Sacramento County Grand Jury
• 2014-2015
Mental Health Crisis Intervention Services ...sacramento County’s Shameful Legacy of Neglect
⚠️ 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 7 findings
F1
Sacramento County has abdicated the provision of crisis services for the mentally ill. The current mental health crisis services in Sacramento County are inadequate, anti- therapeutic, costly and dangerous.
Related Recommendations (1)
R1
Provide documentation that they are meeting all requirements for the provision of crisis and hospital services for the seriously mentally ill.
F2
Sacramento County’s decision to close the Crisis Stabilization Unit to adult patients and to eliminate 50 beds from the Sacramento County Mental Health Treatment Center, as well as subsequent program decisions, has had widespread negative fiscal consequences.
Related Recommendations (1)
R2
Establish a fully functional and available 23-hour intake and evaluation crisis unit (Crisis Stabilization Unit) or similar urgent care model.
F3
Sacramento County’s shift of responsibility for crisis services has overwhelmed community hospital emergency rooms.
Related Recommendations (1)
R3
Develop, expand and support outpatient programs that respond to and mitigate mental health crises before they escalate.
F4
Sacramento County’s use of inpatient hospitals is dysfunctional and currently too expensive.
Related Recommendations (1)
R4
Expand mobile crisis programs.
F5
Sacramento County’s shift of responsibility for crisis services has adversely impacted area law enforcement agencies.
Related Recommendations (1)
R5
Assure continuation of CIT (Crisis Intervention Training) opportunities for law enforcement by exploring all available funding options.
F6
Sacramento County’s relationship with hospital providers and law enforcement is strained or conflictual.
Related Recommendations (1)
R6
Expand crisis residential services, both acute and non-acute.
F7
Sacramento County's use of long-term, non-acute 24-hour care utilization is inadequate, costly and fails to utilize more appropriate alternatives. 24
Related Recommendations (1)
R7
Maximize reimbursable services utilizing funding sources including Prop 63 (MHSA), S.B. 82 (Mental Health Wellness Act), and Medi-Cal.
Additional Recommendations 8
These recommendations are not explicitly linked to specific findings.
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R8Clearly articulate the County’s budget for crisis and hospital services for non-Medi-Cal patients.
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R9Involve the community in developing strategies regarding hospital bed availability, utilization and funding for patients requiring psychiatric inpatient care.
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R10Cease the ongoing renovation project to convert the closed 50 beds at the SCMHTC and conduct an independent evaluation of cost-effective and highest use for this facility.
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R11Use existing SCMHTC hospital beds for acute stays rather than for non-acute or administrative stays.
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R12Consider additional 16-bed Psychiatric Health Facilities contingent on the analysis of an overall mental health crisis response plan.
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R13Address the damaged relationships with community hospitals, law enforcement, and the mental health community at large.
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R14Provide alternative longer-term 24-hour non-acute capacity that is less expensive than acute hospitalization.
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R15Develop and implement programs for difficult to place patients. RESPONSES Penal Code sections 933 and 933.05 require that the following officials submit specific responses to the findings and recommendations in this report to the Presiding Judge of the Sacramento County Superior Court by October 1, 2015: • Sacramento County Board of Supervisors - All Recommendations, 1- 15 • Director, Sacramento County Department of Health and Human Services -
No Responses Found 2
Government entities assigned to respond to this report. No response documents have been linked in our database.
County of Sacramento
Agency
Sacramento County Board of Supervisors
Elected County Office