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⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 6 findings
F1
The Alcohol and Other Drug substance abuse population. The monthly Services Department has a lack of meetings would include a designated point sufficient personnel resources to INVITED RESPONSES person from the Board of Supervisors, effectively handle case load and public Plumas District Hospital, The Sheriff's outreach. Office, the Alternative Sentencing Presiding Judge may respond to the entire Program, and the Office of Probation. report.
Related Recommendations (1)
R1
The Grand Jury recommends that the mental health community are The Director of the Department of the Alcohol and Other Drug Services impacting PCMH. The new Affordable Probation should respond to F3, R3, and Department hire one more Substance Care Act was launched January 2014, Abuse Counselor and a Case Manager. The which means more people are now able to The Director of the Alternative Sentencing money could come from Federal Grants access mental health and substance abuse Program should respond to F3, R3 assisting rural counties in substance abuse care because both can be covered by treatment programs. insurance and Medi-Cal. As a result, since Plumas County Sheriff should respond to January, the average weekly new client
F2
While the Alcohol and Other Drug Services Department has a good working
Related Recommendations (1)
R2
The Grand Jury recommends that numbers have doubled, adding to demands AOD be integrated into a Behavioral on Plumas County Mental Health Services' Plumas County District Attorney should Health Services Model. already stretched staff and resources. In respond to F3, R3 addition, County Administrators are in
F3
Competitive turf wars among the name of any person or facts the County Jail. agencies that serve individuals with leading to the identity of any person alcohol and drug issues have created who provides information to the The Grand Jury recommends that
Related Recommendations (1)
R3
The Grand Jury recommends that discussion about the best way to integrate program Directors meet monthly with the mental health services with other entities From the following governing bodies: AOD Director to come up with a unified Plumas County Grand Jury Report inadequate time to do much more that to come into alignment with current that operate as a triage: those with the California state standards under the highest needs are served, while others wait write prescriptions. Telepsych allows for Behavioral Health Model. for services. There needs to be an increase many more opportunities to interface via a of mental health Therapists and staff to screen with support staff present for meet the increasing needs of Plumas psychiatric services. At the end of the Yet another important change and challenge this year for PCMH is Telepsych, session, clients complete a Satisfaction County. Plumas County Mental Health Services' Survey, which is not specific enough to the Telepsych user and needs improvement to new psychiatric care program, where The Grand Jury found that PCMH's greatest weakness is the "siloing" of patients are treated through video accurately track satisfaction and recognize needed improvements to Telepsych to best conferencing that was introduced in services, a lack of integration of services that creates difficulties serving all the serve the client. Telepsych is the new August 2013. At the time of this report, the Satisfaction Survey being used to evaluate clients' needs. In communication with trend for affordable care in small counties statewide, and statewide mental health Telepsych was too general. An improved other entities, it is very difficult to departments and clients are adjusting to a survey is needed to better serve the needs recognize clients with multiple issues, such completely different form of psychiatric of users. Last, and far from least, is a deep as alcohol and substance abuse, physical concern in the established way that PCMH health and mental health issues, and come care. up with common goals and treatment handles 5150 clients—high risk individuals with possible safety risks to themselves or plans. The state of California is making The Plumas County Grand Jury recognizes others in coordination with the Sheriff's macro changes in the restructuring of that public safety is not an easy task. The Department (PCSD). services in mental health, public health, Plumas County Sheriff's Department (PCSD) and Plumas County Mental Health social services, and alcohol and other drug programs. The state is organizing these Services are following proper protocol in The Plumas County 2013/2014 Grand Jury wanted to know how well Plumas County services under one umbrella using the the management of 5150s; however, this Mental Health Services serve Plumas Behavioral Health Model. In Plumas protocol doesn't seem to be taking care of County. At the heart of the matter, is a County, there are multiple stand-alone business. The Plumas County Sheriff's concern about how well PCMH services operating under new Directors, Department has stated frustration with communicates with their clients, staff, and who are starting to figure out the steps of PCMH's lack of support in the handling of 5150s. There needs to be a re-evaluation of other department Directors. Another PCMH reorganizing their departments into a Behavioral Health Model. The Plumas the 5150 hospitalization and release concern is how they communicate with County Grand Jury sees this integrated procedures. PCMH needs to implement outside entities, such as the community, other programs, and other departments. approach as essential for these services to measures to improve communication and trust by creating mental health trainings Given the changes and challenges PCMH is pull together to best serve their clients. for the PCSD. facing, the Grand Jury wanted to know the strengths and weaknesses of the Plumas Plumas County Mental Health Services are supervised by the Plumas County Board of County Mental Health Services. Plumas County Mental Health Services is Supervisors (BOS). The Plumas County making a tremendous effort to align with In our investigation of PCMH, we started California's state mission of not only Grand Jury found lack of structure and to see clear strengths and weaknesses procedure in place for consistent treatment being available for individuals within Plumas County Mental Health communication between PCMH with the with mental health challenges, but full Services. The 2013/14 Plumas County Board of Supervisors. In some cases the recovery. This can only happen by working BOS relied on the exchange of emails and well with other entities, identifying Grand Jury is impressed with the personal challenges, and making appropriate level of commitment of the PCMH's personal relationships for exchange of employees, who are staunch advocates for a information. The system in place was that changes. population that suffers from PCMH should come to the BOS with any
F4
It is dangerous, and potentially life least one person be delegated from the MENTAL HEALTH threatening, to have Correctional Officers Board of Supervisors to assist the new overseeing individuals withdrawing from SERVICES Director in revamping AOD. alcohol and other drugs at the County Jail rather than in a medical detoxification Challenges and Changes facility. REQUEST FOR RESPONSES The Grand Jury finds that the
Related Recommendations (1)
R4
The Grand Jury recommends that relationship with the Office of Probation, AOD and Plumas District Hospital there is insufficient coordination and Reports issued by the Grand Jury do administrators get together and come up communication between AOD and other not identify individuals interviewed. with a plan to transport intoxicated governing agencies. Penal Code section 929 requires that individuals who are willing to go to a reports of the Grand Jury not contain medical detoxification facility rather than
F5
SUMMARY Pursuant to Penal Code section 933.05, the Alcohol and Other Drug Services Grand Jury requests responses as follows: Department closure for three years and Plumas County Mental Health Services fluctuating Directors (3 in three years) has (PCMH) had a year of challenges and made it difficult to maintain consistent changes. Multiple changes of Directors and From the following individuals: treatment services and thus resulted in a a community tragedy created some public negative public image. concern over PCMH's ability to serve The Director of Alcohol and Other Drug Plumas County's mental health needs. The Services Department should respond to F1-
Related Recommendations (1)
R5
obstacles to creating an integrated Grand Jury. AOD immediately launch a public relations behavioral health services model therefore campaign to repair its public image and inhibiting their ability to serve these increase its profile. clients. PLUMAS COUNTY
F6
The Plumas County Grand Jury finds that the Plumas County Mental In summation, Plumas County Mental REQUEST FOR RESPONSES Health Services is making a tremendous Health Department has a poor public effort to align with the state's mission that image. not only is treatment available, but full Pursuant to Penal Code section 933.05, the recovery is possible. Today, we are learning Grand Jury requests responses as follows:
Related Recommendations (1)
R6
The Grand Jury recommends that at
* This report's PDF did not contain easily extractable text and required Optical Character Recognition (OCR) for analysis. There may be minor errors in the extracted findings and recommendations due to OCR limitations with scanned documents.