Agenda - 10-30-2002 - 1 (AOG) - Laserfiche WebLink

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Gwen Harvey-Orange County Forum Feedback.doc Page 4 • Total cost ultimately will increase. • Aftercare cost to increase. ■ ** Cost a lot more to incarcerate. ■ 50% mentally ill have substance abuse problems. ■ Revolving door. • Lower risk clients will rise to top. ■ Communities need money for programs. ■ Develop less expensive services (i.e., Oxford House, Freedom House, supporting entities such as this.) ** • Don't forget need medical services support. • No services available for criminal justice system now either. • No services should to be eliminated. • Need more residential services and wrap around services ** Expansion service considerations for wrap around services—faith based organizations. Need systems in place to include family support services. ■ Biggest missing link is Prevention Services ** Prevention Services in school do not work, not research-based. Desperate need for housing. Courts beginning to give more attention to substance abusers. ■ Client Rights threatened anonymous counseling, privacy rights? By client from private sector. • Treatment Alternatives to Street Crime (comprehensive approach)—need more of these type services—clients are referred through court. • Accessibility to out patient treatment. ■ How is system going to look? V. Services to the Hispanic, Deaf& Hard of Hearing Community • How Hispanic community will be affected? Will it be harder to get services? • How to inform Hispanic community about services? How to get them to trust providers enough to take advantage of services? • Communication problems for Spanish speaking people. Need more interpreters of the same sex to talk about sensitive issues. • How to break down barriers in institutions? Example: Have same contact person for client at each visit. • Spanish speaking foster parents and respite care. • Need for community based service workers with sign fluency for children and adults. • Funding needs to be available for multiple care providers and interpreters if needed at same time. • Reimbursement rates should match fees of interpreters. • Funding for TTY or hearing aids regardless of income. • Funding for interpreters for Spanish and sign language. • More permanent bilingual onsite staff. • Education for doctors and health care providers. • Training in Spanish or signing for service providers. • Cultural training. • Spanish and deaf/hard of hearing should have same level of services as everyone else. • Spanish and/or deaf should have equal access to best health care practitioners without 4