Performance Outcome Data - Del Norte County   ​Population 27,082

Children & Youth

MHSA Plan Update 2022-23
Reach for Success Mentoring Program (PEI) – p 43-44

• The Reach for Success program provides peer mentoring in elementary schools to help build social-emotional skills. Participants in this program showed improved school attendance, improved academic success, and improved rates of high school graduation, as well as better relationships with peers and educators.
  
• Strengthening Families (PEI) – p 50-51 The Strengthening Families Program is a family skills training program for both general population families and high-risk families. Parents and youth attend classes together and are taught both parent skills and youth life skills. Participants in this program had a reduction in conduct problems at school.

Employment, Hospitalization, Housing

MHSA Plan Update 2022-23
Reach for Success Mentoring Program (PEI) – p 43-44  Throughout FY 20-21, families with youth in the program were assisted with shelter to isolate from COVID-19.

MHSA Plan 2020-23  (Pages 22, 24)
The Adult Service Center had several Full Service Partnership (FSP) participants meet their goals of finding affordable permanent housing, employment, and continuing education. (Page 22)

The Bridge team, using FSP funding, helps participants meet their goals of working on their mental health and staying in the community.  Through the extra support, they are able to find affordable permanent housing, employment, and establish ongoing medical and medication support. The Bridge Team provides services to clients who are in an acute crisis in order to divert psychiatric hospitalization, services that include outreach and engagement with the local county jail to speak with inmates about services and enroll them upon release. (Page 24)

The Arch Team (Adults Returning to Community Homes) brought back eight conserved clients to the community. 

• 6 of these clients are residing in housing leased by the Behavioral Health Brach or their own housing.
• The Behavioral Health Branch leases 4 total units with a bed count of 7.

​MHSA 2019-20 Update - Del Norte County DHHS Behavioral Health Branch has rolled the initial housing disbursement into the Special Needs Housing Program.  The current plan is to utilize the housing money with the "No Place Like Home" initiative by joining efforts with the county's homeless plan to maximize efforts. 

Incarceration

MHSA Plan 2020-23, page 48
Jail Issues:  With the help of AB 109 funding, they have been able to add psychiatric services, but are impacted by the following barriers:

• Lack of space for behavioral health programs. Space is extremely limited, not private, and at times unsafe.
• Physical plant and security issues prohibited behavioral health from providing tele-psychiatry services
• Lack of private settings for clinical assessments and treatment.
• Has been an increase in assault of staff by individuals who are mentally ill and without proper treatment.

They are in conversation with the Sheriff’s department and the County Administration about utilizing CAP/IT funding to make structural improvements to the jail in order to accommodate more behavioral health services and improve the ones we currently offer. Currently doing a feasibility study to determine their ability to complete this project.  Part of the scope will be purchasing and installing tele-psychiatry equipment into the jail.  This will help to improve access to mental health specialty care that might otherwise not be available.  In addition, this will help reduce delays in care, and improve the continuity of care as well as reduce barriers of having to transport clients out of the jail to receive care.

There has been serious discussion with the State Hospital system, Del Norte County District Attorney’s office, Del Norte County Sherriff’s Department, Del Norte County Superior Court, Del Norte County Administration, and Del Norte County Department of HHS about having their own Jail Based Competency Program for inmates. This comes on the heels of many statewide efforts to reduce the number of mentally ill incompetent inmates waiting to go to State Prison. Though this plan is in the early stages of development, these facility improvements within the county jail itself would help them provide this needed and valuable service to their community.

Hospitalization

MHSA Plan Update 2022-23
The following programs saw a reduction in psychiatric hospitalizations, as well as a reduction in overall hospitalization rates:

• Adult Service Center (CSS) – p 32-34The Adult Service Center program provides individual and group counseling services to create a mutually supportive community, work through issues, reduce symptoms, and develop social skills. In FY 20-21, the Adult Service Center served 115 clients.
• Same Day Service Team (CSS) – p 35-37   The Same Day Service Team provides short term counseling and links consumers to appropriate community-based services, serving as a bridge between traditional mental health services and the Rehabilitative Model. They collaborate with family and community support to create a safety net for consumers. Between July 2021 and March 2022, the program screened 87 clients for mental health services.
• ARRCH Team (CSS) – p 38-40  The ARRCH team works with clients living outside of the county to help them return to the community. The team assists in monitoring clients and promotes independence and stability for clients. 

2021-22 EQRO Report, Page 33
Psychiatric Readmission Rates – p 33

• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2019: 5% (compared with 12% State Rate)
  
• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2020: 17 %
• (Compared with 19% State Rate)
  
• 30-day Post-Psychiatric Inpatient Rehospitalization CY 2019: 11% (Compared with 11% State Rate)
• Post-Psychiatric Inpatient Rehospitalization CY 2020: 34% (Compared with 28% State Rate)
  

2019-20 EQRO Report, Page 27 ​MediCal EQRO

• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2016: 3% (compared with 3% statewide)
• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2017:  3% (compared with 3% statewide)
• 7-Day Post-Psychiatric Inpatient Rehospitalization CY 2018:  2% (compared with 3% statewide)
• 30-Day Post-Psychiatric Inpatient Rehospitalization CY 2016:  8% (compared with 6% statewide)
• 30-Day Post-Psychiatric Inpatient Rehospitalization CY 2017:  7% (compared with 7% statewide)
• 30-Day Post-Psychiatric Inpatient Rehospitalization CY 2018:  6% (compared with 6% statewide)

More EQRO Data (LINK)
​More MHSA Data at: http://www.co.del-norte.ca.us/departments/health-human-services/Behavioral-Health-Branch/mental-health-services-act
​More SAMHSA PATH Data at:  ​https://pathpdx.samhsa.gov/public?tab=searchdatareports - Enter "Name of County" as "Provider"