Score: +1
(1/0/0)
Mendocino County Grand Jury
• 2013-2014
Privatization of Mental Health Delivery Services June 9, 2014
⚠️ 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 12 findings
F1
The Grand Jury, in reviewing the provision of mental health services through privatization, found a serious omission in the preparation of the contract. The current contract does not provide for the continuing care of Level 3 mentally ill clients.
Related Recommendations (1)
R1
A contract be written to include ongoing structured care provisions for Level 3 clients. (F1, F2, F3, F7, F12)
F2
Level 3 clients are often not capable of carrying out their treatment plans as set forth in “Continuing Care.”
Related Recommendations (2)
R1
A contract be written to include ongoing structured care provisions for Level 3 clients. (F1, F2, F3, F7, F12)
R2
Mendocino County Sheriff and Ortner execute a memorandum of understanding providing continuous care for Level 3 inmates when released from jail. (F2, F3, F4, F5, F9)
F3
There is a connection between substance abuse and mental illness.
Related Recommendations (2)
R1
A contract be written to include ongoing structured care provisions for Level 3 clients. (F1, F2, F3, F7, F12)
R2
Mendocino County Sheriff and Ortner execute a memorandum of understanding providing continuous care for Level 3 inmates when released from jail. (F2, F3, F4, F5, F9)
F4
The County Jail is not a mental health facility, resulting in law enforcement having to deal with individuals they have the least training to assist.
Related Recommendations (1)
R2
Mendocino County Sheriff and Ortner execute a memorandum of understanding providing continuous care for Level 3 inmates when released from jail. (F2, F3, F4, F5, F9)
F5
Inmates, who have been successfully treated with anti-psychotic medication while incarcerated, cannot continue their medication or treatment until their Medi-Cal is reinstated, which is part of the release process.
Related Recommendations (1)
R2
Mendocino County Sheriff and Ortner execute a memorandum of understanding providing continuous care for Level 3 inmates when released from jail. (F2, F3, F4, F5, F9)
F6
The Grand Jury found the performance by Ortner to be improving the delivery of adult mental health services for Levels 1 and 2 clients, who are the least impaired.
No recommendations for this finding
F7
After nine months of transition, Ortner is not contractually required to provide, nor does it provide, Level 3 mentally ill clients with adequate wraparound resources (housing, transportation, education, and staff training) for the continuum of care.
Related Recommendations (1)
R1
A contract be written to include ongoing structured care provisions for Level 3 clients. (F1, F2, F3, F7, F12)
F8
Documentation reviewed by the Grand Jury showed that routine services required to be in place within 30 days were not available six months after the Ortner contract was active.
No recommendations for this finding
F9
Calls to 911 for mental health crises are not referred directly to an access center when no crime is reported.
Related Recommendations (2)
R2
Mendocino County Sheriff and Ortner execute a memorandum of understanding providing continuous care for Level 3 inmates when released from jail. (F2, F3, F4, F5, F9)
R3
When no crime has been committed, dispatchers refer mental health Emergency 911calls directly to an access center during the hours that the access center is fully staffed. (F9)
F10
Variation in the reimbursement for Medi-Cal amounts from year-to-year hampers efficient management of services to the clients.
Related Recommendations (1)
R4
Behavioral Health and Recovery Services resolve the discrepancy between the billing and payment for the 2009-2010 Medi-Cal reimbursement. (F10, F11, F12) RESPONSES Pursuant to Penal Code §933.05, responses are required from the following individuals: • Director, Health and Human Services, Mendocino County (All findings and All recommendations) • Director, Behavioral Health, Mendocino County (All findings and All recommendations) • Sheriff, Mendocino County (F2, F3, F4, F9 and R2, R3) • Chief of Police, City of Ukiah (F9 and R3) • Chief of Police, City of Willits (F9 and R3) Pursuant to Penal Code §933.05, responses are required from the following governing bodies: • Board of Supervisors, Mendocino County (All findings and All recommendations) The governing bodies indicated above should be aware that the comment or response of the governing body must be conducted subject to the notice, agenda and open meeting requirements of the Brown Act.
F11
The discrepancy of approximately $12,000,000 between the billing and payment for the 2009-2010 Medi-Cal reimbursement remains unresolved.
Related Recommendations (1)
R4
Behavioral Health and Recovery Services resolve the discrepancy between the billing and payment for the 2009-2010 Medi-Cal reimbursement. (F10, F11, F12) RESPONSES Pursuant to Penal Code §933.05, responses are required from the following individuals: • Director, Health and Human Services, Mendocino County (All findings and All recommendations) • Director, Behavioral Health, Mendocino County (All findings and All recommendations) • Sheriff, Mendocino County (F2, F3, F4, F9 and R2, R3) • Chief of Police, City of Ukiah (F9 and R3) • Chief of Police, City of Willits (F9 and R3) Pursuant to Penal Code §933.05, responses are required from the following governing bodies: • Board of Supervisors, Mendocino County (All findings and All recommendations) The governing bodies indicated above should be aware that the comment or response of the governing body must be conducted subject to the notice, agenda and open meeting requirements of the Brown Act.
F12
The County is not complying with the intent of State law.
Related Recommendations (2)
R1
A contract be written to include ongoing structured care provisions for Level 3 clients. (F1, F2, F3, F7, F12)
R4
Behavioral Health and Recovery Services resolve the discrepancy between the billing and payment for the 2009-2010 Medi-Cal reimbursement. (F10, F11, F12) RESPONSES Pursuant to Penal Code §933.05, responses are required from the following individuals: • Director, Health and Human Services, Mendocino County (All findings and All recommendations) • Director, Behavioral Health, Mendocino County (All findings and All recommendations) • Sheriff, Mendocino County (F2, F3, F4, F9 and R2, R3) • Chief of Police, City of Ukiah (F9 and R3) • Chief of Police, City of Willits (F9 and R3) Pursuant to Penal Code §933.05, responses are required from the following governing bodies: • Board of Supervisors, Mendocino County (All findings and All recommendations) The governing bodies indicated above should be aware that the comment or response of the governing body must be conducted subject to the notice, agenda and open meeting requirements of the Brown Act.
Agency Responses 2
Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.
No Responses Found 1
Government entities assigned to respond to this report. No response documents have been linked in our database.
Ukiah
City