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FAMILY AND HUMAN SERVICES COMMITTEE - Special Meeting
Meeting Date: 10/30/2017  
Subject:    Behavioral Health Services Report on Child and Teen Psychiatric Services and Public Mental Health Care Systems and GJ Report No. 1703 Update
Submitted For: FAMILY & HUMAN SERVICES COMMITTEE
Department: County Administrator  
Referral No.: 115/116  
Referral Name: #115 Child & Teen Psychiatric Services / #116 Public Mental Health Care System
Presenter: Matthew Luu, Dep. Director of Behavioral Health; Vern Wallace, Mental Health Program Chief Contact: Enid Mendoza, (925) 335-1039

Information
Referral History:
On April 26, 2016, the Board of Supervisors referred to the Family and Human Services Committee the topic of child and teen psychiatric services and the utilization planning of the Contra Costa Regional Medical Center's 4-D Unit. This became Family and Human Services Referral No. 115, Child and Teen Psychiatric Services.

On September 13, 2016, the Board of Supervisors referred to the Family and Human Services Committee the issues brought forward by the Mental Health Commission (MHC) on the County’s public mental health care system, which they presented in a white paper. Accompanying the MHC White Paper was a document containing clarifications on the White Paper from the Behavioral Health Division of the Health Services Department. Both documents are attached and entitled, "MHC White Paper and BH Clarifications", which were originally submitted to the Board of Supervisor at their September 13, 2016 meeting. This became Family and Human Services Referral No. 116, Mental Health Care System.

On June 13, 2017, the Board of Supervisors received Civil Grand Jury Report No. 1703, entitled "Mental Health Services for At-Risk Children in Contra Costa County" and forwarded the report to the County Administrator for response. Prior to the response going to the full Board for consideration, the Chair of the Family and Human Services Committee requested that a draft response be reviewed by the Family and Human Services Committee. On July 31, 2017, the Family and Human Services Committee received a draft response to this grand jury report, made revisions, and requested that the draft be further revised to include clarifications on the patient to therapist ratios, clinical staff workload distribution data, processes for verifying network providers' and community based organizations' therapist availability, contractual requirements of network providers and community based organizations to update their availability for appointments, and data regarding mental health treatment wait times. The Family and Human Services Committee also requested that the Health Services Department provide client demographic data at the Board meeting or a future Family and Human Services Committee meeting if the data would not be available by the Board meeting.

The full Board approved the revised response to the grand jury report at their August 15, 2017 meeting and referred any necessary follow up actions to the Family and Human Services Committee. On August 28, 2017, the Family and Human Services Committee approved the update on the requested client demographic data presented by the Health Services Department Behavioral Health Division. At this meeting the Family and Human Services Committee requested that the Health Services Department return in October to the Family and Human Services Committee with an update on any pending actions as responded to in the grand jury report, as well as with an update on the timeline of the of the new West County mental health services building options.
Referral Update:
Due to the overlap of pending issues and questions stemming from the Mental Health Commission's White Paper and Behavioral Health's clarifications, the topic of child and teen psychiatric services and the utilization planning of the 4-D Unit, and the pending updates related to the response to Civil Grand Jury Report No. 1703, entitled "Mental Health Services for At-Risk Children in Contra Costa County", the Health Services Department requested that both referrals and the updates to the grand jury report be combined into one report to the Family and Human Services Committee to prevent duplication and confusion.

Please see the attached report from the Health Services Department Behavioral Health Division, which includes considerations of input from members of the Mental Health Commission.
Recommendation(s)/Next Step(s):
ACCEPT the report from the Health Services Department addressing various mental health service issues and concerns raised by the Family and Human Services Committee, the Board of Supervisors, the Mental Health Commission's White Paper, the Civil Grand Jury, and members of the public in response to:
  • Family and Human Services Committee Referral No. 115 - Child and Teen Psychiatric Services
  • Family and Human Services Committee Referral No. 116 - Public Mental Health Care System
  • Pending updates to Civil Grand Jury Report No. 1703, entitled "Mental Health Services for At-Risk Children in Contra Costa County" responses, as requested by the Family and Human Services Committee.
Fiscal Impact (if any):
There is no fiscal impact.
Attachments
Report on Child & Teen Psych, MH Systems and Pending GJ Report Response Updates
MHC White Paper and BH Clarifications
Public Comment Document Received

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