Table of Contents - Turning Point Community Programs

Transcription

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For more information please visit our website at:
http://www.tpcp.org
Or send an e-mail to:
[email protected]
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Table of Contents
Turning Point Leads the Way ............................................................................................................. 4
Commitment to Diversity .................................................................................................................... 4
Turning Point‘s Principles ................................................................................................................... 5
Agency Mission, Vision, & Core Values ............................................................................................. 6
Core Values—Direct Service and Administration ............................................................................... 8
ADULT SERVICES
Alta County Regional Center
Transitional Support Services North and South .................................................................... 10
Sacramento County (Mental Health)
Integrated Service Agency—Sacramento ............................................................................. 12
Crisis Residential Program .................................................................................................... 14
Regional Support Team ........................................................................................................ 16
Pathways to Success after Homelessness ........................................................................... 18
Stanislaus, Merced, Yolo, Nevada and Placer County (Mental Health)
Integrated Services Agency—Modesto ................................................................................. 22
Turning Point Respite at Garden Gate .................................................................................. 24
Consumer and Family Employment Empowerment Center .................................................. 26
On-Site Peer Support and Warm Line .................................................................................. 28
Community Assistance Recovery Enterprise—Merced ........................................................ 30
Limited Housing Support Services—Yolo ............................................................................. 32
Pine Tree Gardens—Yolo ..................................................................................................... 34
Cool Beans—Yolo ................................................................................................................. 36
Turning Point Providence Center—Nevada .......................................................................... 38
Turning Point Coloma Center—Placer .................................................................................. 40
CHILDREN’S SERVICES
Sacramento County (Mental Health)
Flexible Integrated Treatment (FIT)...................................................................................... 44
Therapeutic Behavioral Services........................................................................................... 46
Cultural Diversity (Who We Serve & Our Staff) .................................................................................. 49
Board of Directors............................................................................................................................... 50
Administration ..................................................................................................................................... 52
Founder‘s Club ................................................................................................................................... 58
Organizational Chart........................................................................................................................... 59
Frequently Asked Questions .............................................................................................................. 60
Glossary of Terms .............................................................................................................................. 66
Program Matrix ................................................................................................................................... 71
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Turning Point Leads the Way...
... in offering consumer-driven mental health services, with an emphasis on
treatment choice and self empowerment. Programs aid adults, youth aged 18 25, children and families. Turning Point's goal is to provide services to people
with disabilities and their families, including mental health services, support,
employment, housing and advocacy.
Commitment to Diversity
Turning Point‘s members are as diverse as the communities we live in. Different races, ethnicities, language groups and cultures are represented and respected. Nineteen languages other than English are spoken by current staff including Spanish, Hmong, Laotian, Vietnamese, Mien, Tagalog, Thai, Chinese,
Russian, Romanian, German, Italian, Hindi, Kreo, Ukranian, Dutch, Mandarin,
Temre, American Sign Language, and Tongan.
Some members come to Turning Point from institutions; others have been
homeless. Many of Turning Point‘s members are children with parents and
families who also become part of the Turning Point community.
Members find great empathy and understanding from Turning Point staff,
some of whom have had their own experiences struggling with mental illness.
Turning Point leads the way in providing meaningful opportunities for mental
health consumers to help run its programs, offering hope with examples of their
own
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Turning Point‘s Principles
“Whatever It Takes”
At Turning Point, programs are based on the
assumption that staff and members will do “whatever
it takes” to bring services to the people who need and
want them. Turning Point deals with problems as they
arise. If one of Turning Point’s members experiences a
problem, we work with them to identify a solution.
“Child, Family and Member Driven
Services”
At Turning Point, members are treated with dignity
and respect. They’re not patients; they’re not
numbers; and they’re not diagnoses. Turning Point
begins with the belief that all people have a right to full
membership in society. That means that Turning Point
doesn’t force anyone to do anything. Treatment goals
are based on what members hope to accomplish.
Members, staff, and families work together to find
ways to achieve those goals.
“Putting it All Together”
Turning Point measures success based on what
members say about their lives. Have members met
their goals? Have they received the services they
need? Turning Point programs are intended to fit together to provide members with the tools they need to
build the lives they want. When members and their
families feel that their lives have improved, Turning
Point has been successful.
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Agency
Mission, Vision, & Core Values
Mission Statement
Turning Point Community Programs provides integrated, cost effective mental health services, employment and housing for adults,
children and their families that promote recovery, independence
and self-sufficiency.
Vision Statement
Turning Point Community Programs is committed to innovative
and high quality services that assist adults and children with psychiatric, emotional and/or developmental disabilities in achieving
their goals.
Core Values
Services that are:
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Built on cultural strengths
and responsive to individual
and community needs regarding culture, language,
age, disability, gender, sexual orientation and spirituality
Inclusive, promote resiliency and are recoveryoriented
Innovative, research-based
and constituent-driven focusing on quality of life
Prompt, courteous and constituent directed support
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Welcoming of diversity and
appreciative of the strength
that comes from the many
cultures, backgrounds, family types, and sexual orientations
Cost effective and provided
in normalized environments
Strength-based, respectful
and empowering to the person being served
A Vision for the Future—Mental health is fundamental to health and
human functioning. Yet much more is known about mental illness
than about mental health. Mental illnesses are real health conditions
that are characterized by alterations in thinking, mood, or behavior—
all mental, behavioral, and psychological symptoms mediated by the
brain. Mental illnesses exact a staggering toll on millions of individuals, as well as on their families and communities and our Nation as a
whole. Appropriate treatment can alleviate, if not cure, the symptoms and associated disability of mental illness. With proper treatment, the majority of people with mental illness can return to productive and engaging lives. There is no “one size fits all” treatment;
rather, people can choose the type of treatment that best suits them
from the diverse forms of treatment that exist.
U.S. Department of Health and Human Services. Mental Health: A Report
of the Surgeon General. Rockville, MD: U.S. Department of Health and
Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health,
National Institute of Mental Health, 1999 (Chapter 8).
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Core Values
Direct Service and Administration
 Encourage family involvement.
 Encourage self-help and empowerment.
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 Create a sense of belonging.
 Convey respect and dignity.
 Strength Based & Unconditionally Supportive - Staff
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value and appreciate the fact that members have
hopes, desires, goals, and strengths regardless of
their life circumstances. Staff show their concern
and unconditional support by providing nonjudgmental help to members irrespective of the
member’s particular challenges or life circumstances.
Recovery Based and Member Directed - staff understand that members understand their own needs
and desires better than anyone else. Staff focuses
their efforts on assisting members to have the
physical, emotional, social, financial, and other
practical resources to make their own life choices.
Diverse and Inclusive - welcome diversity and appreciate the strength that comes from the many
cultures, family types, and sexual orientations that
make up our community.
Community Oriented - strive to provide services
through which members can participate in any part
of the Sacramento Community.
Holistic - address members holistically by recognizing member’s physical, psychological, social, and
spiritual needs and desires.
Member focused – Every interaction should be conducted with the intent to respect and dignify the
member being served. Listen and follow through.
Integrity – Earn the trust of others by maintaining
the highest standard of honesty and professionalism.
Accuracy and Excellence– Strive for excellence, not
perfection. Strive to be the best in everything we do.
Take full personal responsibility and fulfill commit-
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ments with a sense of urgency.
Continuous improvement – Be flexible. Seek and
implement new and better ideas. Respond
quickly to opportunities.
Respect and Courtesy – Value the member and
recognize our own value. Treat each person with
dignity. Everyone deserves to be treated with dignity and respect
Service – Do whatever it takes.
Diversity – Recognize the value of demographic,
religious, spiritual, gender, ethnic – all levels of
diversity in staff and members.
Challenge – Work to help both members and staff
maximize their own personal strengths.
Accountability – Take responsibility for your actions
Professionalism and Positive Thinking – Turn
problems into learning opportunities, finding solutions that will enhance usability and prevent potential problems
Responsiveness – Expediently respond to requests of current and potential issues, reduce
time, and decrease cost
Flexibility—Responding, prioritizing, scheduling,
and dispatching efficiently utilizing resources
Dedication– Prompt and courteous support that
enables TPCP staff to provide member driven
services.
Communication and Teamwork—Open dialog
between staff, other departments and sites. Always follow up. Support each other’s ideas, exchange knowledge and help one another. Share
one vision. Achieve greater results by working
together. Bring out the best in each other and our
members. Support one another, as well as our
members.
TPCP Adult Service
Sacramento Locations
Transitional Support Services
(North and South)
Integrated Services Agency-Sacramento
Crisis Residential Program
Regional Support Team
Pathways to Success after Homelessness
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TSS
NORTH, 2862 Arden Way, Suite 100, Sacramento, CA 95825, (916) 481-2328
SOUTH, 4500 47th Avenue, Suite 5, Sacramento, CA 95824, (916) 395-9100
Please call our Administrative Offices for more information at: (916) 364-8395
STATISTICS
Funding Source ................................................................................ Regional Centers
Type of Funds .................................................................................................. General
Program Inception ...................................................................................... Since 1995
Number of Members in Program .......................................................................... 256
Staffing Ratio .............................................................................. 1 staff for 7 members
Eligibility: TSS provides services to regional center consumers.
MISSION
Transitional Support Services is a non-profit community based program, which strives to comprehensively support, educate, and empower regional center consumers, adults who have a developmental
disability with a co-occurring psychiatric disability.
The TSS philosophy is predicated on
the belief that many individuals residing in restrictive environments can successfully transition into the community
provided they receive a comprehensive
array of intensive support services.
The services provided must respond to
the individual‘s expressed preference
for housing, employment, socialization,
education, etc. To promote the success of each individual‘s efforts at living in their chosen social environment,
it is imperative that the support offered
be flexible and adaptable to ever
changing life circumstances.
TSS Leadership Team
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TSS
PROGRAM DESCRIPTION
Transitional Support Services (TSS) program provides
community support services to adults challenged with
co-occurring psychiatric disorders and developmental
disabilities. An intake assessment is conducted by the
TSS clinical team. Upon completion, an individual may
be offered TSS membership. Once they have accepted membership, TSS staff provides services
based upon written plans developed in conjunction
with the member, identified support person(s), and the
Personal Services Coordinator (PSC II). The type and
intensity of services provided will be based on the
minimum level of intervention necessary to maintain
the health/safety of the individual and to support progress toward their identified goals. TSS is designed to
minimize dependency and to effect the most rapid
―normalization‖ and community integration possible. The central aspect of the TSS is MEMBER
CHOICE. Before an individual is offered TSS membership, they will be helped to understand the TSS
philosophy. TSS will honor each individual‘s expressed goals.
ELIGIBILITY
TSS provides services to Regional Center consumers who need a high level of support to survive or
thrive in the community and assist in preventing institutionalization.
VISION
Transitional Support Services is committed to providing cutting edge services to dually diagnosed
individuals. TSS will continue to excel in providing superior services and promoting efficacy and dignity.
SERVICES PROVIDED
Wrap-around services include, but are not limited to:
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Housing: Assistance with location, set-up/
furnishing and moving assistance to an apartment/home/board and care or other residence will
be provided.
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Counseling/ Therapy: Individual and group counseling will be available.
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Personal Assistance: Members may receive support services in their residence.
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Biopsychosocial assessments can be completed
upon request.
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24 hour warm line: The program will provided
access ―warm line‖ support to augment the existing emergency services provided by police, fire
department, and paramedics.
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Vocational/ Educational Services: Referrals and
support to members will be provided in this area
for those who wish to pursue educational and
employment goals.
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Skills Training: Members will be offered skills
training as requested.
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Medical Services: Psychiatric and nursing staff
are available for TSS members.
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24-hour Crisis Services: Staff are available 24hours 7 days per week for support.
Medication Management.
A comprehensive Psychiatric Evaluation.
Regular visits for medication management and
general follow-up.
Emergency psychiatric support.
Consultation as needed.
Access to the TSS Registered Nurse for medication follow-up and injections.
Referrals to outside community resources and
additional services as needed.
Coordination with community resources regarding
treatment planning.
Drop-in center support.
Recreational opportunities.
Member‘s Meetings: includes groups, socialization, guest speakers, medication education,
health education, holiday celebrations, etc…
Additional services provided as needed.
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Integrated Service Agency, Sacramento
ISA-S
INTEGRATED SERVICE AGENCY
4600 47th Avenue, Suite 111, Sacramento, CA 95824 (916) 393-1222
STATISTICS
Funding Source ..................................................... Sacramento County Mental Health
Type of Funds ............................................................................................... Restricted
Staffing Ratio ............................................................................ 1 staff for 11 members
Eligibility: Sacramento County adult residents who are Medi-Cal eligible.
MISSION
Enhance the quality of life for our members by providing individualized support services that empower
individuals to take charge of their own lives and to allow opportunities for growth. We challenge members to reach their greatest potential by promoting self-care and independence, always striving to provide services in the most cost effective, least restrictive and most normalized environments possible.
ISA-S‘s wrap around services include service coordinators who visit members and
support them to doctor‘s appointments,
assist with housing and recreational needs,
and a highly competent medical team.
We empower members to accomplish
goals they set for themselves and lead the
lives they choose by encouraging them to
take an active role in their rehabilitation and
recovery process.
ISA-S provides intensive, 24-hour-a-day,
outpatient services to approximately 164
members. The ISA-S is an enriched psychosocial rehabilitation program for adults
with psychiatric disabilities based on the
principles of Assertive Community Treatment. The program is designed to promote
self-care and assist people in moving towards independence in the community. We
treat our members with respect, honor their
personal choices, value their individualism,
and assist them in reaching their goals.
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ISA Sacramento Leadership Team
Integrated Service Agency, Sacramento
ISA-S
PROGRAM DESCRIPTION
Integrated Service Agency, Sacramento (ISA-S)
provides psychosocial rehabilitation and recovery services for adults (ages 18-59) with psychiatric disabilities and extended histories of longterm hospitalization. ISA-S‘s goal is to help individuals ―take charge of their lives‖ through informed decision-making with psychiatric, rehabilitative and psychosocial support. Services are
based on the individual‘s long-term goals and
desired results. ISA-S services are available
from Monday-Friday 8 am–5 pm and Saturday 8
am-4:30 pm. ISA-S operates with teams comprised of Personal Service Coordinators (PSC
II‘s) who are responsible for a caseload; a Community Support Team made up of nine PSC I‘s
who provide support services daily, an Employment Team which provides in house jobs to
members to help them train for employment in
the community, and a staff of nine PSC I‘s plus a
team leader who assist members that reside in
four individual apartments.
ELIGIBILITY
ISA-S is open to Sacramento County adult residents with psychiatric disabilities. Members must be
Medi-Cal eligible and meet the criteria established by Sacramento County Department of Health. Candidates are people currently residing in long-term psychiatric hospital settings with a demonstrated need
for support upon release.
VISION
Every individual deserves respect and an opportunity to reach their goals and aspirations. Each member at the ISA is treated with respect as a person, their goals are taken seriously, and through work
with the ISA staff, and their support networks, they are given the opportunity to live as a
productive member of their community.
SERVICES PROVIDED
Our interdisciplinary treatment teams work collaboratively with members and their families to
develop an individualized plan. This ―plan‖ is the
roadmap to each member‘s personal growth and
recovery. It is based on the member‘s individual
goals and may access the following services:
 Crisis response 24/7
 Daily program services and support
 Psychopharmacological treatment and education
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Social and recreational activities
Community outings/events
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Physical and mental health education
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Money management education
Community housing supports
Employment assistance
Mobility training
Daily living skills and training
Respite care to members
Patient‘s Rights education and legal assistance
Consultation with landlords and employers
Hospitalization support
Member and Family Councils
Drop-In Center open around the clock
Self-help and peer support groups
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CRP
4801 34th Street, Sacramento, CA 95820
(916) 737-9202
STATISTICS
Funding Source .................................. Sacramento County Health & Human Services
Division of Mental Health
Program Inception ................................................................................................ 1992
Number of Members in Program ............................................................................ 12
Eligibility: Adults (ages 18-59) who are Sacramento County residents.
MISSION
Crisis Residential Program is committed to helping others to help themselves.
CRP Leadership Team
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CRP
PROGRAM DESCRIPTION
Crisis Residential Program (CRP) provides respite for adults with psychiatric disabilities who
have become suicidal, critically depressed, or
otherwise psychiatrically incapacitated. With constant review, discussion, and negotiation, members and staff continually refine this program.
The services provided at this home routinely
avert the need for hospitalization with the inte-
gration of values to include member input and
peer support, program flexibility, mutual trust,
and working together. An even more positive
aspect of the program is that more than 50% of
the employees are themselves recovering mental health recipients and can assist through their
own experiences, strength, and hope.
ELIGIBILITY
CRP serves adults (ages 18-59) who are Sacramento County residents. CRP may serve up to 12 men
and/or women at one given time. Duration of residency at CRP is short-term and cannot exceed thirty
days. Members are evaluated every three days to assess continued need. CRP is not a ―point of entry‖
for adult mental health consumers. All members must have a referral source, and satisfy the criteria established by the Sacramento County Department of Mental Health, and Community Care Licensing. The
Sacramento County Mental Health Treatment Center is the primary referral source for this program. Regional Support Teams serve as the secondary referral source for this program. Members may also selfrefer within 90 days of graduation from CRP.
VISION
We seek to encourage consumers to take control and manage their future by understanding themselves
and their illness, by taking an active role in their rehabilitation process, and to make use of available resources. We strive to provide services in the most cost effective, least restrictive, and most normalized
environments possible. Our goal is to help others help themselves, to a better quality of life.
SERVICES PROVIDED
CRP designates the following services as tantamount
in supporting mental health consumers in their independent living goals:
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Medication Stabilization: Frequent meetings with
staff psychiatrist, and staff nurse to assess and
review medication plans and symptom management needs.
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Life Skills Groups: Daily groups designed to enhance medication management, symptom management, & resiliency/self-sufficiency needs.
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Discharge Planning and Treatment Planning: In
conjunction with primary counselor, identify and
resolve the cyclical patterns of crisis and develop
action/intervention plan to remain successful in
the community.
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24 hour/7 day a week staff availability
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Services are based within a residential setting
CRP provides time specific, member-centered,
strength-based, psychosocial rehabilitation services for persons in acute psychiatric crisis.
with the ultimate goal being for the individual to
transition to the community at a level of independence specific to their individual strengths and
simultaneously reinforced by long term linkages
with community based networks.
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RST
601 North Market Blvd. #100, Sacramento, CA 95834
(916) 567-4222
STATISTICS
Staffing Ratio .................................... 1 case manager for approximately 75 members
Eligibility: Adults residing in northwest area of Sacramento County who are either
uninsured or are Medi-Cal recipients.
MISSION
To provide member-directed, culturally sensitive, and linguistically appropriate mental health services
and support for mentally disabled adults in the Northwest portion of Sacramento County.
RST Leadership Team
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RST
PROGRAM DESCRIPTION
Northgate Point Regional Support Team (RST) is
a community-based, outpatient mental health
clinic that serves approximately 900 chronically
and persistently mentally disabled adults of all
nationalities. Our program works in collaboration
with Asian Pacific Community Counseling to ensure that services provided are culturally appropriate and diverse for our many Eastern European, Asian, and Pacific Islander clients. The
program also works in collaboration with the Uni-
versity of California Davis Medical Center, Department of Psychiatry to deliver top-quality
medical and psychiatric care. The core services
RST provides include: medication management,
coordinated case management, dual diagnosis/
substance abuse services, vocational and educational programs, self-help and peer support
groups, intensive outreach, and family intervention and support.
ELIGIBILITY
RST is open to adults residing in northwest geographic area of Sacramento County who are Medi-cal
recipients and who meet the Sacramento County‘s eligibility criteria of having a chronic and persistent
mental health diagnosis. RST contracts through the Sacramento County Mental Health Plan and receives all referrals from the Sacramento County Access Team.
VISION
RST is a program leading in the progressive, comprehensive, and effective treatment for individuals
with various disabilities. We strive to provide services in the most cost effective, least restrictive,
and most normalized environments possible.
SERVICES PROVIDED
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Medication Management
Coordinated Case management
Counseling and Group Therapy
Dual Diagnosis/Substance Abuse Services
Housing and Vocational Support
Self-Help and Peer Support Groups
One-on-One Supportive Counseling
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SSI and Medi-Cal Advocacy
Home Visitation and Community Outreach
Multi-disciplinary treatment planning teams
consisting of Psychiatrists, Nurses and Case
Managers. These teams will meet weekly to
discuss treatment issues and develop individualized treatment plans.
Family Intervention and Support
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Pathways
PATHWAYS TO SUCCESS AFTER HOMELESSNESS
601 North Market Blvd. #350, Sacramento, CA 95834; (916) 283-8280
FAIRVIEW APARTMENTS, 3216 Fairview Court, Sacramento, CA 95821
STATISTICS
Type of Funds ..................................................................... Restricted; MHSA Funded
Program Inception ............................................................................. (Pathways) 2007
(Fairview) June 2006
Staffing Ratio ............................................................................ 1 staff for 13 members
Note: Members broken down into the following age groups: (1) Children & Families;
(2) Transition Age Youth; (3) Adults; and (4) Older Adults.
Eligibility:
Seriously emotionally disturbed (SED) children and their families/caregivers; Transition Age
Youth (TAY) 18-25 or younger, if emancipated; Adults and older adults; No parolees; Target
population for TAY and Adults.
MISSION
To Pathways exists so that we may empower homeless individuals and families living with a psychiatric
or emotional disability to regain their status as fully participating members of the community. We are
committed to supporting the improvement of the qualify of life for the individuals and families that we are
privileged to serve and we do this by providing access to housing, education, employment, psychiatric
services, medical and dental services.
Pathways Leadership Team
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Pathways
PROGRAM DESCRIPTION
Pathways to Success After Homelessness provides comprehensive, integrated mental health services including housing for 175 individuals including:
children and their families;
transition age youth (ages 18 – 25);
adults (ages 26 – 59); and older adults (age 60 and older).
Pathways provides supportive housing and mental health services for those with psychiatric disabilities
and long-term or cyclical homelessness. Staff uses a harm reduction ―whatever it takes‖ approach to
support members in meeting their desired goals. Families with children are offered culturally diverse
supportive services so they can stay together and be part of the community.
All eligible groups will maintain housing; children will attend school or quality day care; transition age
youth and adults will be employed whenever appropriate at the level of their ability; and older adults will
be actively engaged in ways that enhance their independence and decrease isolation.
Pathways to Success After Homelessness is one of the first major Prop. 63, Mental Health Services Act
funded programs to be launched in Sacramento County.
Fairview Apartments originally purchased by TPCP using AB2034 funds is now providing housing to 9
MHSA members. The complex which was renovated in 2006 consists of 1 two bedroom unit and 9 one
bedroom units. Located just behind the Auburn Corridor Fairview provides easy access to public transportation, shopping and other needed services to residents of the complex.
VISION
Pathways strives to provide a welcoming environment for individuals and families taking the first step in
their journey towards independence and success. Pathways will assist as they explore options and
opportunities. Pathways will support each individual and family to find his/her own path to housing,
employment, self-sufficiency and well-being.
ELIGIBILITY
Seriously emotionally disturbed (SED) children and their families/caregivers; Transition Age Youth (TAY)
18-25 or younger, if emancipated; Adults and older adults; No parolees; Target population for TAY and
Adults.
SERVICES PROVIDED
Permanent Supported Housing, Employment and Education, and Case management services.
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People with psychiatric disabilities
need safe and secure permanent
housing as well as effective
treatment alternatives. There is a
statewide shortage of affordable
housing and treatment services.
Your support is urgently needed.
For more information, please
contact a Turning Point
representative regarding the
Mental Health Initiative.
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TPCP Adult Services
Stanislaus, Merced, Yolo & Nevada
Stanislaus
Integrated Services Agency, Modesto
Turning Point Respite at Garden Gate
Consumer and Family Employment and
Empowerment Center
On-Site Peer Support and Warm Line
Merced
Community Assistance Recovery Enterprise
Yolo
Limited Housing Support Services
Pine Tree Gardens
Nevada
Turning Point Providence Center
Placer
Turning Point Coloma Center
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ISA-M
621 14th Street, Modesto, CA 95354
(209) 569-0373
STATISTICS
Funding Source ........................................................ Stanislaus County Mental Health
Program Inception ........................................................... Program Revision July 2003
Number of Members in Program ................................................................. Up to 150
Staffing Ratio .......................................................... IMD Team 1 staff for 15 members
ITS Team 1 staff for 18 members
Eligibility: Stanislaus County adult residents with psychiatric disabilities.
MISSION
ISA-M seeks to empower members to whatever degree possible to lead productive lives – encouraging
them to take an active role in their rehabilitation process.
ISA-M‘s ―wrap-around‖ services include service coordinators who visit
members and take them to doctor‘s
appointments, assist with housing
and vocational needs, a highly
competent medical team with a
professional and caring staff that
view our members as citizens rather
than as victims stripped of
self-determination.
ISA Modesto Leadership Team
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ISA-M
PROGRAM DESCRIPTION
Integrated Service Agency, Modesto (ISA-M)
provides intensive outpatient services to up to
150 members. ISA-M is an enriched psychosocial rehabilitation program for adults with psychiatric disabilities, designed to promote self-care
and assist people in moving towards their independence. We strive to treat our members with
respect, listen to their preferences, answer their
questions, and appreciate their individualism.
ELIGIBILITY
The ISA-M is open to Stanislaus County adult residents with psychiatric disabilities who are Medi-Cal
eligible and meet the criteria of need established by Stanislaus County Department of Mental Health.
VISION
ISA-M will provide high quality services to those we have the privilege of serving, recognize their
individuality and strengths, and demonstrate our member-driven philosophy. ISA-M will be known
for our innovation and commitment in serving our community. We strive to provide services in the
most cost effective, least restrictive, and most normalized environments possible.
SERVICES PROVIDED
Our interdisciplinary treatment teams work collaboratively with members and their families to
develop a Personal Service Plan (PSP). This
PSP is the roadmap to each member‘s personal
growth and recovery. It is based on the member‘s individual goals and may access the following services:
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Daily program services and support
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Psycho pharmacy treatment and education
A comprehensive diagnostic and behavioral
assessment
Self-help and peer support groups
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Residential and independent living services
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Transportation
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Consultation with landlords and employers
Vocational assessment & employment assistance
Daily living skills and training
Respite care to members and their families
Legal assistance and Patient‘s Rights education
Hospitalization support
Social, recreational activities, and community
outings/events
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Garden Gate
609 5th Street, Modesto, CA 95353
(209) 341-0718
STATISTICS
Program Inception ..................................................... 2001; MHSA since August 2006
Number of Members in Program .............................................................................. 9
Staffing Ratio .............................. 3 staff per 8 hour shift (24/7 staffing) for 9 members
Eligibility: Adult individuals with psychiatric disabilities who are homeless or at risk
of homelessness.
ESP Modesto Leadership Team
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Garden Gate
PROGRAM DESCRIPTION
The Garden Gate Respite Center (5th Street)
provides a safe comfortable environment for individuals that are homeless and appear to be mentally ill. The purpose is to help individuals get off
the streets and be linked to resources within our
community. The program is open 24 hours, 7
days a week and available for up to 5 individuals
on a short-term basis with the average length of
stay being 4 days. The Respite Center works in
conjunction with the outreach team and law enforcement to minimize the negative impact of
homelessness on the individuals and on the
community.
ELIGIBILITY
Adult individuals with psychiatric disabilities who are homeless or at risk of homelessness.
VISION
Our vision is to provide the safest and most welcoming place to stay for those who are homeless or at
risk of homelessness, and to connect individuals to the resources that are available to them.
SERVICES PROVIDED


Supervision and support
General needs assessment


Referral to resources in the community
Basic care (food, clothing, bed, lock boxes)
25
Consumer and Family Employment and Empowerment Center
800 Scenic Drive, Bldg 4, Modesto, CA 95354
(209) 544-1913
STATISTICS
Program Inception ......................................................................................... July 2006
Eligibility: Consumer of Behavioral Health Services or Consumer Family Member.
MISSION
CFEEC offer learning experiences in basic life skills and workforce preparedness. The program serves
diverse consumers of behavioral health services and their natural supports. CFEEC provides education,
peer recovery support and socialization opportunities. Our measure of success is maintaining a friendly
and safe environment where guests can develop appropriate social and workplace behaviors.
CFEEC Leadership Team
26
Consumer and Family Employment and Empowerment Center
PROGRAM DESCRIPTION
The Consumer and Family Employment and Empowerment Center (CFEEC) is a culturally diverse center where mental health consumers of
all ages can gain peer support and recoveryminded input from peers in recovery to reduce
isolation, increase the ability to develop independence and create linkages to services related
to treatment of serious mental illness and cooccurring substance abuse problems, housing,
employment and education. The CFEEC is
staffed by behavioral health consumers and family members and provides a meeting space for
consumer and family organizations and self-help
groups. We are located at 800 Scenic Dr. Modesto and are open Monday thru Friday 8am3pm.
ELIGIBILITY
Consumer of Behavioral Health Services or Consumer Family Member.
VISION
CFEEC strives to provide behavioral health consumers and family members with a safe and friendly environment. This is an environment where an individual can flourish emotionally while developing courage and confidence. We provide opportunities that promote self-determination,
empowerment, lifelong learning, employment and training opportunities.
SERVICES PROVIDED



Peer Recovery Support
Linkage to other providers
Social activities



Support Groups
Job development & training
Continued education support and referrals
27
Warm Line
800 Scenic Drive, Bldg D, Modesto, CA 95354
(209) 544-1913
STATISTICS
Number of Members in Program ........................................... N/A; callers varies daily
Eligibility: Adult individuals and family members of individuals with psychiatric disabilities.
MISSION
The Warm Line is dedicated to providing life changing opportunities for individuals within our
community who are at risk of homelessness, incarceration or repeated psychiatric hospitalizations.
The Warm Line offers access to employment, peer support and community services, and share
our personal recovery and the message of hope.
Warm Line Leadership Team
28
Warm Line
PROGRAM DESCRIPTION
The On-Site Peer Support and Warm Line
(Warm Line) Program is a telephone assistance
program which provides non-crisis peer- support
for individuals and family members who may be
struggling with problems associated with a psychiatric disability that could benefit from support
and help from a caring listener. The Warm Line
staff is comprised of consumers and family mem-
bers and is accessible 24 hours a day 7 days a
week. The Warm Line offers support to help others in their efforts to resolve their own problems,
provide community referrals and provide assistance with issues that have come up during the
day or evening that may be causing problems.
ELIGIBILITY
Adult individuals and family members of individuals with psychiatric disabilities.
SERVICES PROVIDED
On-Site Peer Support and Warm Line provides
services 24 hours a day, 7 days a week. Warm
line staff provides telephone assistance for an
individual or family member who may be struggling with problems associated with a psychiatric
disability who could benefit from support and
help from a caring listener. The Warm Line staff
is available on this line to provide support, help
to solve problems, provide community referrals
and offer assistance with issues that have come
up during the day or evening that may be causing problems. We also provide face to face peer
support for individuals who have been evaluated
by Emergency Services staff and need additional
support before leaving the facility.
29
CARE
627 W. Main Street, Merced, CA 95340
(209) 723-6559
STATISTICS
Funding Source ............................................................ Merced County Mental Health
Type of Funds ..................................................................... Restricted; MHSA Funded
Program Inception ...................................................... Since Fall 2006; yearly contract
Number of Clients in Program ................................................................................ 50
Staffing Ratio ................................................................................. 1 staff for 10 clients
Client Eligibility: See eligibility details on the next page.
MISSION
CARE provides a strong, supportive network of member-driver services dedicated to improving
access to supported housing, training and employment, and educational opportunities,
as well as facilitating activities of daily living geared toward greater self-empowerment,
independence, and community integration.
CARE Merced Leadership Team
30
CARE
PROGRAM DESCRIPTION
The CARE program provides comprehensive
community services and support twenty-four
hours a day, seven days a week modeled after
the States AB2034 programs. CARE uses an
intensive team approach with emphasis on housing first and the development of employment
and/or educational opportunities. CARE is
based on the recovery philosophy of doing
―whatever it takes‖ to integrate seriously emotionally disturbed transition age young adults and
severely mentally ill adults back into the community. CARE will be working in collaboration with
other agencies, including the Sheriff‘s Department, Community Action Agency, COTS Program, and Golden Valley Health Clinics.
ELIGIBILITY




Clients shall meet target population criteria for adults with serious and persistent mental illness, as
defined by the Division of Mental Health; and
Live within geographic boundaries as set by County; and
Have resided in Merced County for at least twelve (12) months before the date of entry into the program; and
Self-report thirty (30) days of homelessness within the six (6) months of initial outreach contact.
VISION
CARE envisions a commitment of innovative and high quality services that assist adults with
psychiatric disability in achieving their goals, accessing meaningful roles in the
community and improving their quality of life.
SERVICES PROVIDED
CARE provides, but is not limited to:
 intakes, assessments, evaluations
 case management/rehabilitative services
 group sessions
 crisis intervention
 referrals, linkage to other service providers





housing assistance
employment services
medication management
psychiatric services
linkage to primary care physician
31
Yolo County
YOLO COUNTY DEPARTMENT OF ALCOHOL, DRUG, AND MENTAL HEALTH
SERVICES
137 N. Cottonwood Street, Woodland, CA 95695
(530) 666-8516
STATISTICS
Funding Source ...Yolo County Department of Alcohol, Drug and Mental Health (YCDADMH)
Type of Funds ............................................................................................................ Restricted
Program Inception ........................................................................................... December 2006
Number of Clients in Program .............................................................................................. 60
Staffing Ratio .............................................................................................. 2 staff for 60 clients
Client Eligibility: LHSS is open to residents of Yolo County who have a major mental illness and
substantial history of homelessness.
MISSION
To provide comprehensive direct client support, advocacy and referral services that assure safe and
affordable housing and viable employment opportunities for clients of the YCADMH program and
Limited Housing Support Services. The programs‘ clients, who have experienced both psychiatric
disabilities and chronic homelessness, are full participants in the planning and development of their
individualized, unique plans for ongoing recovery and wellness.
LHSS Leadership Team
32
Yolo County
PROGRAM DESCRIPTION
The Yolo County Limited Housing Support Services (LHSS) provide housing support for mentally ill adults with a history of homelessness.
LHSS provide services 24 hours a day, seven
days a week, including: supported housing, employment and education; volunteer work opportunities; social, recreational and community integration activities; and referral and linkage to
other services. Services are offered in a recovery
model that emphasizes consumer/member
choice, and a commitment to work with every
member for as long as necessary on his/her road
to recovery.
ELIGIBILITY
LHSS is open to residents of Yolo County who have a substantial history of homelessness and a major
mental illness.
VISION
All clients will access opportunities which utilize their strengths in productive and meaningful life roles.
SERVICES PROVIDED




Supported housing, employment, and education
Volunteer work opportunities
Benefits counseling
Social, recreational, and community integration
achieve their goals in their own unique ways. LHSS
members benefit by becoming more confident, competent, and integrated members of the larger community. By gaining more responsible, creative, and productive citizens, the larger community benefits.
activities

Referral and linkage to:








Self-help, recovery and peer support groups
Benefits counseling
Substance abuse treatment
Veterans services
Independent living skills training
Health assessments and referrals
Psychiatric assessment and services
In the LHSS, we accept and appreciate members at
all stages in their recovery journey. We are memberdirected, strength based, and harm reduction oriented.
A highly competent staff provides services, in linkage
with YCADMH case managers, nurses, psychiatrists,
and administrative staff as needed. Membership in
these programs is not time-limited. Our staff and
member volunteers are committed to working with
every member for as long as necessary on his/her
road to recovery.
Warm-line and crisis response, 24 hours per
day, every day
Turning Point believes that everyone has strengths
and talents that can benefit themselves and the community. We respect our members by working with
them to find their strengths, set their own goals, and
33
Pine Tree Gardens
212 I Street, Davis, CA 95617
(530) 758-4705
STATISTICS
Funding Source .............................................. Yolo County Mental Health/Private Pay
Type of Funds .......................................................................... Restricted/Unrestricted
Client Eligibility: Age 18-59. Medi-Cal population option.
MISSION
The mission of Pine Tree Gardens is to improve the quality of life of individuals with chronic and
persistent mental illness by providing high quality rehabilitation services.
Pine Tree Garden
Leadership Team
34
Pine Tree Gardens
PROGRAM DESCRIPTION
Turning Point Pine Tree Gardens offers adults
with a history of serious and persistent mental
illness a range of supports to help them build
more independent, meaningful lives. Day Treatment services help create a support system that
enables them reach their rehabilitative goals and
to realize new milestones in their lives. It provides our clients with the opportunity for success
in daily endeavors and gradually builds upon
these successes to improve their adaptive functioning. Groups and individual instruction are
designed to educate our clients about their illness and develop the skills necessary to maintain productive and meaningful activity. Additionally, our program encourages community involvement and peer interaction to help build im-
portant social and life skills for more independent
living.
Pine Tree Gardens aspires to help our clients
achieve psychiatric stability and recovery in their
lives. All services emphasize a well-planned and
managed rehabilitation program that offers medication management and education, an array of
groups, and diverse choices in goal-oriented activities. All services underscore the importance of
constructive therapeutic activities, community
involvement, and employment opportunities as
vital in promoting personal growth and success
toward more independent and productive community living.
ELIGIBILITY
Age 18-59. Medi-Cal population option. Willingness to participate in a self-help program. Minimum 30
days of sobriety.
VISION
Pine Tree Gardens will be recognized as a provider of outstanding quality, superior rehabilitation
services by excelling in the areas of: Client Satisfaction; Client, Family and Community Education;
Service to the Community; Functional Outcomes; Staff Development; and Fiscal Responsibility.
VALUES
Rehabilitation Services: Pine Tree Gardens values excellence in the provision of rehabilitative services,
restoring the highest level of independence possible for the individual. Our staff, management, and
Board of Directors are committed to the continuing assessment and improvement of the services delivered to the community we serve.
Community Involvement: Pine Tree Gardens embraces community involvement through advocacy, outreach and support to improve the quality of lives of individuals with mental illness.
Education: We are driven to educate clients, family members, student interns, health care providers and
the community in all the aspects of rehabilitation treatment.
SERVICES PROVIDED






Day rehabilitation
Psychosocial rehabilitation
Individualized treatment planning
Linkages to community supports
Social and recreational activities





Self help support systems
Relapse prevention skills
Basic skills for everyday living
Transitional Independent Living Program
Money management
Education on mental illness
35
Cool Beans
137 N. Cottonwood Street, Woodland, CA 95695
STATISTICS
Funding Source ................................................................. Yolo County Mental Health
Program Inception ........................................................................................ 6/30/2008
Number of Members in Program .............................................................................. 4
MISSION
To provide a safe and supportive employment training services for individuals who
experience psychiatric disabilities.
36
Cool Beans
PROGRAM DESCRIPTION
The Cool Beans coffee cart will provide
employment and job training for mentally ill adults
receiving mental health services in Yolo County.
The coffee cart will provide training in general
work orientation, safety, coffee
production,
time management, customer service, and register operation. Services are offered in a recovery model that emphasizes
consumer/member choice, and a commitment to
work with every member to help them
transition into independent employment in the community. The program is run mainly by consumers,
with some support from staff, and a majority of
the training is done by peers.
ELIGIBILITY
Cool Beans is open to residents of Yolo County who have a major mental illness and receive mental
health services from Yolo County.
VISION
All members will access opportunities which utilize their strengths in productive
and meaningful life roles.
SERVICES PROVIDED
A safe environment where members can learn to be employable and supportive staff. Turning Point
believes that everyone has strengths and talents that can benefit themselves and the community. We
respect our members by working with them to find their strengths, set their own goals, and achieve their
goals in their own unique ways. Cool Beans members benefit by becoming more confident, competent,
and integrated members of the larger community. By gaining more responsible, creative, and
productive citizens, the larger community benefits.
37
Nevada County
500 Crown Point Circle, Suite 100, Grass Valley, CA 95945
(530) 273-5440
STATISTICS
Funding Source .................................................................................................. MHSA
Program Inception ...............................................................................November 2007
Staffing Ratio ................................................................................... 1 staff for 8 clients
MISSION
Turning Point Providence Center provides intensive mental health services to clients 18 years and older.
Services focus on recovery and include assistance with housing, employment, advocacy, substance issues, mental health court and community resources.
Leadership Team
38
Nevada County
PROGRAM DESCRIPTION
The Adult Assertive Community Treatment
(AACT) will help those at risk for, or with a history of psychiatric hospitalization, residential
care, or out of home placement. AACT members
may be homeless, or are at risk for losing their
housing, being displaced from their families, and
losing their jobs or income for basic needs like
food, shelter and clothing. A recovery-oriented
approach ensures member-driven decisions on
services provided. AACT clients will be hired as
staff to encourage others whenever possible.
The Forensic Assertive Community Treatment
(FACT) program is designed to help individuals
over the age of 18 with a diagnosed mental disorder and co-occurring substance abuse. Participants will be nonviolent offenders who may have
been convicted for drug use, petty crimes, or
loitering due to homelessness. Services will be
provided in jail until the member is released.
FACT staff will provide 24/7 response for crisis
intervention as well as wraparound services.
ELIGIBILITY
AACT: Clients are 18 and older with a serious and persistent psychiatric disability with a pattern of homelessness
and/or hospitalization. Clients may also have a history of co-occurring substance abuse. Clients are at risk for hospitalization, homelessness, complications of a dual diagnosis and the potential for criminal justice involvement due
to their psychiatric disability.
FACT: Clients are 18 and older with a serious and persistent psychiatric disability and may have a co-occurring
substance use. The primary factor in the criminal activity that brought them to the attention of Mental Health Court
is the psychiatric disability. Clients are currently incarcerated, on probation or have been booked and released after
July 1, 2006. Clients must reside within Nevada County and are qualified for treatment under the terms of the Nevada county Mental Health Court Protocol.
VISION
Turning Point Providence Center is committed to assisting persons with psychiatric disabilities in reaching self-defined goals while supporting hope, choice, empowerment, inclusion, wellness and recovery.
SERVICES PROVIDED
AACT
FACT


















Care Coordination
Assessments
Psychiatric Services
Individual Therapy
Advocacy
Peer, Housing, and Employment Support
24/7 crisis support
Recovery-Oriented Groups
Assisted Outpatient Treatment (AOT) Team
Services
Care Coordination
Assessments
Psychiatric Services
Individual Therapy
Advocacy
Peer, Housing, and Employment Support
24/7 crisis support
Recovery-Oriented Groups
Mental Health Court Support
39
Placer County
1133 Coloma Way, Suite A, Roseville, CA 95661
(916) 786-3750
STATISTICS
Funding Source .................................................................................................. MHSA
Program Inception ......................................................................................... July 2008
MISSION
ACT programs use multidisciplinary teams including social workers, nurses, counselors, rehabilitation
experts and psychiatrists. Service coordination will include: resources and referrals for substance abuse;
medication services; housing assistance with supports; and employment assistance.
Leadership Team
40
Placer County
PROGRAM DESCRIPTION
The Turning Point Coloma Center provides
intensive mental health services designed to
partner with individuals with severe mental
health diagnosis who are currently involved or at
risk for involvement in the criminal justice system
and frequent psychiatric hospitalizations.
Coloma Center program uses a multidisciplinary
team including service coordinators, nurse, court
liaison and psychiatrists. The program will provide support in the community environment
where the need exists and service coordination
including: medication services, housing
assistance with support and court liaison.
Services utilized will focus on the individual/family,
use a strength-based approach,
intensive
forensic interventions within the
recovery
model philosophy, outreach services, and include multi-agency coordination and joint planning.
ELIGIBILITY
Adults between the ages of 18-59 (or transition-age youth if appropriate) with a severe and persistent mental health
diagnosis. The criteria utilized are that the individual suffers from (1) a severe psychiatric impairment as defined in
DSM-IV-TR, (2) exhibit an impaired level of functioning that prevents them from sustaining themselves in the community without treatment, supervision, rehabilitation and supports, (3) whose illness and impaired level of functioning is persistent in duration and (4) who is at risk of involvement or currently involved with the criminal justice system. Immediate eligibility will be determined by the level of priority, level of impairment and immediacy of needed
services.
VISION
Our vision is to enhance the quality of life for our client‘s by providing recovery based, individualized
supportive services. Our commitment is to empower individuals to take charge of their own lives and to
allow growth opportunities for themselves. We challenge members to reach their greatest potential by
promoting self-care and independence. We strive to provide services in the most cost effective, least
restrictive, and most normalized environment possible.
SERVICES PROVIDED




Assessments
Medication management
Therapeutic interventions
Crisis intervention




Groups
Rehabilitation
Client advocacy
Court Liaison
41
42
TPCP Children‘s Services
Sacramento Locations
Flexible Integrated Treatment
Therapeutic Behavioral Services
43
FIT
7245 E. Southgate Drive, Sacramento, CA 95823
(916) 427-7141
STATISTICS
Funding Source ................. Sacramento County Mental Health, 25.6 and realignment
Number of Clients in Program .............................................................................. 109
Staffing Ratio ..................................................................................2 staff for 8 clients*
Client Eligibility: *Children up to the age 21 (see eligibility).
MISSION
The Turning Point FOCUS Program is committed to providing quality services, support, and advocacy to
children and families experiencing mental health challenges.
Children’s Services Leadership Team
44
FIT
PROGRAM DESCRIPTION
Flexible Integrated Treatment (FIT) Program works
with youth who are experiencing emotional and
behavioral difficulties. The therapist/treatment team
members, partner with youth and their families in
addressing their stated needs utilizing a FamilyFocused, Strength-Based approach.
The program also incorporates specific evidencebased practices as treatment modalities. These
include;
Cognitive Behavioral Therapy
Trauma-Focused Cognitive Behavioral Therapy
FIT is able to increase or decrease clinical supports
depending on the level of need the youth has at
any given time. The program provides individual,
family, and group therapy, skills training, advocacy,
case management, and psychiatric supports.
Dialectical Behavioral Therapy
Parent-Child Interaction Therapy
Incredible Years Parenting Groups
ELIGIBILITY
Medi-Cal children up to age 21 who have been identified as being at serious risk of hospitalization, residential care or out of home placement due to the nature of their difficulties are eligible for services. Services may also be provided for children up to the age of 18 who do not have Medi-Cal but qualify for
26.5 funding or who have been identified by Sacramento County as having significant mental health
needs that qualify them for additional funding on a sliding scale.
VISION
Turning Point Focus commitment to providing state-of-the-art services will expand the
potential and possibilities for mental health within the community and will assist
those we serve in achieving their stated goals.
SERVICES PROVIDED
 In-home, school, and community support
 Psychiatric and medication support services
 Individual therapy
 Family therapy
 Group therapy
 Rehabilitation services




Collateral services
Crisis intervention
After hours crisis support
24/7 response availability
45
TBS
7245 E. Southgate Drive, Sacramento, CA 95823
(916) 427-7141
STATISTICS
Number of Clients in Program ....................................................................... Up to 21
Staffing Ratio ..................................................................................1 staff for 3 clients*
Client Eligibility: *Children or youth up to the age 21 (see eligibility).
MISSION
TBS is committed to providing quality assessment and intervention services to children and youth
experiencing mental health challenges.
Children’s Services Leadership Team
46
TBS
PROGRAM DESCRIPTION
The Therapeutic Behavioral Services (TBS) is an
intensive, one to one short-term outpatient mental health treatment service. TBS is designed for
children and youth with serious emotional problems who are experiencing a stressful transition
or life crisis and who are in need of specialized
support services. Children referred to our program have been identified as being at risk of
placement in a Level 12 to 14 group home or a
locked facility for the treatment of mental health
needs, or are in need of services to transition to
a lower level of residential care. TBS services
include: functional behavioral analyses, plan development, and interventions with the child and
parents/caregivers around specific targeted behaviors that jeopardize the current residential
placement. Our services are individualized and
recognize and utilize the strengths of the child to
effect positive change.
ELIGIBILITY
Children or youth up to the age of 21 with full-scope Medi-Cal who have been identified as being at imminent risk of placement loss in a Level 12 through 14 group home, or a locked facility for the treatment
of mental health needs, or who are in need of a transition from these levels to a lower level of residential
care. TBS Services are provided until the child‘s or youth‘s behaviors or symptoms which jeopardize the
current level of placement have been resolved or reduced to an acceptable level and when no additional
behaviors or symptoms have been identified that put the child at risk. Our services emphasize an approach which is individualized and which recognizes and utilizes the strengths of the child as a means of
effecting positive change.
VISION
TBS is committed to providing state-of-the-art services will expand the potential and possibilities for
mental health within the community and will assist those we serve in achieving their stated goals.
SERVICES PROVIDED

Individualized one to one short-term supportive services

Functional behavioral analysis identifying
skills and adaptive behaviors that the child is
using that could replace the problem behaviors and stabilize placement.


Quick response time
Individualized plan that assists client and
parents/caregivers with skills and strategies

Collateral services

to provide continuity when TBS is discontinued
Coordination between TBS, Primary Provider
and other service providers to assure a transition plan
47
What can you do?
Please contact FIT or TBS staff at
(916) 427-7141
Your contributions are welcome. This program is in need
of and would appreciate the following:
Mentors
 Financial support
New clothing, school supplies, games or toys


Thank you for helping us support the needs of
children in our community.
48
TPCP
Cultural Diversity
Who We Serve
Client Demographics 2008-09
0%
1%
1%
White
6%
Black
6%
10%
Hispanic
Asian
17%
59%
Nat. Amer
Mid East.
Pac Islndr
Other
Our Staff
Employee Demographics 2008-09
0%
2%
2%
White
Black
4%
8%
Hispanic
17%
Asian
48%
Nat. Amer
19%
Middle East
Pac. Island
Other
Language Spoken
American Sign
Assyrian
Cantonese
Farsi
French
Greek
Hindi
Hmong
Japanese
Krio/Temne
Lao
Mandarin
Mien
Persian
Portuguese
Punjabi
Romanian
Russian
Spanish
Tagalog
Thai
Tongan
Ukrainian/Russian
Urdu
Vietnamese
49
TPCP
Board of Directors
Dr. Dawn Hayes
Board President
Dr. Dawn Hayes earned a Bachelor of Science degree in Biological
Sciences in 1981 from the University of Southern California, Los Angeles, and an M.D. from the University of Michigan in 1986. Her Surgical Internship was completed at St.
Joseph‘s Mercy Hospital, Ann Arbor,
Michigan in 1986 to 1987. She practices Occupational and Urgent Care
medicine in Sacramento.
Carol Ann Frezza
Secretary
Carol Ann Frezza graduated from Highland Hospital
School of Nursing in Rochester, New York in 1956
earning a Registered Nurse and Public Health Nurse
certificate. In 1959 graduated from Syracuse University
with BS in Nursing. Moved to California in 1977 and
practiced in a variety of setting. Carol received a MPA/
Health Services Administration degree from the University of San Francisco. Joined Turning Point Board of
Directors in 1991 and was employed in 1997 as Program Director for Northgate Point RST. Became Turning Point‘s first Director of Nursing in 2001 and retired
in 2006 when she was welcomed back to the board.
50
Andrea Jackson
Vice President
Andrea Jackson earned a Bachelor
of Science degree in English Literature from Boise State University.
She has over 15 years of experience in state and local government.
Currently, she is an Associate Director of the State Government Affairs
for Genentech, Inc.
Dave Fukui
Treasurer
Dave Fukui graduated in 1985 from the California State
University of Sacramento with a Bachelor of Science
Degree in Electronic and Electrical Engineering. David
continues to update his education with yearly seminars
in such subjects as California Construction Law,
Calculating Loss of Efficiency and Public Contracting in
California. Currently, he is with Capital Project Solutions, LLC.
TPCP
Board of Directors
PICTURE
Paul Sickert
Tony DiGaetano
Paul Sickert, earned a Bachelor of
Arts degree from the University of
California at Davis and Juris Doctor
degree from the University of the
Pacific, McGeorge School of Law.
Paul is presently with the California
Department of Social Services and
serves as Senior Counsel.
Tony DiGaetano earned a Master‘s degree in Organizational Management from
the University of Phoenix. He has 10 years
of experience as a law enforcement officer. For over 20 years he has been with
the UPS as part of their management
team and is presently working as part of
the HR Training Department. He is also
currently teaching at the University of
Phoenix and assisting the University with
the training and retention of potential instructors.
Tom Hoeffel
Not available at this time.
Peter Daniels
Dr. Ronald Ruff
Peter Daniels is a current member of
the Cornish & Carey Commercial since
2002 - Office Services Group, specializing in the leasing and sale of office
properties and the sale of leased investments. He began his commercial real
estate career following graduation from
Brigham Young University in 1985.
Peter has vast experience and understanding of many aspects of commercial real estate transactions, including
market surveys, property analysis,
lease proposals, tenant improvement
evaluation, and more.
Dr. Ronald Ruff is a clinical neuropsychologist and rehabilitation psychologist
specializing in working with patients who
have sustained traumatic brain injury, and assesses and treats cognitive
and psychological changes that occur
subsequent to a neurological illness,
including patients‘ emotional status. He
also integrates the caregivers' and community's role into the patient's rehabilitation. Dr. Ruff is a faculty member at U.C.
San Francisco in the Dept. of Psychiatry
and at Stanford in the Div.of Physical
Medicine and Rehabilitation.
51
TPCP
John Buck, Chief Executive Officer of Turning Point Community Programs, has been with the organization since its inception. He literally has worked for the organization at every
level, beginning as an intern in 1977 through his promotion to
Executive Director in 1986 and Chief Executive Officer in 2000.
Along the way, John has played a key role in shaping Turning
Point‘s client-centered approach - a philosophy that many organizations serving mentally disabled people have since adopted.
John graduated from California State University, Sacramento with a
Bachelor of Arts degree in psychology, and later earned a Masters
in Business Administration from National University in Sacramento.
John Buck
Chief Executive Officer
TPCP
Chief Executive Officer
Chief Operations Officer
Alfred Rowlett, Chief Operations Officer joined Turning
Point in 1981 as a rehabilitation counselor. Alfred earned
a Bachelor of Arts degree from Ottawa University in Kansas, a Masters in Business Administration from Golden
Gate University in San Francisco and a Masters in Social
Work from California State University, Sacramento. Alfred
is a Licensed Clinical Social Worker.
Al Rowlett
Chief Operating Officer
52
TPCP
Director of Nursing
Linda Ellis, Director of Nursing, joined TPCP in 2002 as the Nurse at Crisis Residential Program and was, then, promoted to the DON position in May 2006. She has a number of years of
managerial experience and has worked in psychiatric nursing since the beginning of her career more than 30 years ago. Linda has worked at well
known institutions, including UCLA‘s Neuropsychiatric Hospital and Sutter
Center for Psychiatry, where she has had opportunities to work with both
acute and chronic mentally ill populations of all ages.
Linda graduated from Georgetown University with a Bachelor‘s in Nursing
and from UCLA with a Master‘s in Nursing where she minored in Community
Mental Health and Developmental Disabilities with a concentration in teaching. She has taught college level nursing courses and has worked in hospital
information systems. Linda‘s willingness to put herself ‗into the middle‘ of
Linda Ellis
promoting healthcare that‘s efficient and effective, has led her to become a
Director of Nursing
regular contributor to the Sacramento County‘s National Alliance for Mentally
Ill (NAMI) newsletter, as well as a frequent presenter of in-service trainings to fellow healthcare
workers, providing classes on a variety of co-morbid medical conditions.
53
TPCP
Administration
HUMAN RESOURCES DEPARTMENT
Joyce Van Curen has served as Human Resources Director since
August 16, 1999. She came to Turning Point Community Programs
with seventeen years of human resource experience covering every
aspect of human resource management. She previously spent
eleven years in a human resource management capacity in manufacturing. She is a member of both the Society for Human Resource
Management and the Sacramento Area Human Resource Association. Joyce has a BS in Business Management and is currently pursuing a Masters degree in Organizational Management.
Joyce Van Curen
Human Resources Direc-
SERVICES PROVIDED

Recruitment and hiring

Benefits and Compensation (assessment and administration including complaint resolution with carriers)

Complaint Investigation (sexual and other harassment issues; discrimination; workplace violence; drug
related, etc.)

Training (mandated and skills enhancement; continuing education credit‘s for licensing compliance)

Management Consultation (guidance around performance issues and discipline)

Employee Support (referrals to appropriate agencies
for assistance with personal issues)

Mediation of Employee Disputes/Conflict Resolution
54
MISSION
The Human Resources Department
will provide appropriate support to the
agency and employees of Turning
Point Community Programs in a spirit
of excellence that will enhance the
agency‘s overall mission of service
provision and advocacy for the psychiatrically disabled.
VISION
The Human Resources Department
is dedicated to the provision of quality
support and services to all applicants
and employees through total commitment to the highest standards of excellence, fairness, and professionalism encompassing all aspects of the
human resources function.
TPCP
Administration
FISCAL DEPARTMENT
Bruce Jefferson, Chief Financial Officer joined Turning Point in 2005 after
a long association as the organization‘s auditor. Bruce earned a BA in English Literature from California State University, Chico and is licensed in California as a Certified Public Accountant. He spent over 20 years owning and
managing a public accounting practice serving as auditor, consultant, and
tax preparer for several mental health agencies. Prior to forming his public
accounting practice, Bruce enjoyed working as Controller for a privately held
Fortune 500 retail corporation. He is a member of both the American Institute of Certified Public Accountants and the California Society of Certified
Bruce Jefferson
Public Accountants.
Chief Financial Officer
SERVICES PROVIDED


Accounts Payable

Bank Deposits

Bank Account Reconciliations

Budgets

Client loans

Client Trust Accounts

Company Vehicle Leasing/Purchases

Company Vehicle Reporting

Equipment/Furniture Purchasing and Inventory



Financial Statements
Accounts Receivable
MISSION
To provide quality financial services that assist staff, management, and directors in accomplishing the goals of clients,
individual programs and the
agency at large.
VISION
The Fiscal Department will provide quality financial support
services in a timely manner and
maintain complete integrity of
all financial records.
Payroll
Pension Plan Administration
55
TPCP
Administration
MANAGEMENT INFORMATION SYSTEMS DEPART-
Stuart Marshall
MIS Director
Stuart Marshall contracted with Turning Point Community Programs since 1995 and was hired as a MIS Manager in 2000. He has helped build the agency‘s network infrastructure adding greater security, agency
wide connectivity and standardizing hardware/software platforms. Currently, Stuart is the MIS Director.
SERVICES PROVIDED

Training

Network Design and Implementation

Telephone installation and support

Application support and customization

Email and Web services

Hardware support and installation
MISSION
By providing effective and efficient systems management services, the MIS
department operates proactively and
aligns their activities with agency goals
and acts as a catalyst in achieving those
goals. This is accomplished through
centralized purchasing, implementation,
administration, data management and
training of hardware, software, communications systems, and network services. This optimized system facilitates
growth, maximizing client services.
VISION
MIS will provide efficient support services while seamlessly integrating cutting edge technologies.
56
TPCP
Administration
MAINTENANCE DEPARTMENT
SERVICES PROVIDED













Painting
Deep Cleaning
Furniture Services
Re-keying/locks
Landscaping Services
Light repair of existing carpentry
Lighting (repair and new)
Plumbing
Electrical switches and plugs
HVAC troubleshooting
Preventative maintenance
Moving services
Exterior maintenance
VISION
The Maintenance Logistics Department provide
quality professional facility maintenance in an innovative and efficient manner. This is
achieved through communication, customer
service, teamwork, and follow up while promoting a safe working environment.
57
Founder‘s Club
Ten Years and Counting
John Buck, 32 years—Administration Office
Leah Empey, 11 years—ISA Sacramento
Alfred Rowlett, 28 years—Administration Office
Monica Weikleenget, 11 years—ISA Modesto
MaeOla Causey, 26 years—ISA Sacramento
Sergio Lopez, 11 years—RST
Janice Carwile, 20 years—ISA Sacramento
Marva Martin, 11 years—Pathways
Deborah Starkey, 18 years—Administration Of-
Gloria Lyles, 11 years—RST
fice
Susan Miner, 18 years—TSS
Cindy Tuttle, 17 years—ISA Sacramento
Trina Flentge, 16 years—TPPC
Sheree Ferrell-Hunter, 16 years—ISA Sacra-
James Dangc, 11 years—RST
Nikolay Trachuk, 10 years—Administration Office
Geraldine Busby, 10 years—RST
Carol Stanchfield, 10 years—TPPC
mento
Marcia Gump, 10 years—Outpatient
LaRita Jackson, 15 years—Pathways
Anna Perez, 10 years—ISA-Modesto
Sharon Johnson, 15 years—PTG
Aretha Jenkins, 10 years—ISA Sacramento
Ray Howell, 14 years—ISA Sacramento
Ron Gilbert, 10 years—ISA Modesto
Jody Kelley, 14 years—On-call Staff; ISA-Sac
Joshua Umsted, 10 years—ISA Modesto
Melanie Holmes, 13 years—PTG
Lisa Cruz, 10 years—Garden Gate
Corinne Stacey, 13 years—TSS
Theodore Grubbe, 10 years—On-call Staff
Diana White, 13 years—FOCUS, Outpatient, TBS
Daniel Lyday, 10 years—ISA Modesto
Peggy Hermon, 13 years—FOCUS
Nora Ogle, 10 years—ISA Modesto
Gail Hammons, 12 years—Administration Office
Svidlana Lawless, 10 years—ISA Modesto
Laurie Gallo, 12 years—Administration Office
Brian Cosio, 10 years—Career Exploration
Bonnie Sanders, 12 years—RST
Joyce Van Curen, 10 years—Administration Office
Patsy Yasuhara, 12 years—RST
Marsha Santos, 10 years—ISA Modesto
Adelina Herrera, 12 years—ISA Sacramento
Stanley Binder, 10 years—Career Exploration
Sheila Jones, 12 years—TSS North
Christopher Stringer, 10 years—Administration
Toi Gray, 12 years—Administration Office
Eliza Gonzalez, 10 years—TSS South
Rosemary Castro, 12 years—ISA Sacramento
Stacy Hart, 10 years—CRP
Catherine Ofa Mann, 11 years—RST
Gail Emery, 11 years—TSS North
Our Founder’s Club recognizes employees who have ten or more years of service with the agency. Turning
Point wishes to thank all those who have dedicated their time and energy to supporting our mission and
philosophy for a decade or more.
58
TPCP
Organization Chart
59
Frequent Asked Questions
FAQ‘s
HOW DOES TURNING POINT HELP THE MENTALLY ILL?
Turning Point's mission is to provide services to people with disabilities and their families, including mental health
services, support, employment housing and advocacy. To that end, Turning Point maintains its prime focus of
support in three areas:
Adults with serious and persistent mental illness, developmentally disabled adults, and families & children dealing
with mental illness in their lives.
The cornerstone of Turning Point's services and, indeed, its core value system is derived from working with
formally institutionalized mental health consumers. Prior to 1988, California institutionalized many of its severely
and persistently mentally ill adults who were not fortunate enough to have private insurance. Turning Point took a
leading role in developing an Integrated Service Agency which specialized in taking adults out of the locked mental
health facilities throughout the State and integrate them back into our community. Turning Point ISA is one of the
most successful programs of this nature with in the State, if not the Country.
Turning Point is committed to helping people with psychiatric and emotional disabilities to achieve the goals they
have set for themselves. This is accomplished through a number of programs provided by Turning Point:
Integrated Service Agency (Sacramento and Modesto): This corner-stone program provides services to the
formally institutionalized severely and persistently mentally ill adults. With intensive 24-hour wrap around services,
the Turning Point ISA provides these consumers with tools necessary to realize the goals they have set for
themselves. These "wrap-around" services include service coordinators who visit members in their homes, assist
with housing and recreational needs and is de-signed to promote self-care and assist people in moving towards
their independence. The ISA features highly competent medical teams and drop-in centers with a professional and
caring staff. The philosophy of the ISA is to treat members with respect, listen to their preferences and appreciate
their individualism, empowering members so that they can lead productive lives, while taking an active role in their
recovery.
Regional Support Team: This service provides clinical mental health services to 1,500 persistently mentally ill
adults. Turning Point RST serves those clients who are in danger of ending up in on the street, in emergency
rooms, or requiring intervention by law enforcement. By focusing on the unique needs of these consumers, the
community puts its money where it can do the most good.
Employment Services: Turning Point has limited employment services which provide personal, vocational and
social adjustment services to targeted clients. Our goal is to develop in each client, the appropriate work related
behavior necessary for the acquisition of employment and eventual retention of the job. Hygiene, grooming,
behavior management, communication skills and mobility are key elements. Additionally, with the provision of
supported employment services including job coaching, these individuals increase their opportunity to choose,
obtain and retain paid employment at prevailing wages in the community.
Crisis Residential Programs: This program provides immediate, temporary residential placement for adults who
have become suicidal, critically depressed or other-wise psychiatrically incapacitated. It provides an alternative to
placement in the Sacramento County Health Treatment Center.
Pathways to Success After Homelessness: Turning Point's Pathways has been in existence since 2007. This
program seeks to bridge the gap in mental health resources to the homeless adults and families with children.
Pathways activity occurs in the community with aggressive outreach to homeless mentally ill adults, attempting to
get them off the streets, from under the bridges, out of the back alleys and domiciled wherever possible. Services
include psychiatric (medication), counseling (including addiction counseling) and case management.
60
FAQ‘s
WHAT IS A DEVELOPMENTAL DISABILITY?
According to the Developmental Disabilities Assistance and Bill of Rights Act (DD Act):
A "developmental disability" is a severe, chronic disability of a person five years of age or older which
is attributable to a mental or physical impairment or combination of mental or physical impairments;
is manifested before the person attains age twenty-two; is likely to continue indefinitely; and; results in substantial
functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive
language, learning, mobility, self-direction, capacity for independent living, and economic self-sufficiency, and;
reflects the person's need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or
other services which are of lifelong or extended duration and are individually planned and coordinated, (except that
such term, when applied to infants and young children means individuals from birth to age 5, inclusive, who have
substantial developmental delay or specific congenital or acquired conditions with a high probability of resulting in
developmental disabilities if services are not provided).
Examples of developmental disabilities include children and adults with a wide range of diagnoses, including mental
retardation, cerebral palsy, autism, spinal cord injury and severe head injury, so long as the condition began before
age 22 and therefore affected the person's development.
This definition is taken from the Developmental Disabilities Assistance and Bill of Rights Act (DD Act), etc.
HOW DOES TURNING POINT HELP THE DEVELOPMENTALLY DISABLED?
Turning Point provides a number of six-bed residential facilities for adults who are "dually diagnosed" with
developmental and psychiatric disabilities. Clients in these facilities come directly from State Developmental
Centers, are having trouble in other placements, or are severely affected by both their institutionalization and
developmental disabilities. Turning Point also serves adults with autism. Families of four original clients
spearheaded the effort to begin these state-funded program, raising money to get it off the ground.
WHERE DOES TURNING POINT GET ITS MONEY?
Turning Point will receive approximately $24,000,000 for the fiscal year ending June 30, 2011 in operating funds
from services provided in seven counties of Northern California. 84% of the funding is derived from the counties
themselves, which are funded by the State of California and the federal government. Sacramento County is by far
the largest contractor at 56%, Stanislaus County provides 10%, and the remaining 5 counties make up the other
18% of Turning Points restricted operating revenue. 16% of operating revenue comes from unrestricted sources,
primarily Alta California Regional Center, but also through special trainings and other services. An extremely generous in-kind donation of a home in Davis, California added donation revenue of over $1,000,000.
WHAT PORTION OF TURNING POINT'S REVENUE GOES TOWARDS ADMINISTRATION?
Turning Point's management and administration expenses were 12%.
HOW IS TURNING POINT MANAGED?
Turning Point is successfully managed by an educated Board of Directors, a Chief Executive Officer, a Chief
Operations Officer, and a Chief Financial Officer who utilize their expertise to advance TPCP‘s ability to provide
service. With Administrative support through a Director of Human Resources, Director of Logistics, and MIS
Department Managers, our management team supports TPCP‘s mission and goals using extensive experience and
knowledge. TPCP‘s programs are overseen by Adult and Children‘s Directors through individual Program Directors
all with a broad range of skill and backgrounds in mental health.
61
FAQ‘s
WHAT HAPPENS TO TURNING POINT CLIENTS AFTER THEY GET OUT OF THEIR PROGRAMS? DO THEY
GRADUATE?
Clients do graduate to a lower level of care. When they have remained stable in housing and medications and they
agree to be transferred, they transition to services where they will receive medication support and case management at a less intensive level. Clients dictate what happens upon discharge. From the time they‘re admitted, clients
are encouraged to develop a discharge plan. Many return to their homes, some go to board and cares or room and
boards. Some chose to be homeless. They utilize shelters or live in hotels. All clients are encouraged to follow up
with other providers or are given appropriate referrals for medication supports. Clients are also encouraged to utilize
our after-care component.
Yes, clients who complete their individual programs graduate. We have a ―marble ceremony‖ to acknowledge it.
WHAT CAN I DO TO HELP TURNING POINT?
Your contribution of time or funds is most welcome and appreciated. Turning Point is a non-profit organization and is
supported by government funding, grants, and support from the community. Due to budget issues, there is always
concern. However, we continue to strive to put the customer first and any additional resources are of great benefit to
that goal and our mission. In certain instances, we may be able to offer tours of our facilities to provide an inside
look at what we have accomplished and continue to achieve. Volunteers: We have a screening process for volunteer work through our HR department. Please contact the HR Manager at (916) 364-8395 if you have the ability to
support with your time. It would be helpful to know in advance what type of volunteer support you would prefer, or
what type of services you would like to offer. For financial assistance toward our community programs, please specify which program you would like to support. We would be happy to assist with designating which program has the
most need. For contribution of funds, please contact the Chief Executive Officer at (916) 364-8395.
IF TPCP DID NOT EXIST, WOULD THE CLIENTS RECEIVING SERVICES FROM IT REQUIRE OTHER SERVICES THAT WOULD BE MORE COSTLY TO THE COMMUNITY?
Mental Health Services: The clients at the CRP would be hospitalized since there are no other programs in the locale that provide an alternative to hospitalization. Hospitalization is always more costly. (CRP clients currently need
24 hours 7 day a week support services). Finally, many Adult Mental Health and developmentally disabled clients
would not receive services and would require services from the more costly community services of law enforcement
and the treatment centers. It would also greatly impact the county‘s budgets, as service cost per client per day at a
hospital is approximately twice that of the CRPs. At the ESP, mental health counseling and wrap-around services
focus on employment. Clients would have to seek assistance from the private sector or utilize vocational rehabilitation services, which would compromise the goals of increased employment, as these programs do not work effectively for individuals with psychiatric disabilities. If the RST were not in existence, the 1500 plus clients would have
to receive services from other community clinics or primary care facilities. These clients would ‗fall through the
cracks‘ and end up in the hospital, which is more costly.
DD Services: The clients with developmental disabilities could decompensate to the point of needing state hospitals,
board and care placement, and one-on-one support. These alternatives are not the most viable options because in
general this clientele has not proven successful without structure and support.
Children’s Services: The TBS program addresses specific target behaviors that jeopardize a child‘s current residential placement and aid in transition to a lower level of placement. Without TBS, clients would be placed in group
homes that are at level 12-14 or a locked facility for a longer period of time, placed in a higher level of care than the
child‘s current level of placement, or would perhaps require a locked facility or psychiatric hospitalization. These
placements are far more costly to the community/society than TBS services. A primary goal of the FOCUS program
is to avoid the placement of children in psychiatric hospitals, residential placements, intensive foster care place-
62
FAQ‘s
ments, and to avoid involvement with the criminal justice department. All the services listed above have a higher
cost than TBS and FOCUS services, not only monetarily but in terms of family health and stability as well.
WITHOUT THIS PROGRAM, WHO WOULD PROVIDE THE SERVICES, AND IN WHAT SETTINGS?
Mental Health Services: Medication stabilization and support services would have to be provided by a variety of
programs and hospitals. For those adults receiving wrap-around services, similar services to those offered at the
ISA‘s 24 hours/7 days a week wrap-around services, hospitalization or placement at Skilled Nursing Facilities would
be necessary. It is difficult to determine who would provide these services. These services would most likely be provided in numerous settings, from mental health, county/state run facilities at differing levels, to private settings that
would be willing to expand the programs. The potential cost is incalculable. Finally, the county would have to provide services for the 1500 clinic clients currently being served at TPCP‘s RST program.
DD Services: Clients residing in homes would have transferred to other Adult Residential Facilities for DD/MI or autistic clients in the community. The medically fragile clients and those with difficult psychiatric problems would likely
be institutionalized.
Children’s Services: Children would require medication and therapeutic services for themselves and their families.
These services might be provided at a school setting (family issues do no always get addressed and resources may
not be available). Some of these needs would have to be directed through HMO, private pay, or Victim of Crime.
Ultimately, families may go without help for significant periods before being provided with services from other providers. These clients may be referred to less intensive services that would not provide all the needed services, resulting in the potential decline of emotional and/or behavioral health of the client and possible placement in non-familial
settings.
ARE THERE OTHER SIMILAR PROGRAMS PROVIDING SERVICES TO THE SAME CLIENTELE AND IF NOT,
FOR WHAT REASON?
Mental Health Services: There are no other Crisis Residential Programs in Sacramento or Stanislaus County.
There is one other AB2034 (Homeless) program in Sacramento County. Garden Gate Respite is a unique housing
program in Stanislaus County. There is a significant need for more homeless services. ISA‘s are often the last opportunity for clients to reside in the community prior to hospitalization and the first to support them in returning to the
community. There are other community-based mental health clinics (RSTs) in Sacramento and Stanislaus County.
DD Services: There are supported living agencies and independent living agencies. Many of the dual diagnosis clients have tried these services and they are not successful. TSS is the only program that provides ―whatever it
takes‖ ―wrap-around‖ services. This unique service category was developed as a creative alternative for clients who
needed services that fall between support living and board and cares.
Children’s Services: TPCP is one of two agencies providing community-based TBS services to children currently
served by other providers. There are five programs in Sacramento County that provide FOCUS-type services and
there are many other county funded children‘s outpatient programs in Sacramento County, although TPCP has
proven successful and offers expansive resources.
WHAT ARE THE PROJECTED LONG-TERM BENEFITS TO THE CLIENT AND TO THE COMMUNITY?
Mental Health Services: Increased independence, a better quality of life, the ability to live in a less restrictive environment, medication management, and stabilization in the community. In the long term we hope to increase ‗quality
of life‘ for those we serve by empowering them to advocate for themselves helping them to learn independent living
skills and coping strategies, assisting them to develop resources necessary for success in meeting their goals. We
63
FAQ‘s
also hope to decrease recidivism and reduce hospitalization, therefore relieving some of the fiscal impact on the
community. To the community the benefits are less dependence to public subsidy, reduction in hospitalization and
incarceration, and economical uplift. Additional benefits include gainful employment, increased independence, and
supported housing with a sustained income.
Children’s Services: Long term benefits include prevention of increased negative behaviors that place burden on
schools and teachers, families, and communities overall. Skill development pinpoints issues requiring improvement
in order for the child to manage successfully in society. Additionally, assessment diagnosis and treatment improves
individual client behavior thereby preventing more costly services. The programs assist the child to maintain their
current level of placement (whether in a family home or group home placement up to a level 12-14), assist youth to
transition to a lower level of placement, reduce or eliminate target behaviors that jeopardize the client‘s current level
of placement; reduce the need for psychiatric hospitalizations, and decrease the client‘s aggressive/harmful behavior toward himself/herself or others. Benefits to the community include education in the overall cost of serving highrisk children and youth, families remaining intact negating the need for more costly services. Children can avoid ongoing contact with the criminal justice system, which historically leads to adult criminal contact. Statistics support
that children placed in foster care and residential placements ultimately do not develop the skills to be contributing
members of society as adults.
IS THIS PROGRAM DESIGN BASED UPON MODELS PROVEN EFFECTIVE OR IS THIS A MODEL OR INNOVATIVE PROGRAM BY ITSELF?
Mental Health Services: CRP was developed as a result of the consumer driven movement of the 1980‘s. The consumer movement focuses on the idea that individuals who have experienced similar problems, life situations, or
crises can effectively provide support to one another. Self-advocacy and mutual support make up the foundation of
the programs. Numerous studies confirm that self-help programs like the CRPs respond more readily to client needs
than traditional providers. HIP was designed after Integrated Services model utilizing harm reduction, recovery, and
‗whatever it takes‘ approaches; utilizing SISA and TP ISA‘s innovative program design which was developed
through the AB3777 legislation.
DD Services: TSS is modeled after the Integrated Services Agencies, as they are the most successful model for the
dual diagnosed population in Sacramento.
Children’s Services: This program emulates a model that has been effective with other agencies: Providing services
in-home and in-office using a collaborative approach that includes the family and client in the process. TBS services
were modeled two pilot programs in the state of California. The TBS program is innovative and evolving. Since TBS
services have been provided in Sacramento County for only one and a half years and at TPCP since September
2002, it is too early for the program to have proven effective in the long term. The FOCUS program is based on innovative models from the East coast, which have proven to be effective utilizing the wrap-around philosophy.
IS THIS SERVICE LEGISLATIVELY MANDATED OR THE RESULT OF A LEGAL AGREEMENT BETWEEN
OTHER PARTIES?
Mental Health Services: HIP is created as a result of Assembly Bill 2034, which directs funding for the programs.
TPCP‘s SISA was previously legislatively mandated. Today this is crucially being evaluated. Since the funds from
AB3777 were eliminated in May of 2002 and the program was tentatively secured under AB2034, today this funding
stream is under great scrutiny and SISA may once again be defunded.
DD Services: TSS program is the result of an ―entitlement,‖ The Laterman Act and the Coffelt agreement. DD Home
services are provided for those individuals who have been determined by a Regional Center or the State Depart-
64
FAQ‘s
ment of Developmental Services to meet the eligibility criteria of the Welfare and Institutions Code and Title 17 of
the California Code of Regulations.
Children’s Services: Outpatient has two components; one through Sacramento County utilizing MediCal E.P.S.D.T.
funding and the other through Sacramento County Child Protection Services providing court-mandated counseling.
Therapeutic Behavioral Services is a state mandated program as the result of a judgment and permanent injunction
in the Emily Q. vs Bonta case.
ARE THERE CLEARLY DEFINED OUTCOME MEASURES FOR THESE PROGRAMS AND IF NOT, WHY?
Mental Health Services: Outcomes are evident by the number of reduced hospitalizations, number of clients off conservatorship, number of clients working, and the number of clients who are living semi-independent or independently. In most cases there are clear, measurable outcomes delineated in the contracts. The outcome data is developed through Quality of Life Surveys, Customer Satisfaction Questionnaires, decreases in hospitalization rates, and
efficient caseload management comparisons (which capture these outcomes).
DD Services: The program design is based on the principles of normalization as measured by consumer participation in a variety of age-appropriate activities that take place in natural environments, at the residential home, at
work, in the community and during leisure time. The consumer, family, facility staff, Alta representative, work or program representative, and behavioral specialists meet quarterly to define and update treatment goals and outcomes.
Children’s Services: Outpatient and FOCUS have clearly defined outcome measures established by Sacramento
County Children‘s Mental Health Quality management. There is a Sacramento County Workgroup of TBS providers
who meet with the Sacramento County Mental Health monitor and they are beginning to look at possible outcome
measures. Current outcome measures are: Reduction in frequency of targeted behaviors and stabilization or reduction in level of placement.
65
Glossary of Terms
ADHD (Attention-Deficit/Hyperactivity Disorder): Six or more symptoms of inattention that have persisted
for at least 6 months to a degree that is maladaptive and inconsistent with developmental level.
Advocacy: To educate and inform others about the needs, desires, and challenges of those with disabilities.
Change: Evolving and adapting.
Client/Member: Consumer/Volunteer recipient of services; Persons who meet select criteria who participate
in services that promote moving further along in recovery.
Clients: Those who receive Program and after care services.
Consumers: Individuals (internal and external) who receive or interface with our facility.
Culturally competent: Sensitive to and a heightened awareness of individual‘s beliefs, rituals, perceptions
and experiences within the full scope of service delivery.
Dual Diagnosis: Refers to the co-occurrence of mental health disorders and substance abuse disorders
(alcohol and/or drug dependence or abuse). There are many combinations of these dual/multiple disorders.
Empower: To inspire and motivate clients to live the life they want to live and become the people they want
to be.
Promote self-actualization or influence.
Engagement: Collaboration/Seeking Cooperation; Initial contact with consumers promoting help and/or services.
Equality: All persons being treated as equal served by the employment program as well as community and
employers.
IMD: Institute of Mental Disease
Independent Living Skills: Abilities needed to live with self-reliance. (i.e. money management, household
maintenance, shopping, meal preparation, personal management, safety, knowledge of community resources,
communication, relationships, leisure time.
Interdisciplinary Treatment Plan: An interdisciplinary treatment team has the ability to pool their knowledge
and expertise towards the recovery of the whole individual, not just his or her disease. The members and
make-up of the interdisciplinary team are tailored to the person and his or her physical, emotional, and functional needs. Team members may include, but are not limited to, physicians (from a variety of medical specialties), nurse practitioners, surgeons, psychologists, psychiatrists, social workers, school counselors, nutritionists, physical therapists, vocational counselors, occupational therapists, and creative therapists (i.e., art therapists, music therapist, friends and family). Source: Paula Ford-Martin
Levels: Levels identify staffing and supervision. Lower level indicates lower service requirement/provision,
higher level categorizes more intensive services.
Member driven: Consumer directed self- determination of outcome(s).
Member efficacy: The members possessing self-judgment in order to have a role in producing an intentional
66
Glossary of Terms
and desired outcome. (i.e. the member takes an active and participatory role in their success of obtaining a
job or of skill acquisition.) Integrity and accuracy and reliability. Clinical and fiscal-validity.
Mental illness: Refers to a wide range of disorders which directly affect the cognitive portions of our minds.
Those who suffer from such conditions often have distorted or disoriented perceptions of reality and need the
help of others to navigate through the confusion of the illness. According to the National Alliance on Mental
Illness, there are several major categories of mental illness. (See Psychiatric Disabilities).
Outcome Measures: Use of standard measures to assess patient change during treatment and at posttreatment follow up. The extent to which a service has achieved it‘s goal and/or met the needs of clientele.
PHF: Psychiatric Health Facility
Psychiatric Disability: Characterized by the presence of behavior, emotions and/or thought processes
which inhibit an individual from working, socializing and taking care of one‘s daily needs in an effective manner and qualitative manner.
Psychiatric Disabilities/ Mental Illness:

Anxiety Disorders: Include panic disorder, post-traumatic stress disorder (PTSD), obsessivecompulsive disorder (OCD), generalized anxiety disorder, and phobias (social phobia, agoraphobia,
and specific phobias). More than 19 million American adults suffer from an anxiety disorder in a given
year, and many people have more than one anxiety disorder. Anxiety disorders frequently co-occur
with depressive disorders, eating disorders, or substance abuse. Depending on the type of anxiety
disorder(s) someone has, effective treatments can include medication(s), psycho-social therapies, or a
combination of the two.

Autism: Is classified as one of the most pervasive developmental disorders of the brain. It is not a
disease. People with classical autism show three types of symptoms: impaired social interaction,
problems with verbal and nonverbal communication, and unusual or severely limited activities and
interests. Symptoms usually appear during the first three years of childhood and continue through life.
There is currently no cure for autism, but appropriate treatment may result in relatively normal
development and reduce undesirable behaviors. Asperger's syndrome is related to autism. However,
unlike with autism, a child with Asperger's syndrome experiences no clinically significant delay in
cognitive development, does not experience a gross delay in developing language skills, and does not
have difficulty with creative thinking.

Bipolar Disorder (manic depression): A brain disorder involving episodes of mania and depression.
It affects more than two million American adults. Effective treatments are available that greatly reduce
the symptoms of bipolar disorder and allow people to lead normal and productive lives.

Behavior Disorders: Inability to control impulses. Impacts the individual‘s function, relationships, and
future.

Co-occurring Disorder: Co-morbid; disorders that are often concurrent with one another, like PTSD
and Depression, Substance abuse and Anxiety, etc.; there is more than one diagnosis occurring, multiple diagnosis.

Conduct Disorder: A repetitive and persistent pattern of behavior in which the basic rights of others
or major age-appropriate societal norms or rules are violated.
67
Glossary of Terms

Dementia: The development of multiple cognitive deficits manifested by both memory impairment
(impaired ability to learn new information or to recall previously learned information) and one (or more)
cognitive disturbances.

Depression: In a Major Depressive Disorder, a person experiences some of the following symptoms
for more than two weeks: depressed mood, diminished pleasure in formerly pleasurable things, altered sleep and eating patterns (either more or less than normal), fatigue, agitation and irritability, difficulty concentrating and a sense of worthlessness. Suicidal ideation may be present. A small, but significant, minority of depressed persons complete suicides, so all suicidal statements should be taken
seriously. People generally recover from depressive episodes over time, but become more vulnerable
to experiencing depression again as a result of the experience. Source: Mark Dombeck, Ph.D.

Depressive Disorders: Are serious illnesses that affect a person's mood, concentration, sleep, activity, appetite, social behavior, and feelings. Depressive disorders come in different forms, the most
common being major depression (unipolar depression). Major depression, the leading cause of disability in the U.S., affects over 9 million adults in a given year. Despite the disabling effects of depression, it is highly treatable.

Developmental Disability: A severe and chronic disability that is attributable to a mental or physical
impairment. The disability must begin before the 18th birthday, be expected to continue indefinitely and
present substantial disability. (i.e. mental retardation, cerebral palsy, epilepsy, autism, or a disabling
condition closely related to mental retardation or requiring similar treatment.)

Dissociative Disorders: Are so called because they are marked by a dissociation from or interruption
of a person's fundamental aspects of waking consciousness (such as one's personal identity, one's
personal history, etc.). Dissociative disorders come in many forms, the most famous of which is
dissociative identity disorder (formerly known as multiple personality disorder). All dissociative
disorders are thought to stem from trauma. The dissociative aspect is thought to be a coping
mechanism, a means for a person to literally dissociate him- or herself from a situation or experience
too traumatic to integrate with the conscious self.

Eating Disorders: Each year, millions of people in the U. S. are affected by serious and sometimes
life-threatening eating disorders. The vast majority--more than 90 percent--of those with eating
disorders are adolescent and young adult women. The three main types of eating disorders are
anorexia nervosa, bulimia nervosa, and binge-eating disorder. Anorexia nervosa is a life-threatening
eating disorder defined by a refusal to maintain body weight within 15 percent of minimal normal
weight. Bulimia nervosa is a serious eating disorder marked by a destructive pattern of binge-eating
and recurrent, inappropriate behavior to control weight, including self-induced vomiting and excessive
exercising. One in ten cases of anorexia nervosa leads to death from starvation, cardiac arrest, other
medical complications, or suicide.

Encopresis: Repeated passage of feces into inappropriate places (e.g., clothing or floor) whether
involuntary or intentional.

Enuresis: Repeated voiding of urine into bed or clothes (whether involuntary or intentional) twice a
week for at least 3 consecutive months or the presence of distress or impairment in social, academic
(occupational), or other important areas of functioning.

Manic Depressive: A psychiatric illness that alternately depresses and elevates the individual‘s emotion, cognitive, perceptual and social functioning.
68
Glossary of Terms

Oppositional Defiant Disorder: A pattern of negativistic, hostile, and defiant behavior lasting at least
6 months.

Personality Disorders: When patient‘s complex mix of temperament, attitude, and habit, way of approaching life‘s problems, attitudes toward themselves and those around them-causes problems in
relationships and functioning. Chronic mental disorders that affect a person's ability to function in everyday activities, especially work, family, and social life. There are biological and psychological components to most personality disorders and the preferred treatment is psychotherapy, although medication
may be needed to treat serious symptoms. There are several types of personality disorders, but the
most common is borderline personality disorder.

Schizophrenia: A thought disorder characterized by 4 main symptoms: Hallucinations, delusions,
disturbances of thought, and disturbances of effect. Schizophrenia is a severe and chronic brain
disorder that affects approximately two million Americans today. Schizophrenia impairs a person's
ability to think clearly, manage his or her emotions, make decisions, and relate to others. People with
schizophrenia suffer terrifying symptoms that often leave them fearful and withdrawn. However, this
illness is highly treatable, and new discoveries and treatments are continually improving the outlook
for people with this disorder.

Separation Anxiety Disorder: Developmentally inappropriate and excessive anxiety concerning
separation from home or from those to whom the individual is attached.
Psycho-social rehabilitation: Re-learn or acquire particular skills that encompass psychological and social
issues to aid in community integration and satisfaction; Services that are provided in collaboration with consumers that supports and enhances their choices in growth and recovery.
Rapport-building: Developing an alliance/Seeking to appreciate the unique qualities of the individual. Engaging individuals in a manner that is safe and caring. Establish trust.
Recovery: Get back or regain the client to normal condition.
Reintegration: Transition of an individual into the community after an extended hospital stay. A reintroduction for individuals in regard to community, support systems, to self.
SNF: Skilled Nursing Facility
Self Determination: Finding it within oneself to enhance the quality of the individual‘s life. Ability to persist
and achieve goals despite hurdles/obstacles. Client control of growth and progress in the areas of their own
choosing.
Self help: Clients develop skills to advocate and to live independently in the community.
Skills Development: Developing tools to work through life. Acquiring knowledge and techniques. A member
increasing their ability to complete a task or gain more knowledge in a particular area of life. A member building upon existing skills. (i.e. the member can read and wants to cook, however they do not know how to create a shopping list to obtain the needed items for the recipe. Or the member wants a job, but is unfamiliar with
completing a job application.
WRAP (Wellness Recovery Action Planning):
 Abstract: People who experience psychiatric symptoms no longer feel that they are sentenced to a
life of chronic illness that interferes with their ability to work toward and reach their goals. Instead, by
using self-help skills and strategies that complement other treatment scenarios, they are achieving
69
Glossary of Terms
levels of wellness, stability and recovery they always hoped were possible. This recovery information
is being networked across the country by Mary Ellen and an ever-growing number of recovery educators, through self-help publications, seminars, workshops, presentations, support groups and the internet.
 Goals: To teach participants recovery and self-management skills and strategies for dealing with psychiatric symptoms so as to:
▫
Promote higher levels of wellness
▫
Increase understanding of illnesses
▫
Increase hope
▫
Empower participant
 Objectives: Realizing community membership i.e. Citizenship.
▫
Hope, Personal Responsibility, Self-Advocacy, Education, Support
▫
Obtaining and retaining good health care
▫
Self monitoring using WRAP: A Wellness Recovery Action Plan (an individualized system for
monitoring and responding to symptoms to achieve the highest possible levels of wellness)
▫
Developing rapport system
▫
Ongoing work:; Dealing With Trauma; Suicide Prevention; Building Self-Esteem; Changing Negative Thought Patterns To Positive; Building A Lifestyle That Promotes Wellness
 Expected Long Term Outcomes From a Recovery/Self-Management Focus
▫
A shift of focus in mental health care from symptom control to prevention and recovery.
▫
Significant reduction in the need for costly mental health and emergency services as people who
experience psychiatric symptoms effectively take responsibility for their own wellness.
▫
Employment
▫
Housing
(Source: www.mentalhealthrecovery.com, Mary Ellen Copeland, MA, MS)
Wrap Around: A set of services provided to a family that uses a strength-based approach to help prevent a
need for out of home placement. Services are comprehensive and involve all providers in all areas of need.
70
Program Matrix
Key
Children and young adults; 0 - 15 years old.
Transition Age Youth; 16 to 25 years old.
26 to 59 years old.
Older Adult; 60 years old and older.
All Sacramento and Stanislaus County contracts
-Funds are comprised of contracts with a fixed dollar amount
for each fiscal year.
Restricted Funds
-Money from one fiscal year to another cannot be borrowed
from if expenses exceed revenue, nor can excess dollars be
―rolled over‖ from one fiscal year to another.
-If expenses in any given fiscal year exceed the contract maximum, it is Turning Point‘s responsibility to ―cover‖ those expenses. Conversely, if expenses are less than revenue, the
County will collect the excess revenue.
Alta California Regional Center and Other
-These funds are not subject to the ―use it/lose it‖ criteria.
-They are more volatile due to the funding being tied to individual clients rather than an entire program.
General Funds
For example: If a client is discharged or the funding source
terminates an individual‘s contract, the revenue for that client
ceases until another client is placed. At times, this process
takes a considerable amount of time.
-The advantage to providing this type of service is that there
are no restrictions on how any excess dollars can be used.
General & Restricted
Funds
TPCP has 25 On-Call employees, 13 Regular Part-time employees, 107 Active Career Exploration employees and currently contract with 25 independent contractors which includes
Licensed Clinical Social Workers (LCSW), Registered Nurses
(RN), Marriage and Family Therapists (MFT) and Physicians.
71
72
Sacramento
County
Mental Health
Sacramento
County
Mental Health
Sacramento
County
Mental Health
Formerly institutionalized
TAY; ADULT;
mental health
OA
individuals
Mentally disabled adults
who have become suicidal,
TAY; ADULT critically depressed, or other
-wise psychiatrically incapacitated
Individuals with
TAY; ADULT;
psychiatric
OA
disabilities
TSS N and S
ISA
CRP
RST
2
3
4
Funding
Source
1
Type of Member
Served
Regional
Centers
Key
“Dually diagnosed” with
TAY; ADULT;
both psychiatric and develOA
opmental disabilities
Program
R
R
R
G
G
or
R
Updated July 2010
12
9
59
33
F/T
Staff
900
12
150
256
# of
Members
PROGRAM MATRIX
Benefit for State of CA and
Taxpayers
Members would require more costly
interventions due to the unavail1 case man- ability of medications and case
ager for
management. Many clients would
75 members end up on the street, in emergency
rooms, or require intervention by
law enforcement.
Vital in relieving some of the bur1 staff for
den of overpopulation at the local
every 6 memSacramento County Mental Health
bers
Treatment Center.
Promotes community integration
1 staff mem- wrap around services for individuber for every als who have been institutionalized.
11 members Promotes empowerment and provides savings to county funds.
1 staff for
A cost effective alternative that
every 7
respects self-determination in the
wraparound
most inclusive manner.
members
Staffing
Ratios
73
Type of Member
Served
Stanislaus County
Mental Health
Stanislaus County
Mental Health
Stanislaus County
Mental Health;
MHSA
Stanislaus County
Mental Health
Individuals with
TAY; ADULT;
psychiatric
OA
disabilities
Individuals with
TAY; ADULT;
psychiatric
OA
disabilities
Individuals with
TAY; ADULT;
psychiatric
OA
disabilities
Individuals with
CHILD; TAY;
psychiatric
ADULT; OA
disabilities
ISA Modesto
Garden Gate
CFEEC
Warm Line
6
7
8
9
Sacramento
County
Mental Health
Funding
Source
Pathways
Children & Homeless mentally ill in
Families; TAY; Sacramento
ADULT; OA County
Key
5
Program
R
R
R
R
R
G
or
R
1
4
15
16
13
N/A; callers
caries daily
200
9
152
175
Without these services hospitalizations would increase as would the
numbers of homeless persons (i.e.
non-domiciled persons).
Without these services hospitaliza1 staff for every
tions would increase as would the
4
members
Without these services hospitaliza1 staff for every
tions would increase as would the
5
members
3 staff
for every 9
members
Promotes community integration
wrap around services for individuals
1 staff for every
who have been institutionalized.
15 members
Promotes empowerment and provides savings to county funds.
Reduces homelessness, incarcera1 staff for every
tion, and hospitalizations for people
13
living with mental illness and comembers
occurring illnesses.
F/T
# of
Staffing Ra- Benefit for State of CA and
Staff Members
tios
Taxpayers
74
Cool Beans
12
13
ADULT
Nevada County
Mental Health;
MHSA
Yolo County Mental Health
Individuals with
psychiatric
disabilities
Pine Tree
Gardens
Individuals with
psychiatric
disabilities
Individuals with
TAY; ADULT;
psychiatric
OA
disabilities
LHSS
11
Turning Point Providence
14
Center
Individuals with
TAY; ADULT;
psychiatric
OA
disabilities
ADULT
Mental Health
Services Act
Funding
Source
Individuals with
TAY; ADULT;
psychiatric
OA
disabilities
Type of Member
Served
CARE
Key
10
Program
R
R
R
R
R
G
or
R
17
2
6
1
12
80
NA
33
50
50
1 staff per 8
members
NA
A range of treatment options supports clients in decreasing use of
crisis response, homelessness, hospitalizations, job loss and risk of criminal justice involvement.
Without these services hospitalizations would increase as would the
Without these services hospitaliza1 staff per 11 tions would increase as would the
members
Without these services hospitaliza1 staff per every tions would increase as would the
50 members numbers of homeless individuals
(i.e. non-domiciled persons).
Without these services hospitaliza1 staff for every tions would increase as would the
10 members numbers of homeless persons (i.e.
F/T # of Mem- Staffing Ra- Benefit for State of CA and
Staff
bers
tios
Taxpayers
Updated Date: July 2010
75
16
TBS
FIT
15
17
Program
Children and young adults
CHILD;
with mental, emotional or
TAY
psychiatric disabilities
Sacramento
County Mental
Health
Sacramento
County Mental
Health
Children and families dealCHILD; ing with the challenge of
TAY severe emotional disturbances
Funding
Source
Placer County
Mental Health
Type of Member
Served
Individuals with
TAY
psychiatric
ADULT
disabilities
Key
R
R
R
G
or
R
6
18.60
5
F/T
Staff
Up to 21
109
81
Benefit for State of CA and
Taxpayers
Without these services, there would be
an increased cost of care to these children through increased use of out of
home placements e.g. group homes,
hospitalization and an increase in
youth involvement in the juvenile justice system.
Provides specialized services to clients
with mental health needs who are at
1 staff for every risk of jeopardizing their residential
3
placement. The services are to prevent
members
clients from expensive residential
(Children up to placements. Without the services,
age 21)
there would be increased residential
placements, psychiatric hospitalization
and incarceration.
2 staff for every
8
members
(Children up to
age 21)
A range of treatment options supports
clients in decreasing use of crisis re1 staff for every
sponse, homelessness, hospitaliza12 members
tions, job loss and risk of criminal justice involvement.
# of
Staffing RaMember
tios

Table of Contents - Turning Point Community Programs

Transcription

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