ADMHS Peer Navigator Toolkit

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1 ADMHS Peer Navigator Toolkit Promoting Wellness, Resiliency and Recovery for Individuals and Families V Santa Barbara County Department of Alcohol, Drug and Mental Health Services (ADMHS) 300 N. San Antonio Road Santa Barbara, CA Alice Gleghorn, Ph.D., Director

2 NECESITA AYUDA CON PROBLEMAS DE ALCOHOL, DROGAS O SALUD MENTAL? Acceso directo a servicios Respuesta a crisis Información y Educación Evaluación Referido Personal clínico entrenado LLAME GRATIS horas 24/7 7 días Countywide Por todo el condado Operado por el servicio CARES del Condado de Santa Bárbara, Servicios de Emergencia, Crisis y Recuperación

3 NEED HELP FOR AN ALCOHOL, DRUG OR MENTAL HEALTH PROBLEM? Access to Direct Services Crisis Response and Triage Information and Education Assessments Referrals Staffed by Trained Clinicians CALL TOLL-FREE /7 24/7 Countywide Operated by Santa Barbara County CARES Crisis and Recovery Emergency Service

4 ADMHS IMPORTANT PHONE NUMBERS Updated Executive Location Ext. Gleghorn, Alice, Ph.D., Director SB 5233 Behrendtsen, Ole, Med. Dir. SB 5235 Craft, Michael, Asst. Dir. Clinical Operations SB 5449 Ribeiro, Chris, Interim CFO SB 4517 Walter Lindsay, Interim CFO SB 5236 Division Chiefs Location Ext. Andersen, Celeste, Chief of Compliance SB 4092 Boyer, Christie, CPA, Assoc. Dir. Fin. SB 5231 Grimmesey, Suzanne, Strategic Management SB 5289 Rodriguez, Cuco, MHSA SB SM 4505 Tran, Yentran, Admin Serv SB 5208 Regional Managers Location Ext. Fahey, Sandra LO 6600 Huddleston, Deana SM 6380 Vesper, Andrew SB 1615 Managers Location Ext. Doyel, John, ADP Prgm. Mgr. SB 4097 Fahey, Dana, MIS SB MIS 5227 Lundt, Leslie, PHF Med. Dir. SB PHF 5244 Thomas, Ernest, Facilities SB Admin 5206 Wooton, Tina Consumer Empowerment, Mgr. SB Admin 5323 Zeitz, Laura, Crisis Services SB Admin Team Supervisors Location Ext. Allen, Michael LO Mobile 6625 Altobelli, Arlene, PhD SM Child 6555 Atwill, Peggy, RN CARES No 8648 Baker, Deidre SB Fiscal 5292 Balzar Gott, Charlotte, RN PHF 5244 Bernard, Geoff SM Adult 6369 Cole, Christine SB Med. Recs Collett, Sterling LO Adult 6625 Conn, Lisa, MFT Juv. Just Corona, Marcela, LCSW CARES So 6898 Diaz, Stephanie ADP 4775 Eymann, Jonathan Calle Real 5314 Garcia, Ramil PHF 5244 Kinoshita, Pat SB MIS 7856 Lopez, Amy SM 1566 Macias Guerra, Thelma LO Children's 7990 Cathleen Ouimet CARES No 6399 Patarias, Elodie SM Adult 6372 Ramirez, Crystal CAREs So 6887 Soderman, Michael, Acctg. Supr. Fiscal 1619 Verica, Tom SB Children's 1628

5 ADMHS IMPORTANT PHONE NUMBERS Xique, Maria Admin 5232 ACT Phone LOMPOC ACT SANTA BARBARA ACT SANTA MARIA ACT Clinics Phone CARES NORTH CARES RES CARES SOUTH LO Adult LO Child PHF SB Child SM Adult SM Child CALLE REAL Admin Resources Phone/ Compliance Hotline Contract Team HR IT HelpDesk QCM barbara.ca.us barbara.ca.us OR

6 Calle Real Campus Building 1 (300 N. San Antonio Rd.) 1 st Floor Administrative Offices Auditorium Conference Rooms Emergency Medical Services Human Services 2 nd Floor General Accounting Patient Accounting Human Resources Information Technology Building 3 (315 Camino del Remedio) Ground Floor Data Services Training Room Information Technology Storeroom Women, Infants & Children (WIC) 1 st Floor Laboratory Psychiatric Health Facility (PHF) Radiology (X-Ray) 2 nd Floor AFLP/TAPP/Cal-Learn Nutrition Services Mental Health Clinic/Administration Building 4 (345 Camino del Remedio) 1 st Floor Gift Shop Cafeteria (Back Door Deli) 2 nd Floor Clinics & Lobby Medical Records Pharmacy Medical Social Services MIA Eligibility 3 rd Floor Administrative Offices AIDS Services Birth & Death Certificates Disease Control & Prevention Epidemiology MCH Field Nursing Older Adults Program Utilization Review/Indigent Health Building 6 Casa del Mural Mental Health Facility Building 7 (260 N. San Antonio Rd.) APCD, SBCAG, DSS Building 8 (300 N. San Antonio Rd.) Public Health Administration -Director -Deputy Director -Health Officer -Contracts Unit Building 10 Architectural Archives Building 11 (267 Camino del Remedio) Employee s University Building 12 (263 Camino del Remedio) Agricultural Commissioner Building 12A (225 Camino del Remedio) Environmental Health Services Building 13 - not in use Building 14 (4444 Calle Real) Mental Health Facility Building 15 (4444 Calle Real) Veterans Outpatient Services Building 16 (234 Camino del Remedio) Social Services HCS-040 (10/31//07)

7 How to Obtain Alcohol, Drug and Mental Health Services Santa Barbara County Department of Alcohol, Drug and Mental Health Services Santa Barbara County Access Line (888) To obtain help for someone experiencing a mental health crisis: If the crisis places anyone in immediate danger, call 911. If the crisis does not involve immediate danger, and if the person in crisis has insurance coverage through a health plan, call the health plan to get a referral to a covered mental health provider. For all others, call ADMHS 24-hour toll-free Access Line at The call is toll free, and someone will answer to assist you 24 hours per day, 7 days per week. To obtain services for yourself or a loved one: If you have never been seen by ADMHS, contact ADMHS 24 Hour Toll Free Access Line at (888) To obtain services for an alcohol or drug problem for yourself or a loved one: The Santa Barbara County Alcohol & Drug Program (ADP) is primarily an administrative office that contracts with local community based organizations to provide alcohol and drug prevention, treatment, and recovery services to the community. If you think you or someone you know might have an alcohol or drug problem, you can contact ADMHS 24 Hour Toll Free Access Line (888) for assistance in locating a service provider in your area. You may also call ADP at

8 Cómo obtener servicios El Condado de Santa Barbara Departmento de Alcohol, Drogas y Servicios de la Salud Mental Condado de Santa Barbara Linea de Acceso (888) Cómo obtengo ayuda para alguien que está sufriendo una crisis nerviosa? Si la crisis pone en peligro inmediato a cualquier otra persona, llame al 911. Si la crisis no implica peligro inmediato y si la persona en crisis tiene cobertura de seguro mediante un plan de salud, llame al plan de salud para que lo refieran a un proveedor de salud mental con el que tenga cobertura. Para todos los demás casos, llame a la línea de acceso gratuito de ADMHS disponible las 24 horas al La llamada es gratuita y cuenta con asistencia de operadores las 24 horas del día, los 7 días de la semana. Cómo puedo yo o un ser querido obtener los servicios de salud mental? Si usted nunca ha sido atendido por ADMHS, comuníquese con la línea de acceso gratuito de ADMHS disponible las 24 horas al (888) Cómo puedo obtener los servicios por un problema de drogas o alcohol? El Programa Contra el Uso de Alcohol y Drogas del Condado de Santa Bárbara es principalmente una oficina administrativa que contrata organizaciones comunitarias locales para ofrecer a la comunidad servicios de prevención, tratamiento y rehabilitación por uso de alcohol y drogas. Si cree que usted o alguien que conoce podría tener problemas con el alcohol o las drogas, puede comunicarse con la línea de acceso gratuito de ADMHS disponible las 24 horas al (888) para que lo ayuden a encontrar un proveedor de servicios en su zona o ADP,

9 Twelve Things You Should Know about ADMHS 1. ADMHS operates the managed care Mental Health Plan for Santa Barbara County. We provide specialty alcohol, drug and mental health services for children with serious emo onal disorders (SED) and adults with severe mental illness (SMI) and addic on. (Individuals with mildto moderate mental illness may receive behavioral health care through CenCal, community clinics, primary care physicians, lowcost counseling services and other community providers.) 2. The purpose of behavioral health services is to foster resiliency in children and recovery in adults. 3. Most ADMHS clients are children from lowincome families and low income adults who have Medi Cal, California's version of Medicaid. Some clients do not have insurance. 4. ADMHS supports a wide array of programs based on a client s age and the extent of challenges. For example, therapy from network providers is a rela vely low intensity service. Adult clients with greater needs may be served by clinics, supported housing and Asser ve Community Treatment (ACT) programs. Individuals the most acute needs may require inpa ent care. 5. The first step in obtaining services is calling the 24/7 Access Line, A licensed clinician will provide a telephone screening and direct the caller to appropriate next steps. 6. Individuals seeking assistance for problems related to alcohol or drug dependence may call the ADMHS Alcohol and Drug Program, ADMHS behavioral health services are provided by both county staff and contracted communitybased organiza ons (CBOs). 8. ADMHS receives a substan al share of its funding from the Mental Health Services Act, also known as MHSA and Prop 63. MHSA requires adherence to five guiding principles: community collabora on, cultural competence, client and family driven services, integrated service experiences and a focus on wellness, resiliency and recovery. 9. To assist people experiencing mental health crises, call the 24/7 Access Line, When a person experiencing a mental health crisis poses a threat of immediate violence, call People with psychiatric disabili es are far more likely to be vic ms than perpetrators of violent crime (Appleby, et al., 2001). People with severe mental illnesses, schizophrenia, bipolar disorder or psychosis, are 2 ½ mes more likely to be a acked, raped or mugged than the general popula on (Hiday, et al.,1999)." 11. Many individuals with mental health challenges self medicate with alcohol or other drugs. Consequently, ADMHS s ongoing efforts to integrate the delivery of alcohol, drug and mental health services are very important. The combina on of mental illness and substance use disorders is called dual diagnosis or cooccurring condi ons. 12. ADMHS operates a 16 bed psychiatric hospital, the Psychiatric Health Facility, or PHF. The PHF is currently the only facility in Santa Barbara County offering inpa ent care for individuals under involuntary holds, or 5150s.

10 Doce cosas que debe saber sobre ADMHS 1. ADMHS administra el Plan de Salud Mental (Mental Health Plan) en el condado de Santa Bárbara. Proveemos servicio especializado de salud mental y contra el alcohol y drogas para niños con serios desórdenes emocionales (SED) y adultos con enfermedades mentales severas (SMI) y adicciones. (Personas con enfermedades mentales leves o moderadas pueden recibir cuidado de salud de conducta a través de CenCal, clínicas de la comunidad, médicos primarios, servicios de consejería a bajo costo y otros proveedores en la comunidad.) 2. El propósito de los servicios de salud de conducta es promover resiliencia en niños y recuperación en adultos. 3. La mayoría de los clientes de ADMHS son niños de familias con bajos ingresos y adultos con bajos ingresos que tienen Medi Cal, la versión de California de Medicaid. Algunos clientes no tienen seguro médico. 4. ADMHS apoya una gran variedad de programas basados en la edad del cliente y la naturaleza de sus dificultades. Por ejemplo, terapia dada por un proveedor de la red es un servicio de poca intensidad. Clientes adultos con mayores necesidades pueden ser atendidos en clínicas, vivienda asistida y programas de Tratamiento Comunitario Asertivo (Assertive Community Treatment, ACT). Personas con necesidades más severas pueden necesitar servicios de hospitalización o internación. 5. El primer paso para obtener servicios es llamar a la Línea de Acceso, La línea está disponible las veinticuatro horas del día, siete días a la semana. Un personal médico licenciado hará una evaluación por teléfono y le informará cuáles son los próximos pasos a seguir. 1 P age

11 6. Las personas que necesitan asistencia con problemas de alcohol o drogas pueden llamar al Programa de Alcohol y Drogas de ADMHS al Los servicios de salud de conducta de ADMHS son dados por tanto el personal del condado y por organizaciones contratadas que están basadas en la comunidad (CBO). 8. Una gran parte de los fondos de ADMHS vienen del Acta de Servicios de Salud Mental (Mental Health Services Act), también conocida como MHSA o Propuesta 63. MHSA requiere que cinco principios guías sean seguidos: colaboración con la comunidad, competencia cultural, servicios dirigidos por el cliente y la familia, experiencias de servicio integrado, y un foco en el bienestar, la resiliencia y la recuperación. 9. Para asistencia con una crisis de salud mental, llame al La línea está disponible las veinticuatro horas del día, siete días a la semana. Si una persona que padece una crisis pone en peligro inmediato a cualquier persona, llame al Personas con incapacidades psiquiátricas son más propensas a ser víctimas que a cometer crímenes violentos (Appleby, et al., 2001). Personas con enfermedades mentales severas, esquizofrenia, desorden bipolar o psicosis son 2 1/2 veces más propensas a ser atacadas, violadas, o robadas que la población en general (Hiday, et al., 1999). 11. Muchas personas con dificultades de salud mental se auto medican con alcohol y otras drogas. Por lo tanto, los esfuerzos de ADMHS de integrar los servicios de salud mental con los servicios contra el alcohol y otras drogas son muy importantes. La combinación de desórdenes de salud mental con los de abuso de sustancia se conoce como diagnóstico doble o condiciones concurrentes. 12. ADMHS opera un hospital psiquiátrico con 16 camas, la Instalación de Salud Psiquiátrica (Psychiatric Health Facility, PHF). La PHF es en estos momentos la única instalación en el 2 P age

12 condado de Santa Bárbara que ofrece servicios de hospitalización para pacientes en detención involuntaria, o P age

13 2015 ADMHS Directory of Programs and Services This Directory will be updated as needed. Please correc ons or updates to: Eric Baizer Revised Santa Barbara County Department of Alcohol, Drug and Mental Health Services (805) /7 Access Alice Gleghorn, Ph.D. Director

14 All Ages 2015 ADMHS Directory of Programs and Services To obtain behavioral health services, please call the 24/7 Access Line, *Pending approval by the State of the FY MHSA Plan Update. Access and Assessment Teams* Three regional teams specializing in access and assessment, with special attention to cultural considerations, such as unique presentations of crises among minorities and the importance of accessing family and community supports. The new regional teams are based in Lompoc, Santa Maria and Santa Barbara. The teams are guided by recovery and resiliency concepts and will improve access to services. Ages Served: All Regions: All Capacity: NA Provider: ADMHS ADMHS Contact: Community Health Educators (Promotora) Community health educators from culturally under served populations who provide educational workshops, discussion groups and support groups to address individual and family mental health and wellness topics. Culturally and linguistically appropriate services ensure linkages to services. Cultural wellness practices are integrated into outreach, consultation and early intervention activities. Ages Served: All Regions: All Capacity: NA Provider: Community Health Centers of the Central Coast, La Casa De La Raza, Santa Ynez Tribal Health Clinic ADMHS Contact: Deana Huddleston, (North), Sandra Fahey, (West), Andrew Vesper, (South) Cultural Adaptations to Evidence Based Practices* Appropriate adaptations to evidence based practices (EBPs) will be created to meet the needs of underserved and un served cultural and ethnic populations in Santa Barbara County. A system wide training plan will ensure consistency across regions and target populations. Fidelity in implementation of EBPs throughout the behavioral health service delivery system will be monitored. Ages Served: All Regions: All Capacity: NA Provider: ADMHS ADMHS Contact: Elisa Gottheil, Ph.D.,

15 Inpatient Acute Services Provided for individuals requiring hospitalization for psychiatric conditions. Children are served primarily at Aurora Vista Del Mar Hospital in Ventura. Ages Served: All Regions: All Capacity: NA Provider: Various providers, including Psychiatric Health Facility (PHF), Aurora Vista Del Mar Hospital and Institutions for Mental Disease (IMDs) ADMHS Contact: Leslie Lundt, MD, Integration of Behavioral Health Care in Community Clinics The Community Health Centers of the Central Coast (CHCC) offer mental health services at three clinics in Santa Maria and one in Lompoc for individuals with mild or moderate mental illness. Expanded mental health resources in each community health clinic strengthen the capacity to assess, treat, and refer individuals at risk of developing a serious mental health condition. Ages Served: All Regions: North and West Capacity: 3,800 Provider: Community Health Centers of the Central Coast ADMHS Contact: Deana Huddleston, (North), Sandra Fahey, (West) Patients' Rights Patients' Rights Advocates are ADMHS staff members who report directly to the ADMHS Chief of Compliance. They are available to assist anyone who has a concern about the legal rights of consumers, family members, and members of the community. Patients' Rights Advocates can answer questions, provide advice, and represent consumers in grievances, appeals, and State Fair Hearings. Ages Served: All Regions: All Capacity: NA Provider: ADMHS ADMHS Contact: Kay Kizer Waldo, Provider Network Licensed mental health professionals contracted as Network Providers with ADMHS to provide shortterm outpatient individual, family and group therapy for Medi Cal beneficiaries with specialty mental health needs. Ages Served: All Regions: All Capacity: NA Provider: Individual practitioners. ADMHS Contact: Emily Gularte,

16 Children and Transition Age Youth To obtain behavioral health services, please call the 24/7 Access Line, *Pending approval by the State of the FY MHSA Plan Update. Big Brothers, Big Sisters Mentoring opportunities provided for youth 7 17 who lack positive adult role models. Ages Served: 7 17 Capacity: 600 youth by June 30, 2017 Provider: Family Services Agency ADMHS Contact: John Doyel, Child Assistance Team Creating Hope (CATCH) Assists preschoolers who exhibit challenging behaviors and do not qualify for special education. This program uses an evidence based curriculum to train teachers and to support parents of preschoolers with challenging behaviors to prevent expulsion from school. Region: North and West Ages Served: Children Capacity: 30 Provider: County Education Office ADMHS Contact: Sandra Fahey, Child Protective Services Network Network providers are assigned to clients of Child Welfare Services. Ages Served: Children Capacity: NA Provider: ADMHS, Department of Social Services, Individual Network Providers ADMHS Contact: Amy Lopez, ; Emily Gularte,

17 Early Childhood Mental Health (ECMH) Provides in home support, health and development screening, parent education and skills training, infant parent psychotherapy, advocacy, resources and referrals. Ages Served: 0 5 Capacity: 185 Provider: CALM, Santa Ynez Valley People Helping People, Santa Barbara County Education Office, Community Action Commission ADMHS Contact: Deana Huddleston, (North), Sandra Fahey, (West), Andrew Vesper, (South) Girls Resiliency, Restoration and Reintegration Alliance (GRRRL)* Provides services to young women victims of sex trafficking. Services are also offered to siblings and family members to decrease the chance of sibling involvement and increase the positive involvement of family members in promoting the recovery and reintegration of victims. Friends, families, service providers, and community members will be educated in how to recognize the signs of sex trafficking, and what to do if you suspect someone is in danger. Ages Served: Children and Adolescents Capacity: 80 Provider: ADMHS ADMHS Contact: Lisa Conn, HOPE Provides an array of intensive in home services available to foster home and extended family home placements. Seeks to maintain the stability of children in their homes and placements and reduce multiple placements. Ages Served: Children and Adolescents Capacity: 82 Provider: CALM, Santa Maria Valley Youth and Family Center ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) Intensive Home Based Services (IHBS) Intensive, individualized, strength based interventions for foster care youth in the designated Katie A subclass. Ages Served: Children and Adolescents Capacity: NA Provider: Casa Pacifica, Family Services Agency ADMHS Contact: Sandra Fahey,

18 Intensive In Home Program A home based model of service delivery to help families solve problems within the context of their home environment. Includes stress management, building communication and parenting skills and additional behavioral interventions. Ages Served: Children and Adolescents Capacity: TBD Provider: CALM, Family Service Agency, Santa Maria Valley Youth and Family Center ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) Intensive Therapeutic Foster Care (ITFC) A medically necessary treatment service for foster care youth in the designated Katie A subclass. These children can accept and respond to close relationships within a family setting and require intensive therapeutic services. Ages Served: 0 21 Capacity: 5 Provider: Family Care Network ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) Juvenile Justice Mental Health Services (JJMHS) Serves youth in the Santa Barbara County Juvenile Probation institutions, including juvenile hall, the Los Prietos Boys Camp, and the Los Prietos Academy. JJMHS staff members also conduct evaluations for the juvenile court and provide outpatient psychotherapy for Probation youth. Ages Served: Children and Adolescents Capacity: NA Provider: ADMHS ADMHS Contact: Sandra Fahey, Managed Care Mental Health/Brief Therapy Provides children who are Medi Cal beneficiaries and their families brief, time limited therapy. Ages Served: Children Capacity: NA Provider: CALM, Family Service Agency, Santa Maria Valley Youth and Family Center ADMHS Contact: Elizabeth Barbosa, ; Tammy Summers, ; Juliana Koenig, ; Irwin Lunianski, MD,

19 New Heights Assists transition age youth in making the successful transition into adulthood by offering an array of recovery focused services, including mental health treatment, employment and education support and referrals, socialization support, and linkage to other service providers and community resources. Ages Served: Transition Age Youth Capacity: 90 Provider: ADMHS and Mental Health Systems ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) Prevention & Early Intervention (PEI) TAY Provides early screening and treatment services for individuals experiencing prodromal symptoms or the onset of a psychotic illness and/or those diagnosed with psychosis or other serious mental illness within the past 12 months. The program also provides outreach and education to the community by developing networks with those who can serve as early identifiers. Ages Served: Transition Age Youth Capacity: 90 Provider: ADMHS and Mental Health Systems ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) Prevention Services Education, environmental prevention and early intervention services targeted to prevent individuals from abusing substances and to limit access to alcohol and other drugs (AOD) in the community. Ages Served: Children and Adolescents Capacity: 2,050 Provider: Council on Alcoholism and Drug Abuse, Central Coast Future Leaders, Noah's Anchorage, Channel Islands Isla Vista Teen Center, UCSB Alcohol and Drug Program, Guadalupe Police Department Gladiators, UCSB Department of Counseling Evaluation Services, People Helping People, Family Services Agency, Santa Maria Youth and Family Treatment Center, United Way of Santa Barbara. ADMHS Contact: John Doyel, Rehabilitation Specialist Services Flexible, intensive and individualized behavioral interventions are designed to assist youth in developing interpersonal and social skills, manage negative behaviors and succeed in their home, school and community. Ages Served: Children and Adolescents Capacity: 126 Provider: Community Action Commission ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) 6

20 Residential Placement (Children) Placement for children RLC Ages Served: Children and Adolescents Capacity: NA Provider: Casa Pacifica and others. ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) Residential Treatment Mental Health Services Program Provides mental health services for children who have been temporarily removed from their homes by the Department of Social Services and placed in a facility in Camarillo. Ages Served: Children and Adolescents Capacity: NA Provider: Casa Pacifica ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) SAFTY (Children's Mobile Crisis) A mobile crisis response program for children, youth and families. Available 24 hours a day, 7 days a week. Ages Served: Children and Adolescents Capacity: NA Provider: Casa Pacifica ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) SB 163 Wraparound Returns children and youth in group home care to their communities or to help children at imminent risk of placement to remain in their homes. Ages Served: Children and Adolescents Capacity: 25 Provider: Casa Pacifica ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) 7

21 School Based Mental Health Program Early identification of alcohol and other drug problems related to the use or abuse of drugs and provides services for mild to moderate mental illness. Ages Served: Children and Adolescents Capacity: NA Provider: Family Services Agency, Santa Maria Valley Youth and Family Center ADMHS Contact: North: Deana Huddleston, ; West: Sandra Fahey, ; South: Andrew Vesper, SPIRIT Wraparound program that provides a family focused, strength based, individualized service to help children and their families meet needs through natural community supports or through the mental health system of care. SPIRIT staff ensure that care is available 24/7 to keep youth and families stable and safe. Ages Served: Children and Adolescents Capacity: 75 Provider: ADMHS and CALM ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) START (Support, Treatment, Advocacy and Referral Team) This program provides mental health assessment, screening and treatment, home visits, school collaborations, family interventions, linkage and education for children, adolescents and families. A school based program offers prevention and early intervention mental health services to students in Carpinteria public schools experiencing emotional and/or behavioral difficulties. Region: South Ages Served: Children and Adolescents Capacity: 90 Provider: Family Services Agency, Council on Alcoholism and Drug Abuse ADMHS Contact: Andrew Vesper, Therapeutic Behavioral Services (TBS) Short term, strength based, behavioral focused service that works with a child, caregivers and the primary mental health provider to address behaviors that put a child at risk for a higher level of care. Ages Served: Children and Adolescents Capacity: 60 Provider: Casa Pacifica ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) 8

22 Wellness & Resiliency Teams* Specialized outpatient teams in each region use evidence based practices to serve children with serious emotional disturbance. Ages Served: Children and Adolescents Capacity: TBD Provider: ADMHS ADMHS Contact: Arlene Altobelli, Ph.D., (North), Thelma Macias Guerra, (West), Tom Verica, (South) Youth and Family Treatment Centers Treatment for youth who have begun using drugs and alcohol, and their families, in the community and through school based counseling services. The focus is on youth between the ages of 13 and 17, and programs provide age appropriate developmental services and family involvement. Ages Served: Children and Adolescents Capacity: 100 Provider: Daniel Bryant Youth and Family, Santa Maria Valley Youth and Family Center, Coast Valley Substance Abuse Treatment Center ADMHS Contact: John Doyel, Youth Service Specialists (YSS) The Youth Service System provides trained Youth Service Specialists (YSS) who work at junior highs and high schools from Carpinteria to Goleta, providing a continuum of alcohol and other drug related prevention and intervention services. Region: South Ages Served: Junior High and High School Capacity: 340 Provider: Council on Alcoholism and Drug Abuse ADMHS Contact: John Doyel,

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