Contra Costa County Grand Jury • 2016-2017

Contact: Jim Mellander Foreperson

Published: May 11, 2017 8 pages
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Findings and Recommendations 10 findings

F1
The County provides timely and consistent mental health services to detained youth in Juvenile Hall, CSEC victims, and children in domestic violence and sexual abuse situations.
No recommendations for this finding
F2
Under the terms of the Katie A. requirements, upper and middle management levels of CFS and BHS have started to coordinate their efforts.
No recommendations for this finding
F3
Many at-risk children are not receiving mental health treatment for several weeks to several months after the County assesses their mental-health needs.
Related Recommendations (1)
R5
The Board of Supervisors should consider directing BHS to monitor and report on the wait times for mental health treatment for at-risk children.
F4
Children’s Mental Health Services estimates that the County needs an additional six psychiatrists for its three clinics.
Related Recommendations (1)
R1
The Board of Supervisors should consider identifying funds to add six psychiatrists at the three regional mental health clinics.
F5
County salaries for psychiatrists are not competitive with private practice.
Related Recommendations (1)
R2
The Board of Supervisors should consider directing Human Resources to review the compensation packages for County psychiatrists to ensure their compensation packages are competitive compared with the private market.
F6
The shortage of psychiatrists causes delays in the diagnosis and treatment of medium to severe mentally ill children.
No recommendations for this finding
F7
West County clinic, which has the most medium to severe patients, also has the highest patient to therapist ratio.
No recommendations for this finding
F8
The 85 County therapists, who treat medium to severely mentally ill children, are not equitably distributed among the three clinics based on workload.
Related Recommendations (1)
R3
The Board of Supervisors should consider directing BHS to redeploy therapists with a view to a more equitable ratio of children per therapist among the County’s three mental health clinics.
F9
Twenty percent of the CBOs and 68% of the individual private therapists are not available for appointments.
No recommendations for this finding
F10
BHS liaisons are not provided with current information about the availability of CBOs and private therapists for appointments.
Related Recommendations (1)
R4
The Board of Supervisors should consider identifying funds to enable BHS to review and improve systems related to the real time availability of CBOs and individual private therapists for mental health service appointments.

No Responses Found 1

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Contra Costa County Board of Supervisors Elected County Office