Imperial County Behavioral Health Services

Imperial Negotiated Net Amount (NNA) Contract Compliance Review Dates of review: October 2 and 3, 2007, carried out by the Performance Management Branch of the Department of Alcohol and Drug Programs, State of California, Health and Human Services, for the purpose of meeting requirements for the Treatment Block Grant. Annual funding amount: $64,292.00.

State Department of Mental Health (DMH) Medi-Cal Oversight Review Dates of review: April 16-20, 2007. ICBHS performed well with only one item requiring a Plan of Correction.

APS Healthcare. California External Quality Review Organization (CAEQRO) Dates of review: March 13-14, 2007. The purpose of the review was to evaluate the quality of mental health services provided to beneficiaries enrolled in the Medi-Cal managed mental health care program. Key findings: • Fiscal year 05-06 Denials of Medi-Cal claims (7.06%) ranked 26 on a scale of 1- 56: 1 being the highest percentage of denied claims and 56 being the lowest. In fiscal year 03-04 the denial rate was 2.95% and in 04-05 the denial rate was 6.22%. • More barriers exist in accessing mental health services for females than males. • During the consumer/Family Member Focus Group meeting with CAEQRO, one of the aspects that troubled all participants was that upon calling the Crisis Center for help, the staff would refer the caller to the police. It was stated that “the police are the only ones who can initiate a 5150, and the Mental Health staff does not accompany the police on these field calls. The person is handcuffed and put in the back of the police car ‘with no dignity.’ No one thought this was a good way to handle someone in crisis.” 40 Client Satisfaction Survey Reported below are the findings on the outcome of services provided: • Adults: 63% were satisfied (40%) and very satisfied (23%) with the outcome of services provided in comparison to the State’s 61% for the same indicators. • Older adults: 82% were satisfied (50%) or very satisfied (32%) with the outcome of services received in comparison to the State’s 69% for the same indicators. • Youth: 55% were satisfied (48%) and very satisfied (7%) with the outcome of services provided in comparison to the State’s 67% for the same indicators.