Agenda - 12-05-2016-13-6 - Information Item - Access to Mental Health Services Assessment

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Orange County Mental Health Gap Analysis Survey 23 Relationship and trust with people in the system 10/20/2016 11:23 AM 24 Availablility of providers.Limited number of adolescent mental health care providers.Or,if they exist,knowing who 10/20/2016 10:48 AM and where they are.A directory would be helpful. 25 Most significant barrier is finding available adolescent psychiatrists. 10/19/2016 9:51 PM 26 access to services in northern area of county i.e.Hillsborough 10/19/2016 10:20 AM 27 People know very little about mental illness and do not know to seek help because they just think the person is 10/18/2016 9:02 PM behaving badly 28 the mental health system is a broken system.this focus on outpatient services does not work. 10/18/2016 8:53 PM 29 Cultural awareness/acknowledgement of Mental illness 10/18/2016 1:10 PM 30 Not enough therapists truly trained to do trauma work with clients. 10/18/2016 11:41 AM 31 There are barriers to type of therapy.For example,for adolescents with anxiety and depression it is clear that the 10/17/2016 11:13 PM evidence supports manual-based cognitive behavioral therapy,but other types of'counseling'are either not studied or limited efficacy.It is hard to find therapists who will commit to this modality or as a clinician you are so disconnected to the actual therapist through the Ime that you have no idea what they are doing.I've had patients say they're getting 'sandbox therapy'and i have no idea what the heck is even happening there. 32 Cardinal Innovations-policy is not consistent with Federal statute to provide behavioral health services regardless of 10/17/2016 7:10 PM citizenship status.This not only undercuts current providers but discourages development of new services that are needed in our county.Services for IDD individuals age 18-25 are very inadequate;especially for non-English speaking. 33 I would like to say that 1-4 are almost equal barriers to care for our patients. 10/17/2016 3:27 PM 34 Lack of reimbursement for interpretation through Medicaid.Number of steps required to enroll in mental health 10/17/2016 3:10 PM services.Lack of cultural competency training for providers. 35 Appropriate referrals for trauma informed care. 10/17/2016 2:01 PM 36 more variety of screening tools 10/17/2016 9:09 AM 37 n/a 10/16/2016 6:38 AM 38 Parents have less insurance,English language ability than kids.Kids can't really recover if parents aren't treated. 10/15/2016 4:12 PM 39 n/a 10/15/2016 3:50 AM 40 N/A 10/14/2016 7:24 PM 41 It would be an advantage to have a mental health liaison between Cardinal and the Justice system 10/14/2016 2:45 PM 42 people lose there care when they age out and lose their Medicaid at 18 10/14/2016 2:31 PM 34 /48