Project Grant H79FG000831

TO EXPAND MENTAL HEALTH SERVICES FOR INDIVIDUALS WITH CO-OCCURRING DEVELOPMENTAL DISABILITIES AND MENTAL HEALTH NEEDS IN SAN MATEO COUNTY, CALIFORNIA. - HOPE SERVICES WILL EXPAND ITS MENTAL HEALTH SERVICES PROGRAM IN SAN MATEO COUNTY. HOPE SERVICES' COUNSELING CENTER (SAN JOSE) IS A SPECIALTY PROVIDER OF MENTAL HEALTH SERVICES WITHIN SANTA CLARA COUNTY THAT FOCUSES ON PEOPLE WITH DEVELOPMENTAL DISABILITIES (DD) AND CO-OCCURRING MENTAL HEALTH NEEDS. MENTAL HEALTH SERVICES PROVIDED WILL INCLUDE PSYCHIATRIC MEDICATION SUPPORT, INDIVIDUAL COUNSELING, CASE MANAGEMENT, AND PSYCHOSOCIAL AND PSYCHIATRIC ASSESSMENTS. THIS INTERVENTION PROJECT IS BASED ON AN AVERAGE TOTAL OF 5.5 HOURS OF SERVICE PER CLIENT PER MONTH. AN AVERAGE OF ONE-HALF HOUR (0.5 HOURS) OF PSYCHIATRIC MEDICATION SUPPORT, FOUR (4) HOURS OF INDIVIDUAL COUNSELING, AND ONE (1) HOUR OF CASE MANAGEMENT WILL BE PROVIDED TO EACH CLIENT PARTICIPATING IN THE PROJECT, AS WELL AS AN INITIAL TWO (2)-HOUR PSYCHOSOCIAL ASSESSMENT AND AN INITIAL ONE (1)-HOUR PSYCHIATRIC ASSESSMENT PER CLIENT. FOR THESE INDIVIDUALS, THESE SUPPORTS CAN MEAN THE DIFFERENCE BETWEEN THEIR BECOMING ACTIVE MEMBERS OF THEIR LOCAL COMMUNITIES OR HAVING A PERMANENT DISABILITY. THE SHORT-TERM INTERVENTION WILL LAST FOR AN AVERAGE OF 3 MONTHS PER CLIENT. FOUR (4) TO SIX (6) CLIENTS WILL BE SERVED EVERY TWO (2) MONTHS, FOR A TOTAL OF UP TO 22 CLIENTS PER YEAR. THIS PROJECT WILL INCREASE SOCIAL SKILLS AND REDUCE SOCIAL ANXIETY AND DISRUPTIVE BEHAVIORS AMONG PARTICIPANTS. THE GOALS OF THIS PROJECT ARE: A. REDUCE SUBJECTIVE SUFFERING FROM MENTAL ILLNESS B. INCREASE MEANINGFUL USE OF TIME AND CAPABILITIES IN SCHOOL, WORK, AND OTHER TYPES OF ACTIVITIES C. INCREASE NATURAL NETWORKS OF SUPPORTIVE RELATIONSHIPS SINCE HOPE CLINIC IMPLEMENTS EVIDENCE-BASED PRACTICES, THE SUCCESS OF THIS PROJECT CAN BE MEASURED BY: A. ENGAGEMENT IN SERVICES (TIMELINES/ACCESS): FIRST APPOINTMENT TO PATIENTS WITHIN TEN (10) BUSINESS DAYS FROM REFERRAL NO SHOWS BELOW 25% B. SUCCESSFUL DISCHARGES (QUALITY): NUMBER OF CLIENTS SUCCESSFULLY DISCHARGED AT 60% OR ABOVE C. ACUTE CARE RE-ADMISSIONS (QUALITY): NO MORE THAN 5% OF CLIENTS ADMITTED TO EMERGENCY PSYCHIATRIC SERVICES WITHIN THIRTY (30) DAYS OF THEIR SUCCESSFUL DISCHARGE ACTIVITIES IMPLEMENTED IN THE PROJECT: MEDICATION SUPPORT: MEDICATION WILL BE PRESCRIBED AND ADMINISTERED TO CLIENTS PARTICIPATING IN THIS PROJECT UNDER THE CLOSE CARE AND DIRECTION OF A PSYCHIATRIST. INDIVIDUAL COUNSELING: ONE-TO-ONE INDIVIDUAL COUNSELING WITH A TRAINED MENTAL HEALTH CLINICIAN IN A SAFE, CARING, AND CONFIDENTIAL ENVIRONMENT. ASSESSMENT: SCREENINGS, CONDUCTED BY A PSYCHIATRIST OR MENTAL HEALTH CLINICIAN, TO GATHER INFORMATION ABOUT INDIVIDUAL CLIENTS RECEIVING TREATMENT AND TO MAKE A DIAGNOSIS. CASE MANAGEMENT: ONE-TO-ONE INDIVIDUAL SESSIONS WITH A TRAINED CASE MANAGEMENT SPECIALIST TO LINK CLIENTS TO AVAILABLE COMMUNITY RESOURCES, AND ADVOCATE FOR CLIENTS AND THEIR FAMILIES. THE FOLLOWING KEY STAFF WILL PARTICIPATE IN THE PROJECT: THE PROJECT DIRECTOR, ASSISTED BY THE ASSISTANT DIRECTOR, WILL PLAN, COORDINATE, OVERSEE, AND EVALUATE THE EXPANSION OF HOPE'S MENTAL HEALTH SERVICES IN SAN MATEO COUNTY. A MANAGER WILL SUPPORT THE ASSISTANT DIRECTOR IN THESE ACTIVITIES. THE MENTAL HEALTH CLINICIAN WILL PERFORM NEEDED PSYCHOSOCIAL ASSESSMENTS AND DIAGNOSE CLIENTS, AND WILL PROVIDE INDIVIDUAL COUNSELING, PREPARE INDIVIDUAL SERVICE AND COORDINATION PLANS, DOCUMENT CLINICAL OUTCOMES, AND MAINTAIN APPROPRIATE TREATMENT RECORDS AND DOCUMENTATION, AS REQUIRED. THE CASE MANAGEMENT SPECIALIST WILL SPEND TIME WITH INDIVIDUALS AND FAMILIES TO ASSESS THEIR NEEDS FOR MENTAL HEALTH SERVICES, ASSIST CLIENTS IN ACCESSING COMMUNITY RESOURCES, AND ADVOCATE FOR CLIENTS WHEN NEEDED. THE PSYCHIATRIST (MD) WILL PERFORM NEEDED PSYCHIATRIC ASSESSMENTS AND PROVIDE ONGOING MEDICATION SUPPORT SERVICES FOR REFERRED PATIENTS WITH DD AND MENTAL HEALTH NEEDS. THE SITE ADDRESS FOR THIS PROJECT IS: 625 MIRAMONTES STREE