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IN THE NEWS
BEHAVIORAL HEALTH EXPLORES NEW APPROACH TO IMPROVE CONSUMER ACCESS
COMMUNITY STAKEHOLDERS INVITED TO JOIN BH INTEGRATION EFFORTS
PRESS EVENT KICKS OFF HEALTHY STORES FOR A HEALTHY COMMUNITY CAMPAIGN
SUPERVISORS APPOINT CYNTHIA BELON AS MENTAL HEALTH DIRECTOR
MENTAL HEALTH STAFF: BRUSH UP ON UTILIZATION REVIEW AS AUDIT APPROACHES
MOST CONSUMERS HAPPY WITH COUNTY MENTAL HEALTH SERVICES
PLEASE PROVIDE FEEDBACK TO LET US KNOW HOW TO IMPROVE
READY TO RENT PREPARES HOMELESS CONSUMERS FOR PERMANENT HOUSING
MENTAL HEALTH TO HOLD COMMUNITY FORUMS FOR MHSA 3-YEAR PROGRAM
SUPERIOR COURT JUDGE BARRY BASKIN JOINS DRUG COURT
HOMELESS PROGRAM HELPS HUMAN TRAFFICKING VICTIMS
HOPE HOUSE NEARING COMPLETION IN MARTINEZ
STATE INCENTIVE GRANT SUPPORTS ALCOHOL PREVENTION EFFORTS
SURVEY HIGHLIGHTS SUCCESS OF SHELTER PLUS CARE PROGRAM
NEW ONLINE LOCATION FOR MENTAL HEALTH DOCUMENTS
THE BEHAVIORAL HEALTH VISION AWARDS
HEALING CUISINE: CEBICHE CLASSICO
Mission  
OUR MISSION
The mission of Contra Costa Behavioral Health, in partnership with consumers, families, staff, and community-based agencies, is to provide welcoming, integrated services for mental health, substance abuse, homelessness and other needs that promotes wellness, recovery, and resiliency while respecting the complexity and diversity of the people we serve. 
Vision   
OUR VISION
Contra Costa Behavioral Health envisions a system of care that supports independence, hope, and healthy lives by making accessible behavioral health services that are responsive, integrated, compassionate, and respectful. 
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Main DIRECTOR'S REPORT

SPRING EDITION 2014
 
Cynthia Belon
  Cynthia Belon,  LCSW 
   Director of Behavioral  
       Health Services
All of us in Behavioral Health Services know that our consumers face significant challenges every day on their roads to recovery and wellness.
Any way that we, as care providers, can assist them is well worth the effort.

 

That is why it was so exciting to participate last month when dedicated staff from all of our departments sat down together to apply their expertise to the question of access. We've long held that every door is the right door to access all Behavioral Health services, but how can we realize that goal?

 

Consumers should not have to make multiple phone calls wait in multiple lines to receive multiple services provided by the same agency. That fundamental idea fueled our week-long project to map the processes by which consumers enter our system of care, with an eye toward simplifying them for all involved.

 

"Value stream mapping" is the name of the work we performed at the end of February with help from Rona Consulting. This is the same type of improvement process that has helped Contra Costa Regional Medical Center & Health Centers and other Health Services divisions develop better practices for delivering superior service.

 

In our case, value-stream mapping meant creating a step-by-step visual representation of everything that happens after a consumer picks up the phone and dials one of our hotline numbers to request service. This modeling helped identify what could work better, where break-downs occur, and why.

 

Based on that analysis, the team made recommendations that I believe will help us build a seamless, integrated access system for all of Behavioral Health Services.

 

Features of our future access system, as envisioned by our mapping team, would include a single, 24-hour hotline for all of our programs, answered by Behavioral Health employees and peer-support workers who are familiar with all our services and trained to access them with a minimum of waiting or effort on the part of the caller.

 

To do that, we need an integrated information system that is used and shared by all of our programs, cross-training for our staff, technological upgrades and procedural improvements, including a well-developed front-end triage process and procedures for tracking service delivery.

 

These are the preliminary sketches of a blueprint for change within Behavioral Health, starting at the beginning, where our consumers first engage with our services. This is a natural evolution of our "every door is the right door" concept. Let's make it one door.

 

While focusing on the front end of our service-delivery system makes sense, we are also making steady progress on other fronts, including the inclusion of more line staff and community stakeholders in our organizational integration planning efforts.

 

Previously we envisioned holding a single, large forum to bring those voices into the process, to inform and enrich the work already done by our SPIID teams. But after discussing the idea, we realized that such a large gathering would make it difficult for everyone to be heard.

 

So, we've settled on an alternate approach. We're expanding the existing SPIID teams to include broad participation from community stakeholders and line staff, and I encourage you all to join us at the meetings that are most convenient to you, regarding the topics that matter to you the most.

 

Thank you all for your hard work and thoughtful ideas. Because of you, the future of Behavioral Health Services is taking shape.

 

Sincerely, 

CB Signiture 2
Cynthia Belon, LCSW 
Behavioral Health Director
Contra Costa County Behavioral Health

 

BEHAVIORAL HEALTH EXPLORES NEW APPROACH TO IMPROVE CONSUMER ACCESS 
Access and Integration
The value stream mapping team.

A team representing all parts of the Behavioral Health Services Division participated in a joint, week-long Value Stream Mapping event the week of Feb. 24 to consider how to improve consumer access to our programs.

 

Behavioral Health's inaugural session focused on how consumers access our services, with an eye toward developing a seamless, integrated access system that ensures that all the needs of our clients are met when they contact us.

 

With help from Rona Consulting, our team created a visual representation of everything that happens after a consumer accesses our hotline numbers to request services. This modeling helped identify what could work better, where break-downs occur, and why.

 

"The group started off not necessarily understanding each others system of care or even knowing one another," said Homeless Youth Program Manager Molly Henricks, but the process allowed them to "create one integrated vision of how consumers could access the system of care with just one phone call."  

Participants learned how to apply value-mapping principles to the relevant processes in their programs' services, and surveyed consumers and staff to learn about their experiences with existing procedures.

 

It's the same process that Contra Costa Regional Medical Center & Health Centers and other divisions of Contra Costa Health Services have used to learn how to deliver better and more efficient service.

 

The team identified technological challenges, capacity issues and organizational challenges that, if addressed, will more effectively meet the needs of consumers. Its recommendations included cross-disciplinary training for staff, development of a front-end triage process, creation of shared resource databases and a single Behavioral Health access line.

 

Future events are planned to follow up on the findings.

COMMUNITY STAKEHOLDERS INVITED TO JOIN BH INTEGRATION EFFORTS
SPID Teams

The Behavioral Health Executive Team invites its community based stakeholders and Behavioral Health line staff to help shape the division's efforts to integrate into a seamless system of care at a pair of Service Planning Integration & Implementation Plan Design (SPIID) Team meetings March 12 in Concord.

 

Meeting participants will contribute to key decision points and information needs for implementing integrated service in Contra Costa's behavioral health system of care.


These meetings are an alternate version of the Integration Forum initially considered for March, in which the SPIID Teams will be further expanded to include broad consumer, line staff and community participation.


Due to space restrictions, we've divided the meetings. The focus of the morning meeting will be children, teens and young adults, with adults and older adults in the afternoon. Participants are welcome to attend both meetings.

 

Both meetings are scheduled for Wednesday, March 12 at 2425 Bisso Lane, Concord, in the first-floor conference room. The Children & TAY SPIID Teams meet from 10 a.m. to noon, followed by the Adults & Older Adults SPIID Teams from 1 p.m. to 3 p.m.

 

Follow this link to RSVP. Please direct any questions to Jeff Crandall at  jeff.crandall@homebaseccc.org.

PRESS EVENT KICKS OFF HEALTHY STORES FOR A HEALTHY COMMUNITY CAMPAIGN
AODS Director Haven Fearn addresses the media on March 5.

Representatives from health departments around the Bay Area, including Alcohol and Other Drug Services Director Haven Fearn, participated in a media event at Contra Costa Regional Medical Center (CCRMC) earlier this month to kick off a new statewide health campaign.

 

The Healthy Stores for a Healthy Community campaign is a collaboration of health departments in California, nonprofits and community groups. The 10-year campaign aims to improve the health of Californians through changes in the retail environment to educate people about how in-store product marketing influences consumption of unhealthy products such as alcohol, tobacco and junk food.

 

At the March 5 press event at CCRMC -one of 13 regional press conferences around the state-recently collected data was released showing that alcohol, tobacco and sugary drinks are still being promoted to youth. According to the survey data, nearly 85% of stores in Contra Costa that sell alcohol sold "alcopops," highly potent, sweetened alcoholic drinks available in single bottles or cans that often resemble energy drinks popular with youth. A 24-ounce alcopop can contain as much alcohol as four or more standard drinks.  

 

Haven told reporters about the problem of underage drinking in the county and the importance of working with merchants to reduce alcohol consumption by youth.

 

 Click here to see more data from the survey. 
BOARD OF SUPERVISORS APPOINTS CYNTHIA BELON AS MENTAL HEALTH DIRECTOR
Cynthia Belon PhotoThe Contra Costa County Board of Supervisors unanimously approved Behavioral Health Services Director Cynthia Belon as Mental Health Director last month.

She takes on the position in addition to her duties overseeing Behavioral Health (BH).  She was named Acting Mental Health Director after the previous director, Steven Grolnic-McClurg, left in December for a similar position in Berkeley.

The executive team is considering its options for a new administrative structure that better reflects BH's integration efforts, which will likely include the creation of a deputy director for Behavioral Health who will have oversight for many of the day-to-day operations, particularly in the mental health programs.

The Behavioral Health Division has been working hard over the past three years to reshape Behavioral Heath into an integrated system of care that combined the previously separate Mental Health, Homeless, and Alcohol and Other Drugs services, to promote efficiency as well as arrange services in a logical, accessible way for consumers. It's a strategy mirrored at the state level and by other, similar communities in California.
MENTAL HEALTH STAFF: BRUSH UP ON UTILIZATION REVIEW AS AUDIT APPROACHES
With our tri-annual audit approaching in April, it's important that Mental Health staff re-familiarize themselves with Utilization Review, the process by which we evaluate the health care services we have provided to consumers.
 

The purpose of Utilization Review is to review and approve requests for mental health services as well as ensure that our consumers receive quality care, meet medical and service necessity criteria, and that we are compliant with all county, state and federal regulations.

 

Based on the circumstances, the UR team may also provide service authorization while the client is still in treatment (concurrent review) or upon review of services or treatments that have already been provided (retrospective review).  

 

Within the System of Care, the UR Team conducts three types of reviews: Level I, II and III.   The Contra Costa Mental Health Plan (CCMHP) is now also conducting a fourth type of review, Quality of Care.

 

The Level I - Authorization (compliance) Review is to review and "authorize" requests for services (mental health, case management, or medication support services, day treatment or TBS).    

 

The Level II - Compliance Review is a more in-depth review of the medical record to ensure compliance with the CCMHP's documentation standards.

 

The Level III - Centralized UR is to assess compliance, cost effectiveness, quality of care, quality of services and identify training and process improvement activities within a single clinic or organization.

 

Quality of Care Review is twofold. Reviewers determine whether quality care is being delivered at the appropriate level and consumers' mental health needs are being met. Reviewers ensure that resources are being optimally utilized (minimize duplication) by verifying that coordination between multiple providers is evident.

MOST CONSUMERS HAPPY WITH COUNTY MENTAL HEALTH SERVICES

Consumers gave high ratings to Contra Costa's mental health services in a recent, state-mandated poll.

 

The California Department of Health Care Services requires all counties in the state survey its mental health consumers to obtain feedback about the quality of services provided using the Mental Health Statistical Improvement Project survey instrument. Surveys were administered to our consumers at each of the county clinics and by contract service providers in August 2013.

 

The results were detailed in a February 2014 report intended to inform decision-making within Behavioral Health Services' system of care.

 

Consumers using a 1-to-5 scale indicated a high level of satisfaction with their service providers and the behavioral health services received. Adult consumers gave an average satisfaction score of 4.2, youth an average of 4.4.

 

In an open-ended part of the survey, many consumers expressed appreciation for services, timeliness, staff support, and the impact that the services have had on their lives. They also offered recommendations for improving services.

 

The county received 882 surveys, an 84% increase from last year. Follow this link to read sample MHSIP surveys. For more information, contact mhresearch@hsd.cccounty.us. 

PLEASE PROVIDE FEEDBACK TO LET US KNOW HOW TO IMPROVE
Feedback  The Behavioral Health executive team encourages all staff to provide us with feedback about what is and is not working. A safe, easy way to submit a comment is to click on the feedback link that appears in every edition of the Behavioral Health Connection.

If you follow the link, you can leave a comment with a third-party online vendor that the administration will receive, read, and consider. The vendor allows anonymous comments, if you do not wish to disclose your identity.

We value your comments, and appreciate your candor. Please let us know what we can do better.
READY TO RENT PREPARES HOMELESS CONSUMERS FOR PERMANENT HOUSING
The Homeless Program has added a new tool to help residents at the Concord and Brookside shelters find and secure permanent housing.

 

The Ready to Rent curriculum includes six workshops that supply education, guidance and resources to identify and maintain affordable housing, coaching participants to become successful tenants.

 

Participants learn how to identify affordable housing, how to understand rental agreements and work with landlords, credit and money management, and how to keep a home once secured. While participants engage in the workshops, shelter staff helps each of them to develop individualized housing-search plans.

 

The Portland Housing Center began working on a housing readiness curriculum in 1998 for renters having difficulties finding housing due to their rental history, poor credit or their criminal background. The result is the Ready to Rent curriculum. 

 

In keeping with Behavioral Health's vision for integrated service delivery, the Homeless Program will soon bring these workshops to the El Portal Adult Mental Health Clinic. A housing specialist on site will identify and support homeless consumers in accessing shelter and permanent housing. 

 

For more information, contact Program Manager Arturo Castillo at Arturo.castillo@hsd.cccounty.us

 

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MENTAL HEALTH TO HOLD COMMUNITY FORUMS FOR MHSA 3-YEAR PROGRAM

The Mental Health Services program will hold a series of community meetings this month to share the findings of our needs assessment and results of our focus groups in preparation for drafting our Mental Health Services Act (MHSA) Three-Year Program and Expenditure Plan.

  

At these sessions we will present Contra Costa's prioritized mental health needs, as developed through consumer and family member focus groups, and discuss strategies for closing service gaps. Contributions from the community are welcome, and also vital to the process.

 

We will hold three forums in East, Central and West Contra Costa County. The agenda for each is the same, so we encourage participants to attend the one most convenient for them, and to spread the word with the attached fliers.

 

For more information, write Warren Hayes at Warren.Hayes@hsd.cccounty.us. To RSVP for a forum, contact Anita Kumar at akumar@resourcedevelopment.net or 510-488-4345, extension 125.


For detailed information about Contra Costa's MHSA-supported programs, read the 2013-14 MHSA Annual Plan here.

The first forum is Wednesday, March 19, from 3 p.m. to 5 p.m. at the Department of Conservation and Development, 30 Muir Road, Martinez. Click here for a flier.

 

The second is Tuesday, March 25, from 3 p.m. to 5 p.m. at the Ambrose Center, 3105 Willow Pass Road in Bay Point. Click here for a flier.

 

The third is Wednesday, March 26, from 3 p.m. to 5 p.m. at the RYSE Center, 205 41st Street in Richmond. Click here for a flier. 

SUPERIOR COURT JUDGE BARRY BASKIN JOINS DRUG COURT
Superior Court Judge Barry Baskin
Our Drug Court Treatment Program welcomed Superior Court Judge Barry
Baskin to the bench in January.

Judge Baskin, a Superior Court judge since 2002,  has handled almost all the assignments at the courthouse. For the last 3 years he was assigned to dependency and delinquency matters in Contra Costa Juvenile Court. His expertise will help our program deliver outpatient drug and alcohol treatment, education, crisis counseling and case management services to non-violent drug offenders in the county.

The program, a collaboration of Alcohol and Other Drugs Services (AODS),
Contra Costa Superior Court, the Public Defender and District Attorney's
offices, and community based providers, has helped change the lives of
participants for more than a decade. In 2013, 177 participants who might
otherwise have continued a cycle of substance abuse and criminal behavior
completed the program.
 
Recently, the Superior Court was awarded a three-year grant to expand its relationship with the Drug Court program and AODS, allowing us to offer eligible offenders greater access to treatment.

Please join us in welcoming Judge Baskin!
HOMELESS PROGRAM HELPS HUMAN TRAFFICKING VICTIMS
Molly Henricks, manager of the Homeless Youth Services program, appeared before the Contra Costa Board of Supervisors in January with the Zero Tolerance for Human Trafficking Coalition to spotlight the prevalence of this crime in the county, and its impact on homeless youth.

Molly described the efforts of Calli House Youth Shelter Services to support young women who have experienced abuse and sexual exploitation through human trafficking. For the past four years, Calli House has provided tools and services to help victims escape and rebuild their lives. The program served nearly 50 people in 2013.

The Homeless Program's Youth Continuum of Services is a key partner in Contra Costa's Zero Tolerance for Human Trafficking Coalition, working with local law enforcement and community partners to raise awareness about the crime, build capacity to help victims and provide access to services.

Often when we hear stories about human trafficking, we think of far-off places. But the truth is, it happens right here in Contra Costa County.

If you are a homeless youth in need of assistance, you can get help by calling a 24-hour confidential crisis referral hotline at 800-670-7273, or by contacting local law enforcement.

 

HOPE HOUSE NEARING COMPLETION IN MARTINEZ
Hope House, a crisis residential facility

Mental health consumers who are discharging from the hospital or long-term locked facilities will soon benefit from a new housing option in Hope House, an unlocked but highly structured residential program on the hillside above Contra Costa Regional Medical Center in Martinez.

 

This 16-bed facility is intended to support consumers during periods of crisis, and to avoid hospitalization. The care offered by Hope House will encourage successful transitioning back into the community, providing round-the-clock service to consumers who are 18 or older. 

 

Services will be recovery-focused and evidence-based, and will include a peer-provider component. The program will be co-occurring capable and use an outcome-driven approach to providing services.

 

Mental Health Services Act (MHSA) funding was used to build Hope House, which is located at 300 Ilene Street in Martinez. Behavioral Health Services is in the process of contracting with Telecare Corporation to be the service provider at the facility. Telecare serves adults, older adults, and adolescents, particularly those who may require intensive, recovery-centered mental health programs.

 

The building has been constructed and interior details and furnishings are in progress. An open house is expected very soon, so stay tuned!

 

For more information contact Erin McCarty at Erin.Mccarty@hsd.cccounty.us  

STATE INCENTIVE GRANT SUPPORTS ALCOHOL PREVENTION EFFORTS
Daniel Montiel was a student winner of a poster contest to stop underage drinking.

Two years after Alcohol and Other Drugs Services (AODS) received a federal grant to combat youth drinking in Walnut Creek and Antioch, the program has developed a multi-faceted prevention program with help from local law enforcement.

 

The program, funded through a 2012 Strategic Prevention Framework State Incentive Grant from the Federal Substance Abuse and Mental Health Services Administration (SAMHSA), works to improve community prevention efforts through evidence-based strategies to reduce excessive drinking among 12- to 25-year-olds in those communities.

 

AODS contracts with the Center for Human Development to coordinate grant activities. In 2013, the program supported more than 25 enforcement operations in partnership with local police, including decoy operations, party patrols, DUI checkpoints and saturation patrols. The grant will continue to support these strategies in Antioch and Walnut Creek through the summer of 2015.

 

The program also supports these enforcement strategies through the use of community message boards in Antioch, recruiting and training college students to participate in its activities, and a student-produced video about DUI enforcement shared on participating campuses during the morning announcements.

SURVEY HIGHLIGHTS SUCCESS OF SHELTER PLUS CARE PROGRAM

A recent survey shows that consumers using the Shelter Plus Care Program had positive experiences with it.
 

More than 100 participants responded to the November survey about the program, which provides permanent housing and support services to homeless people living with disabilities in Contra Costa County. Topics included quality of housing, knowledge of support services and interactions with program staff.

 

A large majority indicated that they knew about and used services such as case management and mental health services, and felt their apartments were safe and decent. Click here for a detailed summary of survey results. "This program has allowed me to be self-sufficient, and a better parent. I can focus on my child without worry about having a home," shared one respondent.

 

Many of those surveyed also inquired about other housing options. In response, the Homeless Program provided all Shelter Plus Care residents with affordable housing resources and answers to their most frequently asked questions, which are available here

 

By ensuring the long-term housing stability and success of formerly homeless individuals and families, Shelter Plus Care remains a vital resource within the Homeless Program continuum of care.

NEW ONLINE LOCATION FOR MENTAL HEALTH DOCUMENTS
Contra Costa Mental Health has developed a web page on cchealth.org to serve as a central repository for Mental Health clinical and psychiatric forms and documents.

Click here to access it.

Providers and contractors previously accessed these and other important documents from a Yahoo Groups Listserv created by county staff. Health Services is moving that information to the new page.

Mental Health providers can access clinical and psychiatric forms and fillable PDF templates at the new page, which includes many of the most commonly used documents, including the county's mental health clinical and psychiatric progress notes, clinical assessment, and partnership plan.

If you have trouble with any of the documents, county staff has posted logs to the site regarding the status of technical glitches and any substantive changes to the forms. Please check the site regularly for updates.

BEHAVIORAL HEALTH VISION AWARDS


 
 

 

The Vision Award highlights staff who exemplify the Behavioral Health Mission Statement:
 
Contra Costa Behavioral Health envisions a system of care that supports independence, hope, and healthy lives by making accessible behavioral health services that are responsive, integrated, compassionate, and respectful.  

 

Michael Fischer
For going the extra mile to ensure that his clients have the necessary support and follow through to receive the financial and medical help clients need. Client feedback is always positive and many have stated that Michael has helped change their lives. (Nominator: Lori Beath) 

Kim Loda
For her flexibility, cooperation, excellent clinical skills and willingness to go the extra mile. Her willingness to think outside the box has helped draw a high need patient into services at El Portal Outpatient clinic.(Nominator: Judy Quittman)

Gary Zimpel
For numerous efforts to go the extra mile. Also for his excellent team spirit, dependability, and respect for our clients. Everyone in the clinic, staff and peers alike, have enjoyed Gary's "Buen Voluntad" (good will)  to help out. (Nominator: Judy Quittman)

Any staff member can nominate or be nominated for a Vision Award. Click here to learn the process to nominate and other general guidelines of the Award program.  

  

For more information contactJackie.Lewis@hsd.cccounty.us

 

RecipeHEALING CUISINE: CEBICHE CLASSICO
  • 1/2 aji limo or habanero chile, seeded and halved lengthwise
  • 1 pound fluke, flounder or halibut, cut into 1/2-inch cubes
  • 1 small red onion, quartered and thinly sliced, divided (Julienne)
  • 1/2 of stand picked Cilantro leaves
  • Juice of 22 limes (make sure you don't squeeze all the way to avoid getting the bitter pith of the lime)
  • 4 small pieces of sea urchin (optional)
  • 1/2 TB garlic paste or puree
  • Salt and pepper to taste

Preparation:
Thoroughly wash the onion, then soak them in a bowl of water with 4 cubes of ice for about 20 minutes to crisp them.

 

Cut the chile into fine slices, avoiding the seeds.

 

Gently chop the cilantro leaves.

 

Cut the fish into cubes about 2 centimeters on a side. Remember the fish is delicate; use a sharp knife.

 

Place the cubes into a chilled bowl and gently toss it with the salt and pepper. Gently add the garlic, onions and sea urchin.

 

Finally, add the lime juice and toss twice.

 

Let the mixture sit about 40 seconds, then check the seasoning and add the cilantro.

Source: Erin McCarty

Behavioral Health Connection Newsletter

 

Courtesy of the BHS Communications Team 

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