Nevada County Grand Jury • 2000-2001

Behavioral Health Services

Published: December 05, 2002 29 pages
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Note: Missing finding numbers detected: F5, F6, F7, F9

Findings and Recommendations 4 findings

F4 Page 28
| partially disagree. It is my impression that the compensation portion of the finding has been substantially rectified by the recently completed Classification and Compensation Study but that the impact of this change is only beginning to be felt.
Related Recommendations (1)
R4
Page 29
This is beyond my scope.
F8 Page 29
| agree generally. {t should be noted that the “Realignment” Act provides that services need be provided only “to the extent that resources are available.” In theory, this allows counties to decline to deliver services for which they do not have the needed resources. In practice, it is extremely difficult to ration services on this basis. The limitation to available resources does not apply to the Medi-Cal (Medicaid) program, which is a legal entitiement program.
No recommendations for this finding
F10 Page 29
| agree. It should be noted that the interns may be either Social Work interns or Marriage and Family Therapy Interns.
No recommendations for this finding
F11 Page 29
| disagree in part. There is no policy that allows non-medical staff to overrule a medical judgement. | am aware of one instance in which a crisis worker released a person whom a psychiatrist had indicated should be detained pursuant to Welfare and Institutions Code Section 5150. This occurred after the Crisis Worker had done additional intervention with the patient and made a judgement that detention for further evaluation and treatment was not needed. This is a judgement normally within the purview of and routinely made by Crisis Workers.
No recommendations for this finding