Department of Behavioral Health TAY System of Care

Department of Behavioral Health TAY System of Care André Bossieux MS, Program Manager II 909 -387 -7212 abossieux@dbh. sbcounty. gov www. SBCounty. gov

Agenda TAY Centers County Wide Drop-In Services Outpatient Mental Health Services (FSP) TAY Housing TAY Crisis Residential Treatment (CRT) TAY Outcomes TAY Program Funding Components Collaborative Partners Lessons Learned & Challenges! Department of Behavioral Health www. SBCounty. gov

Why TAY? Children and Family Services 4, 223 children were in out-of-home care as of June 30, 2014 • 582 were ages 16 to 18 • 190 were ages 19 and older • 303 youth currently in Extended Foster Care (AB 12) as of July 7, 2015 • Receive Support until age 21 Probation 9, 438 TAY were in Probations system in FY 14/15 Homeless In 2014, there were over 36, 886 homeless public school students in San Bernardino • 9, 955 from Grade Levels 9 -12 Hospitalizations In 2013 2, 906 children/youth were hospitalized for Mental Health Issues Department of Behavioral Health www. SBCounty. gov

TAY Centers Overview Transitional Age Youth (TAY) Centers provide integrated services to unserved, underserved and inappropriately served youth ages 16 to 25 with emotional and/or behavioral issues. • Goals: Independence, reduce hospitalizations or higher level of care, reduce involvement in criminal justice system and reduce homelessness. • TAY Centers: Drop-in Services/Outpatient Mental Health Services – No cost – Peer Driven – Countywide: Ontario, Victorville, Yucca Valley • Multi-Disciplinary Teams ü Clinic Supervisor ü Psychiatrist ü Clinical Therapist ü Social Worker ü AOD Counselor ü Peer and Family Advocate Department of Behavioral Health www. SBCounty. gov

One Stop TAY Centers “Drop-in” Services • • • Peer support Community linkage and support Shower facilities Laundry facilities Computer/internet access Recreational activities Skill building groups Educational events/presentations Peer selected/driven groups Yucca Valley 27% San Bernardino 17% Rancho 4% Victorville 52% Job skill, Self-esteem, Cooking, Fitness group and many more… *445 Drop-in Department of Behavioral Health www. SBCounty. gov

Outpatient Mental Health Services • Full Service Partnership (FSP) – Individual and Group Counseling/Therapy – Intensive Case Management – 24/7 Crisis and Supportive Services – Crisis intervention/stabilization services – Medication Evaluation and Management – Integrated treatment for co-occurring disorders Victorville – Activities of Daily Living Skills Classes 98 – Housing Assistance – Transportation Assistance – Education Assistance San – Employment/Vocational Assistance Bernardino 67 – Community Linkage and Support – Community Reintegration – Self-sufficiency Assistance ( Applying for public benefits Medi-cal, SSI, SDI, etc. . ) “Whatever it takes” to help individuals on their path to recovery and wellness. Department of Behavioral Health Yucca 80 Rancho 172 *417 FSP Clients www. SBCounty. gov

FSP Clients Served in FY 13/14 by Region & Diagnosis ADHDAdjustment 4% 2% Unknown 1% West Valley 28% East Valley 14% Central Valley 14% Other 12% Psychosis 14% Desert/ Mountain 43% Department of Behavioral Health Anxiety 17% Bipolar 16% Depression 34% www. SBCounty. gov

TAY HOUSING Master Leasing Vouchers (HUD) TAY with own income 6 Rancho TAY in FY 13/14 4 San Bernardino TAY in FY 13/14 Board and Care (Licensed) Interim assistance, SSI or own income 106 TAY served in FY 13/14 Currently serving 43 TAY Emergency Shelter Beds MHSA Housing funded Department of Behavioral Health www. SBCounty. gov

Crisis Residential Treatment (CRT) Program Voluntary CRT Center for TAY ages 18 to 25 in need of higher level of care than outpatient mental health but lower than a psychiatric hospital. • Peer Driven • 14 Bed • Services 24 hours a day, 365 days a year • 30 to 90 day stay • Co-ed Services include: • • Individual and Group Therapy Crisis Intervention Medication Support Drug and alcohol counseling/referrals Prevocational preparation Rehabilitation/Recovery (daily living skills) Wellness Recovery Action Plans Prerelease/discharge preparation and planning Department of Behavioral Health www. SBCounty. gov

STAY FY 13/14 TAY Served by Diagnosis STAY Primary Diagnosis 25% 22% 20% 19% 18% 20% 18% 15% 10% 5% 0% 2% Adjustment Anxiety Bipolar Department of Behavioral Health Depression Psychosis Other www. SBCounty. gov

TAY Outcomes Youth Served FY 13/14 TAY System of Care provided services to over 900 TAY youth at risk and/or with mental health issues access appropriate services. 88 TAY were diverted from psychiatric hospitalization and/or higher levels of care by accessing TAY CRT (The STAY) services. Future of TAY System of Care… Expand One Stop TAY Center Services to unserved areas Sustain current TAY CRT Expand increase TAY CRT’s services countywide Department of Behavioral Health www. SBCounty. gov

DBH & TAY Program Funding The TAY System of Care is funded by a combination of Mental Health Services Act (MHSA), Medi-cal Federal Financial Participation and 2011 Realignment funding. • One Stop TAY Centers are funded by the MHSA Community Services and Supports (CSS) component. The estimated program MHSA expenditure for FY 15/16 is $5, 799. • The TAY CRT (The STAY) is funded by the MHSA Innovation (INN) component. The estimated MHSA program expenditure for FY 15/16 is $2, 500, 000. Department of Behavioral Health www. SBCounty. gov

PMII Program County & Community Collaborations Collaborative Partners Program Manager II Collaborative assignments: County Foster Care Services Steering Committee (monthly) CFS Extended Foster Care (EFC) Coordination meeting County Schools Foster Youth Services meeting (quarterly) Drug and Gangs Taskforce (monthly) ILP (Independent Living program) taskforce (monthly) CPAC (Community Policy Adversary Committee) (monthly) County Mentorship Taskforce (monthly) Behavioral Health Commission (monthly) California State Mental Health Directors Association TAY committee co-chair (monthly) CFS Family 2 Family Committee (monthly) DBH Shelter Bed Services Administrative Chair (ongoing) Regional (DAC) District advisory committees (monthly) HYTF (County Homeless Youth Taskforce) (monthly) DOR (Department of Rehabilitation) (quarterly) Chaffey College Extended Opportunity Programs (EOPS) Advisory Committee Homeless Provider Regional Committee Inland Empire Concerned African American Churches (IECAAC) Faith in Motion Coalition Inland Empire Fatherhood Coalition Work Force Investment Board (WIB) Youth Council San Bernardino PD Crime Intervention Partnership Program (CIPP) (monthly) Department of Behavioral Health www. SBCounty. gov

Lesson’s Learned & Challenges! • Involve stakeholders and keep them involved and invested. • Shared Vision between County and Contracts agencies is key. • Look for continual reinvention of the program to maintain interest and individualize supports. • Create an attractive, youth friendly environment. • Foster relationships and bring together child serving systems and cultures to build a sustainable and comprehensive system of care for TAY. • Prepare/Increase the number of Housing providers to meet the needs of TAY Population. Department of Behavioral Health www. SBCounty. gov

Locations Mental Health Systems Ontario One Stop TAY Center 316 East E Street Ontario, CA 91764 (909) 983 -4466 Victor Community Support Services Victorville TAY Center 14360 St. Andrews Drive, Suite 11 Victorville, CA 92395 (760) 243 -5417 Valley Star Community Services One Stop TAY Center 58471 29 Palms Hwy, Suite 102 Yucca Valley, CA 92284 (760) 853 -4888 Department of Behavioral Health San Bernardino One Stop TAY Center The STAY (CRT) 780 East Gilbert Street San Bernardino, CA 92415 (909) 387 -7194 www. SBCounty. gov