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Reina Turner M.S., Acting Division Chief Housing Policy and Development

COUNTY OF LOS ANGELES – DEPARTMENT OF MENTAL HEALTH ADULT SYSTEMS OF CARE – JAIL MENTAL HEALTH SERVICES MENTAL HEALTH SERVICES ACT Full Service Partnership Programs. Reina Turner M.S., Acting Division Chief Housing Policy and Development. Overview of MHSA.

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Reina Turner M.S., Acting Division Chief Housing Policy and Development

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  1. COUNTY OF LOS ANGELES – DEPARTMENT OF MENTAL HEALTHADULT SYSTEMS OF CARE – JAIL MENTAL HEALTH SERVICESMENTAL HEALTH SERVICES ACTFull Service Partnership Programs Reina Turner M.S., Acting Division Chief Housing Policy and Development

  2. Overview of MHSA In November 2004, California voters approved Proposition 63 - the Mental Health Services Act. The components of the MHSA fund are: • Community Services and Supports • Prevention and Early Intervention • Capital Facilities and Technology • Education and Training • Innovation

  3. What Does Full Service Partnership Mean? Full Service: providing a full range of services necessary to assist clients in achieving their wellness and recovery goals by doing “whatever it takes.”

  4. What Does Full Service Partnership Mean? Partnership: • The FSP team partners with the client and his or her family, if desired, to develop and achieve the client’s goals • The FSP team, client and family partners with community-based organizations, drug and alcohol programs, educational institutions, employers, health care providers and other County departments such as Probation, Community and Senior Services and Children and Family Services to help the client achieve his/her goals.

  5. Los Angeles County Focal Populations • Children (0 to 15) with severe emotional disturbances and their families who are: • at risk of being removed from their homes; • in families affected by substance abuse issues; • experiencing extreme behaviors at school; or • involved with Probation.

  6. Los Angeles County Focal Populations(Continued) • Transition Age Youth (16 to 25) suffering from severe mental health issues, who are: • struggling with substance abuse disorders; • homeless or at-risk or becoming homeless; • aging out of the children’s mental health, child welfare or juvenile justice system; • leaving long-term institutional care; or • experiencing their first psychotic break.

  7. Los Angeles County Focal Populations(Continued) • Adults (26 to 59) who have severe and persistent mental illness who are: • homeless; • in jail; • frequent users of hospitals or emergency rooms; cycling through different institutional and involuntary settings; or • being cared for by families outside of an institutional setting.

  8. Los Angeles County Focal Populations(Continued) • Older Adults (60 years +) who have severe and persistent mental illness and who are: • not currently being served and have reduced functioning; • homeless or at risk of being homeless; • Institutionalized, or at risk of being institutionalized; or • in nursing homes, or receiving hospital or emergency room services.

  9. Full Service Partnership (FSP)Program Elements

  10. Desired Consumer Outcomes • A safe place to live • A meaningful use of time • Supportive relationships with family, friends and neighbors • Decreased hospitalizations, incarcerations and out-of-home placement

  11. FSP Services • Individualized, comprehensive and flexible treatment, support and rehabilitation services focused on recovery and wellness • Low staff-to-consumer ratio

  12. FSP Services cont. • 24/7 availability • Field-based and/or in-home services • Multidisciplinary Team Approach which includes consumers and and family members

  13. FSP Services cont. • Peer and parent support groups • On-going outreach and engagement • Integrated services for those with co-occurring substance abuse disorders • Trauma-informed and trauma-specific treatment services

  14. FSP Services cont. • Assistance with Entitlements • Support of family and others • Development of Social Supports • Assistance with Linkage to Health Care

  15. FSP Services Cont. • Transportation Support • Assistance with Housing • Employment/Vocational Services • Educational Services

  16. Age Specific Aspects for Adult FSP Programs • Emphasis on employment as a desired outcome with provision of an array of supported employment services • Emphasis on promoting access to an array of educational opportunities including supported education • Ability to assist clients in developing self-directed care plans including the Wellness, Recovery Action Plan

  17. Age Specific Aspects for Adult FSP Programs • Emphasis on social integration as a desired outcome and provision or an array of community integration services • Commitment to working with and educating families • Ability to provide money management or arrange representative payee services when appropriate

  18. Adult FSP Funding • approximately $15,000 per year for each enrollee • $10,000 is allocated to provide mental health services including but not limited to case management, medication support, and psychiatric services • $5,000 is allocated for Client Supportive Services to assist with housing, employment and educational related services.

  19. Housing – Allowable Expenses • Permanent Housing • Rental Deposits • Rent Subsidy • Utility Bills and Deposits • Furniture and Household Goods • Repair of Housing Damages Caused By Client • Prevention of Eviction Expenses

  20. AB 2034 Program Experience in Housing Homeless People with Serious Mental Illness Martha R. Burt and Jacquelyn Anderson December 2005 CSH Evidence Series

  21. FINDINGS • Housing and program retention are strongly correlated. • Programs serve consumers with abroad array of challenges to finding and maintaining housing. • Programs have been successful in housing their consumers and helping them to retain their housing, even when consumers face many challenges to housing stability.

  22. FINDINGS • Disenrolled consumers are similar to current enrollees in terms of the number and severity of the challenges that they face. • The programs are using many different strategies to find housing for consumers. • Despite successes, additional housing needs still exist.

  23. IMPLICATIONS FOR MHSA • People with serious mental illness can achieve housing stability with adequate support. • Consumers with a greater number of challenges are not necessarily harder to house or keep housing, or in the program. • Getting consumers into housing is an important step in recovery.

  24. CONTACT INFORMATION Reina Turner, M.S. 695 South Vermont Avenue, 8th Fl Los Angeles, California 90005 rturner@dmh.lacounty.gov (213) 251-6558

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