Behavioral Health Services - Dhs.saccounty

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Behavioral Health ServicesSuicide Crisis LineEmergency Department Follow-Up ServicesMHSA Steering CommitteeMarch 18, 2021This program is by the Division of Behavioral Health Services throughthe voter funded approved Proposition 63, Mental Health ServicesAct (MHSA).

Suicide Crisis LineEmergency Department Follow-Up Services Prevention and Early Intervention (PEI) Suicide Prevention Project Suicide Crisis Line Emergency Department (ED) Follow-Up Services May/June 2019 - MHSA Steering Committee recommended expanding PEIcomponent Suicide Crisis Line expanded chat and text services; now 24/7 ED Follow-up Services provided to individuals seen at Sutter Medical Center; servicesexpanded to individuals seen at Dignity San Juan and UC Davis Medical CenterThis program is by the Division of Behavioral Health Services through the voter funded approved Proposition 63, Mental Health Services Act (MHSA).Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Suicide Prevention &Crisis Line ServicesLiseanne Wick, MS, D.DirectorSacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

MissionAchieving regional health through high qualitycomprehensive care.Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Everybody deserves to be seen, nomatter who you are, where youcome from, where you work or whatplace you call home.Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

30 LocationsSacramento, Placer, & Amador counties Community Health Centers Immediate Care Centers Dental Centers Behavioral Health Centers Supportive Service Centers Partnership Sites Suicide Prevention HotlineSacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Suicide Prevention & Crisis Services 53 years of experience providing suicide prevention services Talk – Text – Chat 24/7/365 Serving 50 of 58 California counties. Nationally Accredited by the American Association of Suicidology and The JointCommissionSacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Suicide Prevention & Crisis ServicesANNUAL VOLUME BY MONTH700059015573600051004739CALL 1710000julyaugustseptoctnovdec2018-19Sacramento County DHS, BHS, MHSAjanfebmaraprmayjun2019-20MHSA Steering Committee – 03/18/2021

Suicide PreventionEmergency Department Follow-UpSacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

The NeedIndividuals who presented to California ED’s with suicide attempts had a suicide rate inthe year after their visit 56.8 times higher than those of demographically similarCalifornians. (NIMH)People who presented with suicidal ideation had suicide rates 31.4 times higher thanthose of demographically similar Californians in the year post- discharge.(NIMH)76% of ED Directors report a lack of community mental health resources to refer theirpatients.(Baragg, Janowicz, and Asarnow, 2006)Half of all the costs of suicide attempt patient admissions wereaccounted for by re-admissions.(Beautrais, 2005Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Patients can easily fall through the cracks after discharge even if theywere referred to mental health services in their discharge plan.Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Emergency DepartmentFollow-Up Referral from in Emergency Department First follow-up contact andengagement within 24-48 hours. No cost to the patient. Improved continuity of care.Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

ED Follow-Up Engagement Ongoing risk assessment & monitoring;Empathetic emotional support;Collaborative safe planning;Debriefing crisis and hospitalization;Linkage to treatment services and supports;Self care plan explored;24hr access to hotline, chat, text.Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

California Post Discharge OutcomesRemained SafeSuicide AttemptSuicide DeathSacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

WellSpace Health Post Discharge OutcomesRemained SafeSuicide AttemptSuicide DeathSacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

ED Follow-Up Benefits Lives are saved and risk of re-attempt is reduced post discharge from ED; Expert follow up care post-discharge at no cost to the patient using best practices andevidence-based interventions; Improved continuity of care for persons at high risk of suicide; Individuals feel supported and learn about services that can help; Ongoing risk assessment and monitoring.Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Questions?Liseanne Wick, MS. D.Director, Suicide Prevention and Crisis ServicesPhone: 916-368-3118lwick@wellspacehealth.orgSacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Sacramento County DHS, BHS, MHSAMHSA Steering Committee – 03/18/2021

Behavioral Health Services Suicide Crisis Line Emergency Department Follow-Up Services MHSA Steering Committee March 18, 2021 This program is by the Division of Behavioral Health Services through the voter funded approved Proposition 63, Mental Health Services Act (MHSA).

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