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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.
Imperial County Grand Jury
• 2007-2008
Imperial County Behavioral Health Services
⚠️ 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 3 findings
F1
Page 54
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.
F2
Page 54
State Department of Mental Health (DMH) Medi-Cal Oversight Review Dates of review: April 16-20, 2007. ICBHS performed well with only one item
F3
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.” 41
Recommendations 6
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R1Page 55The current organizational chart should be re-evaluated for easier understanding. Perhaps it can be fitted on one page.
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R2A staff satisfaction survey should be conducted. This will identify issues that contribute to employee dissatisfaction.
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R3Page 55Emergency Preparedness Training should be provided, and who conducts the drills and maintains the required logs should be specified.
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R4Page 55The reason(s) the number of denials relating to Medi-Cal claims is increasing should be identified, as this has a direct effect on revenues.
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R5Page 55The reason(s) the local youth rate the outcome of services they receive locally significantly lower (12% lower) than the youth statewide should be identified (CAEQRO Survey).
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R6Page 55The current procedure of referring patients to the police when they call the Crisis Center for help should be reassessed, and recommendations for change should be made to the Board of Supervisors. Especially the need for a person asking for help to be handcuffed by the police, in order to initiate a 5150, should be reassessed, and alternative methods recommended.