Mendocino County Grand Jury
• 2012-2013
• Agency Response
Response to Grand Jury Report Form Report Title: Cut Backs In Mental Health Services Impacting Law Enforcement Report*
⚠️ Aviso de traducción: Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Note: Missing finding numbers detected: F4
Findings and Recommendations 4 findings
F1
Disagree Partially Agree to the extent that crisis services are provided after hours and weekends, however, one crisis worker is scheduled per shift, not one crisis worker per weekend.
Related Recommendations (1)
R1
Effective July 15, 2013, additional crisis workers will be scheduled after 5:00 p.m. weekdays, weekends and holidays. Specifically there will be two crisis workers on duty per shift; one on the coast (Fort Bragg) and one inland (Ukiah). Ortner Management Group (OMG) and Redwood Quality Management Company (RQMC) are responsible to provide these services and County Behavioral Health will provide oversight. Crisis staff have been orientated and trained. OMG and RQMC have collaborated on this function. In addition, monthly data reports on crisis services (encounters, dispositions, etc.) will be provided to County Behavioral Health and reported back to the Mental Health Advisory Board. Crisis response times to hospital emergency departments will be tracked and received monthly at the County Behavioral Health Quality Improvement Committee. OMG RESPONSE TO GRAND JURY REPORT FORM and RQMC have ongoing communications with all county and cities law enforcement agencies. Within 90-days or less, OMG and RQMC will have two access centers (one in Ukiah and the other in Fort Bragg) operational and as appropriate, can be an alternative site to a hospital emergency department to perform 5150 evaluations.
F2
Disagree Partially Crisis workers do not have conflicting responsibility and authority. Crisis workers receive specific orientation and training prior to being scheduled and receive ongoing supervision. Crisis workers are provided clear guidance and direction. However, there is a need for a psychiatrist after hours and on weekends to enhance current service delivery.
Related Recommendations (1)
R2
Effective July 15, 2013, OMG and RQMC will provide psychiatrist coverage 24/7-365 for consult or review of all 5150 evaluations, to authorize hospitalizations or rescind of 5150 holds.
F3
Disagree Partially Agree to the extent that the difference in views on the procedures for treatment of patients with dual diagnosis is specific to the patients presenting problems and the determination of which disorder is primary vs. secondary. Psychiatric hospitals do not accept dual diagnosed patients with a primary diagnosis of substance abuse.
Related Recommendations (1)
R3
___ require further analysis. (Attach an explanation and the scope and parameters of an analysis or study, and a timeframe for the matter to be prepared for discussion by the officer or director of the agency or department being investigated or reviewed, including the governing body of the public agency when applicable. This timeframe shall not exceed six months from the date of publication of the grand jury report.) Recommendations numbered will not be implemented because they are not warranted or are not reasonable. (Attach an explanation.) Date: 17-35-1 Signed: RESPONSE TO GRAND JURY REPORT FORM Number of pages attached 2
F5
(Attach a statement specifying any portions of the findings that are disputed; include an explanation of the reasons therefor.)
No recommendations for this finding
* This report's PDF did not contain easily extractable text and required Optical Character Recognition (OCR) for analysis. There may be minor errors in the extracted findings and recommendations due to OCR limitations with scanned documents.