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HomeMy WebLinkAbout87-005_, COUNTY.OF BUTTE, STATE QF CAI. IFnRNIA_ Resolufion ~]o. 87-05 BOARD OF SUPERVISORS RESOLUTION ADOPTING 1986-87 COUNTY SHORT-DOYLE ANNUAL PLAN FOR MENTAL HEALTH SERVICES The Board of Supervisors of the County of Butte hereby adopts and submits to the State Department of Mental Health, the Part B County Short Doyle Annual Flan for Mental Health Services attached hereto, for the 1986-87 fiscal year. PASSED AND ADOPTED by the Board of Supervisors, County of Butte, this 20th day of January, 1987, by the following vote: AYES: Supervisors McInturf, Vercruse and -Chair Dolan NOES: None ABSENT: Supervisors Fulton and McLaughlin NOT VOTING: None ,, ,., .,~~a~~ Butt County Board of Supervisors ATTEST: MARTIN J. NICHOLS Chief Administrative Officer and Clerk of the Board of Supervisors BUTTE COUNTY MENTAL HEALTH SHORT-DOYLE ANNUAL PLAN Part B X986-87 TABLE OF CONTENTS I. General Requirements Ramie 1.1 Board of Supervisors Adoption and Sut~u.ssion 1 1.2 MfiAB Review Documentation 2 1.2.1B MEiAB/County Population Characteristics 3 1.2.2E Local P~HAB Composition 4 1.2.3E Local MHAB Raster 4 1.3 Form 1,3B Assurance of Complicance 5 1.4 Form l.~B Assurance of Compliance 6 1.5 Form ~..SB Assurances 8 1.6 Regional Canter Agreement II. Executive Summary 2.1 Executive Summary 13 2.2 Organizational Chart 24 2.3 Classification of Director 25 2.~ Director's Time Allocation 25 IIT. Children's Services 3.1 Form 3.1B Proportion of Children's Expenditures 26 3.2 Form 3.2B Services to Special Education Students 29 IV. Other Services !+.1 Patients' Rights 3O 4.2 Form 4.2B Summary of Projected Annual Costs far 31 LPS Conservatorship 4.3 Modes of Service to Priority Populations 30 V. Chapter _5 5.1 CR/DC Budget 33 5.2 Form MH 1910 Existing Programs 48 5.3 Form MH 1910 New Programs 63 5.4 Services Undergoing Changes in Units or Costs per Unit 68 5.5 Remodeling Costs 71 Generai Requirements '~ i '~ ,... ... _ IAND OF NATURAL WEALTW AND BEAUTY - ~.-r~ BUTTE COUNTY fiAEhfTAL HEALTH SERVICES ALEX COLLINS•TNOMAE, pIRECTOR Address ^ 592 Ria Lindo Avenue ® 564 Rio Lindo Avenue ^ 1$C County Cantor Drive Reply so: Chico, Celifomio 95926-1879 Chico, Califarnio 95926.1615 Oraville, California'95965.337$ Telephone: 916/$91-2771 Telephone: 916/$91-2850 Telephone: 916/5344211 r /'fir a~ 1 /1 'lhe Mental Health Advisory Board for the County of Butte has reviewed and approved the procedures insuring citizen ; and professional involvement leading to the formulation and adoption. of the County Short-Doyle annual. plan and has reviewed Part B of the Short-Doyle plan for the 1986-87 fiscal year. Matthews D. Jacks Chairperson Mental Health Advisory Board ;~ i ,, 8` / 9 8` Dat 2 > ~°~ j /' _ ~ ~ MHAD/COUNTY POPULATION CHARACTERISTICS # ~ FTSCAL YEAR: 1986-1987 ' Form 1.2.15 COUNTY: BUTTE CODE• 0 ,.. , MHAB COUNTY NO. PCT NUMBER PERCENT AGE: Below 18 --0 -- -0- 38,093 22. S 18-59 6 7S 95,775 76.5 6Q and aver 2 25 35 597 21 SF.x: Male 5 63 81 726 48.2 Female 3 38 87 788 1 TYPE of MEMBER: General Public 4 ////////////~// ///%///// Consumer 2 25 /////////////// ///`////// ~Professic~nal 2 25 //I//I///////// ///////// 'RACE ar white g 75 15 603 92 ETHNICITY Black 1 13 1 982 1.2 Spanish/Hispanic 1 13 8 785 5.2 Asian/Pacific _0_ _0_ 1 499 0.9 Filipino -p- -0- 194 0.1 Amer.Ind/Eskimo/Aleut _0_ _0_ 2 369 1.4 Other Non-G~Thite _0_ _0_ 5 556 '3.3 unknown -0- -0- -0- -0- BLIND/DEAF/MOBILITY IMPAIRED _0_ --0- 5,085 3 TOTAL AUTHORIZED POSITIONS 17 /////// /////////////// ///f///// VACANCIES 9 53 /////////////// ///,////// FILLED POSITIONS $ 47 /////////////// ///////// TOTAL COUNTY POPULATION /////// /////// 169,514 ///////// 3 1.2.2 Women are under represented on the Board at this time. A membership; drive is under way. It is expected that all vacancies will be filled by February 1987, adding sufficient women members to achieve proportional representation. Form 1.2.3B 1.2.3 Roster of Mental Health Advisory Board Members NAME SEX TYPE OF MEMBER Jim Austin M General Public Byron Bartley M Consumer Charlyne Cavanagh F Consumer Jane Dolan F Board of Supervisors Ed McLaughlin M Alternate Matt Jackson M General. Public Louis Nuernberger M Psychiatrist Roberto Romandia M General Public Jean Wold F Professional It is noted that W&I Code Section S60% (a) does not require an age test for MHAB membership. Furthermore, the age data in Farm 1.2.1B indicate that MHAB representation for the older group conforms to county population figures. Thus,.out of respect for the privacy of MiiAB members, age data are not included in this roster. 4 ;r yf ., ; ~;~ ~I ' ~~ ~~ FORM 3.38 ~ASSURAl~CE OF COMPLIAt'.CE The following statutory sections or policy letters either reerure that certain conditions be in place within the mental health program or that certain action be taken by the Vocal Mental Health Director. By signing alongside each item the focal Mental Health tirector is assuring compliance with the conditions of the statutes . W&z Code 5551 (e) (2) : A DMH Approved duality Assurance ~l~r~c;.~-rT..-~ Plan in Farce W&I Code 5651 (e) (3) : A C~MK Approved Certification Peview ~~~=~, Hearing Procedure in Force 47&I Code 555I (e) {4) ; A PMH Approved Case Management Plan ~~=-~ in Force W&I Code 5651 (f) : An Approved Roger H. Procedure SEE BELOW Butte Cotmty Mental Health Services has drafted and implemented a Roger S. Procedure. This procedure has been forwarded to DMEi for review and approval. Upon approval BCMH mill have an approved Roger S. procedure in place. ~~~~-~~~ i t '~ 'f i 1~ +^ i r. - 5 Foxr~ ~ . 4 ~ ASSURANCE OF COP3PLIAI+~CE WITH SECTION 504 t~F THE RF.HABILITATIC?h ACT (7F 1973 AS AMFNnEa The undersigned (hereinafter called the "recipient") hereby agrees that it will comply with Section 544 of the Reharilitation Act of 1973, as amended (29 U.S.C. 794), all requirements im~+osed, by the applicable FEW regulation (45 C.F.R. Part 84}, and all guidelines and interpretations issued pursuant thereto. Pursuant to Section 84.5(a] of the regulation (45 C.F.R. 84.5(211, the recipient gives this Assurance in consideration of and far the purpose of obtaining any and all federal grants, - loans, contracts (except procurement contracts and contracts of insurance or guaranty) , property, discounts, or other federal financial assistance extended after the date of this Assurance, including payments or other assistance made after such date on applications for federal financial assistance will be extended in reliance an the representations and agreements made in this Assurance through Lawful means. This Assurance is binding on the recipient, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign this Assurance on behalf of the recipient. This Assurance obligates the recipient for the period during which fed era) financial assistance is extend ed or, where the assistance is in the form of real or personal property, for the period provid ed for in Section 84.5(b) of the regulation (45 C.F.R. $4.5(b}). The recipient: (Check a. or h.1 a. ( ) FEnploys fewer than fifteen persons b. (X~} Em ploys fifteen or more persons and, pursuant to Section 84 .7 (a1 of the regulation (45 C.F.R. 84.7 (a} ? .; has designated the following person(s) to caardinate its efforts to comply with the HF?S regulation: 6 ~.t ALEX COLLINS-THOMAE .. Name of Designee{ s) {Type or Print) ~~ BUTTE COUNTY MENTAL HEALTH SERVICES 584 R.IO UNDO AVE, '~ t?ame of Recipient {Type or Print) Street Address or P.©. Pox f CHICO IRSO Employer Identification F~umber City CA 95926 State Zip: Cade T certify that the above information is complete and correct to the hest of my knowledge. ['ate Signature and Title af~ Authorized Official :~ x ~,,! ~~ 7 FORM 1.5B ASSURANCES BUTTE For Fiscal Year x.986--87 WF CF4~T I~'Y 'WHAT: County A. The county mental health program assures in }articular that services are provided in a manner consistent with Welfare and Institutions Code Sections 5551.1 and 5651.3. R. The county mental health program will be administered according to division 5 of the Welfare and Institutions Corley and the county mental health program will maintain compliance with all Policy directives and Policy Letters issued by the State h~partment of h?ental Health which are effective during the 1986-87 fiscal year. C. Aa ~. persons employed in this county mental health program .(directly or through contract) meet applicable requirements contain ed in division 5 of the Welfare and Institutions Cod e and Title 9 of the California Administrative Cnde. d. ~nploym ent of personnel shall be made solely on the basis of merit, r~ithout regard to race, religion, color, sex, national origin, age or physical or mental handicap. 1. The local program conforms in employment practices and providers to all state, local, and federal laws and regulations pertaining to employment hiring and affirmative action. 2. Affirmative action shall he taken to ensure that applicants are employed, and that employees are treated: during employment without regard to their race, religion, color, sex, national arigin, age, or physical: or mental handicap. Such action shall include, but not he limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or a ther forms of compensation; and selection far training:, including apprenticeship. There shall be posted in S conspicuous places, notices available to employees and • applicants for employment .provided by the- County Officer responsibile for contracts setting forth the provisions of the Fclual Opportunity clause. 3 . All .solicitation or advertisements for employees Placed • by or on behalf of the contractor and/or subcontractor sha11 state that all qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, age, or physical or mental handicap. Q . ~'ach lalaor union or representative of workers with which the county and/or the subcontractor has a collective' bargaining agreement or other can tract or understanding must past a notice provided by the County Gfficer responsible for contracts, advertising the labor union or workers' representative of the contractor's commitments under this Equal Opportunity clause and shall post copies of the notice in conspicuous places available to employees and applicants for employment. In the event of noncompliance with the discrimination clause of this contract ar as otherwise provid ed by state and federal law, this contract may be cancelled, terminted, or suspended in whole or in part and the contractor and/or the subcontractor may t+e declared ineligible for further state contracts. S . All provisions of paragraphs l through ~ will he included in every subcontract unless exempted by rules, regulations, or orders of the Director of the Department of ~!ental Health so that such provisions will he binding upon each subcontractor. The contractor will. take such action with respect tv any subcontract as the State .may direct as a means of enforcing such Provisions including sanctions for noncompliance provided; however, in th;e event the contractor becomes involved in, or is threatened with, litigation with a subcontractor as a result of such direction by the State, the contractor may request in writing to the State, who, in turn , may request the United States to enter into such litiga~'ion to protect the interests of the State and the United States. E. Services, benefits and facilities shall be provided to Patients without regard to their race, color, creed, national r~rigin, sex, age, or physical or mental handicap and no one 9 will be refused service because of inability to pay for such services . 1. Nondiscrimination in Services, Benefits and Facilities' There shall be no discrimination in the provision of - -. services because of color, race, creed, national origin, sex, age, ar physical or mental handicap in accordance with Title VI of the Civil Fights Act of 1964, 42 U.S.C. Section 2000(d), rules and regulations promulgated pursuant thereto, or as otherwise provided by state and fed eral law. For the purpose of the contract, distinctions on the grounds of race, color, creed or national origin include but are not limited to the fallowing: denying a participant any service or benefit to a participant which is different, or is provided in a different manner or at a different time from that provided to other participants under this contract; suk~jecting a participant to segregation or separate treatment in any matter related to his receipt of any service; restricing a participant in any way in the enjoyment of any advantage or pr iv liege enjoyed by others receiving any servi~.e or benefit; treating a participant differently from others in determining whether he satisfied any admission, enrollment quota, eligibility, membership, or other requirement or condition which individuals must meet in order to be provided any service or benefit; the assignment of times or places for the Provision of services on the basis of the race, color, creed, or national origin of the participants to be served. The county and all subcontractors will take affirmative action or ensure that intended beneficiaries are provided services without regard to race, color, creed, national origin,-: sex, age, or physical or mental handicap. 2. Patients' Ri hts The county and all subcontractors assure that all recipients of service are provided information in accordance with provisions of welfare and Institutions Code, Sections 5325 and 5325.1, and Sections 5520 through 5550, pertaining~to their rights as patients,. that the county has established a system whereby recipients of service may file a complaint for alleged violations of their rights. 10 3. Procedure for Com faint Process A11 complaints alleging discrimination in the delivery of services by the county and/or suk~contractor f+ecause of race, color, national origin, creed, sex, age, or' physical. or mental handicaF, may be resolved by the'. State through the Department of Mental Health's civil rights complaint process. All unresolved Complaints concerning patients' rights may be resolved by the State through the Department of Mental Health office of patients' Rights. 4. Notice of Com faint Process The county and ail subcontractors shall, suf~ject to the approval of the Department of b9ental Health, establish procedures under which recipients of service are informed of their rights to file a complaint alleging discrimination of a. violation of their civil rights with the Department of Mental Health. 5. Interpretive services are available or will he obtained for persons required to sign forms of the type identified in paragraph F.5. who are fluent only in a language for which no translated form is available, ~'. 'she county and any subcontractor will furnish all information anc~ reports required by the nepartment of ~'ental Health and will permit access to books, records, and accounts for purposes of investigation to ascertain compliance with paragraphs n.l. through C~.3. and F.l. C. ~'he county hereby authorizes the State Departm ent of riental Health to have access to personnel records of any and all persons employed within the Iocai mental health f±rogram, such records being within any unit of county government or any; private provider of services. All contracts between counties and providers a£ services shall provide for such access by the State Department of Mental Health. An execute~~ copy of this document certified by the Cl erk of the Hoard of Supervisors shall be attached to and referenced in and -nade part of each contract the county may enter into for the purposes of implementing its Short-Doyle plan. ll ,.t {Signature) Chair arson of Governing Poly ~~ Jai ~ o ~ss~ Date 12 {Signature) L6ca1 Mental Health Director ~a v..~, ~~~~ Date .' ~ ~7+ _,~ CHAPTER 1I EXECUTIVE SUMMARY Chapter 2 EXECUTNE SUMMARY 2.1 J. Scope and Level. of Services: # .. _ .. .. ~= ~~: t .:.: The goals of community mental health programs funded under provisions of the Short-Doyle Act are: '' A. To assist pers~s who are institutionalized, or who have a high risk o£ becoming institutionalized, because a£ a mental disorder, to Jead Jives which are as normal and independent as possible, consistent with thea.r individual capacities and desires. ~. To assist persons who experience temporary psychological problems, which disrupt normal living, to return as quickly as possible to a functioning level which enables them to cape with the problems of everyday life. C. To prevent serious mental disorders arzd psychological problems. Within the limits of resources available, Butte County Mental Health Services endeavors to provide a comprehensive continuum of mental health services in pursuit of these goals, including: acute 24-hour care in a psychiatric health facility environment; longer term residential care in a variety of environments,~~including skilled nursing facilities, residential treatment programs, board and care homes, and adolescent treatment facilities; partial day treatment programs as an alternative to inpatient care to support independent Jiving, rehabilitation of employment capabilities and socialization; a full range of outpatient services including assessment, collateral, individual therapy, group therapy, medication programs, and crisis intervention services; case management services for the chronically mentally ill; conservatorship investigation and administration services for the gravely disabled; and, community outreach services, including consultation, education, and information. Special projects include outreach services to the elderly and Hispanics populations and services to at-risk children and youth through the Homeless Emergency Runaway Effort. Butte County has developed the following "guiding principles" to provide direction to the planning effort within the context of the genera) goals o£ the Short-Doy1e Act: A. To maximize the client's potential to live and function i.n the community in a manner that is satisfying to the individual. $. To provide services in a community setting and in the least restrictive environment consistent with the needs of the client. C. To provide a comprehensive continuum of highly coordinated services. 13 D. Ta provide the highest quality services possible. E. 'To provide services which are sensitive do special needs, cultural background, age group, and gender. ~". To enhance the community's ability to understand mental health problems, and empower the community to prevent and address mental health problems. G. To max7mize client and family involvement in planning and implementing services. H. 'To provide services within the county bouzzdaries. I. To provide services which are accessible. J. 'To create and maintain an organizational environment that enchances staff :motivation and morale and supports personal growth. K. 'Io provide effective and efficient program administration. L. To establish and maintain mutually supportive and responsive relationships with local, state and federal entities. The general objective of Butte County Mental Health Services, Consistent with Short-Doyle policy and local guidelines is to provide a comprehensive community based continuum of care. It should be noted that Butte County does not utilize the State hospital system for treatment of LPS cases, but has instead developed and utilized community based alternatives which provide appropriate care in less restrictive settings. The emphasis on 1oca1 programs has demanded that Butte County pay particular attention to cost-effectiveness, demanding the greatest benefit possible from every dollar spent. The convergence of state policy, local guidelines, and fiscal realities have produced the continuum of care described below: A. 24 Haur Services (Mode of Service 05) 1. Psychiatric Health Facility: Butte County provides acute 24-hour care in a 19 bed psychiatric health facility located i.ri Chico. This facility provides both voluntary and involuntary care and' is the County's designated facility for evaluation and treatment under W&I Code 5150 and 5250. The PHF provides approximately 4,250 bed.-nights of service annually to about 600 unduplicated: clients. 'The PHF also provides inpatient services to residents of neighboring counties on a contractual basis. 2. Clairneaux House; Adolescent Residential Treatment: The county has developed, by means of a contract with Victor Residential Center, Inc. (VRC), a six bed residential treatment program for adolescents. This program is intended for youngsters who would otherwise be candidates for state hospital placement based on the severity of their disorder. 'The program provides 24 hour care and supervisor, resocialization and treatment. Anon-public 14 school carefully linked with the treatment process is also provided. The average length of stay in the program is projected at .10 months, allowing for the treatment of 7.2 unduplicated clients armually. The ..program is located in Redding, CA. primarily t_o gain the advantage of certain economies of scale which result from linkages with the existing "Stepping Stones" program operated by VRC. A free standing si.x bed program in Butte County would have been prohibitively expensive. 3. Treatment Patch Programs: {Mode of Service 10) Treatment patch programs are designated by state policy as day treatment programs, but are described here as 24 hour care, since they serve primarily as alternatives to hospitalization in the Butte County continuum of care. These programs are budgeted in the "Day Services" portion of the CR/DC budget. a. Crestwood Contracts: The county contracts for 10 beds in skilled nursing facilities which can provide a secure environment for adult clients requiring this Ieve1 of care. The county pays a "treatment patch" for each bed which provides enriched treatment, socialization and recreation services beyond those funded through state and federal subvention. Average length of stay in the Crestwood program is 10 months, thus unduplicated client count is appro~cimate~.y 12 annually. The BCMFI Continuing Care Program maintains close involvement in treatment of persons placed in Crestwood facilities, including treatment planning, on-site visits, and discharge planning. ~~ . b. Creekside: Creekside is a 12 bed residential care facility located in Paradise which serves as Butte County's primary covinmunity-based alternative to hospitalization. In the classification of the Supplemental Board and Care Program Creekside is best described as a Level II facility, serving the needs of clients who have a history of placement failures and repeated hospitalizations. The Creekside Program provides twenty-four hour care and supervision, resocialization, and rehabilitation. Resocialization is accomplished primarily through a behavioral program. Treatment and treatment planning is coordinated with the BCMH Continuing Gare program, and linked with day services. Appropriate discharges include dove-- ment to less. structured settings such as Esplanade Manor, board and care or independent living. Tn FY 85-86 the Creekside program served 38 unduplicated clients. c. Esplanade Manor: Esplanade Manor is a long-term residential care program located in Chico serving the needs of the ten counties of Northeastern California. In the classification of the Supplemental Board & Care program Esplanade Manor is described as a bevel I facility, serving the needs of clients who have chronic mental disorder and who exhibit potential for self-sufficiency, and require specialized mental health: care. The program provides twenty-four hour care and super- vision, resocialization, educational, and rehabilitative programs. The program is also closely linked with BCM~i Day Treatment 15 Services. Butte College provides educational programs designed to increase independent living skills. Successful. discharges would include basic level board and care and independent living. d. Basic Board and Care/Interim Life Support: BCME~ provides intera.m funding for basic board and care service for clients who have not yet received notification of eligibility for SSI funding. _ ~BCM[1 also provides "interim life support" for the homeless mentally ill under auspices of the Bronzan program. Both services are budgeted in the Continuing Care program. (Made of Service 50). B. Day Services 1. Da Care Habilitative: BCM~ provides day care habilitative services at the Ghico clinic five days a week. These services are designed to provide treatment and rehabilitation in order to maintain or restate personal independence to the client with chronic mental disorders. Clients of the day treatment program may live independently, in board and care facilities, or in community residential facilities. Services include treatment interventions in individual and group settings, social skills building, independent living skills training and recreational activities. Approximately 4500 units of service are provided to 140 unduplicated clients:: annually. 2. Vocational Services: BCMH provides vocational rehabilitative services .through a contract with the Wark Training Center. Glients participate in pre-vocational and vocational activities in a structured and supervised setting. Clients have the opportunity to participate in subsidized employment including landscaping and janitorial crews. An anti-stigma community education. crew is under development, and linkages with Longview Industries will offer the opportunity for non--subsidized employment on painting crews. The vocational rehabilitation program operates out of the Chico clinic and provides 1800 units of service to 45 clients . annually. 3. Socialization. Services: The Socialization program, operated under contract by Do--It provides activities and recreation. to persons who require structured support and the opportunity to develop the skills necessary to function independently. The program provides recreational activities, outings, cultural events, educational opportunities, linkages to community resources and` other rehabilitative efforts to persons who might otherwise lose contact with the social or treatment system. The socialization program operates in 0roville and serves 165 people annually. 16 4. Adolescent Da~Care Habilitative: This program serves children.'. and adolescents who have been evaluated as severely emotionally disturbed (S.E.D.) and who require therapeutic intervention to benefit from their educational experience. Services are provided to twenty children in two classes of ten each at Loma Vista School. In addition to treatment intervention including individual and group therapy the children receive a highly structured, ~~_ _ behaviorally oriented educational program provided by Butte County Schools. Th.e program serves twenty five children annually at I..oma Vista School in Chico. The program is accessible to children county-wide through transportation services provided by Butte County Schools. 5. CGF Augmentation: Gommunaty Care Facility Augumentations to the Creelcside and Esplanade Manor programs are described under "24-hour services". 6. SNF Au entations: SNF augmentations in the Crestwood system described under "24-hour services". C. Outpatient Services 1. Chaco/Oroville Clinics: BCMK provides outpatient services in the Chaco and Oroville clinics designed to provide both short-term and sustained therapeutic intervention for individuals experiencing acute or on--going psychiatric distress. Twenty four hour telephone response and referral is available through two "$00" numbers. Walk-in crisis intervention is available in each clinic during normal business hours. In-clinic services include a full range of outpatient care: :_ a. Collarteral contacts are provided with "significant others" in the life of the client. b. Assessments are available to provide formal, documented evaluation or analysis of the cause or nature of the clients mental, emotional or behaviroal disorder. Assessments may include psychological testing, physical examination and laboratory testing in addition to initial intake examinations. c. Individual Thera is designed to provide goal-directed therapeutic intervention which focuses on the mental health needs of the client. Treatment planning focuses on the alleviation of symptoms and distress as well. as long term improvement in integration and functioning and the attainment of treatment goals is monitored. d. Group Therapy is designed to achieve the same ends as individual. therapy, byyt is a group setting which contributes to relationship building and socialization. e. Medication contacts are face-to-face contacts between a client and a staff member licensed to prescribe, administer or dispense medication for the purpose of evaluating the therapeutic efficacy and potential side effects of medication. 17 f. Crisis Intervention provides an immediate therapeutic response to clients exhibiting acute psychiatric symptoms in order to alleviate problems ~aha.ch., if untreated, present an imminent threat to clients or others. Face. to face contacts are provided during normal business hours at both the Chico and Oroville Clinics. After hours telephone intervention is available 24 hours, 7 days a week. After hours. face to face crisis intervention is available at the PHF in Chico. The outpatient clinics provide service to approximately 800 unduplicated clients annually. 2. PHF Pre-Admission Physical Screenings: .Outpatient assessment services are provided,-under contract, by both Chico Community Hospital and Oroville Medical Center Hospital. The emergency rooms of each hospital screen clients prior to admission to the Psychiatric Health Facility to insure that the clients physical condition is appropriate for admission to a non-hospital. inpatient program and to identify potential underly~.ng physical causes for the clients psychological behavioral problems. D. Continuing Care Services The continuing care program operates to assure continuity of care, long term treatment and maintenance to persons whose mental or emotional disabilities preclude independent functioning. The continuing care program also serves to coordinate community residential care services and maintain linkages between inpatient, day treatment, outpatient and residential services, such as Esplanade manor, Creekside, Skilled Nursing Facilities and Board anal Care facilities. 1. Case Management: The Continuing Gare staff provide case management to a caseload of approximately 400 individuals. Case management serves to insure continuity of care within the system through the develo~nent of a service plan, monitoring of progress and movement within the system, and direct therapeutic intervention as appropriate. 2. Life Support/Interim Funding: BCMH provides interim reimbursement of board and care costs far persons n.ot covered by public or private resources. Assistance is provided to clients of BCMH who are applicants for SSI benefits, and to the homeless mentally i11 under auspices of the categorically funded HMI program. 3. Supplemental Residential Care Services are services designed to augment basic living and care services provided far mentally disordered adults in licensed community care facilities. Supplemental services include supportive and rehabilitative services as identified in the client's treatment plan and are provided in addition to the basic care and supervision provided by the facility. Services are intended to facilitate movement of clients to less restrictive levels of care. Butte County provides Supplemental Services as described below: a. Level I: Esplanade Manor provides 21 beds far Level T clients, who are defined as having potential for self sufficiency. Level I clients have a chronic mental disorder and require both specialized mental health services and help with daily living activities. In the absence of such services level I clients would be at risk of needing a higher level of care. 1$ b. Level II: Creekside provides 12 level TI beds for Butte County residents. Level lI clients have limited potential for self- sufficiency and may have a history of repeated placement failures and hospitalizations. Failures in placement may be the result of repeated violations of facility rules ar rapid personality decompen- satian. Level. zI clients require help with most activities of .:daily living. 4. Conservatorship Services are provided by the Butte County Public Guardian, under contract to BCMH, and are designed to provide for the financial. and/or personal protection of individuals deemed to be gravely disabled under provisions of the LPS Act. a, Conservatorship Investigation consists of activities provided to collect, assess, and document for the court of juristiction the psychosocial and financial information necessary to support or-deny a finding of grave disability consistent with established LPS criteria, to evaluate available alternatives to conservatorship, and to make a recommendation to the court regarding conservatorship status. b. Conservatorship Administration consists of services to manage, :monitor and coordinate a conserva~ee's financial resources and to assure the availability and adequacy of necessary treatment services and social services. E. Community Outreach Services {Mode of Service 45) Community outreach servcies are delivered in the community, at--large to special population groups, human service agencies, and to individuals and families who are not clients of the Short-Doyle system. Community outreach includes telephone crisis reduction, information and referral, and short-term intervention with persons who do not enter extended treatment. 1. Mental. Health Promotion includes activities directed toward expanding agencies or organizations ~owledge and ski11 in the community at large or special population groups, and education and/or consultation to individuals and communities regarding mental health service programs in order to prevent the onset of mental health problems. 2. Community Client Services are directed toward assisting individuals and families far whom there is no open case record to achieve a more adaptive level of functioning through single or occasional contact. Services are also designed to enhance and expand the knowledge and skills of human service agency staff in meeting the needs of mental health clients. 3. Special Projects: BCMH operates two "special projects" under the umbrella of Community Outreach Services: a. Skills Training and Enhancement Program (STEP): The STEP project provdes outreach services ~o two special populations; the elderly and the Hispanic community. The purpose o£ the program is to provide a "bridge" to populations who are currently underserved for reasons of either culture or accessiblity. One thrust of the project is to train service providers who normally contact these populations in early recognition of mental health problems. ~~Friendly 19 Visitor" also provide person-to--person contacts and referrals for persons at risk. This project is funded through a competitive federal block grant. ~:b. Homeless Mentally Ill Project: The HM[ project provides outreach, direct service and referral to the homeless mentally ill. Two drop-in centers are operated by the contractor, FAmily Service Association. The project provides interim Life support through a voucher system, ~~~ assessment-and referral, benefits advocacy, assistance with daily living needs, and self-help groups. F. Youth Treatment Services (YTS) The description of services to children and youth is embedded inthe previous descriptions of inpatient, day treatment, outpatient and continuing care services, however, since the goal is to develop a full range of services, scope and level of services to children and youth is summarized below: a. Acute In-Patient Care: Acute inpatient care is provided in the BCMH Psychiatric Health Facility. When a youngster is admitted to the PHF close liason is established with the YTS outpatientleas management staff to ensure that the child receives-age-appropriate care and that discharge planning is as expeditious as possible. In FY 85-86 the PHF provided 1.14 units of service to 46 children and youth for an average length of stay of 2.5 days. b. Lon Term Residential Care is provided via a contract for 6 beds with Victor Residential Center, Inc. This program is described in detail under "24-hour services". c. Adolescent Da Treatment Services are provided to 20 youngsters in a special education school setting. This program is described in the "Day Services" section. d. Outpatient Services are provided by BCMH staff in bath the Chico and Oraville clinics. The YTS outpatient staff deal exclusively with children and their families and work under the direction of the Children`s Coordinator, who is a psychiatrist. The caseload capacity of the outpatient program is 60 cases at any given time, and services include the full range of outpatient services, including assessments, collaterals, individual therapy, group therapy, medication monitoring, and crisis intervention. The YTS program depends heavily on family involvement, therefore collateral contacts are a major activity. e. Case Management is provided for all YTS cases. Special emphasis is placed on those cases requiring either acute inpatient care in the PHF, or longer term placement in Clairveaux House. Close contact is maintained with other agencies serving children anal youth, especially schools,. child protective services and probation. 2O II. Planned Changes from the Prior Year: A. Patient's Rests Services: BCMH has let an R~`P to select a contractor to provide external patient's rights advocacy services under provisions of Title IX. In addition to shifting from internal to external advocacy the contract wi11 provide for an increase in advocacy services to .7 FIE and insure consumerism as a fundamental precept of the advocacy program. B. Clairveaux House: BCMH implemented long term care to adolescents in July, 1986. The Clairveaux House program is described under I.A.2 above. C. Adolescent Day Care: The school--based day treatment program beg~m in FY85-86 is now fully implemented, and BCMEi is seeking Medi-Cal certification for these services. D. Categorical Programs: BCMEi has implemented two categorically funded programs and is in planning and development far a third: 1. Homeless Mentally Ill Program: This program became fully operational in September, 1986, and is described elsewhere in the plan. 2. Supplemental Board and Care Services: BCMH is providing Level I and Level II supplemental care under auspices of the SB15S program. 3. .Special Populations: BCMH in developing an proposal to provide aud~nented services to the geriatric population as a significantly underserved. special population. 'This proposal will be fox~aarded to DMI-I pending local review. E. Treatment Linkages: BCMH has significantly strengthened treatment linkages between community residential treatment facilities and the department's: day treatment and continuing care services in pursuit of quality, coordinated care. III. Crucial Tssues Butte county faced a number of crucial issues in the development of the current plan. A. uit An issue which: continues to be of concern year after year is the relative underfunding of mental health services to residents of Butte County. The demand for services exceeds available resources, which makes the equity isso° acute. It is ironic that to a great degree Butte county's position relative to per capita funding is the result of the county`s development of corrnnunity based alternative to state hospital programs. At the time that Butte County voluntarily de-institutionalized its residents and developed community based programs there was no "buy out" program. As a result, the resources represented by the farmer state hospital allocation did not follow the clients home to Butte County. County's which were slower in implementing the intent of the Legislat~'e were able to reap significant fizzancial benefit. The County has sought administrative and political relief on this issue, to 21 no avail. The Butte County Mental Health Advisory Board sponsored a regional workshop an Equity last Spring. The Equity issue has been included it the County's legislative platform for the Last several years however a political solution is not forthcoming. The State's equity plan does not promise to resolve the issue in the foreseeable future. Finally, the County is exploring legal actions which might be necessary to achieve equal protection under the law for Butte County residents who require mental health services. B: "AB 3632": The uncertainty and confusion created by the passage and mplemen- tation of AB 3632 continues to impact planning and service delivery iri Butte County. Every estimate of the potential need for services far outstrips the allocation of dollars to fund this shifted mandate. The tendency in Some quarters to define this program as an entitlement creates the very real danger that essential services will be displace if these newly mandated services are not adequately funded. In response to 3b32 Butte county 'has two relative advantages; 1) An essentially complete continuum of care for children and adolescents and 2) A strong, collaberative relationship «a.th County Schools. ', C. Categorical Funding Sources: The proliferation of categorically funded programs in the FY 86-87 State Budget has created transitory stress in the planning process. Most manifest was the delay in. determining how categorical programs would be integrated into the CR/DC process, which had significant impact on internal planning timelines. Secondarily, categorical programs subvert the local planning process and place additional reporting and program development demands on already over-burdened adminstrations. The County has supported the "Small Counties Position Paper" on this issue and has instructed its legislative advocate to seek legislative relief. D. Distressed Counties: Butte County remains a distressed County. Year after year local services such as fire,police and libraries have been reduced partially as a result of increased State mandates. Tnternal competition for increasingly scarce local dollars has accelerated. While Butte County has never failed to appropriate matching funds for mental health services ',the issue of future matching dollars remains open. Tt does little good to be seated on the left side of an airplane if the right wing has fallen off. Additionally, the County's general financial distress has indirect im~aacts. A distressed salary structure makes it difficult to recruit experienced professinal staff. County support services are severely over--extended, making timely support from personnel, counsel, purchasing and others very difficult to achieve. Finally, there is the very human inclination to'resent state subvented, mandated programs which are perceived as exempt from the real pain of Butte County's financial plight. TV. Program or Fiscal Tssues Which Will Continue to Place Stress on the System All of the issues cited above are expected to continue to stress the system in Plan Year. Resolution of the Equity issue is not expected, nor is t~iere realistic expectation of relief from the distressed Counties problem. DMK has expressed concern about the categorical funding issue and there is some hope of relief. Finally, the fu11 impact of AB 3b32 ~,ri11 depend on the level of referrals'. that materialize and the will of the Legislature to provide funding at a 22 level which matches the mandate. There are additionally two more issues which may prove stressful iri the plan year: A. PHF Funding: The continued inability to achieve full legitimization of ;the PHF model, particularly in regard to Medi-Ca1 reimbursement, leaves BCM~I facing an onerous reality. In the absence of Medi-Cal reimbursement, the net cost of the PHF in Short-Doy1e• dollars is greater than the net cost of hosp~,tal based inpatient care. 'This is indeed ironic given that free standing PHF's crere intended as a more cost-effective model. This issue will become more critical as additional. demands are placed an insufficient funds. B. IMD's: The resolution of the IMD issue in a manner that preserves access to SNF beds is critically important to Butte County. 1"he loss of the SNF resource would totally compromise the County's ability to carry out its'. policy of using community based alternatives to state hospital placement. 23 O ct] `~ / ~ Q u~ ~ ~ O H Q ro O .~ H .~ .--t O C~ C 't7 .~ [1] [~[J,7 U I-I Q ',H7 FORM 2.2 0 ~ ~ ~ Q ~ ~ ~ w U H ro a-' ' ~~a~ixm F. ~ a-•! ''-~ U rl ~ H rl to T~ ~ a O~ H U U O ~ ,~ ~ ~ ~ ~ ~ O ~ ~ ~ ~ ~ ~ ~ ~ ~ ff] C1~] bd ~ r-+ C~ ~ s~-i ~ ~ ~ cn •~ ,--t v •~ 0 3 v ~ G c~• ~ ~ ~ uro~~~ •~ s ro~ ua•~ ~ ~ ~ ~., a~•~ o ~ ~ ~ ~ ro ~ ~ c ro ~ •~ o .[ ~ a •,~ ~ ,~ ~ co ~. ~~q ~ro ~ C!] U•~~~Uro V] U d7 ~-I y • rl ro r-I U ro z H ~ C.7 ~i ro~ ~ U S•-I ~ O moa S-t 5..1 V. t~ Ra ~ o~ x ~~ ~~,~rou~ ~~a ~~ ~UUW[/~ ~xG G O '"• Z ~ ~ w • M ~ ~ ~+ ~ . ~ •rl r-. ~ 41 O ~ .,--I H U V] C.? CH ~ '~ ~ ~. . ~-i ~ ~ ~ as•~ CrI O r -s ~ ~ S-.t r--I O •ri ~ ~ ~ '~ UA ~ ~ G 9 r tl C7 Q CQ Pq U N ~ ~ x • CI] c[S U O ~i G4 R ~ ~ ~ ! O W~ ~ ~ j ~ ~ [ ~ u U ~ ~ H ~ ~ p W U ~ a H C3 -i ~ •r -! ~ ~ ~ F 3 "3~y" ~ df U c d U ~~ii O ~ ~' ~ '~' bD r-I G--I ~ p~ W '" O x ~--1 d5 wcr~ ~~-' ww~n cup a •p o ~ ~ ~c~ t~o~~7~° H Ua ~ H ~ H ~ 4~ ~ r-•f A ~ cs ~ O O •r4 U ^ '~ ~ ~ ds ~ ' n ~ ~ W x W cu a ~~ O a ~ ~~ b~ w ~ p~ O W ff-{ ~ ~ ~ ~ w~ W ~ ~~ • •~~ ~ x ~ ~~~~ p..,,~~~ p ~ '~ su ~ ~ H[ l] ~ d , • r!~ u) f~ ,...~ a 2G } CHAPTER 2 2.3 Classification A. Local Health Officer B. Medical Administrator of the County Hospital C. Licensed Physician D. Licensed Psychologist E. Licensed Clinical Social Worker F. Licensed Marriage, Family, and Child Counselor G. Registered Nurse XX H. Administrator I. Acting Director (indicate the expiration date o~f waiver) . ~ 2.~ An estimate of the proportion of the Local Mental Health Director's time allocated to each of the following categories: Mental Health 9a Alcohol 5 Drug Abuse 5 Health Agency Public Agency Other Total 1O0% 1.0 FTE 25 CHASTER III Children's Services 5 FORM 3.IB Children's Services W&I Code 57f?4.5 and 5704.6 _ Adjusted Cross Program ' (Local & OMHSS Only) (less categorical funds) - State Pospital Cross TOTAL Ali Programs County Population Total $ 3,817,011 -o- $ 3,817,011 1b2,94S Age 0 -17 $ ~7b,95 -a-- $ 476,955 37,242 ~ of Total 12.5 ~ -0- ~ i~ ~ a 22.9: ~ Percent of State General Funds Spent far Children, FY 1983--$4 (fr?&I Code Section (5704.5) 11.0: ~ Percent of State ("eneral Funds Planned for Children, EY 1986-87 (WxI Code Section 12.5.: ~ 5704.6 ) Percent of Applicable 1985-87 Augmented Funds Planned For Children, FY 1986-87 (W&I Code 5704.6 ) 91. $; g she proportion of State General Funds to be expended for children's services in 1985-$S may not be less than the proportion expended in 1983-84 unless a determination has been made by the governing body in a noticed public hearing (Welfare and Institutions Code Section 5704.5}. Costs to Develop d'oint Planning for_Children ` W&I Code 557$.5 ~t 1987-sa $ 24,ooa 1988-a9 S 27;000 ~ 9ss-9o $~3a,ooa ., .y 2b FORM 3.18 (Continued) Agencies Involved in Special Planning Task Force (W&I Code Section 5578.E 1. Butte County School District 5. ~. Child Protective Services 6. 3. Probation Department 4. ?. 8. Identified ~[utual Seeds (i^T&I Code Section 5578.5): 1. Multi-agency Case Review Process 2. Comprehensive Screening and Evaluation Service 3, Additional Resources far Individual and Famil 'Thera Services 4. Coordination of Communication regarding Intake and Referral 5* Service Availability for .Behaviorally Disordered Children and Youth b. nescribe the progress in developing the local plan for a joint. system of services to seriously emotionally disturbed children. and adolescents (FJ&I Cade Section 5576.5? 27 FORM 3.1B (Continued) During the 1985-86 fiscal year, discussions were held with other public agencies ~, ~ serving seriously emotionally disturbed children anal adolescents including the schools, Child Protective, Services, and the Probation Department. Gammon: and joint planning opportunities were identified. The plan for the development of a coordinated system of services to address: ., ..~ the needs of seriously. emotionally disturbed children involves the utilization of Butte County Mental Health Youth Treatment Services consultants to each of the three other public agencies serving the needs of these children, namely Child Protective Services, the schools and probation. The Mental Health consultants will train the staff of each of these agencies in the use of a standarized form for referral to mental health. These will provide problem identification in numerical as we11 as narrative form and thereby provide along with appropriate clinical evaluation when needed, a means for case assess- ment designed to determine the least restrictive appropriate mental health treat- ment setting for each child and the planning facilitating the provision of needed services for the child and family when necessary. 'The Autte County Mental Health Youth Treatment Services clinical supervisor will monitor the services. Clients and families will be referred to the patients rights advocate for advocacy services. Regarding a brief description of the program Butte County has made in developing the local plan required by W&T Code Section 5578.5, the mental health consultants have been identified and have began providing mental health consultation to Child Protective Services, Probation, and the schools. The Youth Treatment Services staff have developed the basic format for the form that will be used by these other agencies far referral to Mental Health, and plans have begun. for training of staff which should begin by January 1, 1987. Tnaddition, a major meeting including top administrators from public schools, mental health, Child Protective Services, and Frobation has been scheduled £or November 18, 198b the major focus of which is to collectively address the issues related to service delivery for severely emotionally disturbed and behaviorally disordered children and youth. 28 FORM :i.2B f?udaeted Costs of Assessm ents_and Mental Health Services ["or S ecial F ucaton Students VJ&I Code 5651(8) Government Code 7570 ; 7571 ; 7576 pMH Letter $6-12 F k' i :~ A { .~ Mode of Function 1985--81 ].985-$6 Service Code Amount Amount 10 92 $ 79,334 $ 66,056 15 30-39 ~ 10,479 $ 6,000 40-49 38,390 -0- 10-19 7,445 -0- 4 5 $ _0_ ~ _0_ 50 10-19 $ 36,496 $ -0- $172,144 $ 72,056 29 CHAPTER IV Other Services 3 '~ ~S' ,. :'~ .~~ ~4 ~S .~ :~ `1 CHAPT FR 4 Other Services 4.1 Patients' Rights Indicate number of full-time equivalent staff per 500,000 population assign «3 to perform patients' rights advocacy services. 2,13 4.2. Conservatarshi Specify an Fora 4.28 the agency or agencies designated to - provide LPS conservatorship services and the appropriate workioac~ and expenditure data. 4.3 t]sing the following format indicate the modes of service (by CR/BC codes) to be applied in serving the priority popuiations..~isted. If a given priority population is trot to be served, check the appropriate space in the gone column and explain this response on a separate Sheet (Welfare and Institutions Code Sections 5651.1 and 5651.33. Service Modes None `s i 5 ~~ }: { ~~ ~. ~. ~~ 4 =, a) Acute Care Patients 05 ,~ 10 , 1S b) Chronically AAental ly Ill 45, 05, 10,_ ~5 _50 c) Mentally C~isturbed Children ane~ Adolescents 45, 05, 10, 1S, 50 d) Mentally Il}. Elderly 45, 05, 10~ 15Z._SO e) Mentally TIl Jail Inmates.and Mentally T11 Wards. of the Juvenile Detention Facilities 45, 05, 10,15,50 £) Underserved Populations (as defined by the county) 45, 05, J.O~1SrS0 30 FORD! 4.2 B Summary of Project_ed_ Annual Costs for LPS Canservatorshi~ Fiscal Year 1.986-87 1. Agency Providing Conservatorship Investigations PUBLIC GUARDIAN Total Annual Cases 24 Annual Cross Cost $25,184 Average FTF Caseload .5 2. Agency Providing TemForary Conservatorship: PUBLIC GUARDIAN Total Annual Cases 18 Annual Cross Cost $18,888 Average FTE Caseload .45 3. Agency Providing Conservatorship of Person: PUBLIC GUARDIAN Total Annual Cases 72 Annual Cross Cost $71,928 Average FTF Caseload 1:85 4. Agency Providing Conservatorship of Estate: NIA Total Annual Cases -0-- Annual Crass Cost _C_ Average F'^F Caseload --0- :; ,; 3~ 1 F''~ + 3' R S' •L ! '~ i. ~ 1, ~ 31 F~FM 4.2B (Continued) :; . ~5: Agency Providing Case Management to Conservatees: (a) BUT'T'E COUNI`Y MIIVTAL NFAT,TH Total Annual Cases 72 Annual Cross Cost x:963 Average FTE Caseload 1.5 Agency Providing Case Management to Conservatees: (b) `-`_---- Total Annual Cases Annual Grass Cost Average F"I'E Caseload Agency Providing Case Management to Conservatees: (c) --- --- Total Annual CasF.s Annual Cross Cost Average FTE Caseload r'f~TF': If possible, all numbers should be unduplicated. If dupla.cation is unavoidable, explain areas and estimated percentages of overlap belawa 32 CHAPTER 5 I I J! ~., ~ z ~ i I I h ~ ~ '1 ~ I I '.CI I jC'J ~' ~y d Z ' ~ I l j( 1~jr. ~ M N T N ~ ~ s~ ! i I ; ~ ~ s to o." . ;pIN:M~ ice' ~ t~ d 1'~ ttcy i ! Q 7 ~^ d i I N O N ml { ~ r .. rJ. ~ ~1V i N t+[4 . I 6 1I I I i ,~ ~ I I w I }y}y 1! f MI I I :) ^'- i.i; Jfr~l Ir I y[I I n tb L~~J L. ~~ I w .O ..«, J r I` I I ~ ~ C. a 'J I ~ i ~' ~j .r 1 .r.~.Ji I I ~ ~ n _ = 's Y e I n C ~J ;~~~ ^~~ ~r' ~,~ ~ 1~ z z- i ~~¢ l i k~ N o n ~ n w ~w ~ ' WI li ` a .i U N I y N ++ '.~ ~\ ~ .. _ ~ I I j 1 !n ' I I V w ''. ~ j hnlI f.J ,+ i I ¢ v ~ -., c t~ d a ~~ v I m i i uJ .. ~ I ~1 U I ! C W ~~ 71 ' V I ~ ~ v I I a ~, c j~ I j ''' ~ a~ ~ i ~ ? 1 :~ ~~ a ~ Y I !\ -k V ~ J ~ G T = I 2 t ~' I :I N 7O ~J Z .~ J S CJ I ;i} ly}~, J ~ -~ I I .! } .. ..I - ZL _ J Z ' I i _~ ,-~\ ~~T ~ - ~~ i ~ I}. ~M1 ..Ji ~_.J' I ~ Zy i x~ ~ I V i !~ II, rC7 . ~, 'J d o I _ j y ~ i ~, ~ XQy yC W~ M i I ~ - .~ l ' ~ wU0 G ~ I I j O i { I I I ~"y- w-r i ( I I wSrL ~ w i Q O a j I W ~ j ~ ~ I w~ W I N S i F a ~ ~~, ~, I a m r I I ~ .. ~ I }I /III I I ~.-.~ _ ~ -__.. __ _._ _ --.r-... ___~ ._~~~t_-L_ .-- Y` -..~... Sll _ ~ v •~~ V. vNi ^J.^M1I ~.'-.~C .r` ~'C'~ =:Jti ~ I~ .J ~ ~ :.J .O l i J 1 jh .-. ' C ~ 0 2 I J ~j" '(^J ~~~"..ill ~'~~~ IC~ ~N~L 'r.ICC ~- ~ [l ' VN w I ~: T`~ 7j ~ j J I I CJ ~kN .,j--i . ~ VJ j E > ~-- ~ I I I "r" .. R 301 I O Ir p.~ ~ ;!'I I t I i N ~~ r .1Q ~ uj ~ I Eui ~~ .°. .J a. a i ~~ ¢} . ti WI ~ Q~~ ~ ~{ ~ ~ ¢ o = ~ w W N ~ o tia H i I.u~at IuI I zl Z w~ 4 F Q W u m yr ~ ~ ~~WE plr oI I°iwl~ ~I4IIa y a ¢ p w l Y r~in u ¢la r xw O > ~ cxi q~l~i~ a~>I p~€=FF~V~Vu ww=w ~2l ylw zwlM Vi F w j d F' i K{ f I Ca4"JC w~HNOw > v Q ~ w .., t"1 I~ I N u w{ ~ C7 a 6 `s V~ `1 V O [J ~ N ~ p a C~ I~ ~ hQ 4. Q r U ° Z' W x J F U a !S a * Q ,~j N¢ V V 6 ii Q w y? i !L Cn ~ < cIF = a ;?I .rn ~ ~. O w 3 = w 'emu ~'~ C7 ~, LL q °- [. Illl z _ 7 `^ ,-, w 4-, ~ 7. w ~ ~ '^ r I = n~ v o d ~ u z ~ u a~ yr . N m d z o0 33 r .. c o C Q _ ~ ,.F' ~ q a ~ O _ U. LJ.f Q ....1 O © ~ Z ~ ~ ~ ~ U. LL l1.1 ..J ._.1 O }- ~ ;~ .J 2 ~ ~ ~ u~ u1 ~i ~ ~ ~ '~ I us ua ~ ~ ~~a ~ oo~~ ~. E._. ~ w a~`~~ ~ (~ O Q ~."' Q . . r ~ ~ r- (1[ M C~ CLOC]O O T H w Q W ~' ~~~i a x ~ o ~ T ~ ~ q ~ O z ~' ~- I b ~- m ~ A ~ ®f~ O U ~ ~ (O m ^ ¢~ ~ q ~ = S Q fX1 C!1 ~ W } l u~i ~ N 1 N Q . p Y 1 ~ ~ OO O 1 CEO ~ N U ~ ~ ~ ~ N N N rn 69 W W ~ ~ 1 M ~ O ~ [~~3 O F- CC Q Q Ca ~ '.73 O 1 ~ ~ O Cr ~ c0 t 7 t~f) ~ W ~ ~ ~ ~ ~ ~ I N N M W m } ? ~ a O I a ~ I ~ Q o 1 U d° U ~ a M a ae °e ° ~ 0 ~ I 0 aE 0 ae o O ~ y Q ~ rn ~ o r I r ~ r t I JG C7 O ~' N 1~ N Z I ~I 1 O :"^. ~- 1 ~i O ~ ~ I k :~ a ~ N N v cfr I # I ~•, ~ sn ~ ~ c ~ ~ ~~ ~ w 1 c7 a ~ rn .c ~- !! "i w ~ U 1 69 ~ ~ ~ ~ ~ I I N ~ C? ~ I _~ ~-I Q.~ ~ ~ ~ ~ 0 f ` f/] o Q O O CL ~ cw1 ~ u l 1-~~ ~ 1 ~ ~ ~ . 0~ ~ ~ Q r-r n 00 ~ N C7 O ~ X ~ N W 69 r'] ~ ~ ~ u ~ i ' f ~ .~ I ._~ Q !I Q h ~ ~~ w© fi -' U ~ ~i ~ W _.! ~ ~ N J r } Q U _1 ~ '.u ~- F' O a cn $ r oa O -,' o~ ~ ~ _ U ~ a U ° ~ o n o ~ ~ ~ a ~'W ao o~c° Q ~ ~ a a c ~ ~ W J (n W LL J ~ ~ O ~ ~ a I 1-- ' ~ ~ h ~ U d 0 ~ tzjy o ~ o ~ w W ~ W o ~- , v ~ ~ ~ ~ cr cn ~ Q a c oG ~ ~ ~ ~ Q Q ,,,,1 z ', ' J W j W C~ ~ ~ (,-- W F- a r ~ W C7 es '~ W S W ~ ~ " o u~ ~ LL Z W ~ i ~ ~ J e u i 4W " O ~...fZ ~ W F - O W k - ~ o 1"" a ~ ~ ~ q LL ~ J ..a Q t o ~ ~Q y ~ ~ ~p C7~ ~~~ o o ~ ~~ Q a~ ~ ~ a~ -- a~.o ~ ~ U F- ~ ~ ~ a ~, ~- m r- ri ri ~ ui cfl r: ao ci o 34 State of California - Health & welfare Agency Dept. of Mental Health MH 1901 (Rev. 9/86) ' SUPPLEMENTAL BUDGET DATA SY STATE GENERAL FUND. SOURCES scat Yeaz Submission Date County of ~ County Code 86-87 November 30, 1986 BUTTE 04 Submission Type* Program Type*~ 01 01 FUNDING SOURCE SUMMARY ~________-- ------____.___.-_ 1 2 3 4 Medi-Cal Medi-Cal Federal Non-Fed Program State Net . ITEM 4440- DESCRIPTION Costs Share Costs Total 1.01-001(a)-1 Community Residential Treatment Services 27,497 27,497 101-001(b)-1 Community Services--Less *** Trmt. for SEP with IEP 2,352,033 250,000 3.89,961 ,791,994 103.-001(b)-2, Community Services- *** Trent. for SEP wish IEP 172,144 172,144 01-001 { d } -l ~ rllterrbat:.ve to Jail 101-001(e}-1 Inappropriate Jail Placement -~` --____.. ____....__ ...._____. 101-001(e)-2 ~Mental Health Services Secure Facilities -_-__--_---- j -___---___-----------_---_ ------_- _--__---- ---__----_ -------- 1O1R001{e}_3 ~E1derly~Ment_Disabled! _-_---- --_-_-_ _-_..____ ---__-_-- 101-001(e)-4 Veterans-Ment.Disabled 141-001{e)-S Juvenile Sex Offenders/ Victims of Sex Offenses 101-007.{f)-1 Residential Care Services 11.4,058 114,058 lOJ_-001{g)_1 ~Homeless---___.._--____- - 137_742 -~-~--- --_-_--_ _137,742-. 131-001{a)-I Spec.Ed. Pupils-Assess, Trmt. & Case Mgmt. 17,371 17,371 TOTAL ALL IT EMS {STATE GENER AL FUND ONLY) ,820,845 250,000 1$9,961 ,260,8Q6 -- ~~~^~~Comp7.etion instructions on Back 35 }l; -S~• S .4~?•y ~..." ~~ ,t i' i ~' •i `:' -'~- ~;~;' •s~~~.: ;` f ~E,- ~7T. ~:.` , "_~: ~., . -~;?~ r,*4 , C P C O C? w Q V Q C7 a } GO a Q ...~ i ~ s ~ ~~ ...1 n w ~ ~I 0 W 0 F- h Z ~ 0. ~I i1J Z i a p ~ Z I 6i1 ~ J ~ ~ ~ Z ~~ ~ ~ c~ a m C ~ N LL ~ 4 m LL ~ ~ ~ 2 Q ~ b « Q~ C1 ~ U~ { ~a 0 ~ a w ~ N } ~ +n • J OQ ~ ^ U I 4 ] ,~i N ~ m ~ N li ~ ~ ~ ~ n m u .~. y e--i ~ m p ~ r"~ (~ $ U ~ ~ U 1 n i Rl N i~ a l ik r O ~ ~ ~ ~ M .. ~ ~ N w p ~ ~ 7 7 7' m c `.7 . I .. ~~ ~ N li i.ft ~ # < 1 d ~ p v ~ I f U_ ~ ~ ~ ~ I I c .~ .. ~ ~ r-f ~ ~ ~ t ' v N ~ i c ! J M a`Z ~ ~ ~ C ~ W H U 1 ~ f r r-~ w Q A a } CC ~ ~ O H 0. f. 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PROGRAM SUMMARY - MH 1910 FISCAL YEAR 86-87 COUNTY NAME: BUTTE PROVIDER NAME:BUTTE COUNTY MENTAL HEALTH COUNTY CODE: 04 ADDRESS; 592 Ra.o Lindo Avenue Chico, CA PHONE NUMBER: 891-2771 ZIP CODE :95926 MODE OF ADJUSTED SERVICE UNITS OF UNDUPLICATED FTE SERVICE GROSS COST FUNCTIONS SERVICE CLIENTS POSITIONS 05 1 Q $314,261 30,91 6,650 140 5.7 15 $393,145 50' 60' 70'40 5,443 -500 5.S 45 $291,856 10, 20 4,550 ~~~~~~~~~~~~~~ 3.5 50 $237 960 10 56 3 720 198 4 NARRATIVE: Program Gaals : (ATTACHED} Program Objectives: (A~~} PROVIDER # 0401 48 PROVIDER ~~ 0401 BUTTE COUNTY t~nrrar. N~AT,Tx PROGRAM GOALS: To enhance the quality of life in Butte County by providing for a continuum of services which minimize the impact of mental health disorder. To provide a comprehensive continuum of treatment and rehabilitation services for persons with acute and chronic mental, emotional., or behaviorial disorders, particularly when symptoms impair the ability to live and function independentJ.y . PROGRAM OBJECTIVES: 1. To provide a therapeutic environment of care and treatment in a residential setting to voluntary and involuntary clients with both acute an chronic mental disorders. 2. To provide a range of therapeutic, rehabilitative, resocialization and vocational. programs in a day treatment setting as an alternative to inpatient care and as an adjunct to residential care. 3. To provide short-term or sustained therapeutic interventions a.n an outpatient setting for persons experiencing acute or ongoing psychiatric distress. 4. To assure continuity of care and long term support and maintenance for persons whose mental or emotional disabilities preclude independent functioning. 5. To provide education, information, and consultation. services to the community at large, special population groups, families, and human service agencies, and to provide early intervention and assistance to families and individuals who are not clients of the mental ° health system.. 49 PROGRAM SUMMARY ~ MH 1910 FISCAL YEAR 86-87 PROVIDER ~ 0402 COUNTY NAME: BUTTE PROVIDER NAME:BUTTE COUNTY MENTAL HEALTH COUNTY CODE: Q4 ADDRESS: 1$-C County Center Drz.ve Oraville, CA PHONE NL3MBER:534-4705 SIP CODE: 959b5 MODE OF SERVICE ADJUSTED GROSS COST SERVICE FUNCTIONS UNITS OF SERVICE UNDUPLICATED CLIENTS FTE POSITT,ONS 05 _0_ -0- -0- -0- -0- .10 $106,101 40 4,750 165 N/A ~antract ro ram 15 $377,296 10, 30, 40, 50 b0 70 5 703 s 450 5.0 45 $194,570 10, 20 3,050 ////////////// 2.5 5~ $173,834 10, 40 3,97b 216 4 NARRATIVE: Program Goals : (AZTACHED} Program Objectives: (ATTACHED) 50 PROVTDII2 ~~ a4a2 BvTT~ cor~vTY ~ HEA1,Tx PROGRAM GOALS: To enhance the quality of life in Butte County by providing for-:a~continuum of services which minimize the impact of mental health disorder. To provide a comprehensive continuum of treatment and rehabilitation services for persons with acute and chronic mental, emotional, or behavioral disorders, particularly when symptoms impair the ability to live and function independently. PROGRAM OBJECTIVES: 1. To provide a range of therapeutic, rehabilitative, resocialization and vocational programs in a day treatment setting as an alternative to inpatient-care and as an adjunct to residential care. 2. To provide short-term or sustained therapeutic interventions in an outpatient setting for persons experiencing acute or ongoing psychiatric distress. 3. To assure continuity of care and long term support and maintenance for persons whose mental or emotional disabilities preclude independent functioning. 4. To provide education, information, and consultation services to the community at large, special population groups, families, and hums service agencies, and to provide eazly intervention and assistance to families and individuals who are not clients of the mental health system. 51 PROGRAM SUMMARY - MH 1910 FISCAL YEAR 86--87 PROVIDER ~ 0406 COUNTY NAME: BUTTE PROVIDER NAME: BUTTE COUNTY PUBLIC GUARDIAN COUNTY CODE: 04 ADDRESS: 2279 Del Oro Avenue Oroville, CA PHONE NUMBER: 534-4251 ZAP CODE: 85965 MODE OF AD3USTED SERVICE UNITS OF UNDUPLICATED FTE SERVICE GROSS COST FUNCTSONS SERVICE CLIENTS POSITIONS 05 IO 15 45 ///////I///I// 5~ $x.16 000 2 0, 3 0 4,607 9S /A -Contract Program NARRATIVE: Program Goals: To provide conservatorship investigation and administration for the gravely disabled. Program Obsectives: To provide - approximately 24~conservatorship investigatiar To provide - approximately 70 conservatorship adminstratians. Unique Client Needs Met: ~~ ~~ ~:` ~. 3^ 1~ '~ -. ~1 52 PROGRAM SUMMARY - MH 1910 FISCAL YEAR 86-87 PROVIDER # 0415 COUNTY NAME: BUTTE PROVIDER NAME: CHICO COMMUNITY HOSPITAL COUNTY CODE: 04 ADDRESS: 560 Cohasset Road Chico, CA PHONE NUMBER: 345-2411 ZIP CODE:gS926 MODE OF SERVICE ADJUSTED GROSS COST SERVICE FUNCTIONS UNITS OF SERVICE UNDUPLICATED CLIENTS FTE POSITIONS 05 10 15 ~4]. 160 30 375 30~. NIA -Goritract Pro am 45 - ////////////// 50 NARRATIVE: Program Goals: To provide pre-admission screening and physical examination To obtain comprehensive medical and psychiatric history. Program Objectives: To identify medical problems. Unique Client Needs Met: Identification of medical problems that otherwise might have gone unnoticed. S3 PROGRAM SUMMARY - MH 191Q FISCAL YEAR 8b-87 COUNTY NAME: BUTTE PROVIDER NAME:BUTTE COUNTY MENTAL HEALTH COUNTY CODE: 04 ADDRESS: 592 Rio Lindo Avenue Chico, CA 9592b PHONE NUMBER: 891-2775 ZTP CODE: 95926 MODE OF SERVICE ADJUSTED GROSS COST SERVICE FUNCTIONS UNITS OF SERVICE UNDUPLICATED CLIENTS FTE POSITIONS 05 ~g49,8D1 20,21 4,250 587 23 10 15 45 ////////////// 50 NARRATIVE: Program Goals: To provide a focal alternative to State hospitalization. To provide treatment for acute, severe emotional disorders. Program Objectives: To alleviate disabling symptoms. Ta provide a therapeutic environment of care and treatment. Unique Client Needs Met: Acute, severe mentally disordered clients treated in a community setting; their own community. Easily accessible to family and other support systems. PROVIDER # 0428 54 _A •~ PROGRAM SUMMARY -- MH 1910 FISCAL YEAR 86--87 PROVIDER ~ 0429 COUNTY NAME: BUTTE PROVIDER NAME:Crestwood Manor, Modesto COUNTY CODE: 04 ADDRESS: 140Q Celeste Drive Modesto, CA PHONE NUMBER:(~,Q9) 526-8050 ZIP CODE: 95355 MODE OF ADJUSTED SERVICE UNITS OF UNDUPLICATED FIE; SERVICE GROSS COST FUNCTIONS SERVICE CLIENTS POSITIONS N A- Contract Q5 $27, 375 60 1 , 825 15 Fro ram 10 15 45 ////////////// 50 NARRATIVE: Program Goals: To treat chronic mental, emotional, or behavioral disorders, particularly when symptoms impair the ability to Live and function independently. Program Objectives: To provide a safe and therapeutic environment. To facilitate movement to the highest functional 1eve1. To alleviate symptoms. Unique Client Needs Met: Treatment provided within a community setting. Alternative to state hospitalization. 5S =~`,'; PROGRAM SUMMARY - MH 1910 FISCAL YEAR $6-87 PROVIDER # 0438 ;~: ~~~ COUNTY NAME: BUTTE PROVIDER NAME:VICTOR RESIpENTIAL CENTER, COUNTY CODE: 04 ADDRESS: g Wa.lliamsburg Lane Chico, CA PHONE NUMBER:gg3_C759 ZIP CODE: 85926 MODE OF SERVICE ADJUSTED GROSS COST SERVICE FUNCTIONS UNITS OF SERVICE UNDUPLICATED CLIENTS FTE POSITIONS 05 $120,829 70 2,190 b N A Contracts Program 10 15 45 //////I/////// 50 NARRATIVL~: Program Gaals: To provide long-term resa.dential treatment services to children and youth who would athsrwise be referred to a psychiatric inpatient unit. Program Objectives. To provide 6 beds in a rssideratial long-term facility. To provide direct services to family. To develop linkages with child's educational system and co~munity resources. Unique C1.ie nt Needs Met: Alternative to state hospitalization. NC. 5b . ", ~. .PROGRAM SUMMARY - MH 191Q FISCAL YEAR 86-$7 PROVIDER ~ Q430 COUNTY NAME: BUTTE PROVIDER NAME: COMMUNITY LIVING CENTERS COUNTY CODE: Q4 ADDRESS:4846 Pentz Road Paradise, CA PHONE NUMBER: 872-9919 ZIP CODE: 959&9 MODE OF SERVICE ADJUSTED GROSS C05T SERVICE FUNCTIONS UNITS OF SERVICE UNDUPLICATED CLIENTS FTE POSITIONS 05 1Q $135,251 50 4,161 38 N/A ~~~ACT 15 45 /////////I//// ~o $ 28,600 55 2,684 38 N A c~o~p ~cT NARRATIVE: Program Goals: To treat chronic mental, emotional or behavioral disorders, particularly when symptoms impair the ability to live and function independently, and when the client is at risk of hospitalization. Program Objectives: To provide a safe and. therapeutic environment. To facilitate movement to the highest functional level. To alleviate symptoms. To provide one-to-one supervision as necessary. Unique Client Needs Met: Treatment provided within a commiu7ity setting. Easily accessible to faanily and other support systems. 57 PROGRAM SUMMARY - MH 1910 FISCAL YEAR 86-87 PROVIDER ~ 0432 COUNTY NAME: BUTTE PROVIDER NAME: ESPLANADE MANOR COUNTY CODE: 04 ADDRESS: 2573 Esplanade Manor Chaco, CA PHONE NUMBER: 343-1617 ZIP CODE: 95826 MODE OF ADJUSTED SERVICE UNITS OF UNDUPLICATED FTE SERVICE GROSS COST FUNCTIONS SERVICE CLIENTS POSITIONS 05 A CONTRACT 10 $88,277 50 12,000 135 PROGRAM 15 45 ////////////// A CT 50 $74,070 50 10,340 13S PROGR.AM NARRATIVE: Program Goals: To treat chronic mental, emotional, or behavioral disorders, particularly when symptoms impair the ability to live and function andependentl~r. Program emphasis an development of independent living skills. Program Objectives: To provide a safe and therapeutic environment. To facalaatate movement to the highest functional level. To alleviate symptoms. Unique Client Needs Met: Treatment provided within a caarnrnuiity setting. Easily accessible to family and other support systems. ~~: 58 PROGRAM SUMMARY - [~ 19I0 FISCAL YEAR .86-87 PROVTDER # 0433 - --- .. COUNTY NAME: BUTTE PROVIDER NAME: OROVTLLE HOSPITAL COUNTY CODE: 04 ADDRESS: 2767 Olive Highway Oroville, CA PHONE NUMBER: 533--8500 ZIP CODE: 95965 MODE OF ADJUSTED SERVICE UNITS OF UNDUPLICATED FTE SERVICE GROSS COST FUNCTIONS SERVICE CLIENTS POSTTIONS 05 10 I5 N A -Contras $10, S00 30 96 7~ PrD am 45 ////////////// ~0 NARRATIVE: Pragrarn Goals: To provide pre-admission screening and physical examination. Ta obtain comprehensive medical and psychiatric history.. Program Objectives: To identify medical problems. Unique Client Needs Met: Identification of medical problems that otherwise might have gone unnoticed. 59 _~ .~ PROGRAM SUMMARY -- MH 1910 FISCAL YEAR 86-87 PROVIDER # 0435 COUNTY NAME: BUTTE PROVIDER NAME: BUTTE COUNTY SCHOOLS COUNTY CODE: 0435 ADDRESS: 1859 Bird Street Oroville, CA PHONE NUMBER: 534-4277 ZIP CODE: 95965 MODE OF SERVICE AD3USTED GROSS COST SERVICE FUNCTIONS UNITS OF SERVICE UNDUPLICATED CLIENTS FTE POSITIONS 05 10 $79,334 92 1,440 30 2.05 15 ~45 ////////////// sa NARRATIVE: Program Goals: To provide day treatment services to adolescents which are age appropriate and serve as an alternative to residential placement. Program Objectives: To incorporate education, recreation, and rehabilitation activities. To inc~.ude the client's family in service activities,: To reduce need far mare lengthy and costly treatment services. Unique Client Needs Met: Provision of preventative services in the early stages ofi family breakdown.. _ `, 6a 1 L `; ,r '. ~~ a A PROGRAM SUMMARY - MH I9IQ FISCAL YEAR 86-87 PROVIDER # 0436 COUNTY NAME : BUTTE PROVIDER NAME : BUTTE COUNTX MFNTAT. HEALTH {STEP PROJECT -- BLOCK GRANT) COUNTY CODE : 04 ADDRESS : S92 Rzo Lzndo Ave. Chico, CA PHONE NUMBER: 891-2771 ZIP CODE: 95926 MODE OF AD3USTED SERVICE UNSTS OF UNDUPLICATED FTE SERVICE GROSS COST FUNCTIONS SERVICE CLIENTS POSITIONS 05 Ia 15 45 $56,552 11 1,250 ////////////// 2.07 5 0 .. NARRATIVE: Program Ga als: To increase the capacity of the community (as a whole) to respond to mental health needs of special target populations, specifically the elderly and Hispanics. Program Objectives: The project involves needs assessment, selection of CBO's for participation, and individualized targeted training and technical assistance to target population groups. Specific services to be provided to client include: outreach; information; education; consultation; and ~oommunity client services, in general. Unique Client Needs Met : Underserved populations, with unique consideration far age, cultural, and ethnic barriers. 61 ". PROGRAM SUMMARY -- MH 1910 FISCAL YEAR 86-$7 PROVIDER ~ 0437 COUNTY NAME : BUTTE PROVIDER NAME : FAMILY SIltVICES AS50CIATION COUNTY CODE : 04 ADDRESS ; 677 E. 7th Avenue Chico, CA PHONE NUMBER: $91-1731 ZIP CODE:9Sg2& MODE OF ADJUSTED SERVICE UNITS OF UNDUPLICATED FTE SERVICE GROSS COST FUNCTIONS SERVICE CLIENTS POSITIONS Q5 10 15 45 $75,000 12 4,160 ////////////// /A PROG~RAMCT 5 a N A CONTR.A,C'T $42,gZ0 40 3,550 UNKNOWN pR~ NARRATIVE: Program Goals: Provide outreach, advocacy, specialized referral and service programs for chrona.cally mentally ill and homeless persons in Butte County. Program ObjECt.ives: Develop drop-in service programs in the county. Provide direct social service to homeless mentally ill' persons which shall include (a} referral for financial assistance, (b) use of a voucher system for food and shelter. Work cooperatively with public, private and c~nunity groups to enhance available services to homeless mentally i11 persons. .,i 62 FORM 5.3 Adolescent Residential Treatment Program Description: This facility shall be an "alternative to hospitalization." The services in this program shall include, but not be limited to, provision of direct services to the family, specific linkages with the child's educational system and community educational resources, and development o£ a support system, "' including school and treatment referral. -The program shall be designed for children and adolescents who would otherwise be referred to a psychiatric in- patient unit. Zt shall be a 24 hour program, with an emphasis on stabilization and appropriate referral for further treatment or support services. Admission to this facility will be vol~mtary. Objectives: 1. Provide 6 beds in a long-term residential facility for children and youth as an alternative to hospitalization. 2. Reduce the crisis and promote stabilization by temporary removal of the youth from the home environment, 24-hour support, and individual/family treatment. Each patient will receive at least on hour daily of direct treatment by a licensed clinician. 3. Complete an assessment and diagnostic*work-up within 24 hours o£ adma.ssion by a licensed mental health clinician. The most current BCMH Assessment Outline will be used.. 4. Referral Services: Prior to discharge, each patient will have a written .discharge plan that will describe a follow-up plan with respect to the core child service agencies (school, CPS, probation, YTS). Each agency will be noted or reason- given why that agency is;not involved. 63 FORM 5.3 Adolescent Day Treatment Program Goal. Statement 1. To provide day treatment services far severely emotionally disturbed children and adolescents (acutely and chronically mentally ill.) Objectives 1. An intake assessment/treatment plan will be developed for each child within two weeks of entry into the program. 2. Each treatment plan will specify those rehabilitative components most appropriate to the child's needs such as medication therapy, individual treatment or group therapy. 3. Each child will have an individual education plan (lEP} by the Butte County Special Education Local Plan Area (SELPA) prior to program entry. All educational services will be provided by the SELPA. 4. Each youth will receive no less than five hours per week of recreational therapy which will include age appropriate activities designed to enhance social skills. 5. The program will be located on a school site to ease the transition- between day care and special ed or regular classes. 5. The patient's family will participate in weekly group or conjoint treatment. 7. Two months before discharge, the YTS case manager will compile an. aftercare plan to include elements regarding ongoing patient advocacy, transition to special education classes and linkage with appropriate social service agencies. Evaluation Methodology 1. During the first year of the program, the program manager and YTS supervisor will meet monthly to review each patient's case regarding compliance with the above objectives. In subsequent years this evaluation will occur quarterly. 2. The program manager will meet weekly with the YTS supervisor to monitor the overall achievement of objectives. 3. The YTS suprvisor will meet at least weekly with the mental. health clinician/team leader who is assigned to the program. 4. By the end of the first year the program manager and supervisor will cooperate with the BG'MH program review coordinator to develop and implement an in-house program review. 64 FORM 5.3 HOMELESS PROGRAM FROGRAM GOALS: Provide outreach, advocacy, specialized referral and service programs for chronically mentally ill and homeless persons in Butte County. PROGRAM OBJECTIVES: Develop drop-in service programs in the county. Provide direct social service to homeless mentally ill persons which shall include (a) referral for financial assistance, (b) use of a voucher system £or food and shelter. - Wark cooperatively with public, private and community groups to enhance available services to homeless mentally ili persons. UNIQUE CLIENT NEED MET: The chronically mentally ill homeless population wi11 be offered a range of social services. Previously this population has not been targeted for services. 65 FORM S.3 SUPPLEMENTAL RATE SYSTEM Program Goals: Provide increased programming for clients certified at Levels T and IZ zn three local facilities with Supplemental Rate System Funds. Program Objectives: 1. Develop three local community care facilities whose level of programming satisfies the requirements for Supplemental Rate funding. 2. Integrate Level T and Level II clients into Day Treatment Services. 3. Utilize LOC monitoring system to insure status of client functioning and appropriateness of placement. Unique Client Needs Met: The increased programming will be provided for clients identified as meeting criteria for Level I and Level II. 66 FORM 5.3 r_~nrmm~rr Program Goals: Provide comprehensive outreach and clinical treatment services toa geriatric population primarily composed of isloated county '' residents as identified by service agencies, Program Objectives: 1. Increase percentage of geriatric patients served by Outpatient Staff. 2. Begin a comprehensive networking and casefinding program to deliver screening and direct treatment services. 3. Provide In-Service Training to staff of local agencies that presently deal with a defined geriatric population. 4. Begin a series of clinical group meetings for identified clzents. Unzc~ue_Clients Needs Met: Isolated geriatric residents will be targeted for a program of service that a.ncludes casefinding psychiatric screening and a range of clinical treatment as indicated. 57 FORM 5.4 The fallowing variances of greater than 25 percent in units of service when compared to prior year's budget for Provider 0401 Butte County Mental Health Services, Chico: MO-E OF SERVICE COST CENTER EXP~,ANATION ~, ;:~ 05 70 Adolescent Residential Treatment bed nights increased 55% from 1,410 pro-- jected prior year to 2,190 this year. Program reflected in FX 85-86 ;Budget but due to efforts in trying to develop a regional program; program was not implemented until 7/1/86; units based on new pn7gran, new contract. 15 10 Collateral units of service are projectec to increase significantly by 157% from 175 units to 450 units due to increased emphasis on children and youth. 15 30 Assessments increasing by 57% from 394 to b20 units based on new programs, such as AB 3b32. 50 Groups projected to increase by 37% from 38 units to 104 units. Groups have been enhanced due to increased demand for outpatient services; more services delivered more efficiently. 15 70 Aecrease in units of Crisis Inter- vention form 87 units to 12 units reflects a change in reporting, much of what was previously reported as Crisis Intervention is now reported as 0/P Assessments or Community Client Services. 45 Increased in Outreach program from 2,105 units to 4,550 units represents reporting change mentioned above. 50 10 Increased case management hours from 1.398 to 3,090 hours represents addition staffing due to continually growing caseloads; caseload driven program. 68 FORM 5.4 The following variances of greater than 25 percent in emits of service when compared to prior year's budget for Provider 0402, Putte County Mental Health Services, Oroville: MODE OF SERVICE COST CENTER EXPLANATION 15 10 Collateral units of service are projected to increase significantly, by 76% farm 170 units to 300 units due to increased emphasis on children and youth. 15 50 Groups projected to increase by 629% from 144 units to 1,050 units. Groups have been enhanced due to increased errand for outpatient services; more services delivered mare efficiently. 15 70 Decrease in units of Crisis Interven- tion from 115 units to 12 units reflects a change in reporting; much o£ what was previously reported as Crisis Intervention is now reported as O/P Assessments or Community Client Services. 45 Increase in Outreach program from 1800 units to 3,050 units represents reporting change mentioned above. 50 10 Increase in case management hours from 1,327 to 1,776 hours represents additional staffing due to continuall growing caseloads; caseload driven program. 69 Fa~M 5.4 The follawing:~variances of greater than 25 percent in un~.ts of service when compared ta•prior year's budget for Provider Q406, Public Guardian: MDDE OF SERVTCE 50 CAST CIIV'fER EXPLANATION 20130 Increase from 2,100 units in Conservatorship Izzvestigation and administration based on timestudy conducted in FY 85-86. This year's budget based on more accurate information. .` FOF.M MN 1914A :~r 1 *L`~ ~~' ~ ~ ` R PMQhELINC COSTS ~ - BUTTE County Mental Health Fiscal Year: 198b-87 Provider Pram e : EUTTE COUNTY MENTAL I-]EALTH SERVICES Provider Number: 0401/0402 "NO REMODELING PLANNED" - 1. Puiiding Vocation - Address: 2. Prief Description Of Work To Pe rnne: ~1 - 3. Statement of Need: 4, Estimated Costs: Labor $ Material $ Other, Specify $ Total $ 71 Yf+lt trur.lrlY:}{;J FL~;,{;lUtii~L C:::~;'i'::it i,t:i~ ]I_}i_'Ttij, ?-:i':tl'i'TtiL il}•:1~I.'fi: SE}{VxCES U1:L.I1~f:}t1' C1~' S~-}~VIC'r'a l~C:]{t:}::•fF~NT 1~~7f3 ItdTn~Dt.iC1~OFC! S7'A'I'c:l•:r:*i'.I': The purpose of t}~is ~•arking ac~rGe?,:,_nt the provision of psyclliatric: ~,r.rv.icr:s Both local h9ental }3~~a1 th nrac;x ,:~:~_r; .cnCl to develop wos}:irlg :~c~rc•c•]nc~,zt:: Z,r•t~~:,:,•r] 1~7E3 -- 1979 fi.sc<,1 }•c:ax'. is to c;t:i1}Jlzstr a corking policy:~or f,or c3c:veloprnelltally disabled persons_ '?c:gi c~n:~l C'cntcr rirngr~~ms are mandated t'},r~ t.JC~ :(rJc:ioc:i.r:= 1, e.rlinnirlg with] the I}f,FI,~ITION_t71' Di:~r};ffl!'1;1:!i'i_:lir 1'i_.°;'_.~Tt,-:'i-}- A disaaility which uri.rJil;iit.r:::: '_.:rc;:-~_ ,.:r ir,~~?:;.vi.~iF1~11 ~:t.t_~:i.r:, Lhc: ~:ge of ], 13, CGnt].1111k:a, C7r Ca]'1 Z]t: L`i:~?i'C':','f~ i.L.f ~il:lt 1;1'.1-, 1.::C~(_'i ]S11`!~].x~ :j13C~ Lri:S:;S:1t:L1tC.'..i r1 ~Lr}JStantlal }71]}d1C~ii.? fc,X .;ll::): ..~. 1.. .. ...-?t..:~_ .... (?'~f ~ _. i. :c:d .a}' t.},r t~irccr•t.or o£ }1ci51.t}1 1F1 COr-1.L1lt.iit~,,:( 4.'l .): t}:r ~~ _ . . ,t'. • a ,i ;r_•llt ( ~ '~ r. t'L: ~) iL ~rl.`:i..,~ l.ICt.iC]r} tl1i:. t~rr•1 shi}11 include. r^•.nt~ ,:7 ,,•;,:.ti.st :,: (~~•. e•'.],..] _.O. .:r, e~Zi.i(:i,_ ' anti ~u:: 1 i+n:) ~F~:;or=i,~Lcd rrc:uxr]1.c?<ii,.•.rl i•. tliuldicanping conditicln~ fciu::; or to r(:quire treatt:r~nt ':.ll::F.l victual:, 1?ut sh:111 r~r]t ir.~.:luc),• physical in nature. }~fJri}>osl;s 4 1rsc~lle)r1 t.c, )}:: r:l,r::e:ly ,.,:1::t.c~c3 try r:1,~l,t_ill r~tardeltir, '1 ... t: r...rt ?~(:al1i~-r~C, ft]r 1:r~riYal.ly rcta>rded i.ndi- c~t i:••:' '.,.:,~'. i (•:•.:. ~i u~l .~c,::cli t. ic.rlr: t ]r::t. i]rr ~:c]ltly The purpose of thi:~ iscJrcc:r~(•rrt. i :: t:] c1t;i:r,,;ct.~~E: t ]r:(t. isr:y e?c,v~lol?rclentally dis- abled person rcccivc~•~: :x1.1 1~:;~•,•)r=i:tric: ::r.•;~•.r;r:,;:: wfFtch arc dc.emect nc;cE:.s~:r}•. It is understor~d thist t)re: ~3c•vc:lc.:~];:~•.•1;C:r11~' c)i::,:?]le•:i il:rliviclll~sl z5 t}]e p>.°irr>ary res}~on;iLility of a ;{c:c~i.c]niF.l C'c•::te:r. )!:]~.:i:v~:r, t?rc: ltlcr,l }.cnt_al }icalt}1 agency is required alk4~, exc>rc:tc:d to ;,r<,vi(~~' r:c.?r?:.,:?t.:t~ic>:,, diirc;:lu~:t_ic and txeat:m~nt °~>, services, emergency ::ervi::(~ : :_rr(: 1r:;,ac:1r(~-.:r.ti~r~z rcl,-•clic~zt.iorl, e:nd pZannirly :and reviec. ~ .„,. ~) in conjuetion wit}i t]ie 3>.c:c3ic~r:a1 Cc:nter_ i'or the devc_lo]rnentally dis:~bled • ~ pexsons known or unknown Lo t}ie F'.L-gio:,al Cr.•nt.~rs systc~n treated in any mc:nta'1 health service, the }~c•,ivnal Center ::},a11 pas:ticipate in treatUnent and b - dispositional planning withi:g 24 i~~a~=x-~ (c,r. t1,t r,oYt working day) dram t?te time the request is rrtizc]e Z,a tirc• ]aczl sr~_•r,trrl ],u~sJ t11 program. „mr•rntYD ~ C . •~I 1_ Res~nsibilitac~s c,f_.7._-- :~1 .1.:.•nt;rl__lie:r] i is F~rc~c~r. zr::~ a. The loczl rsr_nt:.t.:l i,r:~:1L], i,xc,y,~~:n `:}lei] ~L'0:/1.C~i: ~l1:yC}~li,t=ric 5L•x~iC:C'S tO all develoy=l,c:nrn7.ly c'i~:::v]c•d lx~r:,c„:~: w'tro rcgtiri.r~ t.}rern in the same wanner t}rr:t t],e:y ti.i1X T=r'UV1[]t: ~}IE=11 t_a ~,r,}~ o>`7ier citi'r.cn_ b, Tile local ment'ra]. 1:•~r:ltlr j~rc~:~r.::r. t:]I~Y]1 ir.xve .:v;iilablc staff which: shall i,ave t,r'3.Ln].II(~ e:;lCi f:!:~~i'Cil!;r', ];. (.'t':i]ll:tt S.:k~ i.rSi~ t.rC'~it1T1r~ ~7ir~L'~llclt_X1C pxobler: s of LL'V(:1.~,=::.-.•:~t~:lly c? .,::hlc:;'. F>rrso^s. 'I`i,e xc:gzar,al ce:,ter shall train r:,c•r:;:,l }l~•;,1;?~ ::ir:f{ ;n ..•n:;:ing wi.t.]r ti,e r3r_veloprn°_•nteilly disabled F=~rt:c~:z : .::: rc~,:::c:::t r::] icy lr,;_ :1 r<<•r,t_.,]. ltie~,].t^2i 1~: r~gr~~ms acid zeirlecte+l ar, t},o •.:;,Z;:i:,cf .: c~rt~t•::,r•:It. c_ T'nc 1aca1 r,}wnt~-:l ]:c:;,~,t ]i t~_<~ r:~:n ::}~;:].] refer t.cr the apprapri~~te xcgional center ~,r,y lx•r:..ar, ..;,•., >~~, t~:c] of ] :::vir::; .: c]r:vr-_lc> ~,:.-.rrt~,l dig:ability for i.nt:zske a=,~4 ~ s :~:::.:.~•.::st _ :T z tl,c• F>t•z :.cu: i s. ],r~i r~~ r?et~si.ned by t?ze J:oLal rr.ent.al he3ltn t~x-oc~:::.:: :~:l:.cr t]:c :}.-r,~~i:.ians of the Lanten;w.n-FEt:aris- Sirart 7:ct, u,r r::,r,;;c=t r,t?:crwi::c: }>~. r:>:_~c•; tr. r] t:~ mach the regional centez, the xcgion~al r.e:nti•r :,i,all ~trr.::~c;c~ w.i.t], the local mental. health program,, within 2 ~ hourrs, or t:iic nu>:t a•c~ri:inc~ c]~,y for a 7rsutually agreeable time and 1~1..cc for tile: int ;:>,c: anc] ~,_;nc:~:::nr~nt_ ~• 2. RcsponsibxllticS C)f__-itt_[j1C7;lit]. CCr,tcr~ a, x'tie rcc}ian:,l t~~•.r~ir~r ::Z,a21 },~ivc ::t.+ff c~,~,;,blc of a:;sc.:;.si.ng p.;ychiat.rac 5 direetox notifies }'~+r 17c,rtl,r_•r:i I'c•c~icin;,). L'e:r,tr_r that furs},er 24 hazer intensive _" careis.no lonyez clinic;;lly indicated ?'ar }:orthcrn Regional Center wi].3. re- assume clinical respons.iailit}• and c~ivc; trig}rest priority to implementing di: charge plans. :~.ENTILT.. HF_ALTti PRDC;i',~u~'S }ti.i:Sl'O2~'~_7r~3f.1'PY A;{U~;?-_RVTCi:S_ ]~.71tTED Fva~CT1:0!1S: 1. Diagnose, evaluate and furt:,i,l.;,te c;i~e o?~jr:ctiver, far all clients eligible for co.~ununity r;~cntal hr~a~tt?t u-c:rvicc:s. 2. Prepare anc? ir,.nlemc:r,t t:.r<•~-~,.i:,~.::'L c,hje:ct.ivr•s. ~. J.~szst' patient ::n[1 f;1;r~? i}' are Gat:~`.:r]lrl; llr~"e'.li~ytC 5:r'rV1CCS- k.C. t}lrOl`gh referral px'oces~ i.,rc,c-ccl~+.rc•::- 4. Fu:vi.ew and c:v;,lu:~t:c• c.c~::ir.:c:t ~,cr~.c,:,~~F;:c:c•. 5. Provide liais:,,, w1 t t, ,~l (~'."J.r1vI-:'. t~(~ .-. :i'.a."(: Cf~I,~.:i r1111~~y ~~f care _ • r- .. I~ferx~l ls to Zocal 1•:c:;:;_.:1 rit•.-,l t-.i3 c;~•l"~•ic:c'!. _-~:-,~,;}r, :~, by Regional Cc~r,t:r~r, in other t?:;~:1 C.l.Sl:; inSti~r,Ci•!;~ l,~l;Sl~ ?ir• 4;it?. t}r~.: X~::'~,...::r•.'I:il~;t'1-On O~ t.tlC' RC:C)ip:7i]l Center Core :,tdff, ilppn GC,nflrFrl:l~.lrJ:3 ~),r t([:(~.L[i:;;il ~1::1i:~_1: Cc)rc itif~f thfr Cv:ie TTtivrldC~er for t}',e client shall ,~.:~:c writ_.c•r. r~•t~r•~-r.;:l t.r. ]c~c:;,l I•:::r,t-.<,l }ic•a].th I'rogr.ams Sor nL-eclr?d scxv,ices. Crs:.- :;i!,:t,t-ior7~~ !::~;s11 ;,,. r1G~rGCi t•},rouct', tt~c: i:,-~r;ccliate sup~:rvisor rho ti•i11. c:n:i'"uct. t:•;:• ::1,.rc,_>F•,;.;:: .?iv'Slc)1? yr u:c: locarl t•:cnti:J- ::calth j.rc~cfr~i:~, c.g. Dircctiar v` G:?t" -. .:t ir•::t I:r• :~•ic:r::., !~.ii•r~c:tc~r c.,{ In-I'atir:nt C~rviees. Financial require:a2nts c,f C':,:::::".:r i,St..1' !~_• nt ;rl }I~•;:l t:h z~r.~_)rir~un, Uniforr•7 ,t~t},od . of Uc:te:rrnining. ;,?3ility t:(~ 1'ay (t)::').",:~} , r;;r,:•,t. ifr: :>~,rn ba' the 14rr~],ly ar wit}, t}~ird yarty payar if file f~irail}~ 2,;::, ir,s:•„r~tncc. 4•,i :}rc,ut. :;r,er.i,~l apa roved funding, Rec~i,onal Centers will not be held rc::,i):.r,~:i?i],e for. such cots with the exception a£ diagnosis and evaluation. 17,c Co:,unui:i t}' t•!~:,;.al fir•a3 rh 1,rar~rar;~ must be vendored with t~'ie -~, ~''°~''~~¢ State U'`partment of He;-lt}, i;~ orrlr.r for I-'ar t:c;r-q:},ern Fc:gic7nal Center to yurctia:e diagnosis and •evaluatiUn sc•~ •.~i cr:;. It: w~ 13 ?,c rc!(~uired of the I?egional Center Counselor to inforr the fa>~ii.y of ;x,c,t;i~,lr: ; ~i:-:;,nci., 1 1 i;~>ility required by t}ie .~ Un~.form A:ethvd of E]4tersrirsing lAhility to T'i)}= {Ut:i];',p) far services provided by the 1..., - Mental Health Aycncy. T2ze Tte:clioniAl C'entcr Cat:rrscl.or will also inform the farnil.y to utilize private he71t1A iCl`:L'_rlllC:C: or 1•Sc:di-CzAl ~•;here availtable. Referrals by Mental health to r.7Ae Rcr~iorA~Al C'r•trtcr.r: .,lral.l c~rc~iniate with t1Ae proc,rarn director or their designee ~ to the supA~rvi::,i r:cT cc,un:,c:lnr c,r t~lreir c3esic3nee . F'nr t}rase deve].op- srentally di::ablcc3 r~e•z•son~ ar: tYs!: in-~,i-tic:rst s+tcAyz-iArn t1~e j)roc~ritm director or their designee shall nuLi£y tior.: .~i l::;r}ic~:s~i1, Cr:r,t-r•;- ;,u.>c:r~=i ;;i.ng C~ur,~:elaz by telephone requer ~s Dispositional T'lisrr:,ing C.r.:s:'c•r:.:ncr. uitlrin :~: i:c~,:~-s az nc~ ne.:t wc,r);inq di3y. From out-patient or CAnti.llLli_;lr~ C<Arr: t1;~~i. ::'..rans c>. ti~:: r,t::l ]:cialt-iA ra referr~Al to the: ]~gion: Center shall be t3Crs~rl.:i=•;1 c,:: i1is: i!c: rtiri-r:,1 ,'••i,t =.•r: rc:i.carral f o)-ra, T~'1:ItC D24. At the t of the rcferx-rAl on L?AC: r?;;:C~[r:'~, c>) Ftt• ic.>r:~ .? (~,• :rt(r. rc:.` t?c•r tal llcalth Clinic s1Aa11 incluc'!~: is31 ,-A~lr~•ti,..,.. ,. .:c'= f,: - .:a~ i:~~•~i , •_ ;, ~, c i a~nC,. .ic ,` - , l:us trial w•]ich i-nr3ici,ter ;__},e it=clivic?ual zt; ~ic:ti•t:lc; .nc:::t:s11`• c:... ,:i,l,~ci_ 1•;;c:r, , :i_ r i'~ } :;yc:} ;s _r.i.c "cc)rr:.~,tltiAtion a.s i.ndic for dc: tf:rrsci.nation as <:,r;>r,:,;:r-i.:: ~'.:<:::: c,f r~•f~~r: ,:] :, t n Gc,•;~ca::.r:~i.t•.y Gi+Ze, 1~liAcc:z~ent f~•rci l]t1C~, Or CCILSC:i,t.LC,n C, ]" t r:lt 1:.11:) ,r:'r,~~~,s:.^.. t.l t 1i 2"i• •~rac r :1}' t?!'I ~ ::_ :t: t. ~ 1, 1tia1 ]ier.lL'}1 proble .t1Ch (:OIl`.;ll~tikt'.).(Jn M'1}1 3,!: )t•~_l:<•::t!'~S ~r'C,;:1 t1~.• 1r,c'i:l 3-iG•ilt1~. Fle~Alr.h l,rOC•j]'iArI1. 7ss za ::itAration w1~c•re r:l i c:r1r :.~•: •. i c.r: ~:2':: ri•c_r:i.rc:r', from }x~t1A i:cJc:neir;,, it i :. e>:pectc t}.at the T;cgional Cr.ntur Ci:::_ ''::~•,:~}r~r nd t~?ic ;~:r.;itul 2lcalth PrGfessiont:.1 having F~riri~~ry treatment rc:~;Y:r-::;i1~lit•~ riill cU:~:::ilsr.ir.irtc~ with orsch other to insure contin- city of ci);e -And carnrlc•:-.•. n:.. c'.=:1 ivory c1f :~.r:r ~~=i c.r•s. 3f eit?~er systc~, T.x:~13 t~i_•r:t.:1 l!•..::s1t_?~ err ;~:i:c~io,,i:l Cc:r,ter, is unable to provide the requested service s, t.1AC xc:fc:r-r-:1 :~=;r:n~~y x:11::1.] he r~ivCn ~.r.itten notification of the justification .for cleni~ryl of ::,~rvices. T.oticc of in:~hil.ity tc~ c:r,iz:>>ly wi!_?s ill ar .:r~}= ,,.Art of this :.syrc~:ncnt shall be f aAroviclec7 to t~1c otl~ez iAljL'i7C}=, ire wrw],rinrJ, :}t ]c•;:st (3Q) cli-ys prior to Hari-co:noliarlc• 'his agreement may Le x-cvirw~,c'S :~:~cl xc_visc-cl rtt t:hc rec3uest of either party upon thi f~,,. ' ~~•. (3p) days' notice. Tery:un.:tior, of t.}pis ~:yree:r~E:ni ~hw].1 be upon sixty (60) days` notice by either p~~rty wit}- ttotifica4icrn to t},e F:ec~ional. Centezs Section and L4ca]. . ,.~ Program Section Dc:1~arL~nE~:st. c~I Fac:,tilt.h_ DIRF'C:'IVR: ~T•.R T:U:~':iik:e:'~ i~3:i;1~.+:.'+=, Cf•:i:'~'.~F? ~' ~ ; r--.~.- ~/~ /~: - <~~E~ t~IFU•'~C'tn~i: 'UTTc N`/z~~li SER~JlCFS v ~~ f c~~~ lihlr: c~C5t7i-:Ti: ~ LINTY M~t,TAL r ~y~~"7 ~*.r