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 21 The difficulties I have are with specific agencies,and the difficulties are likely due to lack of funding and staff turnover. 10/28/2016 11:11 AM 22 Allow multiple services(front load)for a family to prevent a crisis versus waiting for the crisis to happen before 10/28/2016 11:00 AM additional services can be used. 23 -transportation to appointments-more quality services through IPRS or Medicaid 10/28/2016 10:27 AM 24 I do not have any suggestions at this time. 10/28/2016 10:12 AM 25 Waiting list for services is too long. 10/28/2016 10:09 AM 26 Collaboration between providers and services. 10/28/2016 10:02 AM 27 Have easier accessibility! 10/28/2016 6:42 AM 28 Teenagers and young adults ages 18-25 are often lacking insurance,because their Medicaid/Healthchoice is no 10/26/2016 8:50 PM longer valid.We then have to see these young adults pro-bono or use grant funding,and because of this lack of insurance,many of them are slipping through the cracks,and not getting the mental health resources they need. 29 taking care of non-english speaking populations more work inside schools 10/26/2016 10:38 AM 30 more trauma screening in medical practices,more promotion of Stewards of Children child sexual abuse prevention 10/25/2016 11:56 AM initiative.More black,Latino and Burmese/Karen therapists.More services offered through home visiting and services embedded in schools and medical practices.More engagement with high risk populations and communities.More awareness across all sectors-Mental Health First Aid for all!!! 31 Keep improving the same way that it has been.I do not see any major areas that need improvement. 10/22/2016 8:19 AM 32 Need for more facilities for uninsured and underinsured people to access care.Need for public health campaign to 10/21/2016 1:18 PM address stigma and prevalence of mental health issues in the community.Need for greater funding in schools to address variety of mental health issues and provide workshops to caregivers to address stigma and disseminate resources. 33 provide more services for uninsured,spanish speaking and karen/burmese speaking,more sliding scale.and more 10/20/2016 1:35 PM school based options,as many students cannot get to appointments in the community due to transportation issues, parent schedules,etc. 34 We need more accessible SA services for all(undocumented,no insurance,insurance).While there are a lot of 10/20/2016 11:30 AM services and providers know each other,families do not always know what is out there.Schools overall are not positioned to respond to students with mental health issues beyond being reactive and punitive.Increasing support for undocumented families is a specific need. 35 A comprehensive guide to available services with provider names,insurance,languages spoken,any specialty area 10/20/2016 10:50 AM (i.e.child/adolescent/eating disorder/school avoidance,etc.)address,and contact information would help. 36 Adolescents often tell me how negative the UNC ER experience is when referred there for a crisis.I feel adolescents 10/19/2016 9:58 PM seldom get the help they need--perhaps because they aren't ready to accept help yet, 37 Spanish language therapists,funding for undocumented people,flexible clinic hours-evenings and weekends,more 10/19/2016 5:45 PM services in schools 38 More affordable assistance and help with language issues. 10/19/2016 12:55 PM 39 Reducing stigma by providing more education and exposure. 10/19/2016 11:30 AM 40 More public agency involvement in Orange County System of Care Collaborative 10/19/2016 10:22 AM 41 Making teachers and other professionals understand that there are no bad kids.No kid wants to have bad grades,no 10/18/2016 10:56 PM kid wants to be labelled a misfit.It's just what happens when you are dealing with a mental health issue.Also there should be free services for mental health just like for a physical injury 42 We need more school personnel educated about mental health and we need more providers for adolescents 10/18/2016 9:03 PM 43 provide more long term,intensive,supervised care. 10/18/2016 8:56 PM 44 Educate teachers,parents and students about different kinds of mental health problems,how to identify them and 10/18/2016 1:15 PM provide resource information.Develop a few centralized outpatient service center facilities for the gamut of pediatric MH problems-to simply access to MH care 45 Mental Health First Aid Training for all health department staff.More robust access for clients/citizens with urgent 10/18/2016 8:38 AM mental health needs.More community collaboration with safety net providers and mental health providers,police, UNC ED,UNC psychiatry. 46 Create a 10-20 year plan for growing and sustaining services(alas,the wildly unpredictable GA makes such an 10/17/2016 7:19 PM endeavor fool hardy-let's hope for change at that level).But this gaps analysis is a good idea and important first step! 47 /48