Marin County’s Marin County’s Experience Managing in Experience Managing in

Challenging TimesChallenging Times

Age Group

# Clients

Medi-Cal Only

Medi-Medi

Medicare Only

Insurance Only

CMSP Only

No Coverage

% w/no coverage

0-15 733 486 0 0 50 0 197 27%16-25 587 298 19 1 106 21 142 24%26-60 1,812 731 528 59 143 142 209 12%61- 370 62 204 49 14 9 32 9%

Total 3,502 1,577 751 109 313 172 580 17%

Marin CMHS Clients by Insurance Coverage in 2008-2009

New or Non-traditional Services Available New or Non-traditional Services Available

Age group Zero-15Age group Zero-15

0-5 Early Childhood Mental Health 0-5 Early Childhood Mental Health Initiative (PEI)Initiative (PEI)

0-12 Triple P (Positive Parenting Program)0-12 Triple P (Positive Parenting Program) Student Assistance Program in a Middle Student Assistance Program in a Middle

School (PEI)School (PEI) Parenting Groups in English & SpanishParenting Groups in English & Spanish Medi-Cal Managed Care: Family Therapy Medi-Cal Managed Care: Family Therapy

or Parent Child Interactive Therapyor Parent Child Interactive Therapy

Age Group 16-25Age Group 16-25

TAY Program at Teen Health Clinic (PEI)TAY Program at Teen Health Clinic (PEI) TAY Drop In Hours at the FSP for non-TAY Drop In Hours at the FSP for non-

enrolled clients enrolled clients Medi-Cal Managed Care: Time limited Medi-Cal Managed Care: Time limited

Group TherapyGroup Therapy

Age Group 26-60Age Group 26-60

Client Run Support Groups at Wellness CenterClient Run Support Groups at Wellness Center IMPACT with Problem Solving Treatment at IMPACT with Problem Solving Treatment at

Health Clinics (PEI)Health Clinics (PEI) Family Support GroupsFamily Support Groups Family to Family Groups by NAMIFamily to Family Groups by NAMI Warmline for Peer Counseling by TelephoneWarmline for Peer Counseling by Telephone Medi-Cal Managed Care: Time limited Group Medi-Cal Managed Care: Time limited Group

TherapyTherapy

Age Group 61 and OverAge Group 61 and Over

Volunteer Senior Peer Counselors’ Home Volunteer Senior Peer Counselors’ Home VisitsVisits

IMPACT and Problem Solving Treatment IMPACT and Problem Solving Treatment at Health Clinicsat Health Clinics

Home Delivered Meals Outreach Program Home Delivered Meals Outreach Program (PEI)(PEI)

Medi-Cal Managed Care: Time limited Medi-Cal Managed Care: Time limited Group TherapyGroup Therapy

Recovery Model QuestionRecovery Model Question

How do we move from one professional How do we move from one professional helping one client at a time to people in helping one client at a time to people in the community helping each other on their the community helping each other on their paths to recovery? paths to recovery?

ExamplesExamples

Client run drop in center open seven days Client run drop in center open seven days a week (see sample schedule)a week (see sample schedule)

Crisis Intervention Team (CIT) law Crisis Intervention Team (CIT) law enforcement personnel trained to enforcement personnel trained to intervene in mental health emergenciesintervene in mental health emergencies

Senior Peer Counselors making weekly Senior Peer Counselors making weekly visits to isolated older adultsvisits to isolated older adults

Use MHSA Innovation funds creativelyUse MHSA Innovation funds creatively

Enterprise Resource CenterEnterprise Resource CenterTuesday’s Schedule of EventsTuesday’s Schedule of Events 9 a.m. Movement Group9 a.m. Movement Group 10 a.m. Diabetes Support Group10 a.m. Diabetes Support Group 11 a.m. Smoking Cessation 11 a.m. Smoking Cessation 1 p.m. Women’s Dual Recovery Anonymous Group1 p.m. Women’s Dual Recovery Anonymous Group 2 p.m. Process Group 2 p.m. Process Group 3 p.m. Calligraphy Class 3 p.m. Calligraphy Class 5 p.m. Hoarding and Cluttering Support Group 5 p.m. Hoarding and Cluttering Support Group 7 p.m. Family Support Group with NAMI 7 p.m. Family Support Group with NAMI