Assisted Outpatient Treatment (W&I Code 5345~5349) (AB 1421) Laura s Law

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Assisted Outpatient Treatment (W&I Code 5345~5349) (AB 1421) Laura s Law"

Transcription

1 Assisted Outpatient Treatment (W&I Code 5345~5349) (AB 1421) Laura s Law ~April 23, 2015~ The Nevada County Experience 1

2 Objectives Explain Assisted Outpatient Treatment (AOT) in the context of Assertive Community Treatment (ACT). Demonstrate how recovery oriented approaches and court monitoring combine to improve outcomes among treatment participants. Examine strategies used to engage people in treatment who historically elect not to participate in services and supports. 2

3 Assisted Outpatient Treatment Also referred to as AOT, AB 1421, W&I Code , or Laura s Law Categories of outpatient services and supports that have been ordered by a court pursuant to Section 5346 or 5347 A process of determining an individual s need for mental health treatment. Treatment model for AOT is Adult Assertive Community Treatment (AACT) 3

4 January 1st, 2003 California enacted court-ordered outpatient treatment, known as Assisted Outpatient Treatment (AOT), as an option for Counties Modeled after Kendra s Law in New York 45 states have similar laws Resulted from a collaboration with Treatment Advocacy Center, parents of victim, and state legislators 4

5 Stigma Not our intention to promote stigma of persons with mental illness We embrace recovery principles and the belief that all individuals can recover and live satisfying and productive lives We recognize that a small subset or persons with untreated mental illness, especially those with a co-occurring substance use disorder, may have a high potential to be dangerous to themselves or others 5

6 Issues to Consider & Dispel AOT is too expensive AOT violates civil rights Voluntary treatment is more effective than AOT AOT is not needed because we already have other interventions (e.g and 5350) 6

7 Issues to Consider & Dispel AOT allows forced medication AOT is not effective because you can t force medication AOT outcomes are not documented AOT won t work in counties with diverse cultural and ethnic populations 7

8 AOT Criteria Lack of compliance with treatment, indicated by : 2/36 months; hospital, prison, jail or 1/48 months; serious and violent act, threat, attempt to harm self/other (The element of dangerousness is a lower threshold than 5150 or 5350, not an imminent threat, not gravely disabled.) 8

9 AOT Criteria The person has been offered an opportunity to participate in treatment and refused (Therefore, voluntary services are not an alternative to AOT, as AOT requires that voluntary services have already been offered and refused). 9

10 AOT Criteria County resident, minimum age 18 Serious Mental Disorder (WIC ), (may include co-occurring disorders) The person is unlikely to survive safely in the community 10

11 AOT Criteria Condition is deteriorating Least restrictive placement Necessary to prevent 5150 condition Will benefit from treatment 11

12 12

13 Who Can Request AOT? Any person 18 and older with whom the person resides The person s parent, spouse, sibling or child, who is 18 or older A peace officer, parole or probation officer 13

14 Who Can Request AOT? The director of a public or private agency providing mental health services to the person The director of a hospital where the person is being treated A licensed mental health provider who is supervising or treating the person 14

15 AOT Program Requirements Community-based, multi-disciplinary treatment, 24/7 on-call support, mental health teams that use staff to client ratios of no more than 10 clients per 1 staff person Must include a Personal Service Coordinator (PSC) for full service coordination Team approach and capacity for frequent contacts For Example: Assertive Community Treatment (ACT) 15

16 AOT Program Requirements Services that are client directed and employ recovery principles Integrated services that include mental health, substance abuse, physical health Self management of illness, personal choice, self determination Benefit Advocacy 16

17 Court & Legal Process 3 components - Pre-hearing notice of investigation and hearing Court hearings and due process requirements Collaborative supervision of AOT after the court order 17

18 Court & Legal Process County files a petition and the licensed mental health treatment provider may testify The petition must be served on: o Person who is subject to the petition o Patient Rights Advocate o Current health care provider The petition must determine there is no appropriate/feasible less restrictive option 18

19 Court & Legal issues Closed, civil court Client may be ordered or settle pursuant to Section 5346 or 5347 AOT Judge may dismiss if determines criteria are not met Client is represented by counsel Process empowers client to make choices that improve overall health 19

20 Court & Legal Process County provider must file an affidavit with the court at 60-day (typically less) Affidavit (status summary) reflects level of participation and continued criteria Includes individualized recommendations or modifications that may be discussed in court. 20

21 Court and legal process The court may order hospitalization under two (2) conditions: The person who is the subject of the petition has refused to be examined by an LMHT provider and the court finds reasonable cause that criteria are met~ Exam is completed in the community or hospital setting to confirm eligibility requirements are met. W&I Code 5346 (d). The person who is the subject of the petition is in need involuntary admission to a hospital for evaluation for up to 72 hours. W&I Code 5346 (f). Determination is made if the person is in need of treatment pursuant to Section

22 Court & Medication Medication may be part of the courtordered, individualized service plan Medications are not forced, but are court-ordered Court-ordered treatment is commonly provided throughout the California mental health system Almost all participants take medication 22

23 Outreach & Engagement An ongoing process of reaching & identifying unserved or underserved individuals/families Included are homeless, frequently incarcerated, repeatedly hospitalized or having frequent emergency contacts Supports access to emergency needs Court allows outreach to be possible to this population 23

24 Outreach & Engagement The foundation of a partnership Provider skills: recruit team members that reflect the components of recovery and from multiple disciplines Select PSC, Peer Specialist best suited Determine key issues and barriers Appreciate ways in which culture affects the client s willingness to seek help Respect person and place 24

25 Outreach & Engagement Strategies Welcome, offer, invite, encourage client to be equal partner in decisions (provides choice and promotes empowerment) Promote positive interdependence (drives engagement and cooperation) Consistently show up, follow up, have and express hope and care Envision what is possible 25

26 More Engagement Strategies Emphasize partnership, client/family centered services, individualized quality of life goals, no limitation on the engagement phase, no fail; support is not withdrawn based on expectations of response (this increases the likelihood of engagement) Listen & don t underestimate the power of kindness, positive attitude, congruent behaviors and impeccable manners (culturally responsive Use peer specialists and expertise of team members (This phase includes monitoring person for increased risk or increased participation in services offered) 26

27 Provider Role Prepares documents for County Counsel in support of petition Provides AACT treatment following court order Provides status reports to the AOT court team at 60 day intervals (typically more often). Reports include: level of engagement, successes, challenges and recommendations. 27

28 Additional Provider Tasks Collaboration: with law enforcement, probation and public defenders/private lawyers, conservator, County Counsel, other County Departments Support: in court and/or hospital settings, correctional facilities and in successfully completing all steps required of the individual by the court Data collection MHSA and Milestones Of Recovery Scales (MORS), data to measure outcomes~ quarterly Annually~ submit specific data required to DHCS 28

29 Providence Center AOT Data Since May 2008: 97 referrals for AOT evaluations 39 individuals with AOT court orders 6 incomplete orders due to hospitalization, incarceration, or death About 6 people per year have received treatment pursuant to an AOT order 29

30 Providence Center AOT Data 5 adversarial hearings (i.e. where the person appeared with counsel and challenged the petition.) 4 hearings where the person did not appear; an evidentiary hearing was held before the judge to present the evidence that the person met criteria. 30

31 Costs and Savings Actual cost per individual varies; budget for Fiscal Year 14/15 projected at $20,736/year/individual = same as ACT Team cost Average length of stay is 180 days $1.81 is saved for every $1 invested Bill Medi-Cal, Medicare, private insurance, patient fees for allowable services AOT costs are similar to ACT costs 31

32 AOT Outcomes Are Similar to ACT Outcomes Fewer hospital days Fewer jail days Higher employment rates Less homelessness Overall cost savings Better treatment engagement Higher Milestones of Recovery scores 32

33 Outcomes for 19 Unduplicated Participants ~12 months pre-treatment vs.12 months post-treatment~ Psychiatric Hospital Days 510 days vs. 290 days post-treatment = 43.1% Incarceration Days 687 days vs. 327 days post-treatment = 52.4% Homeless Days 254 days vs. 117 days post-treatment = 53.9% 33

34 Outcomes: For 19 unduplicated individuals, for the most recent 12 months pre-treatment vs. 12 months post-treatment Client Satisfaction Survey: 72.4% Family Satisfaction Survey: 82 % MORS Extreme Risk 38.9% 6.5% (high symptom distress, often taken to hospitals) MORS Coping/Rehabilitating 0.0% 40.0% (succeeding, contemplating employment/education generally satisfied with their lives) 34

35 Final Thoughts Nevada County is the first California County to fully implement Assisted Outpatient Treatment. 45 states have AOT programs AOT saves lives, protects civil rights, increases public safety, and improves the quality of life for the individual Provides treatment before an individual becomes gravely disabled, or does harm to self or others Nine (9) California counties now have BOS approval to implement AOT including: Nevada, Yolo, Orange, Los Angeles, San Francisco, Placer, Mendocino, San Diego and Contra Costa 35

36 More Final Thoughts AOT fills a gap in the treatment continuum AOT allows for a treatment option that is less restrictive than Conservatorship and locked inpatient care AOT is not a panacea, but does support the possibility of engaging some individuals in treatment that would not otherwise be possible It is possible to create a recovery based AOT program within the context of AACT 36

37 Contact Information Michael Heggarty, MFT Nevada County Behavioral Health Carol Stanchfield, MS, LMFT Turning Point Providence Center (530) ext Honorable Judge Thomas Anderson Nevada County Superior Court 37

38 Laura Wilcox 38

Laura s Law in Nevada County A Model for Action Saving Money and Lives

Laura s Law in Nevada County A Model for Action Saving Money and Lives Laura s Law in Nevada County A Model for Action Saving Money and Lives Summary The Nevada County Grand Jury assessed Nevada County s implementation of California s Assembly Bill 1421, commonly referred

More information

REVIEW OF SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS WHO ARE RESISTANT TO TREATMENT

REVIEW OF SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS WHO ARE RESISTANT TO TREATMENT COUNTY OF SAN DIEGO HEALTH AND HUMAN SERVICES AGENCY REVIEW OF SERVICES FOR INDIVIDUALS WITH SERIOUS MENTAL ILLNESS WHO ARE RESISTANT TO TREATMENT July 30, 2013 Report to San Diego County Board of Supervisors

More information

Treatment Advocacy Center

Treatment Advocacy Center A Guide to Kendra s Law Third Edition Treatment Advocacy Center 3300 N. Fairfax Dr., Suite 220, Arlington, VA 22201 (703) 294-6001 www.psychlaws.org Prepared by The Treatment Advocacy Center Arlington,

More information

STATE STANDARDS FOR ASSISTED TREATMENT

STATE STANDARDS FOR ASSISTED TREATMENT STATE STANDARDS FOR ASSISTED TREATMENT Civil Commitment Criteria for Inpatient or Outpatient Psychiatric Treatment June 2011 200 NORTH GLEBE ROAD, SUITE 730 ARLINGTON, VIRGINIA 22203 (703) 294-6001 TreatmentAdvocacyCenter.org

More information

SENATE BILL No. 795. Introduced by Senator Blakeslee. February 18, 2011. An act to amend Section 1370 of the Penal Code, relating to competency.

SENATE BILL No. 795. Introduced by Senator Blakeslee. February 18, 2011. An act to amend Section 1370 of the Penal Code, relating to competency. SENATE BILL No. Introduced by Senator Blakeslee February, 0 An act to amend Section 0 of the Penal Code, relating to competency. legislative counsel s digest SB, as introduced, Blakeslee. Competency: involuntary

More information

Clinical Considerations for Involuntary Mental Health Treatment of Adults in Oklahoma

Clinical Considerations for Involuntary Mental Health Treatment of Adults in Oklahoma Clinical Considerations for Involuntary Mental Health Treatment of Adults in Oklahoma Brandon Schader, M.D. Medical Director for Crisis Stabilization Oklahoma County Crisis Intervention Center Oklahoma

More information

STATE STANDARDS FOR ASSISTED TREATMENT

STATE STANDARDS FOR ASSISTED TREATMENT STATE STANDARDS FOR ASSISTED TREATMENT Civil Commitment Criteria for Inpatient or Outpatient Psychiatric Treatment October 2014 200 NORTH GLEBE ROAD, SUITE 801 ARLINGTON, VIRGINIA 22203 (703) 294-6001

More information

STATE STANDARDS FOR ASSISTED TREATMENT

STATE STANDARDS FOR ASSISTED TREATMENT STATE STANDARDS FOR ASSISTED TREATMENT Civil Commitment Criteria for Inpatient or Outpatient Psychiatric Treatment October 2014 200 NORTH GLEBE ROAD, SUITE 801 ARLINGTON, VIRGINIA 22203 (703) 294-6001

More information

Marin County s STAR Program: Support and Treatment for Mentally Ill Offenders

Marin County s STAR Program: Support and Treatment for Mentally Ill Offenders Marin County s STAR Program: Support and Treatment for Mentally Ill Offenders Marcella Velasquez EXECUTIVE SUMMARY Overrepresentation of the mentally ill in prisons and jails and limited mental health

More information

Involuntary Mental Health Commitments

Involuntary Mental Health Commitments 3710 LANDMARK DRIVE, SUITE 208, COLUMBIA, SC 29204 (803) 782 0639; FAX (803) 790-1946 TOLL FREE IN SC: 1-866-275-7273 (VOICE) AND 1-866-232-4525 (TTY) E-mail: info@pandasc.org Website: www.pandasc.org

More information

Legal Aspects of 5150 Holds

Legal Aspects of 5150 Holds Legal Aspects of 5150 Holds Mental Health Advocacy Project Santa Clara County Mental Health Advocacy Project 152 N. Third Street, 3rd Floor San Jose, CA 95112 (408) 294-9730 and 1-800-248-MHAP Training

More information

SENATE BILL No. 614 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015

SENATE BILL No. 614 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015 SENATE BILL No. 614 Introduced by Senator Leno (Coauthor: Senator Anderson) February 27, 2015 An act to

More information

Recovery Innovations of Arizona Programs

Recovery Innovations of Arizona Programs Recovery Innovations of Arizona Programs Recovery Innovation of Arizona, Inc. (RIA) is a nonprofit Arizona corporation. Formerly known as META Services, Inc., RIA was founded in 1990 with programs throughout

More information

Mental Health Courts: Solving Criminal Justice Problems or Perpetuating Criminal Justice Involvement?

Mental Health Courts: Solving Criminal Justice Problems or Perpetuating Criminal Justice Involvement? Mental Health Courts: Solving Criminal Justice Problems or Perpetuating Criminal Justice Involvement? Monday, September 21 st, 2015 3 PM EDT Mental Health America Regional Policy Council Mental Health

More information

SHORT TITLE: Criminal procedure; creating the Oklahoma Drug Court Act; codification; emergency.

SHORT TITLE: Criminal procedure; creating the Oklahoma Drug Court Act; codification; emergency. SHORT TITLE: Criminal procedure; creating the Oklahoma Drug Court Act; codification; emergency. STATE OF OKLAHOMA 2nd Session of the 45th Legislature (1996) SENATE BILL NO. 1153 By: Hobson AS INTRODUCED

More information

Good afternoon, and thank you for having me today. My name is Erik Vanderlip, and I am a

Good afternoon, and thank you for having me today. My name is Erik Vanderlip, and I am a November 3 rd, 2015 Assistant Clinical Professor of Psychiatry and Medical Informatics University of Oklahoma School of Community Medicine Psychiatry and Family Physician Consultant, OU IMPACT Behavioral

More information

Contra Costa County Assisted Outpatient Treatment Program Design. June 4, 2015

Contra Costa County Assisted Outpatient Treatment Program Design. June 4, 2015 Contra Costa County Assisted Outpatient Treatment Program Design Contra Costa County Assisted Outpatient Treatment Program Design June 4, 2015 1 Contra Costa County Assisted Outpatient Treatment Program

More information

INVOLUNTARY PSYCHIATRIC TREATMENT: CALIFORNIA S 72-HOUR HOLD AND 14-DAY CERTIFICATION

INVOLUNTARY PSYCHIATRIC TREATMENT: CALIFORNIA S 72-HOUR HOLD AND 14-DAY CERTIFICATION 5024.01 INVOLUNTARY PSYCHIATRIC TREATMENT: CALIFORNIA S 72-HOUR HOLD AND 14-DAY CERTIFICATION The purpose of this brochure is to explain two legal holds used to keep patients in psychiatric hospitals involuntarily:

More information

INVOLUNTARY OUTPATIENT COMMITMENT SUMMARY OF STATE STATUTES

INVOLUNTARY OUTPATIENT COMMITMENT SUMMARY OF STATE STATUTES 1101 Fifteenth Street NW Suite 1212 Washington DC 20005 202-467-5730 www.bazelon.org INVOLUNTARY OUTPATIENT COMMITMENT SUMMARY OF STATE STATUTES INVOLUNTARY OUTPATIENT COMMITMENT STATUTES State Outpatient

More information

Mental Health Court 101

Mental Health Court 101 Mental Health Court 101 2007 Georgia Drug & DUI Court Conference Peachtree City, GA Honorable Kathlene Gosselin, Hall County Superior Court & H.E.L.P. Program Team While the number of patients in psychiatric

More information

Reentry on Steroids! NADCP 2013

Reentry on Steroids! NADCP 2013 Reentry on Steroids! NADCP 2013 Panel Introductions Judge Keith Starrett Moderator Judge Robert Francis Panelist Judge Stephen Manley Panelist Charles Robinson - Panelist Dallas SAFPF 4-C Reentry Court

More information

ASSERTIVE COMMUNITY TREATMENT: ACT 101. Rebecca K. Sartor, LICSW

ASSERTIVE COMMUNITY TREATMENT: ACT 101. Rebecca K. Sartor, LICSW ASSERTIVE COMMUNITY TREATMENT: ACT 101 Rebecca K. Sartor, LICSW A LITTLE BIT ABOUT ME HOW I ENDED UP HERE LEARNING OBJECTIVES To develop an understanding of: How ACT Evolved Practice Principles Services

More information

Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures

Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures The Arizona State Hospital The Arizona State Hospital is the only long-term inpatient psychiatric facility in Arizona. Before ordering that you receive treatment at the Arizona State Hospital, the court

More information

Policies. A. Co-Occurring Issues/Dual-Diagnosis Capability

Policies. A. Co-Occurring Issues/Dual-Diagnosis Capability POLICY/PROCEDURE REGARDING: Community Behavioral Health Services Integration of Mental Health and Substance Abuse: Policy on Welcoming, Universal Screening, Dual Diagnosis Capability, and Billing. Issued

More information

New Developments in Supported Employment San Francisco Behavioral Health Court

New Developments in Supported Employment San Francisco Behavioral Health Court New Developments in Supported Employment San Francisco Behavioral Health Court NADCP National Conference May 27, 2014 Lisa Lightman Kathleen Connolly Lacey, LCSW Gregory Jarasitis, MOT, OTR/L Goals of

More information

H.R 2646 Summary and S. 1945 Comparison

H.R 2646 Summary and S. 1945 Comparison H.R 2646 Summary and S. 1945 Comparison TITLE I ASSISTANT SECRETARY FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS It establishes an Office of the Assistant Secretary for Mental Health and Substance Use

More information

I. General Instructions

I. General Instructions Contra Costa Behavioral Health Services Request for Proposals Mental Health Services Act (MHSA) Mental Health Recovery Centers October 16, 2013 I. General Instructions Contra Costa Behavioral Health Services

More information

Administration 15.3 FTE. Rosa Gomez Regional Operations & Children s Services 271.4 FTE

Administration 15.3 FTE. Rosa Gomez Regional Operations & Children s Services 271.4 FTE 70 ORGANIZATIONAL CHART BEHAVIORAL HEALTH Allan Rawland Director 1.0 FTE Allan Rawland Director Mission Statement Administration 15.3 FTE CaSonya Thomas Chief Deputy Director 1.0 FTE The County of San

More information

INSTRUCTIONS AND PROTOCOLS FOR THE IMPLEMENTATION OF CASE MANAGEMENT SERVICES FOR INDIVIDUALS AND FAMILIES WITH SUBSTANCE USE DISORDERS

INSTRUCTIONS AND PROTOCOLS FOR THE IMPLEMENTATION OF CASE MANAGEMENT SERVICES FOR INDIVIDUALS AND FAMILIES WITH SUBSTANCE USE DISORDERS 201 Mulholland Bay City, MI 48708 P 989-497-1344 F 989-497-1348 www.riverhaven-ca.org Title: Case Management Protocol Original Date: March 30, 2009 Latest Revision Date: August 6, 2013 Approval/Release

More information

Complete Program Listing

Complete Program Listing Complete Program Listing Mental Health (MH) Services Division Adult Mental Health Outpatient Clinics - Provide outpatient mental health services to individuals 18 years and older who live with severe and

More information

THE BAKER ACT: MENTAL HEALTH

THE BAKER ACT: MENTAL HEALTH CHAPTER 32 THE BAKER ACT: MENTAL HEALTH by George F. Indest III, JD, MPA, LL.M SCOPE This chapter discusses FLorida's Baker Act, the Law which allows the involuntary commitment of individuals who poses

More information

ASSERTIVE COMMUNITY TREATMENT TEAMS CERTIFICATION

ASSERTIVE COMMUNITY TREATMENT TEAMS CERTIFICATION ARTICLE 5.2. ASSERTIVE COMMUNITY TREATMENT TEAMS CERTIFICATION Rule 1. Definitions 440 IAC 5.2-1-1 Applicability Sec. 1. The definitions in this rule apply throughout this article. (Division of Mental

More information

Understanding the Civil Involuntary Commitment Process

Understanding the Civil Involuntary Commitment Process Understanding the Civil Involuntary Commitment Process About the Author By D. Renée Hildebrant http://www.okbar.org/obj/articles_05/021205.htm Oklahoma Bar Journal D. Renée Hildebrant is the trial court

More information

Involuntary Admissions & Treatment Facts and Procedures

Involuntary Admissions & Treatment Facts and Procedures Involuntary Admissions & Treatment Facts and Procedures Marcia Horan Assistant State s Attorney, Cook County Seniors and Persons with Disabilities Division WHEN IS INVOLUNTARY ADMISSION APPROPRIATE? The

More information

Kitsap County has a retail sales tax to fund a county wide infrastructure for behavioral health treatment programs and services. Substance abuse and

Kitsap County has a retail sales tax to fund a county wide infrastructure for behavioral health treatment programs and services. Substance abuse and Kitsap County has a retail sales tax to fund a county wide infrastructure for behavioral health treatment programs and services. Substance abuse and mental health services are viewed as existing on a continuum

More information

Initiating Court-Ordered Assisted Treatment Inpatient, Outpatient and Emergency Hospitalization Standards by State

Initiating Court-Ordered Assisted Treatment Inpatient, Outpatient and Emergency Hospitalization Standards by State Initiating Court-Ordered Assisted Treatment Inpatient, Outpatient and Emergency Hospitalization Standards by State This chart captures the most essential information about who may initiate proceedings

More information

YOUR RIGHTS REGARDING ADMISSION TO AND DISCHARGE FROM A HOSPITAL UNDER MASSACHUSETTS MENTAL HEALTH LAW

YOUR RIGHTS REGARDING ADMISSION TO AND DISCHARGE FROM A HOSPITAL UNDER MASSACHUSETTS MENTAL HEALTH LAW YOUR RIGHTS REGARDING ADMISSION TO AND DISCHARGE FROM A HOSPITAL UNDER MASSACHUSETTS MENTAL HEALTH LAW Prepared by the Mental Health Legal Advisors Committee December 2011 Massachusetts General Laws Chapter

More information

Civil Commitment and Voluntary Treatment

Civil Commitment and Voluntary Treatment RIGHTS & REALITY II Civil Commitment and Voluntary Treatment Dianne Greenley, Attorney Wisconsin Coalition for Advocacy Focus on short term treatment Treatment and protection from harm Consequences to

More information

Technical Assistance Document 5

Technical Assistance Document 5 Technical Assistance Document 5 Information Sharing with Family Members of Adult Behavioral Health Recipients Developed by the Arizona Department of Health Services Division of Behavioral Health Services

More information

As the State Mental Health Authority, the office of Mental Health has two main functions:

As the State Mental Health Authority, the office of Mental Health has two main functions: NYSOMH Mission The mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a particular focus on providing hope and recovery for adults with serious

More information

State Standards Charts for Assisted Treatment Civil Commitment Criteria and Initiation Procedures by State

State Standards Charts for Assisted Treatment Civil Commitment Criteria and Initiation Procedures by State State Standards Charts for Assisted Treatment Civil Commitment Criteria and Initiation Procedures by State Table of Contents Introduction... 2 Assisted Psychiatric Treatment: Inpatient and Outpatient Standards

More information

Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S.

Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Mental Health 101 for Criminal Justice Professionals David A. D Amora, M.S. Director, National Initiatives, Council of State Governments Justice Center Today s Presentation The Behavioral Health System

More information

LOCAL NEEDS LOCAL DECISI NS LOCAL BOARDS

LOCAL NEEDS LOCAL DECISI NS LOCAL BOARDS ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH BOARDS OF OHIO The Value of Ohio s Alcohol, Drug Addiction, and Mental Health Boards Providing hope and helping local communities thrive ++--------- LOCAL NEEDS

More information

Housing Services Office (HSO) Newsletter Alameda County Behavioral Health Care Services (BHCS)

Housing Services Office (HSO) Newsletter Alameda County Behavioral Health Care Services (BHCS) (HSO) Newsletter Alameda County Behavioral Health Care Services (BHCS) A defendant waits for his case to be heard at the Alameda County Homeless Caring Court in Oakland Friday. Photo: Doug Oakley, East

More information

SAN MATEO COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES DOCTORAL LEVEL PRACTICUM PLACEMENTS 2015-2016

SAN MATEO COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES DOCTORAL LEVEL PRACTICUM PLACEMENTS 2015-2016 SAN MATEO COUNTY BEHAVIORAL HEALTH & RECOVERY SERVICES DOCTORAL LEVEL PRACTICUM PLACEMENTS 2015-2016 San Mateo Behavioral Health and Recovery Services (BHRS) is a comprehensive county behavioral health

More information

Important Considerations for Implementing Assisted Outpatient Treatment: A Collaborative Advocacy Agenda

Important Considerations for Implementing Assisted Outpatient Treatment: A Collaborative Advocacy Agenda 1 Lengthy discussion of serious concerns around the devil is in the details of implementing AOT Important Considerations for Implementing Assisted Outpatient Treatment: A Collaborative Advocacy Agenda

More information

Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures

Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures The Arizona State Hospital The Arizona State Hospital is the only long-term inpatient psychiatric facility in Arizona. Before ordering that you receive treatment at the Arizona State Hospital, the court

More information

Individual Mental Health Rehabilitation Services

Individual Mental Health Rehabilitation Services California s Protection & Advocacy System Toll-Free (800) 776-5746 Individual Mental Health Rehabilitation Services September 2006, Pub #5182.01 A California Superior Court judge has ruled that individual

More information

STATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES. (Pursuant to N.J.S.A. 30:4-27.

STATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES. (Pursuant to N.J.S.A. 30:4-27. STATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES SCREENING DOCUMENT FOR ADULTS (Pursuant to N.J.S.A. 30:4-27.1 et seq) to Instructions New Jersey Court

More information

SACRAMENTO COUNTY ADULT MENTAL HEALTH SERVICES SERVICE DIRECTORY FISCAL YEAR 2010-2011

SACRAMENTO COUNTY ADULT MENTAL HEALTH SERVICES SERVICE DIRECTORY FISCAL YEAR 2010-2011 SACRAMENTO COUNTY ADULT MENTAL HEALTH SERVICE DIRECTORY FISCAL YEAR 2010-2011 ACCESS TO /PROVIDER DESCRIPTION CLIENT POPULATION Adult Access Southeast Asian Assistance Center (SAAC) 5625 24 th Street Sacramento,

More information

Women FIRST Program. March 2013. Focus on you Information you need Referral for service Support for family Time for you

Women FIRST Program. March 2013. Focus on you Information you need Referral for service Support for family Time for you March 2013 Women FIRST Program Focus on you Information you need Referral for service Support for family Time for you Circuit Court of Lake County, Illinois Division of Psychological Services SMAART Performance

More information

Cost-effectiveness analysis of Assisted Outpatient Treatment implementation in California s civil sector

Cost-effectiveness analysis of Assisted Outpatient Treatment implementation in California s civil sector Cost-effectiveness analysis of Assisted Outpatient Treatment implementation in California s civil sector Overview Cameron Quanbeck MD Gary Tsai MD Kaitlin Szabo MD, MBA In California, those with serious

More information

Mental Health Needs of Juvenile Offenders. Mental Health Needs of Juvenile Offenders. Juvenile Justice Guide Book for Legislators

Mental Health Needs of Juvenile Offenders. Mental Health Needs of Juvenile Offenders. Juvenile Justice Guide Book for Legislators Mental Health Needs of Juvenile Offenders Mental Health Needs of Juvenile Offenders Juvenile Justice Guide Book for Legislators Mental Health Needs of Juvenile Offenders Introduction Children with mental

More information

Discharge Planning for Residents of State Mental Health Treatment Facilities

Discharge Planning for Residents of State Mental Health Treatment Facilities Charlie Crist,, Governor Robert A. Butterworth, Secretary Discharge Planning for Residents of State Mental Health Treatment Facilities Council on Homelessness May 16, 2008 Mission: Protect the Vulnerable,

More information

Disability Rights California

Disability Rights California Disability Rights California California s protection and advocacy system LEGISLATION & PUBLIC INFORMATION UNIT 1831 K Street Sacramento, CA 95811-4114 Tel: (916) 504-5800 TTY: (800) 719-5798 Fax: (916)

More information

Department of Health Services. Alcohol and Other Drug Services Division

Department of Health Services. Alcohol and Other Drug Services Division Department of Health Services Alcohol and Other Drug Services Division Summary of Programs and Services Rita Scardaci, MPH, Health Services Director Gino Giannavola, AODS Division Director Alcohol and

More information

Mental Illness, Addiction and the Whatcom County Jail

Mental Illness, Addiction and the Whatcom County Jail March 1, 015 Mental Illness, Addiction and the Whatcom County Jail Bill Elfo, Sheriff Whatcom County America is experiencing a disturbing and increasing trend in the number of offenders housed in its county

More information

Adult Services MHSA funded programs. CSSA01 Adult FSP CSS A02 Adult BH OP Services Redesign

Adult Services MHSA funded programs. CSSA01 Adult FSP CSS A02 Adult BH OP Services Redesign Adult Services MHSA funded programs CSSA01 Adult FSP CSS A02 Adult BH OP Services Redesign 1 CSSA01: MHSA Adult FSP Goals To provide all of the mental health services and support to a persons wants and

More information

Helping. Healing.Offering Hope.

Helping. Healing.Offering Hope. Helping. Healing.Offering Hope. Directory of Services 2009-2010 w w w. p e a c e r i v e r c e n t e r. o r g Rev. 3/10 Years Peace River Center is a Private, Not-For-Profit Community Mental Health Organization

More information

State Notes TOPICS OF LEGISLATIVE INTEREST July/August 2008

State Notes TOPICS OF LEGISLATIVE INTEREST July/August 2008 Mental Health Courts: A New Tool By Stephanie Yu, Fiscal Analyst For fiscal year (FY) 2008-09, appropriations for the Judiciary and the Department of Community Health (DCH) include funding for a mental

More information

court. However, without your testimony the defendant might go unpunished.

court. However, without your testimony the defendant might go unpunished. Office of State Attorney Michael J. Satz VICTIM RIGHTS BROCHURE YOUR RIGHTS AS A VICTIM OR WITNESS: CRIMINAL JUSTICE PROCESS The stages of the criminal justice system are as follows: We realize that for

More information

Allocation of Outpatient Mental Health Services and Beds in State Hospitals. As Required By H.B. 3793, 83rd Legislature, Regular Session, 2013

Allocation of Outpatient Mental Health Services and Beds in State Hospitals. As Required By H.B. 3793, 83rd Legislature, Regular Session, 2013 Allocation of Outpatient Mental Health Services and Beds in State Hospitals As Required By H.B. 3793, 83rd Legislature, Regular Session, 2013 Department of State Health Services January 2015 - This page

More information

CSI Training Supplement Evidence-Based Practices (EBPs) and Service Strategies (SSs) (S-25.0)

CSI Training Supplement Evidence-Based Practices (EBPs) and Service Strategies (SSs) (S-25.0) CSI Training Supplement Evidence-Based Practices (EBPs) and Service Strategies (SSs) (S-25.0) July 14, 2006 Note: This training supplement is intended to serve as a tool for counties to use in order to

More information

Rights for Individuals in Mental Health Facilities

Rights for Individuals in Mental Health Facilities HANDBOOK Rights for Individuals in Mental Health Facilities Admitted Under the Lanterman-Petris-Short Act C A L I F O R N I A D E P A R T M E N T O F Mental Health How to Reach Your Patients Rights Advocate

More information

PRIMARY TREATMENT CENTERS AND DETENTION

PRIMARY TREATMENT CENTERS AND DETENTION SECTION SIX PRIMARY TREATMENT CENTERS AND DETENTION I. PRIMARY TREATMENT CENTER A. General Characteristics 1. Children referred to Primary Treatment Centers (PTC) may be children in their initial state

More information

Adult Protective Services

Adult Protective Services Chapter 7.E Guardianship/conservatorship and Mental Health Board A. Guardianship/Conservatorship 1. A guardian or conservator is a person or entity appointed by a court of competent jurisdiction to have

More information

UNDER DEVELOPMENT CLASS TITLE: Social Work Support Technician (currently Youth Residential Worker 1)

UNDER DEVELOPMENT CLASS TITLE: Social Work Support Technician (currently Youth Residential Worker 1) OCCUPATIONAL GROUP: Social Services CLASS FAMILY: Social Work CLASS FAMILY DESCRIPTION: This family of positions includes those whose purpose is to provide social services to various populations, including

More information

What is DOMESTIC VIOLENCE?

What is DOMESTIC VIOLENCE? What is DOMESTIC VIOLENCE? Domestic violence is a pattern of control used by one person to exert power over another. Verbal abuse, threats, physical, and sexual abuse are the methods used to maintain power

More information

Physician s Signature

Physician s Signature 4. If testing for illegal substances (blood or urinalysis) is recommended: a) Does this respondent/patient have a history of substance abuse that is clinically related to his/her mental illness? If yes,

More information

AN ACT. The goals of the alcohol and drug treatment divisions created under this Chapter include the following:

AN ACT. The goals of the alcohol and drug treatment divisions created under this Chapter include the following: ENROLLED Regular Session, 1997 HOUSE BILL NO. 2412 BY REPRESENTATIVE JACK SMITH AN ACT To enact Chapter 33 of Title 13 of the Louisiana Revised Statutes of 1950, comprised of R.S. 13:5301 through 5304,

More information

P. O. Box 1520 Columbia, South Carolina 29202. Effective date of implementation: January 1, 2005. Domestic Violence

P. O. Box 1520 Columbia, South Carolina 29202. Effective date of implementation: January 1, 2005. Domestic Violence SOUTH CAROLINA DEPARTMENT OF SOCIAL SERVICES P. O. Box 1520 Columbia, South Carolina 29202 STANDARDS OF CARE FOR BATTERERS TREATMENT Effective date of implementation: January 1, 2005 Domestic Violence

More information

Victim Services Programs. Core Service Definitions

Victim Services Programs. Core Service Definitions Victim Services Programs Core Service Definitions EFFECTIVE MAY 2012 1 P a g e Core Services Overview The Criminal Justice Coordinating Council (CJCC) strives to be a responsible and exemplary steward

More information

BHR Evaluation and Treatment Center

BHR Evaluation and Treatment Center BHR Evaluation and Treatment Center BHR s Acute and Emergency Psychiatric Services consists of four programs: Crisis Resolution Services, Triage, the Evaluation and Treatment Unit, and the Crisis Stabilization

More information

Foster Youth Mental Health Bill of Rights. 1. Foster youth have the right to receive mental health services and supports. 1

Foster Youth Mental Health Bill of Rights. 1. Foster youth have the right to receive mental health services and supports. 1 Foster Youth Mental Health Bill of Rights Rights 1. Foster youth have the right to receive mental health services and supports. 1 2. Foster youth have the right to receive information about their mental

More information

Intensive Outpatient Psychotherapy - Adult

Intensive Outpatient Psychotherapy - Adult Intensive Outpatient Psychotherapy - Adult Definition Intensive Outpatient Psychotherapy services provide group based, non-residential, intensive, structured interventions consisting primarily of counseling

More information

Article 1: APPLICATION. Section 3100. Application of Chapter. Chapter 14 sets forth regulations applicable to the Mental Health Services Act.

Article 1: APPLICATION. Section 3100. Application of Chapter. Chapter 14 sets forth regulations applicable to the Mental Health Services Act. California Code of Regulations Title 9. Rehabilitative and Development Services Division 1. Department of Mental Health Chapter 14. Mental Health Services Act Article 1: APPLICATION Section 3100. Application

More information

FLORIDA STATE UNIVERSITY POLICE DEPARTMENT Chief David L. Perry

FLORIDA STATE UNIVERSITY POLICE DEPARTMENT Chief David L. Perry FLORIDA STATE UNIVERSITY POLICE DEPARTMENT Chief David L. Perry 830 West Jefferson Street 850-644-1234 VICTIMS' RIGHTS BROCHURE YOUR RIGHTS AS A VICTIM OR WITNESS: ------- We realize that for many persons,

More information

CALIFORNIA LAW REVISION COMMISSION

CALIFORNIA LAW REVISION COMMISSION COURT-AUTHORIZED MEDICAL 'TREATMENT 537 STATE OF CALIFORNIA CALIFORNIA LAW REVISION COMMISSION RECOMMENDATION relating to Court-Authorized Medical Treatment December 1989 California Law Revision Commission

More information

AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, PREVENTION AND INTERVENTION EXPANSION; MAKING APPROPRIATIONS; DECLARING AN EMERGENCY. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:

More information

CORRELATES AND COSTS

CORRELATES AND COSTS ANOTHER LOOK AT MENTAL ILLNESS AND CRIMINAL JUSTICE INVOLVEMENT IN TEXAS: CORRELATES AND COSTS Decision Support Unit Mental Health and Substance Abuse Services Another Look at Mental Illness and Criminal

More information

Performance Standards

Performance Standards Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best

More information

APPLICATION FOR INVOLUNTARY CUSTODY FOR MENTAL HEALTH EXAMINATION [West Virginia Code: 27-5-2]

APPLICATION FOR INVOLUNTARY CUSTODY FOR MENTAL HEALTH EXAMINATION [West Virginia Code: 27-5-2] IN THE CIRCUIT COURT OF COUNTY, WEST VIRGINIA For Clerk's Use Only IN RE: INVOLUNTARY HOSPITALIZATION OF, RESPONDENT DATE: CASE NUMBER - MH - If this application is GRANTED, distribute copies of the application

More information

DESCRIPTION OF FORENSIC POPULATION

DESCRIPTION OF FORENSIC POPULATION SERVICES FOR FORENSIC CLIENTS GENERAL LEGAL RIGHTS CHAPTER 13 DESCRIPTION OF FORENSIC POPULATION The forensic program for the State of Missouri is designed to provide services to all circuit courtordered

More information

The Expectation is Recovery... Evidence-Based Practices State-of-the-Art Strategies to Help Recover from Mental Illnesses

The Expectation is Recovery... Evidence-Based Practices State-of-the-Art Strategies to Help Recover from Mental Illnesses State of Illinois Department of Human Services The Expectation is Recovery... Evidence-Based Practices State-of-the-Art Strategies to Help Recover from Mental Illnesses Ask your mental health provider

More information

We Can Help. Crime Hurts Everybody. California Victim Compensation Program. Helping California Crime Victims Since 1965

We Can Help. Crime Hurts Everybody. California Victim Compensation Program. Helping California Crime Victims Since 1965 Crime Hurts Everybody We Can Help. Victim Compensation & Government Claims Board Helping California Crime Victims Since 1965 table of contents Introduction to the Victim Compensation Program 3 Covered

More information

Leveraging National Health Reform to Reduce Recidivism & Build Recovery

Leveraging National Health Reform to Reduce Recidivism & Build Recovery Leveraging National Health Reform to Reduce Recidivism & Build Recovery Presented to the National TASC Conference May 2013 1 What We ll Cover Today Why should you pay attention to health care reform? Urgency

More information

Statutory Rape: What You Should Know

Statutory Rape: What You Should Know Statutory Rape: What You Should Know 2013 Why Do You Need To Read This? Many teens are concerned about the laws regarding something commonly called statutory rape. This brochure will explain what statutory

More information

Assistant Director of Alcohol, Drug, and Mental Health Services Clinical Operations Job Bulletin #13-8004-07

Assistant Director of Alcohol, Drug, and Mental Health Services Clinical Operations Job Bulletin #13-8004-07 All photographs courtesy of Mark Bright and used by permission. COUNTY OF SANTA BARBARA Assistant Director of Alcohol, Drug, and Mental Health Services Clinical Operations Job Bulletin #13-8004-07 The

More information

Using Proposition 47 to Reduce Convictions and Restore Rights (January 2015)

Using Proposition 47 to Reduce Convictions and Restore Rights (January 2015) Using Proposition 47 to Reduce Convictions and Restore Rights (January 2015) A note on reproduction: You are welcome to copy and distribute this material, but please do not charge for the copies. A note

More information

AOPMHC STRATEGIC PLANNING 2015

AOPMHC STRATEGIC PLANNING 2015 SERVICE AREA AND OVERVIEW EXECUTIVE SUMMARY Anderson-Oconee-Pickens Mental Health Center (AOP), established in 1962, serves the following counties: Anderson, Oconee and Pickens. Its catchment area has

More information

RESEARCH TEAM: Steven J. Onken, Ph.D. Jeanne M. Dumont, Ph.D. Priscilla Ridgway, A.B.D. Douglas H. Dornan, M.S. Ruth O. Ralph, Ph.D.

RESEARCH TEAM: Steven J. Onken, Ph.D. Jeanne M. Dumont, Ph.D. Priscilla Ridgway, A.B.D. Douglas H. Dornan, M.S. Ruth O. Ralph, Ph.D. MENTAL HEALTH RECOVERY: WHAT HELPS AND WHAT HINDERS? A NATIONAL RESEARCH PROJECT FOR THE DEVELOPMENT OF RECOVERY FACILITATING SYSTEM PERFORMANCE INDICATORS RESEARCH TEAM: Steven J. Onken, Ph.D. Jeanne

More information

Assertive Community Treatment (ACT)

Assertive Community Treatment (ACT) Assertive Community Treatment (ACT) Definition The Assertive Community Treatment (ACT) Team provides high intensity services, and is available to provide treatment, rehabilitation, and support activities

More information

ASSERTIVE COMMUNITY TREATMENT (ACT) FIDELITY REPORT

ASSERTIVE COMMUNITY TREATMENT (ACT) FIDELITY REPORT ASSERTIVE COMMUNITY TREATMENT (ACT) FIDELITY REPORT Date: 8/6/2015 To: Jennifer Starks From: Jeni Serrano, BS T.J. Eggsware, BSW, MA, LAC ADHS Fidelity Reviewers Method On July 13-14, 2015 Jeni Serrano

More information

May 21, 2015 Joint Committee on Finance Paper #352

May 21, 2015 Joint Committee on Finance Paper #352 Legislative Fiscal Bureau One East Main, Suite 301 Madison, WI 53703 (608) 266-3847 Fax: (608) 267-6873 Email: fiscal.bureau@legis.wisconsin.gov Website: http://legis.wisconsin.gov/lfb May 21, 2015 Joint

More information

Mental Health & Addiction Forensics Treatment

Mental Health & Addiction Forensics Treatment Mental Health & Addiction Forensics Treatment Sheriffs: Help needed to cope with September 15, 2014 mentally ill INDIANAPOLIS - A sheriff says county jails have become the "insane asylums" for Indiana

More information

CADC-CAS STUDY GUIDE. Studying for the Exam. Exam Content Outline

CADC-CAS STUDY GUIDE. Studying for the Exam. Exam Content Outline CADC-CAS STUDY GUIDE Studying for the Exam The exam covers the following topic areas. Candidates are encouraged to review these areas and the items listed below in preparation for the exam. All questions

More information

What is CCS? Eligibility

What is CCS? Eligibility What is CCS? Department of Health Services Division of Mental Health and Substance Abuse Services Bureau of Prevention, Treatment and Recovery Services Comprehensive Community Services (CCS) Comprehensive

More information

Prepared by: HomeBase. for the

Prepared by: HomeBase. for the Mainstreaming the Response to Homelessness: ACCESSING SOCIAL SECURITY BENEFITS SUMMARY REPORT: Meetings & Local Post-Meeting Activities to Increase Social Security Benefits Access for People Experiencing

More information

MEMO OF UNDERSTANDING JACKSON COUNTY PILOT MENTAL HEALTH TREATMENT COURT

MEMO OF UNDERSTANDING JACKSON COUNTY PILOT MENTAL HEALTH TREATMENT COURT MEMO OF UNDERSTANDING JACKSON COUNTY PILOT MENTAL HEALTH TREATMENT COURT This is an understanding between the 4th Circuit Court, 12 th District Court, Jackson County Probate Court, Jackson County Sheriff

More information

Family Drug Courts: The Solution By Judge Katherine Lucero

Family Drug Courts: The Solution By Judge Katherine Lucero Family Drug Courts: The Solution By Judge Katherine Lucero The first Drug Court was in Miami-Dade County, Florida in 1989. Tired of the same faces and the same cases repeatedly appearing before the court,

More information