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1 Riverside University Health System
Behavioral Health
Riverside Housing and Homelessness Committee
May 22nd 2023
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3 Behavioral Health Integration &
Community Engagement &
Education
Integrated Programs
• START Team: CSU, Psychiatric Hospital, Mental Health Urgent Care, ARC, Sobering Center, CRT
• Behavioral Health Navigation Team, ED Bridge and Inpatient • MAT Pilot
• Perinatal Navigators
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4 BHI Navigation Teams: RUHS Medical Center, FY 22-23, Q2 Snapshot 7 8
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5 OUTLETS
YouTube/VIDEO
SUD Perinatal Video
A compelling story to reassure the
affected demographic that there is
help, people have been helped and
that their care needs will be met:
• Families stay together
• Safe delivery and detox
• No judgement
• Transportation and housing support
• No cost for most
• Empathy
Youth and Family SUD Media Campaign
• RUHS BH and Up2Riverside Family Resource
Guide: https://up2riverside.org/?r3d=family-
resource-guide
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6 New Life and Justice Outreach
Teams
Justice Outreach Team (JOT)
• JOT is comprised of (3) regional teams: Western (based in Riverside), Mid-County (based in San Jacinto) and Desert (based in Indio). Prior to expansion, JOT’s Riverside Team operated countywide from Riverside to Blythe. With this expansion, JOT is able to cover countywide services at a more optimal level.
• Each region has (2) two teams respectively that include BHS III (drug and alcohol counselor), peer support, office assistant and supervisory support by Mental Health Administrator, Supervising Behavioral Health Specialist, and BHS IV. • Consumers served: Justice involved or at-risk of justice involvement who are in need of mental health and/or substance use disorder services. Once engaged and screened, JOT works to link consumes to treatment. JOT also conducts field outreach and care coordination to engage consumers who are lacking behavioral health services.
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7 Sobering Center, Recovery
Residences & Housing
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9 Crisis System of Care
• Mobile Crisis Response
Team
• Community Behavioral
Health Assessment
Team
• Mobile Crisis
Management Team
• Community
Assessment
Transportation Tea,.
EMS/BH
• 911 Sherriff Dispatch
Center
• Crisis Dispatch
Center
• Mobile Psychiatric
Services
• Mental Health Urgent
Cares
• Indio MHUC
Crisis Support and Integration
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10 Mobile Crisis Management Teams
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11 Mobile Crisis Management Teams
Upcoming Riverside City and
County Partnership
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12 Adult Residential Facility (ARF) with Onsite MH and SUD Care ARF Service Array
• WellnessPlus Living Program
• Room and board, accomplished
chef sourcing local food
• Social, Occupational, Vocational,
and Recreational Groups
• Nutrition Counseling
• Linkage to physical health and
dental services
• Transportation
MH and SUD Treatment
• Full Service Partnership
• Psychiatry / medication services
• Individual & Group Therapy
• Intensive Case Management
• SUD Multiple Levels of care
• Medication Assisted Treatment
• Care Coordination
• Discharge Planning
24 Requestor: RUHS - Behavioral Health
Space Requested: Franklin Facility (former Probation Offices) 3021 Franklin Avenue, Riverside
40,850 sf of office on 1.85 acres
Annual Operating Cost: Currently estimated at $ 490,200 Year Constructed: 1967
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13 Specifics, Discussion, and Ideas
• RUHS-BH is proposing to fully renovate the faci lity and provide approximately 80 Behavioral Health beds for an augmented Board & Care Facility.
• The proposed RUHS-BH project would invest approximately $36M into the facility with the expectation that Grant Funds and MHSA Funds will pay for the necessary tenant improvements.
• RUHS-BH has worked in cooperation with Facilities Management to conduct a Facility Feasibility Study and is diligently seeking Grant Funding for this project. • City of Riverside and RUHS BH Innovation ideas on partnership Specifics, Discussion, and Ideas
1) Security plan
a. The Adult Residential Facility (ARF) at Franklin will have 24/7 security guard services. This specific security will provide specifically-trained healthcare security officers, who will be trained in Crisis Prevention Intervention (CPI), which is an Enhanced Nonviolent Crisis Intervention designed to provide officers with the knowledge to respond early and effectively, and will be onsite to aid the contracted provider in preventing and/or defusing a behavioral escalation for the wellbeing of individuals in the facility and/or the surrounding area. The facility will have QR codes placed in and around the facility for the security guards to scan as they surveillance the perimeter of the facility. Security cameras will also be added to the interior and exterior of the facility that will be monitored on a regular basis.
2) Resource plan for clients exiting to ensure they don’t leave to the street:
a. Although the ARF at Franklin will be an unlocked facility, strict adherence to curfews and other house rules will be required. In addition, the ARF model provides care and supervision, which includes a peer-led program for people with chronic physical and behavioral health conditions that promotes self-management to create and sustain new health behavior. This service creates a collaborative care model that wraps services around the client and connects the client to additional necessary services that would assist them in their current journey and transition back to the community. The peer support nature of this service will help clients acquire self-sufficiency in to help the client develop problem-solving and self-efficacy skills required to manage his/her condition. FSP services will also be onsite to fully wrap around each individual and linkage to other supportive services will be available. b. This program has a large population of conserved consumers and as such this is not a short term program.
Consumers can stay at the facility for years and have already been stabilized prior to placement. The exit and discharge plan is worked on by multiple County teams and the Provider team to place in community back with family or in long term permanent supportive housing.
3) Exterior Property Improvements
a. Minimal exterior modifications will be made, such as pain t and landscape in an effort to modernize the aesthetics.
We would also be making improvements for consumer outside activity per regulations that govern this type of facility.
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14 Questions and Discussion
“An idea that is developed and put into
action is more important than an idea that
exists only as an idea.”
Recovery Happens, Riverside County 2022: https://youtu.be/nqfWkeAnyFk 27