COUNTY OF LOS ANGELES

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COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL
HEALTHADULT SYSTEMS OF CARE JAIL MENTAL HEALTH
SERVICESMENTAL HEALTH SERVICES ACT Full
Service Partnership Programs

• Reina Turner M.S., Acting Division Chief Housing
  Policy and Development

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Overview of MHSA

• In November 2004, California voters approved
  Proposition 63 - the Mental Health Services Act.
  The components of the MHSA fund are
• Community Services and Supports
• Prevention and Early Intervention
• Capital Facilities and Technology
• Education and Training
• Innovation

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What Does Full Service Partnership Mean?

• Full Service providing a full range of services
  necessary to assist clients in achieving their
  wellness and recovery goals by doing whatever it
  takes.

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What Does Full Service Partnership Mean?

• Partnership
• The FSP team partners with the client and his or
  her family, if desired, to develop and achieve
  the clients goals
• The FSP team, client and family partners with
  community-based organizations, drug and alcohol
  programs, educational institutions, employers,
  health care providers and other County
  departments such as Probation, Community and
  Senior Services and Children and Family Services
  to help the client achieve his/her goals.

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Los Angeles County Focal Populations

• Children (0 to 15) with severe emotional
  disturbances and their families who are
• at risk of being removed from their homes
• in families affected by substance abuse issues
• experiencing extreme behaviors at school or
• involved with Probation.

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Los Angeles County Focal Populations(Continued)

• Transition Age Youth (16 to 25) suffering from
  severe mental health issues, who are
• struggling with substance abuse disorders
• homeless or at-risk or becoming homeless
• aging out of the childrens mental health, child
  welfare or juvenile justice system
• leaving long-term institutional care or
• experiencing their first psychotic break.

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Los Angeles County Focal Populations(Continued)

• Adults (26 to 59) who have severe and persistent
  mental illness who are
• homeless
• in jail
• frequent users of hospitals or emergency rooms
  cycling through different institutional and
  involuntary settings or
• being cared for by families outside of an
  institutional setting.

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Los Angeles County Focal Populations(Continued)

• Older Adults (60 years ) who have severe and
  persistent mental illness and who are
• not currently being served and have reduced
  functioning
• homeless or at risk of being homeless
• Institutionalized, or at risk of being
  institutionalized or
• in nursing homes, or receiving hospital or
  emergency room services.

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Full Service Partnership (FSP)Program Elements
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Desired Consumer Outcomes

• A safe place to live
• A meaningful use of time
• Supportive relationships with family, friends and
  neighbors
• Decreased hospitalizations, incarcerations and
  out-of-home placement

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FSP Services

• Individualized, comprehensive and flexible
  treatment, support and rehabilitation services
  focused on recovery and wellness
• Low staff-to-consumer ratio

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FSP Services cont.

• 24/7 availability
• Field-based and/or in-home services
• Multidisciplinary Team Approach which includes
  consumers and and family members

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FSP Services cont.

• Peer and parent support groups
• On-going outreach and engagement
• Integrated services for those with co-occurring
  substance abuse disorders
• Trauma-informed and trauma-specific treatment
  services

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FSP Services cont.

• Assistance with Entitlements
• Support of family and others
• Development of Social Supports
• Assistance with Linkage to Health Care

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FSP Services Cont.

• Transportation Support
• Assistance with Housing
• Employment/Vocational Services
• Educational Services

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Age Specific Aspects for Adult FSP Programs

• Emphasis on employment as a desired outcome with
  provision of an array of supported employment
  services
• Emphasis on promoting access to an array of
  educational opportunities including supported
  education
• Ability to assist clients in developing
  self-directed care plans including the Wellness,
  Recovery Action Plan

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Age Specific Aspects for Adult FSP Programs

• Emphasis on social integration as a desired
  outcome and provision or an array of community
  integration services
• Commitment to working with and educating families
• Ability to provide money management or arrange
  representative payee services when appropriate

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Adult FSP Funding

• approximately 15,000 per year for each enrollee
• 10,000 is allocated to provide mental health
  services including but not limited to case
  management, medication support, and psychiatric
  services
• 5,000 is allocated for Client Supportive
  Services to assist with housing, employment and
  educational related services.

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Housing Allowable Expenses

• Permanent Housing
• Rental Deposits
• Rent Subsidy
• Utility Bills and Deposits
• Furniture and Household Goods
• Repair of Housing Damages Caused By Client
• Prevention of Eviction Expenses

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AB 2034 Program Experience in Housing Homeless
People with Serious Mental Illness

• Martha R. Burt and Jacquelyn Anderson
• December 2005
• CSH Evidence Series

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FINDINGS

• Housing and program retention are strongly
  correlated.
• Programs serve consumers with abroad array of
  challenges to finding and maintaining housing.
• Programs have been successful in housing their
  consumers and helping them to retain their
  housing, even when consumers face many challenges
  to housing stability.

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FINDINGS

• Disenrolled consumers are similar to current
  enrollees in terms of the number and severity of
  the challenges that they face.
• The programs are using many different strategies
  to find housing for consumers.
• Despite successes, additional housing needs still
  exist.

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IMPLICATIONS FOR MHSA

• People with serious mental illness can achieve
  housing stability with adequate support.
• Consumers with a greater number of challenges are
  not necessarily harder to house or keep housing,
  or in the program.
• Getting consumers into housing is an important
  step in recovery.

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CONTACT INFORMATION

• Reina Turner, M.S.
• 695 South Vermont Avenue, 8th Fl
• Los Angeles, California 90005
• rturner_at_dmh.lacounty.gov
• [phone]