Child & Adolescent Crisis Program

Lisa Davis, Clinical Director

Carlos Aguila, Clinical Program Manager

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Child and Adolescent Crisis Program (CACP)

• Providing mobile community based crisis intervention services for 19 years

• CACP is referred to as the “safety net” for Santa Clara County

• Serve 650 youth annually• Achieve a hospitalization diversion rate of 70%

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CACP- Uniqueness• Target population to include every child and adolescent living in Santa

Clara County• Service availability to every school, clinic, police and sheriff

departments, and the community at large. • Specialty expertise of the clinical staff

– Training in all aspects of crisis intervention– Average years of employment is 14.5

• Provide training in crisis intervention to community partners Outcomes:

– Improves the overall crisis response of our community– Improves the handling of crises by recipients of the training– Targets specifically their ability to reduce the trauma and stigma

of the crisis experience for kids and families involved.

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Santa Clara County Mental Health Community PartnersSanta Clara County Mental Health Community Partners

• Santa Clara• Campbell• Palo Alto• Los Altos

• San Jose• Milpitas• Sunnyvale• Morgan Hill

• Gardner Mental Health• KARA• Santa Clara County Mental Health • YWCA Rape Crisis Center• San Andreas Regional Center• Almaden Valley Counseling Services• Parents Helping Parents• NAMI

• Alum Rock• Bill Wilson Center• Center for Living with Dying• Las Plumas Mental Health• Fair Oaks Mental Health• Bascom Mental Health• Ujirani Family Resource Center• AACI• Ujima Adult and Family Services

Santa Clara County Police DepartmentsSanta Clara County Police Departments

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• Addison• Almond• Bernal • Blach • Braham • Challenger• Covington • Dartmouth• Daves • Del Mar • Escondido• Fair • Fischer

• Gardner Loyola• Gunderson• Gunn• Hubbard• James Lick• John Muir • Linda Vista • Loma Prieta • Los Gatos• Montgomery• Ocala M.S.C. T.

English M.S. • PACT/Sherman

Oaks • Palo Alto

• Pioneer • Reed

Elementary• Rolling Hills • Rosemary • San Jose City

College• Sheppard• Silver Creek • St Justin• Stipe • Stratford

Santa Clara County Schools (partial listing)Santa Clara County Schools (partial listing)

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Who We Serve• Community Quotes

– " Thank you so much for the work that you do. Your services are definitely needed in and are an asset to the community.” Barbara Thompson- NAMI National Alliance for the Mentally ill.

– "Teaming with the mobile crisis program in assessing the kids that come into our ER, allows our staff to more thoroughly serve our other patients that come into our ER. Without their service, our hospital staff would be spread very thin in meeting the needs of all of our clients." El Camino Hospital

– "The crisis team allows our department's officers to leave the scene of a call with the confidence that the families they are serving will be immediately helped. As an added bonus, the families served by the crisis team are linked up with long term resources in the community which ultimately translates into fewer future calls." San Jose Police Department Sergeant

– "Wouldn't know what to do without the Crisis team. Your team has assessed hundreds of kids in our district, and have saved lives!" Rachael Bull-Eastside Union School District

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Program Service

• Information and Referral – Consultation

– Response

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Intervention Process

Call Consultant-Determine Disposition(Hospitalization or Safety Plan)

Present Case to Hospital-Give heads-up to AMR

Bed Authorized by HospitalCall AMR with go-ahead

Pickup by AMR

Client in Transit to Hospital

Paperwork Processed

Develop Safety Plan-1 hr. 30 minutes

Referrals for Follow Up Care

• Home• Residence Other than Home• Respite Placement (e.g., Bill Wilson

Center, Other Family Member)• May Need to Arrange Transport

Phone ScreenInitial Assessment Call Clinician(s) with Info

Clinician (s) Arrive,Call Consultant

Clinician (s) Begin Assessment

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CACP Provides

• Rapid-response services to all children and families in Santa Clara County• Services regardless of placement or funding• Collaborative safety planning and mental health risk assessments• Facilitation of emergency hospitalizations (5150) when necessary• Services to reduce unnecessary, over-utilization of law enforcement

resources • Professional clinicians who provide therapeutic intervention • Collaboration with other service providers working with youth• Referrals, information and support to children, families and professionals in

accessing services• Training for community partners to support children and families in Crisis

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CACP Organizational Chart

Associate Clinical DirectorLinda Nunn, MFT

CACP ClinicalProgram ManagerCarlos Aguila, ASW

Administrative AssistantTerrie Day

Clinician IFull-Time

Bryan Rich, Ph.D., LMFTPatricia Carrillo, ASW

Lieu Tran, ASW

Clinician IOn-Call

Mark Taberna, MFTIMelanie Valdez, ASWl

Michelle Jio, MFTISteven Richmond, LMFT

Trisha Graves, .ASW

Clinical DirectorLisa Davis, MFT

Clinician IOn-Call

Ana Bandjak, MFTICarlos Smith, ASW

Kevin Burnside.MSWIMarie Busque, LCSW

Clinician I19-Hour

Craig Barton, ASWMelanie Valdez, ASWRegan R Hunt, LCSW

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Staff Comments

“I do crisis work because it's endlessly fascinating and compelling, because it enables me to work with wonderful people on my team and in the community, because it helps me grow as a person and because I have a deep wish to provide service to others. I love crisis work because it gives me the opportunity to connect with the profound and awe-inspiring depths and resources of the human spirit, in clients and coworkers, day after day.”

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Staff Comments

• “I enjoy training staff and responding to Crisis....Every day is different and every day I am able to do something, at that moment, to really help children and their families when they are hurting the most.”

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Being Culturally Sensitive• EMQ FamiliesFirst’s Child and Adolescent Crisis program

ensures that culturally competent services are provided by:– Maintaining a diverse staff with language capacity to match the

rich diversity of Santa Clara County– Continuous training and supervision on cultural awareness– Providing services in the child/caregiver’s preferred language– Providing written materials in the child/caregiver’s preferred

language– Assessing for cultural needs and factors that could impact

services

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Staff Ethnicity

Bi/Multi-Racial13%

African American

13%

Filipino6%

Caucasian37%

Latin American/ Hispanic

25% Pacific Islander

6%

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Staff Language

Spanish31%

Croatian6%

Serbian6%

Bosnian6%

French6%

Vietnamese6%English only

39%

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Youth Served 2010-11

21 20

45

68

48

31

71

55

81

55

81

41

0

10

20

30

40

50

60

70

80

90JulAugSeptOctNovDecJanFebMarAprMayJun

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Youth Ethnicity

0.3% 11.5%Mex-American/Latino

5.2%African American

30.5%Hispanic

0.2%3.2%

0.6%0.2%

31.9%Caucasian

1.9%

0.6% 0.8%0.2% 1.3%1.5%

0.3%0.2%

0.3%

0.3%

2.9%

1.3%

4.5%

0.2%

CaucasianMex-American/LatinoAfrican-AmericanNative AmericanHispanicOther Asian/Pac IslandChineseCambodianFilipinoOther Southeast AsianVietnameseLatin AmericanJapaneseNon-WhiteOtherUnknownSamoanAsian IndianHawaiian NativeKoreanLaotianFormer SovietMulitple

N=617

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Youth Language

0.3%

0.2%

0.3%

0.3%0.3%

89.0%English

8.4%Spanish

0.8%0.2%

0.2%

English

Spanish

Vietnamese

Chinese

Chinese Dialect

Farsi/Persian

Hindi

Tagalog

Other

Unknown/Not Reported

N=617

Youth Language

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Who We Serve• Profile

• Success Story– Ryan

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Quotes from Families

• " Quick response, very thorough, and professional."• "To know this service is available so we don't have to go to the

hospital again."• “Clinician was very informative, patient, and knowledgeable.

Clinician effectively answered my questions.“• "They were very understanding and listened to my problems,

and don't judge me." • "Care was thorough. The staff was highly skilled.“• "The counselors are kind and helpful, and I also liked knowing

that I have extra support when I need it.“• "Team showed us different ways to cope with my daughter.“• " The counselor approach was positive and was able to provide

excellent information.”

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Hospitalizations/Safety Plans FY10-11

432 (70.02%)

185 (29.98%) Number of Hospitalizations

Number of Safety Plans

Special note: Crisis response time is less then 60 minutes 100% of the time.

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“We do whatever it takes”