⚠️ 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 8 findings
F1
High staff vacancy rates inhibit the ability to Director of Public Health Agree Behavioral Health care for individuals with mental illness and [November 30, 2020] Services [October substance abuse disorders. 1, 2020] Strengthen Our
Related Recommendations (1)
R1
Director of Public Health DPH-HR and BHS are partnering on a batch hiring of 40 By March 2021, re-evaluate the hiring Behavioral Health [for F1-F3] process for ICM's in light of the success of [November 30, 2020] implemented FTE 2930, Behavioral Health Clinicians. The ETA for Services [October the expedited strategy for hiring registered these hires is January 2021. 1, 2020] nurses executed in March 2020. Leverage it DPH and HRD are also collaborating to reexamine the hiring process for licensed clinicians with a goal of to inform a redesign of existing policy. streamlining the process, e.g., criteria, testing. Director of Human Will be Strengthen Our
F2
The shortage of Intensive Case Managers is Director of Public Health Agree Behavioral Health chronic. [November 30, 2020] Services [October 1, 2020] Strengthen Our
Related Recommendations (1)
R2
By June 2021, fill 50% of ICM vacancies in 21 Director of Public Health Will not be BHS is working to hire the 2 vacant civil service [for F1-F3] days or less. Behavioral Health [November 30, 2020] implemented clinicians as part of the 2930 batch hiring. The majority of ICM programs are operated by CBOs. Of the 231 FTE Services [October 1, 2020] direct service ICM staff (clinicians, health workers, psychiatrists) funded by BHS, only 51 FTE are DPH staff. It is currently not possible to hire permanent civil service positions in 21 days. There are several steps in the Civil Service hiring process which include a Form III submission, position approval, reassignment/posting, selection process, request to hire submission, and onboarding process. The fastest hiring time projection from DPH HR is 120 days. The current average for BHS hires is about one year from when the position is identified as needed and entered into our system to the start date of the position. We are working to improve this time. 2019-2020 CIVIL GRAND JURY FINDINGS, RECOMMENDATIONS, AND RESPONSES TO FINDINGS AND RECOMMENDATIONS Recommendation Respondent Assigned by Recommendation Report Title R# (text may be duplicated due to spanning and CGJ Response Recommendation Response Text [Publication Date] [for F#] multiple respondent effects) [Response Due Date] (Implementation) Strengthen Our
F3
Strengthen Our Lengthy and inefficient hiring protocols are Director of Public Health Intensive Case Management (ICM) is one level of care Disagree, partially Behavioral Health contributing to a shortage of Intensive Case [November 30, 2020] provided by Behavioral Health Services (BHS). BHS Services [October currently has the capacity to serve 1,200 clients in our Managers. 1, 2020] ICM programs while thousands of clients are served by outpatient behavioral health clinics. The majority of ICM programs are operated by Community Based Organizations (CBOs). Of the 231 full-time equivalency (FTE) direct service ICM staff (clinicians, health workers, psychiatrists) funded by BHS, only 51 FTE are DPH staff. The balance are employed by CBOs. BHS understands that vacancy rates for civil service programs is a result of delayed hiring where the CBO vacancy rate are due to the relatively low salary CBOs are able to offer. BHS is currently partnering with DPH- HR to do a mass hiring of civil service Behavioral Health Clinicians with a goal of hiring approximately 40 new clinicians. 2019-2020 CIVIL GRAND JURY FINDINGS, RECOMMENDATIONS, AND RESPONSES TO FINDINGS AND RECOMMENDATIONS Respondent Assigned by Finding Finding Response Report Title F# (text may be duplicated due to spanning and Finding Response Text CGJ [Publication Date] (Agree/Disagree) multiple respondent effects) [Response Due Date] Strengthen Our
Related Recommendations (1)
R3
By March 2021, engage the Budget and Director of Public Health Will not be DPH reclassified the Director of Behavioral Health [for F4, Behavioral Health Legislative Analyst or other external [November 30, 2020] implemented position in June 2020 to reflect the complexity of work Services [October
F4
The position of Director of Behavioral Health Director of Public Health Agree Behavioral Health has been filled with five different individuals [November 30, 2020] Services [October in five years. 1, 2020] Strengthen Our
Related Recommendations (1)
R4
By September 2021, in light of the study Director of Public Health Has been DPH has changed the reporting structure of the Behavioral Health [for F4,
F5
BHS' scale of operation in terms of staff Director of Public Health BHS's reporting position in the Ambulatory Care Disagree, partially Behavioral Health count, budget size, and public impact are not [November 30, 2020] division of DPH has historically supported integration of Services [October reflected in its deeply nested reporting behavioral health services in all areas of ambulatory 1, 2020] position in DPH. care. Additionally, BHS is not larger in scale than other ambulatory care services in terms of civil services employees, number of people served, and the health impact on the population of San Francisco. BHS is moving from being one of five sections within the Ambulatory Care division of the San Francisco Health Network (SHFN) to being a new division of the SFHN. The new Director will report directly to Grant Colfax (Director of Public Health) and Roland Pickens (Director of San Francisco Health Network). This change is because BHS is both a health plan and set of direct client services, and as such has complex and large contracting and budgetary elements, and scope of work, which distinguish it from the rest of Ambulatory Care. 2019-2020 CIVIL GRAND JURY FINDINGS, RECOMMENDATIONS, AND RESPONSES TO FINDINGS AND RECOMMENDATIONS Finding Respondent Assigned by Report Title Finding Response F# (text may be duplicated due to spanning and CGJ Finding Response Text [Publication Date] (Agree/Disagree) multiple respondent effects) [Response Due Date] Strengthen Our
Related Recommendations (1)
R5
By September 2021, ensure discipline Director of Public Health Will be BHS has plans to revamp the BHS website. The Behavioral Health surrounding regular document and event [for F6] [November 30, 2020] implemented workplan for this project involves making the website Services [October reporting to ensure timely, accurate web more effective in helping clients access care and to 1, 2020] increase access to information about our system access. including program data and system outcomes. BHS will incorporate this goal into the design and maintenance Strengthen Our
F6
Regularly published DPH reports are not Director of Public Health BHS publishes many reports on the Department of Disagree, partially Behavioral Health consistently published on the department [November 30, 2020] Public Health website. BHS also has plans to revamp the BHS website to make it more effective in helping Services [October web site. 1, 2020] clients access care and to increase access to information about our system including program data and system outcomes. Currently, many reports regarding Behavioral Health client satisfaction surveys and quality improvement work are published here: https://www.sfdph.org/dph/comupg/oservices/mental Strengthen Our Behavioral Health Services 2019-2020 CIVIL GRAND JURY FINDINGS, RECOMMENDATIONS, AND RESPONSES TO FINDINGS AND RECOMMENDATIONS Respondent Assigned by Finding Report Title Finding Response (text may be duplicated due to spanning and F# Finding Response Text CGJ [Publication Date] (Agree/Disagree) multiple respondent effects) [Response Due Date] Strengthen Our
Related Recommendations (1)
R6
By September 2021, provide local site Director of Public Health Will be BHS and DPH will incorporate this goal into the design Behavioral Health [for F7] directories for public notice and maintenance plan for the website. [November 30, 2020] implemented Services [October 1, 2020] Strengthen Our
F7
DPH Headquarters at 101 Grove St. provides | Director of Public Health Agree Behavioral Health no public directory of offices and services. [November 30, 2020] Services [October 1, 2020] Strengthen Our
Related Recommendations (1)
R7
By September 2021, publish direct contact Director of Public Health Will be BHS and DPH will incorporate this goal into the design Behavioral Health [for F8] information of offices and service personnel [November 30, 2020] implemented and maintenance plan for the website. Services [October to enhance public access to DPH services. 1, 2020]
F8
DPH website provides no public directory of Director of Public Health Agree Behavioral Health phone numbers. [November 30, 2020] Services [October 1, 2020] 2019-2020 CIVIL GRAND JURY FINDINGS, RECOMMENDATIONS, AND RESPONSES TO FINDINGS AND RECOMMENDATIONS
No recommendations for this finding