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Siskiyou Healthcare Collaborative

Siskiyou Healthcare Collaborative. Behavioral Health Task Group Needs and Capacity Assessment Update June 2018. Overview.

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Siskiyou Healthcare Collaborative

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  1. Siskiyou Behavioral Health Task Group Siskiyou Healthcare Collaborative Behavioral Health Task Group Needs and Capacity Assessment Update June 2018

  2. Siskiyou Behavioral Health Task Group Overview • Behavioral Health Task Group was established in 2014by Siskiyou Healthcare Collaborative to explore opportunities for increasing access to mental health (MH) and substance use (SUD) services • In support of these efforts, the Siskiyou Community Services Council applied for and was awarded a Blue Shield of California Foundation grant in 2014 • Completed a Behavioral Health Community Capacity & Needs Assessment in 2015, and this update in 2018 • Established a Behavioral Health Integration Implementation Plan, and received Year 2 & 3/4 funding

  3. Siskiyou Behavioral Health Task Group Behavioral Health Task Group Participants • AnavTribal Health Clinic • Fairchild Medical Center • Karuk Tribal Health Clinic • Mountain Valleys Health Centers • Partnership HealthPlan of California • Siskiyou Community Services Council • Shasta Cascade Health Centers (formerly McCloud Healthcare Clinic) • Siskiyou County HHSA Behavioral Health Division • Siskiyou County Office of Education

  4. Siskiyou Behavioral Health Task Group Current Grant Objectives • Establish an email listserv of behavioral health providers to enhance involvement, gather input and provide ongoing information about training opportunities and policy issues • Establish a Siskiyou County Behavioral Health Data Dashboard • Enhance the implementation of the regional Drug Medi-Cal-Organized Delivery System • Strengthen and enhance resource integration across behavioral health, primary care and social service providers in three underserved, rural communities • Update the Siskiyou County Behavioral Health Needs and Community Capacity Assessment

  5. Siskiyou Behavioral Health Task Group Needs Assessment Report • Purpose: To determine the estimated need for behavioral health services and capacity of services in thehealth care delivery system in Siskiyou County. Assess changes in need, capacity, knowledge and attitudes, and service availability, over time. • Methods: Data was collected from the following sources: • Review of public records and community health needs assessments • Interviews/data from collaborative partners • Survey of consumers and community members

  6. Siskiyou Behavioral Health Task Group Behavioral Health Status National rate for drug-induced death: 14.7; suicide: 11.6

  7. Siskiyou Behavioral Health Task Group Behavioral Health Status Three year running average important for “smoothing” small numbers Preliminary data reports rate of 10.2/100,000 for 2017

  8. Siskiyou Behavioral Health Task Group Estimating Need for Behavioral Health Services in Siskiyou County Under a broad definition including individuals with serious mental illness (SMI) and those with “mild to moderate” conditions, a total of 8,507 individuals are estimated to be in need of mental health services Similarly, a total of 3,660 persons are estimated to need SUD services 8,507 3,660

  9. Siskiyou Behavioral Health Task Group Providers of Behavioral Health Services • County Behavioral Health Division (SMI/SED) • Primary care centers: Two federally qualified health center (FQHC) organizations serving four communities (soon six), two Tribal Health Programs serving three communities, and two hospital affiliated clinics • Other Partnership HealthPlan(Beacon) private providers • Community Corrections Partnership • Office of Education and individual School Districts • Family Resource Centers (prevention and referral)

  10. Siskiyou Behavioral Health Task Group Specialty Mental Health Services County Behavioral Health • Siskiyou Behavioral Health served 954 child and adult Medi-Cal beneficiaries in FY 2016/17, up from 811 in CY 2015 and 768 in CY 2013 • Penetration rate measures the % of the Medi-Cal population served – the county’s 6.08% continues higher than the state rate overall despite huge growth in Medi-Cal • Including uninsured and Medicare clients, services were provided to 1,238 clients in FY 2016/17.

  11. Siskiyou Behavioral Health Task Group Medi-Cal Beneficiary Growth Year Beneficiaries 2013 11,643 2015 13,324 2017/18* 17,933 * through the end of March 2018

  12. Siskiyou Behavioral Health Task Group Medi-Cal “Mild to Moderate” ServicesPartnership HealthPlan of California • 9,567 behavioral health visits in 2014/15, more than 13,260 visits per year now • 24 contractors in 2015, 36 now, mostly in clinic environments where care can be better integrated with physical healthcare

  13. Siskiyou Behavioral Health Task Group Health Issues that worry community members Survey conducted in January 2018

  14. Siskiyou Behavioral Health Task Group Community Survey Findings • Total of 348 (compared to 218 in 2015) respondents completed a brief paper survey from 17 communities • Top barriers to seeking care continue to be cost, stigma or fear, transportation, and a perception of a lack of service availability • When asked where would they or family would go for help for a MH problem, top responses were: family member (22%); MD or nurse (18%); professional counselor (16%) • When asked where to go for help for an SUD problem, top responses were: MD or nurse (18%); professional counselor (17%); peer support group (15%) and County BH (14%) • Biggest change between 2015/2018 was ID of health care system providers as source of support for SUD and MH issues

  15. Siskiyou Behavioral Health Task Group Consumer Survey Findings • Indicate the need for a broad based community awareness campaign that emphasizes: • Availability of services in most Siskiyou communities • Appropriateness of speaking to health professionals or others about MH or SUD issues • De-stigmatizing behavioral health issues

  16. Siskiyou Behavioral Health Task Group SUD System Changes Underway • Regional 7 County Drug Medi-Cal system in cooperation with Partnership HealthPlan is under final development with the goal of service initiation late 2018, to be more service inclusive and evidence based • Inclusion of Medi-Cal mild-to-moderate MH benefit with implementation of ACA in January 2014 allowed many more beneficiaries to receive needed care • County Behavioral Health has become a certified Drug Medi-Cal provider allowing for greater reimbursement and expanded access to SUD services • Opioid Safety Coalition (Siskiyou Against Rx Addiction - SARA) • Hub & Spoke System Medication Assisted Treatment (Aegis)

  17. Siskiyou Behavioral Health Task Group Contact Information • This needs assessment was conducted by the Siskiyou Health Collaborative, Behavioral Health Task Group Supported by a grant from the Blue Shield of California Foundation to the Siskiyou Community Services Council • Contact Information: BHTG Co-Chairs Paulette Adams Sarah Collard Director of Clinics Director, Behavioral Health Division, Fairchild Medical Center Siskiyou County Health and Human Services Agency padams@fairchildmed.org scollard@co.siskiyou.ca.us BHTG Facilitator Lynda Scheben Shasta Training and Consulting lynda@shastatraining.org

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