Napa County Grand Jury • 2022-2023

Mental Health Crisis Services in Napa County

Published: June 21, 2023 11 pages
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Findings and Recommendations 9 findings

F1 Page 9
The mental health crisis needs of Napa County are not being fully met, despite the existence of the CSU and Mobile Response Team and the efforts of their teams.
Related Recommendations (1)
R1
Page 10
By December 1, 2023, HHS quantify the needed additional mental health crisis beds to meet the County's mental health crisis needs and implement a plan to secure them.
F2 Page 9
The CSU's capacity constraints and exclusionary policies limit the CSU's ability to treat all individuals in need of mental health crisis services.
Related Recommendations (1)
R2
Page 10
By December 1, 2023, HHS establish a capability for individuals in need of detox to be directly treated at a detox facility and not the CSU.
F3 Page 9
The CSU capacity to treat individuals in mental health crises is reduced by clients being treated that more appropriately need detox services.
Related Recommendations (1)
R3
Page 10
By December 1, 2023, HHS establish a capability and policy such that individuals who are in a mental health crisis and medically stable only be treated at regional facilities where they can receive mental health treatment.
F4 Page 9
Individuals in mental health crises on a 5150 hold who cannot get into the CSU are usually diverted to the Emergency Department of the Queen of the Valley Medical Center which is not staffed or designed to provide comprehensive mental health crisis treatment.
Related Recommendations (1)
R4
Page 10
By October 1, 2023, HHS take leadership to coordinate all regional resources to provide a more comprehensive and integrated capability for treating individuals in a mental health crisis. Providers minimally to be included are Providence Queen of the Valley Medical Center, Adventist Saint Helena Hospital/Adventist Health Vallejo Center for Behavioral Health, CSU, law enforcement, and California State Hospital - Napa.
F5 Page 9
Individuals in mental health crises who are diverted to the Emergency Department of the 9 Queen of the Valley Medical Center reduce the hospital's capacity to treat medical emergencies.
Related Recommendations (1)
R5
Page 10
By October 1, 2023, HHS designate one or more appropriate Providence professionals the authority to lift a 5150 hold at the Queen of the Valley Medical Center.
F6 Page 10
Individuals in a mental health crisis often also have substance abuse, medical, and/or homelessness issues. County services to meet these needs are fragmented resulting in individuals often not getting the services they need.
Related Recommendations (1)
R6
Page 10
HHS publish in their Annual Report metrics on mental health crises in Napa County, which minimally includes the number of all 5150s, individuals treated by the MRT and CSU, and individuals diverted and excluded from the CSU.
F7 Page 10
The Mobile Response Team is often unavailable for mental health crises that occur outside normal business hours, resulting in the overuse of law enforcement, the CSU and the Queen of the Valley Medical Center Emergency Department.
Related Recommendations (1)
R7
Page 10
By December 1, 2023, HHS establish a plan for 24/7 staffing for either the Mobile Response Team or embedded resources within law enforcement.
F8 Page 10
Data on mental health crises in Napa County made available to the Jury was fragmented and incomplete.
Related Recommendations (1)
R8
Page 10
By June 30, 2024 contract renewal date for the Crestwood Contract, HHS ensure the contract is an accurate reflection of duties and performance required.
F9 Page 10
The Crestwood contract is not an accurate representation of the duties being performed, and the performance outcome metrics don't align with the reporting required by the funding grant.
No recommendations for this finding

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