Napa County Grand Jury
• 2009-2010
Napa County Department of Health and Human Services Involuntary Mental Health Evaluations California Welfare and
⚠️ 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 11 findings
F1
No BOS or HHS documents relating to identification of facilities subsequent to 1996 were located. The list of facilities currently in use does not correspond to BOS actions in documents reviewed.
Related Recommendations (1)
R1
The BOS update and issue the list of County personnel authorized to sign a 5150 hold.
F2
There is no documentation of BOS actions designating Napa County personnel having authority to administer a 5150 hold, although such action was mandated by the LPS Act.
Related Recommendations (1)
R2
The BOS establish a procedure which requires periodic review and update of the list of County personnel authorized to issue a 5150 hold.
F3
ERP is a memorandum of understanding among the involved agencies and is not an adopted official policy of the participating government agencies or health care facilities. 9
Related Recommendations (1)
R3
The BOS update and issue the list of agencies authorized to perform a 5150 psychiatric evaluation.
F4
Among members of the ESORC, as well as other staff members of HHS Mental Health Department, there is an inconsistent understanding of the of the ERP and the roles of participating staff and organizations.
Related Recommendations (1)
R4
The BOS establish a procedure which requires periodic review and update of the list of agencies authorized to perform a 5150 psychiatric evaluation. 10
F5
Meetings of all participating County staff involved in the administration of the WIC Section 5150-5157 are held on an ad hoc basis.
Related Recommendations (1)
R5
HHS adopt the Mental Health Director’s protocol for a “Treatment Team” approach to coordinate delivery of mental health services to its clients, including those who are evaluated as 5150 candidates for further evaluation and treatment.
F6
There is no current signed contract between the County and NSH to receive individuals referred for a 5150 hold. The FY 2008-2009 contract was signed by the County on February 23, 2010, and is awaiting State signature; the FY 2009-2010 contract has not been received from the State, consequently services and payment are taking place under a “term sheet” and without an approved contract.
Related Recommendations (1)
R6
From the following governing bodies: • Napa County Board of Supervisors: Recommendation 1,2, 3, 4, 6, 7 11
F7
Although the City of Napa has 75 percent of the County’s population, it utilizes 87 percent of the County’s mental health services.
Related Recommendations (1)
R7
The BOS review the ERP and adopt it as a formal policy for the implementation of WIC Section 5150 in Napa County.
F8
The ESORC does not include any Calistoga or St. Helena public safety members or St. Helena Hospital staff members.
Related Recommendations (1)
R8
HHS establish satellite Centers to provide better access to services in the up valley communities and in American Canyon.
F9
HHS policies and procedures the Grand Jury reviewed are not consistently numbered nor is there a document history showing that annual reviews have been performed according to HHS policy. One policy dates from 2000 without evidence of review or updating.
Related Recommendations (1)
R9
HHS implement a procedure whereby all policies and procedures are numbered and their review and revision history becomes an integral part of the policy or procedure.
F10
HHS Involuntary Detention Data for fiscal years 2005-2006 and 2006- 2007 reported to DMH does not correspond to internal data for these involuntary detentions.
Related Recommendations (1)
R10
HHS modify the reporting of involuntary detentions statistics to Department of Mental Health to ensure these data accurately reflect the 5150 holds administered by the County.
F11
HHS has prepared a “Treatment Team” protocol to enhance coordination and delivery of mental services.
No recommendations for this finding
Commendations 4
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CM1 Page 13Director of Health and Human Services: All Recommendations
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CM2 Page 13Director of Mental Health: Recommendations 3, 7, 8, 9, 10
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CM3 Page 13Chairperson, Emergency Response Oversight Review Committee:
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CM4 Page 13Napa County Board of Supervisors: Recommendation 1,2, 3, 4, 6, 7 11
No Responses Found 1
Government entities assigned to respond to this report. No response documents have been linked in our database.
Napa County Board of Supervisors
Elected County Office