Contra Costa County Grand Jury • 2018-2019

Contact: Richard S. Nakano Foreperson

Published: June 01, 2019 8 pages
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Findings and Recommendations 7 findings

F1
At peak times the PES facility, with four beds and two treatment rooms, is not sufficient to handle its volume of children and adolescent patients.
No recommendations for this finding
F2
Children and adolescents could remain in PES four to five days while they wait for long-term placement.
Related Recommendations (1)
R2
The Board of Supervisors should consider directing Contra Costa Health Services to investigate the use of the Medical Center’s vacant wing (4D) as a temporary holding area for children and adolescents waiting for long-term placement in other facilities
F3
The PES facility is configured so that children and adolescents seeking treatment must pass through the adult patient area.
Related Recommendations (1)
R1
The Board of Supervisors should consider directing Contra Costa Health Services to perform a comprehensive needs assessment that would include a redesign of the PES facility that would separate children and adolescents from adult patients
F4
Contra Costa County does not operate a long-term-care facility for children and adolescents. They are often placed in long-term-care facilities outside the County.
Related Recommendations (1)
R3
The Board of Supervisors should consider directing Contra Costa Health Services to develop a plan to operate a treatment center for children and adolescents who need long-term psychiatric care by June 30, 2020. The treatment center could either be within the County or in collaboration with neighboring counties.
F5
Although the County has authorized John Muir Health Concord Medical Center to accept 5150 patients, there is no formal contract to do so.
Related Recommendations (1)
R4
The Board of Supervisors should consider directing Contra Costa Health Services to explore entering into a contract with John Muir Health Concord Medical Center to accept and treat 5150 patients presently only served by the County
F6
The Medical Center’s 4D wing is vacant with no plans for its utilization.
Related Recommendations (1)
R2
The Board of Supervisors should consider directing Contra Costa Health Services to investigate the use of the Medical Center’s vacant wing (4D) as a temporary holding area for children and adolescents waiting for long-term placement in other facilities
F7
The Contra Costa County Mental Health Commission recommended changes in PES to improve treatment space for children and adolescents. The Grand Jury did not find any evidence that the Commission’s recommendations had been implemented.
No recommendations for this finding

No Responses Found 2

Government entities assigned to respond to this report. No response documents have been linked in our database.

Contra Costa County Board of Supervisors Elected County Office
County Service Area D-2 (Contra Costa) Special District