Madera County Spotlight FY 2015-2016 (Click photo to view)
(Added in 2015)
Madera County Facts
Mental Health First Aid
Did you know?...
Madera County was an “early implementer” of MHSA services? We were one of the first counties to implement MHSA Community Services and Support (CSS) and Full Service Partnership (FSP) programs. Madera County Behavioral Health Services was the first county in California to have the evidenced-based Mental Health First Aid training as part of its Prevention and Early Education (PEI) services. Madera County presented on its success with Mental Health First Aid, to the mental health directors for the central region. The directors voted to bring the training to other central region counties as part of the regional MHSA Workforce and Education (WET) funds/services. From there the training has spread to other counties throughout the state. Madera County Behavioral Health Services was one of the pilot agencies for the National Council for Behavioral Health for implementing Mental Health First Aid for People Working with Youth program? Madera County Behavioral Health was one of the pilot agencies for the National Council for Behavioral Health for implementing Mental Health First Aid for People Working with Youth Spanish version. Madera County worked with Madera Community College to have Mental Health First Aid as part of their curriculum. Through PEI funds Madera County Behavioral Health Services has provided Mental Health First Aid Training to over 1000 individuals since 2010? Those individuals have included law enforcement, the Madera Rescue Mission, Madera Community Hospital Emergency Room nursing staff, Madera County Probation Department officers, Madera County Office of Education After School Program staff and other Office of Education staff, Madera County Public Health staff, Americor Volunteers, various Faith-based communities, Madera County First Five, clients, family members, etc. Madera County Behavioral Health Services will provide Mental Health First Aid training for free. Call (559) 673-3508 to schedule training.
Madera County Mental Health Services Act (MHSA)
Full Service Partnership Results The Community Services and Supports programs offered through MHSA funding involves intensive outpatient services, expand the capacity of existing outpatient services and limited resources for short-term emergency housing. Madera County has two Full Service Partnership (FSP) teams that provide intensive services for people with the highest level of behavioral health needs, which can be treated in a community setting. The Children/Transition Age Youth (TAY) Full Service Partnership serves children and youth ages 0 – 24, including foster youth and their families, who are experience serious emotional and behavioral disturbances. This team provides wrap-around/system of care like services, in concert with multiple organizations. As defined in WIC § 5851, these children and youth experience serious emotional and behavioral disturbances, which compromise their ability to meet their daily living needs. o The number served by this program Total FY 2012-13 was 95 Total FY 2013-14 was 93 o The cost per person: $16,663 The second FSP is the Adult/Older Adult Full Services Partnership, which serves adults and seniors with serious and persistent mental illness. o The number of adults and seniors served by program and the cost per person. The standards for these services are defined in WIC § 5806. o WIC § 5813.5 states that Plans shall consider ways to provide services similar to those established pursuant to the Mentally Ill Offender Crime Reduction Grant Program. Funds shall not be used to pay for persons incarcerated in state prison or parolees from state prisons. o The number served by the program Total FY 2012-13 was 69 Total FY 2013-14 was 72 o The cost per person: $16,657 Full Service Partnerships. Children/TAY Full Services Partnership After two years of FSP services, there were significant reductions in the rate of adverse experiences related to mental illness. Most children attend FSP services for one to two years. The number of individuals that were served by FSP services for two years is lower than the number that attended for one year of service. The longer time period reflects the higher needs of the individuals that attend for two years. Children and youth that completed one to two years of FSP services increased their school attendance rate and grades. Children and youth that attended school always or most of the time increased from 91% to 93% in FY 12/13 and 78% to 100% in FY 13/14 after three years of service. In FY 13/14 the percent of children and youth with good or very good grades that attended FSP services increased from 31% to 36%. The number of adverse experiences for youth dropped after receiving FSP services. Please see chart below.
Adult/Older Adult Full Services Partnership
After two years of FSP services, there were significant reductions in the rate of adverse experiences, e.g., arrests, re-arrests, hospitalizations, etc., related to mental illness. Most adults are in FSP services for one to two years. The number of adults that attended FSP services for two years is lower than the number that attended for one year. The adults that attend for longer periods of time have higher needs than the adults that attend for shorter time periods
Madera County Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI)
Prevention and Early Intervention (PEI) programs designed to prevent mental illnesses from becoming severe and disabling. The standards for these programs are defined in WIC § 5840. Madera County’s PEI services provide education and outreach services to the community to; • Assist community members in identifying people that may be in danger of developing serious mental illness that can lead to disability or • Are in the early stages of experiencing mental illness. The general approach is to build protective factors to promote mental health and reduce risk factors that contribute to developing mental illness. Madera County has developed two programs with this goal in mind. The first program is Community Outreach & Wellness Centers, which include two “drop-in-centers.” One of those centers is located in central Madera (Hope House) and the other is located in the mountain area in Oakhurst (Mountain Wellness Center). The primary goal of both centers is to provide outreach and education services for community members and prevent the risk factors that contribute to the development of, and disability related to, mental health issues. In addition, the centers provide individuals with services to build mental health protective factors, such as access to resources that promote their independent living skills and independence. Hope House is located at 117 N. R St. Madera, CA. 93637 (559) 664-9021. Mountain Wellness Center is located at 49774 Rd. 426, Oakhurst, CA 93644 (559) 683-4809. The second goal is the Community and Family Education program is to build community protective social factors. It does this through educating the community on how to recognize someone that is at risk of or is experiencing mental illness and how to support them to access behavioral health services if needed. This program offers training in specific educational curriculums to any member of the public including clients, client family members, and staff, such as Mental Health First Aid, ASIST, SafeTALK and evidenced based and culturally based parenting classes. Since implementing PIE services in Madera County, we have had over 1000 people attend Mental Health First Aid classes, and have provided ASIST and SafeTALK classes for free to the community. Our parenting classes, Los Niño’s Bien Educados, the New Confident Parenting Program and the Nurturing Parenting Program are also available for free to the public and organizations. To schedule a class call (559) 673-3508.
Madera Prevention and Early Intervention Outreach Activities
Stigma and Discrimination are the number one barriers to accessing mental health care. Madera County was given an anti-stigma and discrimination grant through CalMHSA in 2013—2014. Madera County partnered with Madera County Public Health, Madera County Probation, Madera County Department of Social Services and the Madera County Office of Education to provide a campaign to help end stigma and discrimination. Over 900 people from different organizations were briefed regarding the impact of stigma on mental health service access. There were three large community dialogues held in addition to meeting with 35 different organizations/agencies such as schools, social services, etc. The dialogues were designed for community members who do not attend regular meetings about mental healthcare and mental illness. Many who attended did not have a clear understanding of mental illness. They did, however, clearly understand stigma and discrimination. All had been personally touched by social stigma and discrimination in some way. This established common ground for understanding, acceptance and a place to continue our anti-stigma campaign through a Speaker’s Bureau for the future. If you would like to have someone come and speak to your organization about mental health issues, please call (559) 673-3508. We would be happy to come and present on this important topic.