Western States Decision Support Group (WSDSG) Regular Meeting

Jan 31 - February 1, San Diego, CA

Anecdotal notes

In many states, accessing Medicaid data is difficult for mental health data people. SOCSI is looking at how to better collect ECT data and the problems for being unable to easily correlate Medicaid information.

28% of children/youth admitted to state hospital in Utah have a principal diagnosis of a disorder associated with abuse.

Accountability: How do we know if people are getting better? WSDSG - how do we answer that question, what do we measure, what data do we collect, ... ? If we can’t measure this, perhaps we can look for different ways to allocate the money.

Mark Refowitz, County Mental Health Director: San Diego is third largest of CA’s 58 counties (Los Angeles and Orange Counties are first and second). The populations of most of the 15 WSDSG states are smaller than that of San Diego county. Will be first CA county to implement the TX medication algorithm as an example of an evidence-based practice. They are creating an Office of Client and Family Affairs. "I’m client-friendly." Imagine how much destabilization you can do when you show up with handcuffs and a gun. Close IMD’s and create housing, housing, housing. One day admits for ECT, so as to get reimbursement. If multiple diagnoses, sz trumps. Contract with Anthony, BU to develop a recovery system. Consumers must be woven into the system and be full partners. $15 million a year in psychiatric medications using MediCal formulary. Collaborations with local academia. Some clients on research teams, raise consciousness, have good ideas, help with approaching programs. I was the only CA client during this presentation and was insufficiently aware of the San Diego client problems to challenge. (Two were invited but haven’t yet arrived.) Certainly the presentation was compelling and made what is happening here sound like a good model to follow.

"Some folks don’t care about the human condition; they want to know how much it costs."

The San Diego Creative Arts Consortium has 1000 members. Gabriella Swift, a client performance artist, entertained after lunch and sang her Seroquel Ballad to an enthusiastic audience.

Lynne Stewart described the CNMHC program of Educational Interaction with Law Enforcement and we viewed a video that she had produced which describes client experiences with law enforcement and makes suggestions for good interventions. Her presentation was clear and well organized, the video sends a educational message to law enforcement about when and how to intervene, what calms and what escalates, and is an excellent discussion starter. $25 including s/h to California Network of Mental Health Clients, 1722 J St 324, Sacramento, CA 95814.