Transcript Fresno County MENTAL HEALTH SERVICE ACT …

Fresno County
MENTAL HEALTH SERVICE ACT
Prevention and Early Intervention (PEI)
Survey Summary
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Mental Health Services Act (MHSA)
Prevention and Early Intervention (PEI)
Planning Survey Summary
Fresno County MHSA requested the assistance of the
community in the PEI Planning Process. The collected
survey responses will help determine the programs
recommended for funding.
As of December 18, 2008, this summary reflects 837
surveyed throughout Fresno County.
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A. PEI Programs
1) Three highest priority community mental health needs
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PEI Programs
1) Three highest priority community mental health needs - Other
substance use issues in Families w/ children
provision of mental health services before things are crisis level.
drug addiction
early identification and intervention with childre and youth
Availability/access to quality mental health services
access for all mental health needs
drugs and gangs
lack of psychiatrists to treat DBH consumers in a timely way
Mental health and substance abuse
Sexual abuse causes lifetime mental health problems
Availablity of mental health services
Services for children 0-5 years
Individuals at high risk for psychosis
Substance Abuse/Mental Health treatment for juveniles
Aggressive School Behavior
a person qwith co-occuring problems
a person qwith co-occuring problems
a person qwith co-occuring problems
Infant & Toddler Mental Health for children Zero-Three
Pregnant and post-partum mothers with mental health issues
children 0 to 5 and their parents
Out Patient Medication Management services
Other includes access in rural areas
Deterioration of mental health status due to lack of timely services
substance abuse / co-occuring disorders
0-3 early intervention, parents and infants early intervention programs
Array of supported housing
Availability of Psychiatrist and medication
early diagnoses and prevention
SUBSTANCE ABUSE: ALCOHOL/ILLEGAL & PRESCRIPTION
DRUGS; ACQUISITION AND UTILIZATION OF FINANCIAL
RESOURCES
co-occuring mentally ill clients
Senior/Caregivers
Services to 0-5 years old.
alcohol and drug abuse
Infants and children prenatally exposed to drugs and living in chaotic
home situations
Children not yet in school with behavioral issues that are not eligible to
receive services elsewhere.
Depression
Access to youth inpatient hospital in Fresno
Youth Mental Health Facility
Pregnant and Parenting Women with Young Children
Sexual abuse in Foster homes &/or agencies
Transitional services for kids leaving JJS
Substance Abuse
ACCESS TO PSYCHIATRISTS
Appropriate Infant and preschool mental health services
substance abuse
Home/school intervention (preschool through 1st)
infant-preschooler mental health
Parenting support
Rural access to services
Rural access to services
Depression School Support
Depression
Ins./Services not available
mental illness/substance abuse
mental illness/substance abuse
medication disbursement/Psycistriset
Challenge in getting connected to services(and payment for those over
age 21)
Babies dad sentenced to 1 county year.
Disability
elder abuse
Post traumatic stress disorder
Better pay for teachers
Hearing voices
children abuse
All of the above
Not aware
AA
NA
Reunification assistance
Lost family members
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All of the above
2)
Three Best Locations for PEI Programs in
Fresno County
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2) Three Best Locations for PEI Programs in
Fresno County - Other
county run facilities with acess for all
Elementary or middle schools (NOT H.S.)
SENIOR CENTER
Fresno County EOC Early Head Start
Department of Behavioral Health
County Children's Mental Health
integrated with traditional services
fresno county
the public media-letting people know that there is help avialable out there
the public media-letting people know that there is help avialable out there
the public media-letting people know that there is help avialable out there
Fresno County Department of Beh. Health
Media - different language channels
All of the above
Children's hospitals
Media
Media
Family/Neighborhood Resource Center
Senior Center
If mental health needs (prevention & intervention) can be woven
into courses as specializations, then the community at large (students)
will be aware of the different types of services that exist in Fresno County
etc.
Outreach to the community
Juvenile detention facilities
multiple family resource center type
locations throughout the county
Rural sites
Rural areas
adult mental services
adult mental services
Metro
Emergency Shelters
Group Home
Mission
Westcare
counslors office
kings view mental health service
Westcare
All of the above
group home
AA
VA
Shelters
WestCare
All of the above
Libraries
places like PATHS
ESP
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B. Priority Populations
1) Highest need for PEI for mental health
problems
answered question 817
skipped question 20
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2) Children and Youth in Stressed Families – Three
Most Important
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2) Children and Youth in Stressed Families –
Three Most Important - Other
all above frankly
ages 0-5 years
all of the above
children with mental health signs and symptoms
0-3 infants-prevention!!!
parents with developmental delay
between parents
All of the above
children with absent parents
All of the above
V.F.M
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Children and Youth at Risk of School Failure – Three Most
Important
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Children and Youth at Risk of School Failure –
Three Most Important - Other
all the above
ages 0-5 years
Are at risk of continued anti-social behavior
all of the above
EXPOSED TO AND/OR USING ILLEGAL SUBSTANCES/ALCOHOL
Social skills are broken!
Substance abusers
don't have any parents
in need of more help
There are more than 3
All of the above
All of the above
have a problem fitting in with peers
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Children and Youth at Risk of Juvenile Justice
Involvement – Three Most Important
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Children and Youth at Risk of Juvenile Justice
Involvement – Three Most Important - Other
willing to work in treatment
victims of abuse or neglect
all the aboveare dyslexic
ages 0-5 years
low academics
all of the above
victims of divorce/broken homes
all of the above
parents need to know
trouble with academics
are easily influenced
who are taken away to a group home
get taken from home and they just let them run.
All of the above
CPS
All of the above
come from different background
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Trauma Exposed Individuals – Three Most Important
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All
ages 0-5 years
experience childhood adversity of any kind
Display signs/symptoms of PTS or PTSD
who also have oppositional/conduct problem behaviors
all of the above
Are unable to obtain treatment else where ( due to lack of resources in
the community)
people living on the streets with no knowledge of mental illness
Southeast Asians who experienced war trauma
in poverty, zero food, shelter!
Combination of having parents who abuse drugs & experience
isolation or different forms of abuse; Domestic, sexual etc.
Don't have girlfried/boyfriend
children who can't be with their mom and dad
All who have had children take from CPS
All of the above
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Individuals Experiencing Onset of Serious Mental Health
Illness – Three Most Important
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Individuals Experiencing Onset of Serious Mental Health
Illness – Three Most Important - Other
school failure due to mental illness/lack of
services
are unable to access mental health services
involved in the criminal justice system
abuse drug/alcoholsupervisor/management that
are hard to work with
older adults with dementia
High risk children who are resistant to treatment
and refuse to take their meds.have special
needs
ages 0-5 years
aggressive school behavior
children and youth with undiagnosed but
behavior indicates mental health/behavioral
issues exist
all of the above
pregnant women with mental illness are at risk of
not bonding with their newborn infants and child
abuse or neglect
people on the streets who do not realize they
have mental illness
have not yet been diganosed and behaviors are
effecting other students
May be violentare experiencing school difficulties
due to emotional/behavioral problems
CHILDREN/YOUTH/ADULTS WHO ABUSE
DRUGS/ALCOHOL TO SELF MEDICATE
Are not accessing needed Mental Health
Services.do not have access to services
have no support system
In extreme poverty and lack of services
Have been exposed to chronic stress and are
experiencing subsequent damage to their
social/emotional and global development
have not been identified
are pregnant or are parentsWho have parents
who deny mental health treatment or do follow
through with mental health treatment.are
parenting young children
are also dual diagnosis
have had their children taken away
Are children who's parents who abuse/abuse
drugs.
All of the above
drugs
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Underserved Cultural Populations – Three Most Important
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Underserved Cultural Populations – Three Most
Important - Other
Hmong
Underserved can be any of the above
Ukrainian and others that are from Eastern Europe
no sure
survivors of or witnessed abuse, violence, trauma
Those who have money but don"t
are parents with special needs,
Any and all groups
Refugee, Veteran
Homeless
persons with a cohabiting disability
Deaf & Hearing Impaired
Have private insurance with limited mental health coverage both in
number of visits and conditions covered.
all of the above
developmentally disabled w/ mental health dx
Unable to receive treatment from a primary physician.
age 0-3any culture homeless and jobless
THOSE W/O FINANCIAL MEANS TO ACCESS ADEQUATE
SERVICES; THOSE WITH CULTURAL OR FUNDAMENTAL
RELIGIOUS BELIEFS WHICH PREVENT OR INHIBIT THEIR
ABILITY TO UNDERSTAND &
ADDRESS THEIR MH ISSUES; THOSE WITH FAMILY MEMBERS
WHO LACK EDUCATION & ARE BIASED TOWARD MH ISSUES
& THEREFORE ARE UNWILLING OR UNABLE TO PROVIDE
AN ADEQUATE SUPPORT SYSTEM
Mixteco
All of the Above
Isolated
developmentally delayed
Working poor - have ins but it does not cover or
has limited coverage for condition
Pregnant and Post Partum
Mental Health doesn't discriminate, it attacks all
Resources aren't made commonly known to be
available to immigrants w/out being deported.
Infants, toddlers, preschool age children
developmentally disabled.
Italians
TAY Homeless Youth
Vets
Criminals
white people
all - i think
mixed nationalities
unemployed
Caucasiun
All of the above
Are not aware/able to access support
This is a question I can't answer due to lack of
understanding
anyone without knowledge of mental illness
I think it is wrong to ask
Indian Hindus Punjabis
This is racist question
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High Risk Adults and Seniors – Three Most Important
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High Risk Adults and Seniors – Three Most
Important - Others
are in families experiencing multiple problems
persons who have no family and no friends
have special needs
have children 0-5 years old
do not have education regarding mental health issues
all of the above
homeless people
who are parents of young children
with inadequate social support
Dual Dx - Addiction (prescribed/illegal & mental health)
are gang and drug involved
Are parenting young children
Nothing Stated
To wide of a group, so I picked 6
Can't drive
All of the above
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Individuals at Risk of Suicide – Three Most Important
answered question 791
skipped question 46
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Individuals at Risk of Suicide – Three Most
Important - Other
feel hopeless
VETERANS RETURNING FROM IRAQ/AFGHANISTAN
work related problems
survivors of/witnessed sexual abuse, violence, trauma
children living with other family members due to parental neglect or incarceration
who are frustrated with trying to get services and not been able to get help or into our system
all of the above
depression with traumatic life event
suffering in their illness, say mania of bipolar or feeling in depression like it will never end, don't see any
hope at the end of the tunnel that would be number 2 reason, and number 3 reason which I don't see on
your list, just tired of living, I am going to take the easy way out, good by. Does real suicide need a reason?
I have lost 22 people I have known to it, no it does not. No rhyme, no reason. Just such great losses.
using alcohol & drugs to feel "normal" because they didnt know they had a SMI
VETERANS RETURNING FROM IRAQ/AFGHANISTAN
those how have lost all hope
Feel lost, zero support system
Teens with a bad self image or bad hm life ex; DV, abuse
Have been expolsed to trauma and have not recieved appropriate early intervention
lost a boyfriend/girlfriend
are in foster careExperiencing grief because of any loss
More do apply
All of the above (suicide is suicide!)
mental illness; duel disorders
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*Optional*
1. What is your age?
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2. What is your gender?
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3. What is your ethnicity?
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3. What is your ethnicity? - Other
Ukrainian
Mixed
White and Hispanic
Mexican
Human
Cape Verdean
America Black Woman
white and hispanic
East Indian
Multiethnic
White and Hispanic and born in HI
None Stated
indian/spainardIrish/Hispanic
MixedMulti- Cultrural
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4. Which Community Stakeholder role(s) best describe you?
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4. Which Community Stakeholder role(s) best
describe you? - Other
friend of consumer
Taxpayer
I fill many of the above as well as many more
Parent
RN
Community Based Organization
Individual citizen
Media
elected official
Advocate
Philanthropy
Non-profit
Senior Organization
Attorney
Concerned Citizen
Juvenile Dependency attorney
Student
Graduate Student
School Board Member
Member of the community
in and out of jail/prison
regular person
Community Based Organization Provider
have mental health illnesses
Teenager
Youth
group home
a parole
I am a single parent recovering from drugs.
resident – westcare
Westcare
Worker in society to build a new tomorrow
Recovery from drug/alcohol. Experience
bad lifestyle addiction.
Man trying to become a good member of
society
Parolee
concerned parent
student of criminology
addicted person
mother of son who receives services
healer /faith organiazation
a mom
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5. Have you or a family member ever received mental
health services?
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