE._ . . _...__. ..... . - . .__. _. . _._._. _ _ ..... .~~, ._.. _ ,. .. . .....
_. . _- .,.. .. ,. _ ~.. ~ .
~ ' !l~ereby certify upon nry own petsona! knowledge that budgeted fundr F•~•A• No. e.a, r~o.
are availa6le for the period and pwpose oj the expenttiture stated above.
SIGNATURE OF ACCOUNTING OFFIGER
/ ~ . . . ~. ~ ... ~
~ EXHIBIT !It
NAME OF LOCAL AGEHCY BUTTE ~ COU1r7TY MEN'PAL
PROJECT TITLE ~~ OF V~DEO-TAP~ IN' ~tUxAL COIVSULTAT-
- ORATION
STATEMEtVT OF COMPLIANCE WITH 'tFiE DEPARTMERT OF
r~,,,_H~AG.TH,;=.EEUCATION~ AND WELFARE REGULATIQM
UNDER TI'1'I.E VI, CIYIL RIGH75 ACT OF 1964
STATE ADMiNESTERED CONTINUING HEALTH PROGRAMS SUPPORTED
BY THE PUBL[C HEALTH SERVICE OR THE CHILDREN'S BUREAU
A. PURPOSE
The BUTTE COUNTY MENTAL ~,AI,TH (hereinafter calied the Locat Agency)
Loca 1, Agency SIItVICES
hereby states that, pursuant to the provtsiens of Title VI. of the Civi) Rights
Act a# 196b, (here;nafter_cailed Titie Vt) and Lhe Regulation issued thereunder,
~+5 C.F.R. part 80, (hereinafter called tha Regulation), the program indicated
in Paragraph B below which is financed in whole or in part by Federal financfai
assistance (includtng matching expenditnres) (s being and wt11 continue to be
conducted (n sueh manner. that no person wili be excluded from pa~ticipation in~
be denled the h~nefit. of,,or be otherwise subJected to discrtminatton under
such program or programs an the ground of race, color, or natfonai origin. The
Local Agency is in faet administering, and will continue to administer, these
programs in accordance with T'itle V1, the Regulation, and ali requiremertts
imposed by or pursuant thereta~ except as indicated in Paragraph E below; and
the prpgrams l.isted in Paragraph E, if any, will, as hereinafter described, be
brought into cor~itance with Title V1 and the Regulation.
6. PRQGRAM COVERED
Grants to Local Agencies for;
.,~~/ Mental ~lealth Services (Sec. 314(e), PHS Act)
~ $4 . •*
C. PRACTICES OF LOCAL AGENCY
More speclfically, but not limiting the above, and except as indicated in
paragraph E: ,
i. Provision of Servtces, Ftnancial Ai~1,,or Qther Benefits
The Local Agency wil~l make no dtstinction on #he grpund of race, color, or
national origin iro prouiding to individuals ~ny service, financial aid, or
other benefit under any program or programs covered by this Statement. As
used here and elsewhere in #his Statement:
(a) "DistinctTon on the ground of race, co}or, or national o"rigin" inciudes
(1) ariy type af segregation, separate or dtff~rent treatment, or oCher
discrimination on that ground, {2) the imposition'oF any admission,
enrollment~ quota, etigibiliey, or othe~ requirement or conditlon which
individuals must meet in order to be provicfed any service. financial
aid, or other benefit under,a program or #o be afforded an opportunity
, -- -2-
. to participate in a program if the race, cvlor~ or national,origin
':Of individuals is considered in determining whether they meet any
' such requirement or condition, (3) the use of inembership in a group
as a basis for the selection of individuals for any purpose, or if
ln seletting members of the group theYe is discrimination on the
ground of race, color, or national origin, and (4) tE~e assignment of
times or places for the provis+on of services, on the basis of Yhe
race, color, or national origin of ti~e individuals to be served.
It does not, however, inctude distinctinns on the ground of race, ~ ~
color, or ~aCional origin found by the responsible Agency official
to be necessary Co the conduct of research or experimental pragrams
having as their primary obJective the discovery of new lcnowledge
concerning special characteristics of particular racial or other
ethnic groups. -
{b) "5ervice, ffnanciai aid, or other benefit" under a program receiving
Federal financial assistance includes any educat9on or traini~9, any
evaluation, guidance, counseling, or placement servFce or any
welfare, rehabilitation, housing, or recreational serv+ce or any
referral of individuais for any of the foregoing services, any
scholarship, feliowship, or traineeship~ sCipend or allowance, and
any ioan ar other financial ass.istance or benefit (whetheW~~h thehaid
or-in kind), whtch is made available #o individuals (1)
of Federal financial assistance, or (2) with the aid of the State's
or Local Agency's expenditures required to be made available for the
program as a condition to the receipt of Federal financial assistance,
' or (3) in ar through a facility prov+ded with the aiaboveFederal
financial assistance or the funds referred to in (2)
2. Use of Facilities
The Local Agency will make no distinction on the ground of race. color, or '
national origin in making availabie to individuals the use of any land,
building, equipment, or other faciiity leased, acquired, constructed,
improved or eq~ipped u~der any program or programs covered by t~is Stetement
including:
(a) the use of any room, dormitory, ward, or other space in the facitity;
(b) the use of any equipment in the facilitY;
(c) the use of any office, waiting room,rest rflom, eat~~ovidedre~t~heal,
~ eoncession, or ather accommodafion or convenience p
facility:
(d) the use of aoy facility not provided with the aid of Federal assistance
i~ the availability of such facility is requ+red as a condition to the
receipC of Federal financiai assistance for the Federa~~y-assisted
faciiity.
~ ~. Opportunities ta Participate
The Local Agency will make no d~ortun3ties~to hnd9vidualsftoacarticlpate r
natlonal origin in affording opp P
(other than as employees) io any program or programs covered by this
~Statement including opportunities to participate:
.
_3_
(a) as providers of any service, financial aid~ or ather benefit to
• individuals under the program (e.g.~ as physicians, surgeons, dentists,
or other professional practitioners seel<in9 the privilege of practicing
in a Federally-aided hospital or other facility),
rb) as conferees, o~servers, consultants~ or advisors, or as members of
- advisory or planning groups, or
(e) as volunteers (e.g., as voluntary workers, or as patients or otE-er
_ subjects of study or experimen~ation in research, survey, demonstra-
tion, or tike programs).
~t. Ertspioyment Practices ~
' 3he Lacal Agency will make no distinction on the graund ot race. color, or
national origin Fn its empioyment practices (including recruitment or
reeruitment adverCising, hiring, layoff or termination, upgrading, demotio~,
or transfer, rates of pay or other forms of compensat9on~ and use of
faCilities) with respect to in~ividuats seeking employment or employed
under any program or programs covered by this Statement where a primary
objective of the Federal financial assistance for the program is to pro-
vide ernp~oyment to such individuals~ including programs under wh+ch the
emptoyment is provided:
~ (a) as a means of extending financiat assistance to students or to needy
p~rsvns,
(h) to studertts, fellows, interns, residents, or.others in training for
related emplayment (including research associates or assistants in
tr'aining for research woric) , or
(e) to reduce unemployment or to provide remunerative activity to
individuals who because of severe handicaps cannot be readily
absor6ed in the competitive lahor market.
M!ith resQect to~canstruction employment under any such pragram the Local
Age~cy will comply with the requirements specified in or pursuant to
Executive Order 11114.
5. Advantages~ Priviteges,.and Accommodations
The Local Agency witl make no distinction on the. ground of raca, color~
o~ national origin in making available to indiv+duats provided any service~
financial aid, or other benefit under the program or programs covered by
thls StatemenY~ or to individuais afforded an opportunity to participate
in any such program, any advantage, privilege, or accortxrwdation (such as
houstng, eating, health, cultural, athletic, or recreational services,
faci11Y3es~•or accammodations, or the use of offices~ walting rooras, or
rest rooms) which the Local Agency makes availab{e, with or without the
aid of Federal financial assistance, to any such individuals.
6. Use of Crtteria and Nethods of Administration
The Local agency in determining the types of activitles, services, financial
aSd~ or other benefits, or facilities which wlll be provided or includsd
under any such program, (or planned for)in the case of a planning survey,
or the geographic areas, sites or situations in which such activities~
services~ flna~cial aid, other benefits, or facilittes will be provided
. .', . , .. ~~{~.
or tncluded jor planned for) under any sucfi program, or the ctass of
ind~v.iduals to be affordeci an opportunity to participate in any such
program~ wiil not uCilize any criteria or rrsethods of administratinn which
restslt in or have the effect of distinctions #~eing made between indivi-
d~als on the ground of their race. cotor, cr national origin, or whith have
the effect of defeating or substantiaity impairin9 accomplishment of the
obJectives of the program as respects indtviduals of e particular race~
color, or natioRal origin.
~. (nformation to $eneficiaries. Participarsts, and Others
The Gacat Agency and other political subd~visions, agencies, insCitutions
or organizations participating tn the programs w€11 ~ake available to
benefictaries, participants and other interestec! persons such ~and~maiceon
regarding the provisions of the Regulation and this Statement,
such information available in such manner, es the responsibie Department
offieial may f rom time to time specify.
8. Records, Reports~ aod Access to Fac3tities and Sources of information
jhe Locai Agency and other political subdivisions, agencies, institutions
or' organizations participating in the program w911 keep such retords and
from time to time submit such reports as the responsible Department
official may require to insure compliance with the Regulation and this
Statement. For the same purpose, a11 faciiitles of the Local Agency,
~ other Qatitical subdiv~sions, age~cies, inst~tbookss accounts,zand other
participating in the program and all records,
sources of informat+on pertinent to the ascertainment of the Loca1 Agency~s
eompliance with the Regulation and such compliance ~Y ~artic~~atinga,n the
subdivisions, agenc€es, iostitutions or organizations p P
program will be available for inspection at any time during normal busirsess
hours by a DHEW representative authorized to make such +nspections.
9, Application to Subgrantees~ Contrattors and Other Agents
The'l.acal Agency recognlzes that its obligation to conduct the program or
programs covered by this Statement in accordance with the requ9rements of
7itle VI and the Reguiation, extends not only to tfiose activities and
~ programs which aro ~amsuwhichdarecconductecieby othergagenc~es~ainstttutions,
aetivitles and p 9
organizations, or political subdivisions through Federal fiRanc~contraetsance.
~ made a~allabte to them a~dtthrough,expend~turesaw~ichsaberused~to match
or other arrangements,
such Federai financiai assistance for the purpose of carrying out t e
fedaral pragram or programs. •
p~ pEFINITIONS
All terms used herein shalt have the same meaning as the terms defined in
Section 80.13 of the Regulation. ~'he term "responsibte Department official"
shall mean such afficial or t~is designee. •
. . -s^
., ,
E~ pRpGitAM5 NOT 3 N COMPL 1 Ai~CE -
The manner and instances, if any, in which the Loca1 Agency is not able #o
assure that the programs listed in Paragraph 8 a6ove aracti~es ~tsCed~in
in compliance with TiCle VI, the ReguLatian, and the p
Paragraphs A through D above, are as foliows:
• ~denttfied on an attachment~o~damsyrr~Pchaatdthert+~at~~sl'
the programs and parts of p 9
Statement is executed are not in compliante with 1'itle VI,
the Regutation, and suci~ pracCices. (Be specific with
respect to the grant progran~ the prohibited practices,
~ the geographic areas, the identif'scation of the political
subdivision, institution, or organization, the extent of
no~compliance, and the ste~s and timing for bringing such
~EOgrams or parts of programs into campliance.)
F, METKODS OF ADMINISTRATION T~ ASSURE COMPLIANCE ~
The methods of administration, staffing arrangements, assignment of responsi•
bi{ities and procedures set forth in detail on the attachment and incorporated
herein are those which wi11 be followed-to assure:
(a) Yhat the pragrams covered by this Statement a~hebRegulatao^'a~+dcthe,nuE
to be conducted in compliance with Title V1,
practices listed in Paragraphs A through D; and ro rams or parts of
(b) that. w+thin the period of time indicated any p 9
programs listed in Paragraph E above ~+~~~aciices~9h~ ~Ato compltance
with Tit1e Vf, the aegulation antl such p
~, RELiANCE Ct~ REPRESENTATtONS
.The Local Agency recognizes and agrees that the Federal finan~ia~ ~5sistance
referred to herein w+li be extended in reliance on the representations con~-
tained in this Statement.
' ~~~
~-9~~~C
EiP~il0.~d3 ~. MA!#UIRE;~ M.I?., 04t
~ 3, 1970
~Qate
. : ~~ E ot~ ~~.~'~ ~@~
~as~isl V. ~~ .~'r~#~
~itt~k~ ~iOtJttfi~ (~iCL~ii$Q)
-B QaNi~~ v. s!:.~c'resToc~:
v. . ....~.._ _ ~:.~.~,
B~ Q i AEAl~H 8~[tVIC~
ADDCNDUM A
COMPREHENSIVE MENTAL HEAI.TH SERUICES ACT FUtdDS
I. The Contractor shall furnish an accurafie report of the total monthty expendi-
tures under its mental health budget within,fii~teen (15~ days after the end
of each month. This reporr sF~all be prepared upon a form prescribed by or
acceptable to the State Department of Mental Hygiene, and shall serve as the
basis for reimbursement for the period reported.
2. The ConCractor agrees to p~epare and furnish such statistical reports of
~ ac~ivities and such other plans and reports as the State Departmene of Mental
Hygiene may require. 7he Contractor agrees to mal<e its financial and o~her
records pertaining to mental health activities which are financed by these
p~~blic funds available for inspect€on by the State at any and all reasonable
times.
3. The funds for the advancement of inenta] health as supplied by the Federal
GovernmenC through the State as hereinafter provided are intended Co supple-
ment and be in addition to the funds Urhich would otherwise F~ave bee~ appro-
priated and mGde available under the budget for local mental healCh programs.
4. Al1 personnel employed by the Contractor with the ~unds made available by the
State Mental Health Authority shall meeC the standar~ls of training and e•r.per-
ience required for comparable positions in State employr~e~t, as determined by
the State Department of Mental Hygiene, or standards established from eime to
time by recognized professional bodies and agencies.
5. In accorclance with the availability o~ federal funds, the ~epartment of Mental
Hygiene may; in iCS sole discretion, and with the approval of the Department
of General.Services, reduce the amount of funds to be a~iailable on the contrace
for the balance of its term.
6, lt is essential to the proper contro' of federal funds under provis3ons of the
Public fiealth Service Act, Sec, 31~(~} granted to ~he Department of Niental FEygi°re
for atlocation to ioca3 agencies Chat ¢he plans of expenditure shown in the var-
ious applications be follovaed during tf~e allocation period. It is, there`ore, a
condition o` this contract Lhat the Contractor must notify the Department of
Mental Hygiene, in wriY.ing, of any substantial change or proposed change in his
orogram of spending.-
'adendum B
APPLICATTON FOR
COMPREHENSIVE HEALTH SERVICE ACT FUNDS
Under ~,L, 89-749, Sec. 314(d)
for
1970-71 Fiscai Year
Butte-Glen Counties NEental Health Services-- Amount Requested: $27,370
Use of_Video Tape in Rural Consultation- Project Period: 7-3.-70--6-30-71
Coilaboxation ~
PROBLEM•
BackQzound and Need, Northeastern Caiifornia consists of a ten county area
as large as the state of Indiana with a Cotal populati.on slightly over
300,000 people. The population and tkte major transportation routes are
centered in the central valley counties. Transportation into ~he outlying
mountain counties is dif£icult in the summer and often impossible during
the winter. The population densiry falls off xapidly from the valley to
the mounCain areas, For example, Modoc and Plumas Counties have a combined
population of about 20,000 and a popuZation density of less than 10 persons
per square mile. Present provision of inental health seroices in these two
counties consists of a co¢ebination of commuting mental health professionals,
under private contract, providing outpatient and consultation servfces and
contracts for inpatient servzces with neighboring mental health programs.
Patients requiring hospitalization on a ir.voluntary basis from Modoc and
Plumas are Cransported under a contract arrangement to ei.ther Butte oz
Glenn County psychiatric services. The contracts with these two counties
have also provided the ava9.7.abil.ity of telephone con£erencing to assisC
non-mental health professi.onals in Modoc and Plumas with psychiatric
patients. As yet, telephone consultation has been re2.atively litCle used,
probably because the Butte and G1enn County Mental Health Services have not
had personnel avai3.able to adequately in£orm the non-menCal health professionals
of this service. There are no indi.genous mental health professionals in
Modoc and Plumas Counties. Even non-mental health professionals are in short
supply. Health services in general, and menCal health services in particular
are less available in the mountain counties in compar9.son to the adjoining
valley counties.
Difficu~tzes ~xperienced in Pas~ Attempts to Provide Mental Health 5ervices
Through Other Means, ~
Plumas and Modoc Counties have ~nvested funds to hire mental health professionals
to ~'fly in" on a regular basis zn order to provide direct ou.tpatient services.
While Chis method has the obvious advantage of having professiona3.$ certain
days within ehe month in a county, the costs including that of travel time
can be considerable. AJ.so under this arrangement the professionals are iTt
the area only on speci.fied days each monCh and thus may not be available to
provide direct or i.ndzrect services as patient needs occur. Schedul.es may
tend ~to be based on the needs of Che professional.'s ti.me rather than on the
needs of the pati.ent's difficulties.
During 7une and July of Z969, contracts were developed between Modac - Glenn
Counties and Plumas - Butte County i.nvolvin~; certaia types of psyehiatric
services: Inpati.eat treatment and the availability of consuitation by a
~L -
psychiatrist or clinical psychologisC through telephone con£erenci.ng.~
Costs for telephone co~nunzcation and mental health consultation time
are already wra.tten into tfie existing inter-county contiracCS. However,
there has been reiatively littl.e use of telephone consultati on in this
firsC six month's period. As mentioned be£ore, this may be bacause little
has been done to educaCe indigenous mountain professionals as to its applicability
or potential usefulness. Our original plan was that G~enn and Butte Counties
personnel would be able to interview patients jointly and col7.aboxatzvely
with the referring professional by means of the telephone. This plan would
allow for the provision of some direct service, but would primarily provide
an opportunity £or i.nservice training Co the indigenous pro£essional co11a-
borating during the interview. The cost of this service is, un.der present
Inter-County contracts, twenty do7.lars and hour for professional tiime plus
some rwelve to fifteen dollars an hour for tel.ephone transmission.
Our Glenn-Sutee MenCal HeaLth personnel have met severa7. ta.mes with staff of
the Televisa.on Services of Chico State College in order to a~p7.ore the future
£easibility of utilizino r`live" television in our area. CI~ico State
College envisions closed ci.rcuit television transmittal at some future date
linking its campus in Chico with the several outiying junior colletes in
the northeasC CaLifornia area. The possibility of utilizing cer~ain of
the existing micro taave transmission setups, including those of PG&E,
Southern Pacific and the State of Cala.£ornia are also being explored.
Other organizations, such as the Children's Home Society and the Pharma-
ceutical Association of this area, have expressed interest in being
involved i.n the use of television for either training and educationai
purPoses ox for direct interviewing.
The report o£ the I~fentai Healtfi Services in Northeastern Ca1i£ornia written
by Richard Simpson of the California Tax Payers Association, August, 1969
pointed out the needs of more services in the remote u~ountain counties and
the problems to date im meeting those needs. The report suggested that the
use of televised techniques be looked into as a wa}r of augmenting mental
health services. ~7~.e report has been presented formally on several occasions
to local CounCy boards of Supervisors and has been widely disCributed
throughout the Northeastern area.
OBJECTIVES:
1, To increase the therapeutic involvement of non-mental health professionals
with mental health prob~ems in Modoc and Plumas Counties.
2. To familiarize and train four selected indigenous non-mental health
professionals in ~he tecltniques of m.ental health interviewin.g attd use
of video tape equipment.
3. To increase the amounC and availability of educaCionand consultative
psychiatric services to patiienCS, agencies and professionals in Plumas
and Modoc Counties.
4: To train sCaff for the future use of "live" interviews, i.n which
diagnostic evaluatiions can be done with ~inimal delay, thus enhancing
the "emergency care" and early treatment of psychiatric patients at
hospitals or other facilities in rural counties.
-3-
5. .To accomplzsh routine video taped interviews by zndigenous
professionals for all patients prior to referral to Butte and
G1enn Counties for inpatien~ care. The taped interviews would
be sent along with the referred patienti for review by the inpatient
staff.
6. To provide visual data by video tape £or checking the consultant's
initial impressions o£ emergency cases handled through telephone
conferencing.
7. To allow for utilizatzon of a similar system by such organizations
as the Children's Home Socxety, the Zocal Medical Societies, the
Medical Service Committees oE the California Heart Association,
Northern Division and Units and the local o£fices of the Cancer
Society. Several of these organizations have aiready expressed an
interest in this meChod and are willing to assist in the develop-
ment of xts use, xt is not antiicipated that the video recording
systems would be utilized on a full-Cime basis; therefore, ~ecording
time could be made available to other organizations wishing to use
~his technique, having a playback system compaCible with our recordzng
equipment.
$, To evaluate the clinical importance of audio-visual contact (video
tape) as compared to audio contact alona (telephone conference).
METHODS :
At least two fnd9.genous personnel from each of the rtwo mountazn counties,
one having a medical and the other ar educatiionaZ background, would be
brought to Butte County for a one week period during the early part o~
the project to receive trainfng in mental health interviewing and in the
use o~ khe equipmenC. This wil.l require a one day period. Personnel
with Ch.fco State College Television Services will be utilized as tirainers.
The remaining four days wi1l be spent with the trainees and Bu~Ce and
Glenn County Mental Health personnei jointly doing video tape interviews
of psychiatric patiex~ts with an opportunity for the trainees to view Cheir
own interviews on video tape and receive supervision and education from
the psychiatric professioztals.
En the middle portion of the project, an additional five,days wiZl be
spent by the £our selected indi.genous professionais in Butte County to
review the results of their work to date and ~o have further supervision
ixt i.nterviewing techniques. Throughout the course of the project, on a
once a month basis, a one hour telephone con~erence between the project
director and the four indigenous pro£essionais will be held to discuss
cases worked with during the month. '
The four indigenous professionals wi11, upon the completion of thea.r initial
training, return to their regular work in the mountain counties and, on
an additional part-time basis, visit their fellow non-psychiatric professionals
to acquaint• them with the availability and techniques of video tape con-
su7.tation. A major effort would be devoted to encouraging the use of this
service, 3.ncluding making themselves available to collaborate with othex'
professionals until Chey in turn become comfor~able with the technique.
We antici~ate purchasing highiy portable equipment, aLlowing for inter-
views to be done on a decentraiized basis in the office o£ pro~essionals
-4-
in ~he Cwo countias. Expenses to allow each part-~ime worker to travel
' 15Q miZes per week should allow for the decentzal~zation of interviews.
' The ~our xndigenous professionals would also be able to utilize video
tape consultation for their own regular caseloads.
At such t~me as an interview has been taped, the indigenous professional
will complete a bx~ef written summary of the interview and a patient
profile. If the interviewer wishes to have Che video tape recording be
reCUrned non-erased, he must ind~cate that patient confidenCiality be
respected.
The mental health consultant, isnmediately following hxs review of the
taped interview, wi11 dictate a written summary of his c~in~cal impressions
and recommendations to be sent to the indigenoas professional hand~ing
the case.
zn order to minimize the seven to ten day delay ~haC may result i€ regular
mail service is utilized for trans~ittal of the tapes, Cwo methods can
be used: (1) Telephone conferencing can be done while the video tape is
being filmed. Latier the mental health consultant wi11 be able to review
the interview and his recommendations by means of the video ~aQe; (2) .
Certain banks provide daily flight service from their moun~ain branch
offices into the valley. If this service can be used for transmittal of
the v~deo tapes, no more than two to three days should be required between
taping and recezving the consultant's writ~en recoimnendations. '
This project will be for one yeap. During that time, poss~bilities will
be investigated £or future "Iive`~ interviews by means of micro wave or
other Cransmission circuits.
EVAIaUA'FION:
1. Az~ a.ncrease over time in the number o~ vzdeo tape consultative inter-
views processed.
2. An increase over time in the numbe r of outpatient and inpaCient admissions
(referrals) of Aiodoc and PLumas Connty residents.
3. The increased number o£ contacts between non-psychiatric professionals
in Plumas and Modoc Counties and Butte and Glenn professionals by
means of video tape or te3.ephone collaboration. TEie frequency of
telephone collaborative interviews occurring during I969-70 can be
compared to thase during the project year of 1970-71.
4. The effectiveness of audio contact alone can be compared to both audio
and video contact ~.n certain randomly selected cases, based on judgments
made by Che consulting staff as ~o reliability and accuracy in making
clinica~ recommendations.
5. A,n evaluation by the consulting staff as to the effect of training on
the performance of the indigenous mental health workers as measured
by changes in their taped intervi.ews.
6. Measux'ements by ~neans of a questionnaire of shifts in attitudes toward
commanity mental health on the part of:
(a) Indigenous trained mental health workers.
(b) Other non-psychiatric professionals in Plumas and Modoc Counties.
_~_
TN KIND SERVICES-
; 1, purin.g Aprii Co July of this year, mentaJ. health professionals now
' working in Plumas and Modoc Counties mental health programs will
assi,st in the selection of *_he non-menral health professionals to
. be specially trained and will acquaint other pro£essionals in the
area with the proposed program.
2. After Ju1y 1, project @irection will be provided by the Director of
the Butte and Gl.enn County Mental Health Services through tkce existing
administrative budget of existing mentiaL health programs. Costs of
time spent by the Butte and Glenn County cansulCing staff in traina.ng,
telephone conferencing and vfewing of video tapes wi~1 be fun&ed
through existing menCal health budgets.
3. Existing kocal mental health services in the ~our involved counties will
provide office faciiities and general professional and clerical backup
support.
PROGRAM CONTINUATZOI~:
it i.s expected that tihis project wili termi.nate at the end of one year.,
However, as the equipmene and the four specially trained professiona3.s wi11 ~
remain availabl.e in the remote counCies, we anti.cipate that this service,
if proven feasible, will be a continuing process with £uture operating costs
funded through county mental health programs.
r
_. , COP1P€t~l?~i..._r:'C N~A.LTFI S~RVICE Fii,T Sec 31~d}
~ i i SCAI 1'E;~.R 197E~-~ 1
PRO?OSFfl ~!SDGET
Butte County Mental Heaith Services and Glenn County ?2ental Health Services
~l~}~~ICfc3~ i':dRki: Df individua3 ?i^piiCc"1~1L~ %iGC:i~GV~ OY ~YG837I7_BtiGl7j ~
2279 Del Oro Avenue, Oxoville, Calif. - 1I33 F1. Sycamore Street, Willows, Ca1if.
(91.6) 534-OG.00, Ext. 0401 (916) 434-3351
(p.cdress) ~M ~~ Telepl~one fdurr:ber
PROJ'tCT CbS7`: Propose~J proposcd pro~osec
~~~ Type of h;o~ars/ Salary ier ~
Salari•~s Professi~n IJpc:k 1970-71
zyw-~.._...~~._.~-_ __._......_.._ ~- -- --- - - - ' - - - ...._ __._~ ~
Prufessiora~ staf` (tist each p rofessi~~i}
Project Birector $ ~
Indigenous Mental Health Workers _ 20 ,~ 12,000
~Y'aini.ng and Orientation $ 1,920
Electroni.c Equipment Trai,ners $ 200
$
C.eric~l staf~ Ciaricai _ $
N-titue clerk coordinator . ; 1,750
; ii,,•,;, c. f 15.,.870
. .
._. ~~_...._._...__.._.....~.____.___...._...~.~_ _....._ _ _______..
.._~-._.__._~ ._~.:,...._..:_._._~:.~~.._._~ -- -- - .~~.~. - _..~-- ._:-~=~r~::~::~-~•;~'.:,~,~_.~-~--
(?P~i A?'it:~ !:JST~: Gost fo~ 7.9i0-73-
_ Uti' i ce 5::~:p 1 i es - - - - - ° - - - - - - - - - - $ 200
7elepl~on=ari:;Te.legraph-°----------$ 400
printin~ ard ~?uF?icating - - - - - - - - - - - -$ 50 •
T rave ~ i r; _ .. _ .. .. - - - - - - - - - - - - - - $ 3, 600
Rent an? U.i i 1 ~ C i,-.,- - _ .. .. _ .. _ ., _ _ .. .,S
Oth~r- ~q~1pmenC and Maintaining_ _ _ _ _ _ _ _ _$ ~~z50
~~, ~~Th'S~ $11,500
TOTALS 0~ I AND it: $ 2~,370
If Applicable, Pr~vir,us Finarcii~ry.:
~ ~ Totai 6udget Federal SLate Local Private
1969-70 $. $ $ $ $
Proposed 1970-71 $ $ ~ - $- _--_--- ~_
P~-iva(e 5out-ces o+ income and Estimate~ l~a~ounts for 1970-7I
Zetals ommunity '~ees ponatians Grants for Other
from Chest Coi~ected or subscriptions Services (Specify)
Pri~ate (United Fund) '
Sources • ,
$ ~ ~ $ $ $ ---
6iv. of _
~
Local Pragrains, Dept. of t4ental ~
Hygiene ,7anuaxy 19~0