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Extracted from Consolidated Report
This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.
Score: +10
(12/2/2)
Yolo County Grand Jury
• 2013-2014
Mental Health Crisis Services in Yolo County . . . . . . . . . . . . . . . . . . . . . 42 -
⚠️ 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 14 findings
F1
Page 53
ADMH does treat clients in mental health crisis in their clinics; however, access to ADMH clinics is limited by hours of operation, location, and availability of psychiatrists.
F2
Page 53
Statistics show that an increasing number of Yolo County people in mental health crisis enter the treatment system through Emergency Rooms or through law enforcement contact and involuntary 5150 holds.
F3
Page 53
There is a need for more CIT-trained law enforcement officers to respond to the increasing number of 5150 calls in Yolo County.
F4
Page 53
The recent ADMH grant should help provide enhanced crisis treatment to Yolo County residents.
F5
Page 53
Recently the ADMH updated its webpage to provide a direct link to its 24 hour crisis line for English, Spanish and Russian. However, the site does not contain links to community-based organizations that provide mental health crisis treatment and resources.
F6
Page 53
ADMH has not adequately publicized its relationship with, or the supplemental services provided by, the community-based organizations with which it contracts.
F7
Page 53
It is too early to determine whether the pending merger of ADMH, DESS and Yolo County Health Department will streamline services to the mentally ill.
F8
Development of countywide policies covering promotion practices, including use of objective screening criteria, along with more HR oversight for policy compliance, would ensure a standardized promotional process, improving uniformity between departments, increasing fairness and decreasing potential legal risk to the county.
F9
HR has taken steps to meet the need for more oversight of County promotions by offering elective courses through Yolo Training Academy in 2014.
F10
Currently, HR reviews department promotion practices only if a problem is reported. HR has no prescribed complaint process that requires investigation, accountability and communication of investigation results to concerned employees.
F11
HR manages harassment and ethics online training courses for all employees to comply with state and federal laws. These outdated and repetitious trainings are found to be inadequate and ineffective.
F12
The HR Department serves in an advisory role and lacks appropriate oversight and accountability of personnel matters at the Sheriff’s Department.
F13
The CAO and HR have insufficiently monitored and audited the Sheriff’s Department compliance with County Codes and Policies and Procedures.
F14
The CAO conducts a 360 degree evaluation for all appointed Department Heads. This evaluation process currently excludes elected officials.
Recommendations 9
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R1Page 53Given the increase in 5150 calls in Yolo County, law enforcement agencies should develop a plan by October 1, 2014 to provide more officers with Crisis Intervention Training or departmental in-service training to help them respond to calls involving mental health issues.
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R2Page 53By October 1, 2014, Yolo County law enforcement agencies should develop an integrated response plan so certified Crisis Intervention Training officers are the first responders on calls involving individuals in mental health crisis.
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R3Page 53By September 1, 2014, the ADMH home page on the Yolo County website should be updated to make it easier to navigate and to provide more useful content, including a section for Frequently Asked Questions and links to community-based mental health resources. 52 2013 - 2014 YOLO COUNTY GRAND JURY FINAL REPORT: INVESTIGATIONS 2013 - 2014 YOLO COUNTY GRAND JURY FINAL REPORT Mental Health Crisis Services in Yolo County
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R4Page 54By July 1, 2015, Yolo County Health Department, ADMH, and the Department of Employment and Social Services should develop a method to measure and report, to the Board of Supervisors, whether the merger of the departments results in streamlined services for people with mental health issues.
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R5Page 54By January 1, 2015, ADMH should prepare a plan to address the barriers to accessing mental health treatment caused by difficulty in understanding insurance coverage, cultural and transportation issues.
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R6By December 1, 2014, HR should complete the Personnel Rules & Regulations and develop a specific timeline for review by employee union groups and adoption by the Board of Supervisors. HR should report bi-monthly to the Board of Supervisors on its progress until such time as the Rules & Regulations are finally adopted.
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R7By December 1, 2014, HR shall review and update Harassment and Ethics online training programs and implement a training program that includes classroom (in- person) training.
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R8By November 1, 2014, the CAO shall revise and extend the current 360 degree evaluation process to include an opportunity for all elected department heads to participate.
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R9The Grand Jury recommends that elected public officials submit themselves to the 360 degree evaluation process used by all other department heads in the County.
Agency Responses 4
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.
Yolo County Board of Supervisors
Elected County Office