Turning Point Community Programs

Programs: Turning point community programs operates two full service partnership (fsp) integrated services agencies (isa); one in sacramento county and one in stanislaus county. Isa services generally include the provision of psychosocial rehabilitation and recovery services for adults with psychiatric disabilities and extended histories of long-term hospitalization. The goal is to help individuals "take charge of their lives" through informed decision-making along with psychiatric, rehabilitative and psychosocial support. Services are based on the individual's long-term goals and desired results. The isa located in modesto is especially unique in that staff work with a higher population of individuals within locked facilities and function as conservators while working closely with the public guardian's office. Combined, the two isa programs served a total of 410 individuals within the 16/17 fiscal year. In that reporting period, of the 410 individuals served, 53. 7% did not accrue psychiatric hospital days, 91. 0% did not accrue incarceration days, 92. 7% did not accrue homeless days, and 61. 2% did not accrue emergency interventions. On average, the two programs received an overall satisfaction rate of 81. 5%.

in sacramento county, tpcp's pathways to success after homelessness provides comprehensive, integrated mental health services including housing for 350 children and their families, transition aged youth, adults, and older adults. Pathways provides permanent supportive housing and mental health services for those with psychiatric disabilities and long-term or cyclical homelessness. Staff uses a harm-reduction "whatever it takes" approach to support members in meeting their desired goals. Families with children are offered culturally diverse supportive services so they can stay together and be part of the community. All eligible groups will maintain housing; children will attend school or quality day care as appropriate; transition age youth and adults will be supported to improve their quality of life through employment, education, volunteerism, and an improved social support system; and older adults will be actively engaged in ways that enhance their independence and decrease isolation. Pathways is one of the first major prop. 63 mental health services act funded programs to be launched in sacramento county. In the 16/17 fiscal year, pathways served a total of 372 unduplicated individuals. In that time period, of the 372 individuals served, 88. 4% did not accrue psychiatric hospital days, 89. 0% did not accrue incarceration days, 73. 4% did not accrue homeless days, and 78. 5% did not accrue emergency interventions. Pathways also received on overall satisfaction rate of 77. 3%.

flexible integrated treatment (fit) program, formerly known as focus, has been in operation since 1999 and works with youth who are experiencing emotional and behavioral difficulties. The therapist/treatment team members, partner with youth and their families in addressing their stated needs utilizing a family-focused, strength-based approach. Fit is able to increase or decrease clinical supports depending on the level of need the youth has at any given time. The program provides individual, family, and group therapy, skills training, advocacy, case management, and psychiatric supports. The program also incorporates specific evidence-based practices as treatment modalities. In the 16/17 fiscal year, 614 unduplicated clients were served. According to the child and adolescent needs and strengths assessment (cans), 77. 3% of participants experienced improved school functioning, and 33. 3% no longer had any evident signs of delinquency. Additionally, fit received a youth satisfaction rate of 79. 6% while caregivers gave a rating of 83. 5%. Lastly, of the 358 discharges that occurred within the fiscal year, 35. 2% (n=126)were due to the client completing services.

therapeutic behavioral services (tbs) is an intensive, one-to-one short-term outpatient mental health treatment service that has been in operation since 2002. Tbs is designed for children and youth with serious emotional problems who are experiencing a stressful transition or life crisis and needing specialized support services. Tbs services utilize an individualized approach building on youth and family strengths to create a behavior plan the family is able to maintain after services have ended. This plan is developed from a detailed functional behavioral assessment which includes environmental strategies, development of skills and new behaviors, positive supports, and reactive strategies. Services are provided until the individual's behaviors have been resolved or reduced to an acceptable level, no longer placing them at risk. In the 16/17 fiscal year, 99 unduplicated clients were served. At the time of discharge, 87. 5% of participants felt that they knew ways to keep themselves calm, 88. 9% felt that they could tell when they begin to become upset/overwhelmed, and 88. 3% felt that they knew how to stay calm should they become upset or overwhelmed. At admission, these three exact items did not score above 75. 8% showing a considerable increase after services had been received. Additionally, tbs received a youth satisfaction rate of 91. 8% while caregivers gave a rating of 95. 5%. In 2014, tpcp began the operation of a children and youth community-based services/therapeutic behavioral services [cbs/tbs] program, as well as the portal program in yolo county. In additional to the tbs services mentioned previously, cbs services include working with youth experiencing emotional and behavioral difficulties. Therapist/treatment team members partner with youth and their families in addressing their stated needs utilizing a family-focused, strength-based approach. Cbs provides services in the home, school and community at times that meet youth and family needs. Cbs is able to adjust clinical supports depending on the level of need the youth has at any given time. The program provides individual, family, and group therapy, skills training, advocacy, case management, and psychiatric supports. Within the 15/16 fiscal year, 62 unduplicated individuals had been served in the cbs/tbs program. Cbs clients had a satisfaction rate of 79. 6% for youth while caregivers rated services at 84. 9%. Youth who received tbs services had a satisfaction rate of 92. 0% while caregivers had a satisfaction rate of 88. 0%. Portal works with youth who are experiencing emotional difficulties. Portal is designed to provide the unique supports and services to tay and individuals identifying as lgbtq. The therapist partners with youth and their chosen families in addressing their stated needs utilizing a strength-based approach. The program provides individual therapy, collateral support, skills training, advocacy, case management, and psychiatric supports. In the 16/17 fiscal year, a total of 5 individuals were served. Due to the limited number of individuals served, generalizable program outcomes could not be determined. In 2015, the mental health services act (mhsa) child and youth full service partnership (fsp), bridges, began operating. Bridges provides services to up to twenty-five (25) seriously emotionally disturbed (sed) children or youth under the age of 16 years who are unserved, underserved or inappropriately served and who otherwise lack access to mental health treatment services. Yolo bridges works with youth experiencing emotional and behavioral difficulties. Therapist/treatment team members partner with youth and their families in addressing their stated needs utilizing a family-focused, strength-based approach. Yolo bridges is able to adjust clinical supports depending on the level of need the youth has at any given time. The program provides individual, family, and group therapy, skills training, advocacy, case management, and psychiatric supports. In the 16/17 fiscal year, bridges served a total of 29 unduplicated individuals. In comparison to pre-enrollment outcomes collected through the partnership assessment form (paf), there was a 59. 6% reduction in psychiatric hospital days, a 100% reduction in homeless days, and a 63. 6% reduction in the number of emergency interventions. Tpcp also currently operates three crisis residential programs (crp) in the sacramento area, one of which is funded and used solely by the university of california, davis medical center. Crisis residential program (crp) services are intended to provide a short-term alternative to inpatient psychiatric services for persons experiencing an acute psychiatric crisis. Services may only be used to avert a psychiatric admission, or to shorten the length of an inpatient stay. Crp services are designed for persons who meet psychiatric inpatient admission criteria or are at risk of admission, but who can be appropriately served in community settings. Services are provided in a supportive environment that models and encourages hope, empowerment, personal accountability, and the development of meaningful life roles. In order to adapt to the evolving cultures of persons served, the environment is permeable to outside factors and individual needs. Individuals are referred directly from the mental health treatment center, sacramento county mental health plan providers, emergency departments, the crestwood psychiatric health facilities, and private psychiatric hospitals. Within the 16/17 fiscal year, tpcps oldest crp which opened in 1992, served a total of 163 unduplicated individuals. When comparing the client's admission and discharge living situation, crp staff were able to decrease homelessness by 36. 1%. Additionally, 52. 1% of clients were discharged do to having successfully met their goals. Lastly, this crp received an overall satisfaction rate of 88. 6%. The rio linda crp had an overall satisfaction rate of 90. 8%. The uc davis crp (bender court) had an overall satisfaction rating of 92. 9%. Tpcp also provides unique services through its three transitional support services (tss) programs located within sacramento, solano, and butte county. Tss programs provide community support services to adults challenged with co-occurring psychiatric disorders and developmental disabilities. The type and intensity of services provided will be based on the minimum level of intervention necessary to maintain the health/safety of the individual and to support progress toward their identified goals. Tss is designed to minimize dependency and to effect the most rapid "normalization" and community integration possible. The central aspect of the tss program is member choice. Before an individual is offered tss membership, they will be helped to understand the tss philosophy. Tss will honor each person's expressed goals. Northgate point regional support team (rst) is a community-based, outpatient mental health clinic that serves adults diagnosed with chronic and persistent mental disabilities. Rst services include but are not limited to medication management, coordinated case management, support with family issues, crisis intervention, ssi and medi-cal advocacy, self-help and peer support groups, etc. Treatment planning teams include psychiatrists, nurses, case managers and clinical staff who meet weekly to confer and develop individualized treatment plans. Rst also works in collaboration with southeast asian community counseling to ensure that services provided are culturally appropriate and diverse for our many eastern european, asian, and pacific islander clients. Between january 1, 2017 and june 30, 2017, a total of 1756 unduplicated individuals were served through the rst. 85. 5% of those served were reported as having been seen face-to-face within fourteen days of their referral to the program. Additionally, 48. 9% of clients felt that their symptoms were not bothering them as much and 69. 5% felt they were better able to deal with crisis.