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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.
Orange County Grand Jury
• 2014-2015
Orange County Mental Health: Crisis Intervention Programs
⚠️ 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 5 findings
F2
Page 143
The current need and demand for involuntary psychiatric emergency services in South Orange County is not being met. REPORT 16 2014-2015 Orange County Grand Jury REPORT Orange County Mental Health: Crisis Intervention Programs 1 REPORT
F3
Page 144
The County has an insufficient number of psychiatric beds to provide in-patient 2 care to mentally ill clients who are not able to be referred to less restrictive treatment. REPORT
F4
Page 144
Although a plan is in place at CHOC for an 18-bed unit to open in 2017, there are 3 currently no psychiatric beds in Orange County for children under the age of 12.
F5
Page 144
The Mental Health Services Act Steering Committee has no direct representation REPORT from local designated private hospitals. 4
F6
Page 144
Given the language in the California Code of Regulations and the Welfare and REPORT Institutions Code regarding funding for involuntary treatment, the issue of using 5 Mental Health Services Act funds for involuntary psychiatric clients who are gravely disabled or a danger to self or others, is unclear. REPORT RECOMMENDATIONS 6 In accordance with California Penal Code Sections 933 and 933.05, the 2014- 2015 Grand Jury requires (or, as noted, requests) responses from each agency affected REPORT by the recommendations presented in this section. The responses are to be submitted 7 to the Presiding Judge of the Superior Court. REPORT Based on its investigation titled “Orange County Mental Health: Crisis 8 Intervention Programs”, the 2014-2015 Orange County Grand Jury makes the following six recommendations: REPORT
Recommendations 6
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R1Page 144Continue with the planned expansion of the Evaluation Treatment Services 9 facility in Santa Ana and convert it to a Psychiatric Evaluation Services model of care that includes basic medical services currently provided 5150 clients by REPORT private hospital emergency departments. (F.1.) 10
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R2Page 144Add an additional Evaluation Treatment Services facility to be located in South Orange County and initiate substantive, concrete efforts to do so in Fiscal Year REPORT 2015-2016. (F.2.) 11
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R3Page 144Continue efforts to locate and secure commitments for additional psychiatric beds in Orange County and nearby adjacent counties in order to increase the REPORT number of beds available for County use. (F.3.) 12
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R4Page 144Follow-up on the planned children’s psychiatric unit at CHOC and continue to REPORT work with appropriate private hospitals in Orange County in an effort to provide 13 additional psychiatric beds for children in Orange County. (F.4.)
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R5Page 144Add Mental Health Services Act Steering Committee representation from REPORT designated private hospitals that have demonstrated effectiveness in evaluating 14 and treating Welfare and Institutions Code 5150 clients in crisis situations. (F.5.)
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R6Page 144Request an opinion from County Counsel regarding the purported restrictions on REPORT using Mental Health Services Act funds for involuntary mental health programs. 15 (F.6.) REPORT 16 2014-2015 Orange County Grand Jury REPORT 1 Orange County Mental Health: Crisis Intervention Programs REPORT REQUIRED RESPONSES 2 The California Penal Code section 933 requires the governing body of any public agency which the Grand Jury has reviewed, and about which it has issued a final report, REPORT to comment to the Presiding Judge of the Superior Court on the findings and 3 recommendations pertaining to matters under the control of the governing body. Such comment shall be made no later than 90 days after the Grand Jury publishes its report REPORT (filed with the Clerk of the Court). Additionally, in the case of a report containing findings 4 and recommendations pertaining to a department or agency headed by an elected County official (e.g. District Attorney, Sheriff, etc.), such elected official shall comment REPORT on the findings and recommendations pertaining to the matters under that elected 5 official’s control to the Presiding Judge with an information copy sent to the Board of Supervisors. REPORT Furthermore, California Penal Code section 933.05 (a), (b), (c), details, as 6 follows, the manner in which such comment(s) are to be made: (a) As to each Grand Jury finding, the responding person or entity shall indicate one of REPORT the following: 7 (1) The respondent agrees with the finding REPORT (2) The respondent disagrees wholly or partially with the finding, in which case 8 the response shall specify the portion of the finding that is disputed and shall include an explanation of the reasons therefore. REPORT 9 (b) As to each Grand Jury recommendation, the responding person or entity shall report one of the following actions: REPORT (1) The recommendation has been implemented, with a summary regarding the 10 implemented action. (2) The recommendation has not yet been implemented, but will be implemented REPORT in the future, with a time frame for implementation. 11 (3) The recommendation requires further analysis, with an explanation and the REPORT scope and parameters of an analysis or study, and a time frame for the matter to be 12 prepared for discussion by the officer or head of the agency or department being investigated or reviewed, including the governing body of the public agency when applicable. This time frame shall not exceed six months from the date of publication of REPORT the Grand Jury report. 13 (4) The recommendation will not be implemented because it is not warranted or REPORT is not reasonable, with an explanation therefore. 14 (c) If a finding or recommendation of the Grand Jury addresses budgetary or personnel matters of a county agency or department headed by an elected officer, both the REPORT agency or department head and the Board of Supervisors shall respond if requested by 15 the Grand Jury, but the response of the Board of Supervisors shall address only those budgetary /or personnel matters over which it has some decision making authority. The REPORT 16 2014-2015 Orange County Grand Jury REPORT Orange County Mental Health: Crisis Intervention Programs 1 REPORT response of the elected agency or department head shall address all aspects of the 2 findings or recommendations affecting his or her agency or department. Comments to the Presiding Judge of the Superior Court in compliance with Penal REPORT Code section 933.05 are required from: 3 Responses Required: REPORT Responses to Findings F.1. through F.6. and Recommendations R.1. through 4
Agency Responses 1
Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.