Strategies%20

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Strategies Service Delivery Model of Mental
Health Service in Los Angeles

• Li Wan Sum, Monica
• Wong Chi Hung

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Presentation Outline

• Brief introduction of agency visits in LA
• Pacific Clinic
• - Project Highlights
• Intensive School-based program
• Intensive Day Treatment Program
• Asian Pacific Family Centre
• Maryvale

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Schedule of Study Visit in LA (1)
Day Time Agencies visited / program Service nature People meet
Day 1 (23/10) Pm ?Asian Pacific Family Clinic - Rosemead Out-patient Psychiatric Service Mr Sam Ng Ms. Pheobe Chan
Even Dinner with Mr Sam Ng Ms. Pheobe Chan (LCSW) / /
Day 2 (24/10) Am City of Angel Medical Centre Psychiatric Hospital Mr Sam Aganov
Pm ? Maryvale Girls Home Dr Vincent Castro
Pm Asian Youth Centre Children Youth Service Ms May To
Day 3 (25/10) Am ? Pacific Clinic - Foothill Outpatient Psychiatric Service Ms Irene Pines
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Schedule of Study Visit in LA (2)
Day Time Agencies visited / program Service nature People meet
Day 3 (25/10) Pm ? Asian Pacific Family Clinic - East Mental Health Prevention Dr Rocco Cheng
Day 4 (26/10) Am ? Pacific Clinic - Pasadena Children outpatient Day Treatment Dr Sam Mulembo Mr Daniel Tang
Pm ? Pacific Clinic Pasadena (Oak Knoll School) Intensive School-based Program Dr Sam Mulembo Mr Daniel Tang
Day 5 (27/10) Am National Asian Pacific American Families against Substance abuse Mental Health Prevention Dr Ford Kuramoto
Pm Meeting with government officials of Department of Mental Health Government Department Mr. Phillip Chen
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Pacific Clinics (1)

• Founded in 1926 as Pasadena Child Guidance
  Clinic
• One of the largest community-based non-profit
  agency behavioral mental health agencies
• with over 1,000 staff worked in more than 80
  multiple locations in Southern California,
  especially LA county
• Services are targeted to treat persons with a
  board range of mental health concerns

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Pacific Clinics (2)

• Provide a full range of services includes
  outpatient services, (psychiatric services, group
  counseling and day treatment) outreach crisis
  intervention and consultation services to
  seriously emotionally disturbed individuals and
  families who cannot pay for services
• Supported by county contracts, United Way funds,
  federal and state grants, private donations

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Pacific Clinics (3)

• Recruit multilingual staff from all cultural
  background to provide culturally and
  linguistically sensitive services
• Multidisciplinary team includes psychologists,
  psychiatrists, clinical social workers, art
  therapists, marriage and family therapists,
  substance abuse counselors, nurses, case manager
  and occupational therapists
• Web site www.pacificclinics.org

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APFC - Rosemead
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APFC - Rosemead
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Continuum of Care

• Intensive Day Treatment
• ?
• Intensive School-based Program
• ?
• Intensive Outpatient Treatment
• ?
• Outpatient Treatment

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Continuum of Care

• Outpatient Treatment
• - meeting the individuals and their families 1
  to 2 hours a week in the clinics

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Continuum of Care

• Intensive Outpatient Treatment
• - meeting the consumers and their families 2 to
  3 times a week
• - other than providing services in the clinics,
  therapists may go to the schools and homes of the
  consumers to offer intensive outpatient treatment
  for them

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Continuum of Care

• Intensive Outpatient School-based Program
• - special education in special school
• - therapists (LCSW, LMFT, LP, psychiatrist
  LPT) station in the school
• - after about 6 months treatment, may return to
  normal school
• - the ratio 3 8 or 3 12
• (consumer therapists)

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Intensive School-based program - Oak Knoll School
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Intensive School-based program - Oak Knoll School
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Intensive School-based program - Oak Knoll School
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Intensive School-based program - Oak Knoll School
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Intensive School-based program - Oak Knoll School
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Intensive School-based program - Oak Knoll School
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Intensive School-based program - Oak Knoll School
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Intensive School-based program - Oak Knoll School
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Intensive Day Treatment Program (1)

• Serving consumers with age from 4 to 18
• Rehabilitate individuals with severe emotional
  and behavioral impairments rendering them unable
  to function at home, school, community
• 4 hours highly structured therapeutic daily
  treatment aimed at learning skills relevant to
  their functional impairment
• 90 days of duration followed by review of DMH (
  Department of Mental Health)

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Intensive Day Treatment Program (2)

• Daily treatment program for individuals with one
  or some of the following mental health issues
• - diagnosis with a major mental illness
• - behavioral problems like, aggressive or
  destructive and engaged in risky behaviors
• - emotional problems like, being depressed and
  withdrawn

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Intensive Day Treatment Program (3)

• The treatment program offer Monday through Friday
  afternoons from 1pm-5pm (after-school) with
  structured milieu
• The scope of services include
• - individual, group and family therapy
• - diagnostic assessment
• - activities such as arts and recreation
• - crisis intervention

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Intensive Day Treatment Program (4)

• Treatment plans implemented with multi-level
  behavioral modification technique are made with
  these children and they work on their goals
  daily, support from the counselors and meet with
  their primary therapist once a week.
• The program provide support at school by working
  closely with school teachers and school officials
  offering recommendations in classroom management
  conducive to the children

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Intensive Day Treatment Program (5)

• Families are involved to participate in family
  therapy to learn appropriate parenting skills to
  ensure that structure is place at home
• SOC Systems of Care
• - home-based program with case manager,
  therapists and family advocates (former
  consumer, hired staff) providing clinical
  assessment and individual sessions to family
  members of the consumers
• - engaged family in treatment and stress on
  skill building aiming at stabilize the children,
  families in the community

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Intensive Day Treatment Program (6)

• To conclude, the program offer a comprehensive
  approach to treatment by providing multi-level
  (individual, family and group level) treatment
  within one treatment setting.

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Intensive Day Treatment Program
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Intensive Day Treatment Program
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Intensive Day Treatment Program
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Intensive Day Treatment Program
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Asian Pacific Family Centre (1)

• A division of Pacific Clinics established ten
  years ago with 2 service locations in Rosemead
  and City of Industry
• Emphasizing education and prevention rather than
  cure
• Provide professional and culturally competent
  behavioral health services to meet the
  psychological needs of the growing Asian Pacific
  populations in the greater San Gabriel Valley
  area of Los Angeles Country

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Asian Pacific Family Centre (2)

• APFC provide multidisciplinary, multilingual and
  multicultural behavioral health care services
  include prevention, counseling and treatment
  services in English and a total of nine Asian
  languages and dialects
• Ultimate goal is to facilitate the Asian
  immigrant families to adjust successfully to
  their new communities

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Asian Pacific Family Centre - East
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APFC Service Programs (1)

• S.C.A.L.E. (School, Community, and Law
  Enforcement)
• - Serving Asian children and youth who are at
  high risk for delinquent and criminal behaviors
  through early case identification, family case
  management, and consultation liaison with school
  authorities and law enforcement personnel
• - Providing individual counseling and tools for
  critical thinking and decision-making that help
  the youth to deal with lifes stress and
  challenges within a more effective and
  pro-social, productive manner

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APFC Service Programs (2)

• I.D. (Important Decisions) for Success
• - A youth development program aimed at early
  intervention, which serve elementary school
  children in the East San Gabriel Valley through
  age-appropriate gang and violence prevention
  education
• - Issues include making good decisions, dealing
  with peer influences and pressures, and handling
  bullies- all with the aim of heading off pre-teen
  gang involvement, are discussed with the
  participants (mentorship scheme)

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APFC Service Programs (3)

• A.A.F.E.N. (Asian American Family Enrichment
  Network)
• - Serving Asian American families including
  Chinese, Korean, Vietnamese through bilingual
  family needs assessment, parent education class,
  parent support groups, family club activities,
  information and referral services
• - A corps of dedicated parent volunteers has
  helped the Network to grow to almost 1,200
  families trained in the last four years. These
  parents help to lead programs and raise funds for
  the centre

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Maryvale (1)
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Maryvale (2)
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Maryvale (3)
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Maryvale (4)
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Maryvale (5)
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Maryvale (6)
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Maryvale (7)
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Maryvale (8)

• History
• - founded in 1856 by the Daughters of Charity
  of St. Vincent de Paul (non-profit Catholic
  agency) as the LA Orphan Asylum
• - private donors helped to reconstructed the
  girls home in present location in 1953 with the
  new name of Maryvale
• - planning to construct a new Day Care Center
  and Family Resource Center in the near future
• - Web Site www.maryvale-ca.org

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Maryvale (9)

• Program Services
• - provides long-term therapeutic care and a
  safe, healing environment to girls between the
  ages of 6 to 18 in a 24-hour residential
  treatment program
• - other services includes day care, foster
  family program and aftercare services
• - collaboration with the DMH to provide mental
  health services

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Maryvale (10)

• Service Target
• - serving about 90 children with a history of
  abuse, neglect and inadequate parenting who come
  from broken homes, regardless of their race or
  color
• - referred by various placement agencies of the
  Department of Children Family Service, the
  Probation Department and the Juvenile Court

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Maryvale Residential Treatment Program

• Staffing psychiatrists, psychologists, social
  workers, special education teachers, recreational
  therapist and group workers
• Program content
• - structured residential group living
• - special education classes
• - year-round planned after school activities
  (Family Living Skills Program, Vocational
  Training Program, Volunteer Program and Campus
  Ministry Program)

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Thank You
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Pacific Clinic in Rosemead
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Dinner with LCSW of APFC
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City of Angel Medical Centre (1)
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City of Angel Medical Centre (2)
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City of Angel Medical Centre (3)
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Maryvale
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Asian Youth Centre (1)
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Asian Youth Centre (2)
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Asian Youth Centre (3)
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Asian Youth Centre (4)
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Pacific Clinic in Foothill
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Pacific Clinic in Pasadena
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National Asian Pacific American Families Against
Substance Abuse
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Meeting with officials of Department of Mental
Health of LA County (1)
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Meeting with officials of Department of Mental
Health of LA County (2)
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Mental Health Service of LA County