Performance Outcome Data - Del Norte County   ​Population 27,812

Employment, Hospitalization, Housing

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

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"