Table of Contents - Turning Point Community Programs
Transcription
Table of Contents - Turning Point Community Programs
1 For more information please visit our website at: http://www.tpcp.org Or send an e-mail to: [email protected] 2 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 3 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 4 recovery. 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. 5 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: 6 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 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). 7 Core Values Direct Service and Administration Encourage family involvement. Encourage self-help and empowerment. Create a sense of belonging. Convey respect and dignity. Strength Based & Unconditionally Supportive - Staff 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- 8 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 9 Transitional Support Services 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 10 Transitional Support Services 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: ■ Housing: Assistance with location, set-up/ furnishing and moving assistance to an apartment/home/board and care or other residence will be provided. ■ Counseling/ Therapy: Individual and group counseling will be available. ■ Personal Assistance: Members may receive support services in their residence. ■ Biopsychosocial assessments can be completed upon request. ■ 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. ■ Vocational/ Educational Services: Referrals and support to members will be provided in this area for those who wish to pursue educational and employment goals. ■ Skills Training: Members will be offered skills training as requested. ■ Medical Services: Psychiatric and nursing staff are available for TSS members. ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ 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. 11 Integrated Service Agency, Sacramento ISA-S INTEGRATED SERVICE AGENCY 4600 47th Avenue, Suite 111, Sacramento, CA 95824 (916) 393-1222 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ..................................................... Sacramento County Mental Health Type of Funds ............................................................................................... Restricted Program Inception ...................................................................................... Since 1987 Number of Members in Program .......................................................................... 150 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. 12 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 Social and recreational activities Community outings/events Physical and mental health education 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 13 Crisis Residential Program CRP 4801 34th Street, Sacramento, CA 95820 (916) 737-9202 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source .................................. Sacramento County Health & Human Services Division of Mental Health Type of Funds ............................................................................................... Restricted Program Inception ................................................................................................ 1992 Number of Members in Program ............................................................................ 12 Staffing Ratio .............................................................................. 1 staff for 6 members 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 14 Crisis Residential Program 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: Medication Stabilization: Frequent meetings with staff psychiatrist, and staff nurse to assess and review medication plans and symptom management needs. Life Skills Groups: Daily groups designed to enhance medication management, symptom management, & resiliency/self-sufficiency needs. 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. 24 hour/7 day a week staff availability 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. 15 Regional Support Team RST 601 North Market Blvd. #100, Sacramento, CA 95834 (916) 567-4222 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ..................................................... Sacramento County Mental Health Type of Funds ............................................................................................... Restricted Program Inception ................................................................................................ 1993 Number of Members in Program .......................................................................... 900 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 16 Regional Support Team 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 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 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 17 Pathways to Success after Homelessness 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 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ..................................................... Sacramento County Mental Health Type of Funds ..................................................................... Restricted; MHSA Funded Program Inception ............................................................................. (Pathways) 2007 (Fairview) June 2006 Number of Members in Program .......................................................................... 175 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 18 Pathways to Success after Homelessness 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. 19 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. 20 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 21 Integrated Services Agency, Modesto ISA-M 621 14th Street, Modesto, CA 95354 (209) 569-0373 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ........................................................ Stanislaus County Mental Health Type of Funds ............................................................................................... Restricted 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 22 Integrated Services Agency, Modesto 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: Daily program services and support Psycho pharmacy treatment and education A comprehensive diagnostic and behavioral assessment Self-help and peer support groups Residential and independent living services Transportation 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 23 Turning Point Respite at Garden Gate Garden Gate 609 5th Street, Modesto, CA 95353 (209) 341-0718 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ........................................................ Stanislaus County Mental Health Type of Funds ............................................................................................... Restricted 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 24 Turning Point Respite at Garden Gate 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 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ........................................................ Stanislaus County Mental Health Type of Funds ............................................................................................... Restricted Program Inception ......................................................................................... July 2006 Number of Members in Program .......................................................................... 200 Staffing Ratio .............................................................................. 1 staff for 5 members 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 On-Site Peer Support and Warm Line Warm Line 800 Scenic Drive, Bldg D, Modesto, CA 95354 (209) 544-1913 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ........................................................ Stanislaus County Mental Health Type of Funds ............................................................................................... Restricted Program Inception ...................................................................................... Since 2006 Number of Members in Program ........................................... N/A; callers varies daily Staffing Ratio .............................................................................. 1 staff for 4 members 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 On-Site Peer Support and Warm Line 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 Community Assistance Recovery Enterprise CARE 627 W. Main Street, Merced, CA 95340 (209) 723-6559 Please call our Administrative Offices for more information at: (916) 364-8395 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 Community Assistance Recovery Enterprise 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 Limited Housing Support Services 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 Limited Housing Support Services 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 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source .............................................. Yolo County Mental Health/Private Pay Type of Funds .......................................................................... Restricted/Unrestricted Program Inception ................................................................................................ 2007 Number of Clients in Program ................................................................................ 33 Staffing Ratio ................................................................................. 1 staff for 11 clients 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 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ................................................................. Yolo County Mental Health Type of Funds ............................................................................................... Restricted Program Inception ........................................................................................ 6/30/2008 Number of Members in Program .............................................................................. 4 Staffing Ratio .............................................................................. 1 staff for 4 members 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 Turning Point Providence Center 500 Crown Point Circle, Suite 100, Grass Valley, CA 95945 (530) 273-5440 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source .................................................................................................. MHSA Type of Funds ............................................................................................... Restricted Program Inception ...............................................................................November 2007 Number of Clients in Program ................................................................................ 80 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. Turning Point Providence Center Leadership Team 38 Nevada County Turning Point Providence Center 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 Turning Point Coloma Center 1133 Coloma Way, Suite A, Roseville, CA 95661 (916) 786-3750 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source .................................................................................................. MHSA Type of Funds ............................................................................................... Restricted Program Inception ......................................................................................... July 2008 Number of Clients in Program ................................................................................ 81 Staffing Ratio ................................................................................. 1 staff for 12 clients 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. Turning Point Coloma Center Leadership Team 40 Placer County Turning Point Coloma Center 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 Flexible Integrated Treatment FIT 7245 E. Southgate Drive, Sacramento, CA 95823 (916) 427-7141 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ................. Sacramento County Mental Health, 25.6 and realignment Type of Funds ............................................................................................... Restricted Program Inception ................................................................................................ 1999 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 Flexible Integrated Treatment 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 Therapeutic Behavioral Services TBS 7245 E. Southgate Drive, Sacramento, CA 95823 (916) 427-7141 Please call our Administrative Offices for more information at: (916) 364-8395 STATISTICS Funding Source ..................................................... Sacramento County Mental Health Type of Funds ............................................................................................... Restricted Program Inception ................................................................................................ 2002 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 Therapeutic Behavioral Services 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 Frequent Asked Questions 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 Frequent Asked Questions 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 Frequent Asked Questions 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 Frequent Asked Questions 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 Frequent Asked Questions 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 numbers of homeless persons (i.e. members non-domiciled persons). Without these services hospitaliza1 staff for every tions would increase as would the 5 numbers of homeless persons (i.e. members non-domiciled persons). 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 Yolo County Mental Health Individuals with TAY; ADULT; psychiatric OA disabilities LHSS 11 Turning Point Providence 14 Center Yolo County Mental Health 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 numbers of homeless persons (i.e. non-domiciled persons). Without these services hospitaliza1 staff per 11 tions would increase as would the members numbers of homeless persons (i.e. non-domiciled persons). 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. non-domiciled persons). 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 Turning Point Coloma Center 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