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Extracted from Consolidated Report
This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.
Santa Cruz County Grand Jury
• 2013-2014
Proposition 63: Money for Mental Health Are We Getting It Right in Santa Cruz? 20132014 Santa Cruz County Grand Jury
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 15 findings
F1
Page 96
Counselors and psychiatrists are not readily available for existing and potential mental health clients.
Related Recommendations (1)
R1
Page 97
HSA should improve client access to mental health services by increasing available counseling hours for psychologists and psychiatrists at the Emeline facility. (F1)
F2
Page 96
The lack of implementation of electronic health records (EHR) hampers mental health service to clients.
Related Recommendations (2)
R2
Page 97
HSA should use Electronic Health Records (EHR) for all mental and medical health services. (F2)
R3
Page 97
HSA should use EHR to perform quantitative evaluations of program effectiveness. (F2, F3)
F3
Page 96
Quantitative evaluation of the success of Prop 63 programs is extremely challenging without the implementation of an EHR.
Related Recommendations (1)
R3
Page 97
HSA should use EHR to perform quantitative evaluations of program effectiveness. (F2, F3)
F4
Page 96
The apparent lapses of direct communication between the Advisory Board, HSA, and the Board of Supervisors impedes the Advisory Board’s goals of effective advocacy for clients and advising HSA concerning Prop 63 funded mental health programs.
Related Recommendations (2)
R4
Page 97
HSA should regularly attend the Mental Health Advisory Board meetings and should respond directly to the concerns raised. (F4)
R5
Page 97
The Mental Health Advisory Board should quickly and clearly communicate to HSA all issues that come before the Board. (F4)
F5
Page 96
The mandated stakeholder meetings are not successfully attracting participation by county residents.
Related Recommendations (1)
R6
Page 97
HSA should publicize mental health programs and promote them in a way that will educate and engage the larger community. (F5)
F6
Page 96
Five vacancies on the 11member Advisory Board left it ineffective for months during our investigation.
Related Recommendations (1)
R7
Page 97
The Board of Supervisors should fill all Advisory Board vacancies in a timely manner. (F6)
F7
Page 114
The Board lacks consistent standards to evaluate the performance of the District Manager.
No recommendations for this finding
F8
Page 114
SLVWD consistently fails to provide timely meeting minutes or post important information on the District’s website.
No recommendations for this finding
F9
Page 114
SLVWD makes it difficult for ratepayers to obtain public records from the District Office by requiring prior approval from the District Manager.
No recommendations for this finding
F10
Page 144
State water rights evaluations will delay the prospective start date of the Regional Water Transfer Project.
No recommendations for this finding
F11
Page 144
Without modification, the SCWD Tait Street treatment facility is not large enough to accommodate the needs of the Regional Water Transfer Project.
No recommendations for this finding
F12
Page 144
Officials in SCWD and SqCWD have not given sufficient consideration to a regional recycling plant.
No recommendations for this finding
F13
Page 144
A water recycling facility would allow for injection wells to either help recharge the aquifer or to build a barrier against seawater intrusion.
No recommendations for this finding
F14
Page 144
Because there is no detailed groundwater model of the Purisima basin, it is difficult to do the studies and research needed to protect the aquifer.
No recommendations for this finding
F15
Page 144
Private pumpers have unregulated access to water and do not contribute financially to aquifer protection efforts.
Related Recommendations (1)
R8
Page 145
The Basin Implementation Group should establish a Replenishment District for the Purisima aquifer. (F15)
Commendations 2
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CM1 Page 97C1. The Grand Jury commends HSA for working to provide services in the face of changing requirements, multiyear budget cuts, and evolving mental health treatment and prevention practices. C2. The Grand Jury commends the MHCAN peerled respite center for its success in helping clients avoid crises and support each other to help maintain good mental health.
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CM2 Page 145C1. We commend SqCWD for holding board meetings at Capitola City Hall to address supplemental supply and mandatory rationing. This allows for greater public participation and awareness of the discussions via local access television and the internet.
No Responses Found 2
Government entities assigned to respond to this report. No response documents have been linked in our database.
County Service Area No. 4 (Santa Cruz)
Special District
Santa Cruz County
County