About Behavioral Health
An estimated 7.5 million people in California experience a mental health disorder in any given year, but only one-third of adults who experience mental illness are getting treatment. The caregivers at hospitals know the obstacles people with behavioral health conditions face and the challenges in getting them the treatment they need.
While hospitals embrace the essential role they play in addressing this crisis, more needs to be done. Investments are needed to tackle a crisis made even worse by COVID-19. California must prioritize behavioral health investments in prevention, early assessment, identification of needs, and aggressive treatment for all, regardless of health coverage or ZIP code.
In addition, solutions like payment reform, resource allocation, more outpatient and community-based services, a bolstered behavioral health workforce, and a statewide set of standardized core services will help Californians with behavioral health conditions access the care they deserve.
This point-in-time analysis was conducted in 2017-2018 to gain a deeper understanding of the behavioral health challenges faced by San Diego patients. Issues examined included pre-acute, acute, and post-acute services and the impact of social determinants of health on access and outcomes. Ultimately, the findings are intended to support further research efforts and to promote collaboration between San Diego County Behavioral Health Services and other community organizations providing behavioral health services in San Diego.
5 Things To Know: Donations For Ukraine, APOT Materials Available, SNF Update
DONATION OF MEDICAL SUPPLIES FOR UKRAINE: The Naval Medical Center’s Zachary Alexander, MD, is working with the House of Ukraine, a local organization, to help obtain donations of medical supplies to send to Ukraine for humanitarian aid. The organization has established two flights per week from Los Angeles to Ukraine, and they are seeking all kinds of medical supplies, including expired and near-expired materials. A priority list of critically needed supplies is available; contact Dr. Alexander at Zac.alexander@gmail.com or (240) 426-3708 for more information about donating.
5 Things To Know: Governor’s Budget Proposal, Behavioral Health Grants, Skilled-Nursing Facility Updates
NEW LIVE WELL ON WHEELS BUS: During a Feb. 1 press conference, San Diego County Supervisor Nathan Fletcher and the Health and Human Services Agency announced the addition of a second Live Well on Wheels (WOW) bus. The bus will provide and deliver same-day services such as health care and food assistance, application assistance, or linkage to mental health services. In 2021, the Live WOW bus served nearly 23,000 people at more than 200 community events, mostly for COVID-19 services. Two additional Live WOW buses and one Public Health Lab bus are also on the way. These buses are available by request to attend community events that are co-hosted by community partners.
5 Things To Know: Human Trafficking Awareness, CHA Social Media Graphics, SAMHSA Grant Program
BEHAVIORAL HEALTH ASSESSMENT REPORT: To inform future planning on behavioral health, the Department of Health Care Services (DHCS), in collaboration with its stakeholders, produced a report on California’s behavioral health system: Assessing the Continuum of Care for Behavioral Health Services in California: Data, Stakeholder Perspectives, and Implications. This report reviews data and stakeholder perspectives as DHCS implements major behavioral health initiatives, including the Behavioral Health Continuum Infrastructure Program; the response to new federal funding opportunities; and a proposal for a Section 1115 Medicaid demonstration waiver in 2022 to strengthen mental health services for people living with serious mental illness, and children and youth living with serious emotional disturbance.
5 Things To Know: HASD&IC Annual Meeting Donations, COVID Vaccinations by ZIP, Transportation Alternatives
COVID-19 VACCINATIONS BY ZIP CODE: San Diego County’s Weekly COVID-19 Surveillance Report shows the percentage (as of Dec. 4) of the total population of San Diego County residents who are fully vaccinated, by ZIP code of residence. Note that the data only include vaccines that have been recorded in the San Diego Immunization Registry. Some health care providers, including Veteran’s Affairs, the Department of Defense, some tribal entities, and prisons, do not report to the registry.
5 Things To Know: Monoclonal Antibodies Survey, Updated COVID-19 Surge FAQs, Mental Health Resources
MONOCLONAL ANTIBODIES: A reminder that monoclonal antibodies are available for early treatment of COVID-19 in both San Diego and Imperial counties. More information, including treatment sites and how to refer patients, is available for San Diego County and Imperial County providers. In addition, the California Department of Public Health (CDPH) is requesting that providers complete by Dec. 3 an updated survey to help understand how frequently monoclonal antibodies are being used at health care facilities (both for treatment and as post-exposure prophylaxis). This information will be used to ensure that CDPH adequately addresses supply, education, and/or resource gaps. The updated survey includes new questions to reflect the evolving landscape of distribution. Health care facilities are encouraged to complete the survey, even if they completed it previously.
5 Things To Know: Workforce Relief Letters, Updated Vaccine FAQs, Health Services Task Force
CHA REQUEST FOR WORKFORCE RELIEF: CHA has sent letters to the Health and Human Services Secretary and California’s Attorney General. The letter to Dr. Mark Ghaly asks for direct and immediate relief from the California Department of Public Health to mitigate the workforce challenges you’re facing during this surge. The letter to Attorney General Rob Bonta asks that his office use its resources and expertise to promptly investigate concerns around skyrocketing prices charged by staffing agencies and act accordingly on their findings. In addition, CHA is sharing these FAQs for hospitals that cannot meet the state’s nurse-to-patient staffing ratio requirements.
5 Things To Know: COVID-19 Testing Sites, Monoclonal Antibody Therapy, Behavioral Health Trailer Bills
COUNTY OF SAN DIEGO EXPANDS COVID-19 TESTING SITES: As COVID-19 cases and hospitalizations continue to increase, so too has the demand for COVID-19 testing. To help divert people from coming to emergency departments for testing and make access as convenient as possible, the County of San Diego is reopening some of its former large testing sites, including the site at San Diego State University. Additional COVID-19 testing sites and mobile sites are being added to the list of options. Primary health care providers, community health clinics, and pharmacies all continue to offer testing. To find a site near you, visit the county website at Sites & Appointments.
5 Things To Know: Tabletop Exercise, PeerLINKS Program, HQI Cares
Tabletop Exercise: HASD&IC and several hospital members participated in the 2021 San Diego Regional Tabletop Exercise on July 27. Over 125 participants took part, including representatives from:
5 Things To Know: Medi-Cal Managed Care, Behavioral Health Hearings, State Budget Agreement
San Diego County Board of Supervisors Address Medi-Cal Managed Care: Lask week, HASD&IC President & CEO Dimitrios Alexiou provided public comment (testimony starts at 4:08) in support of the Framework for the Future: Improving the County’s Wellness Care Delivery System to Address Health Disparities Exacerbated by the COVID-19 Pandemic and shared the HASD&IC Board of Directors guiding principles for new Medi-Cal managed care contracts. He emphasized the importance of using this opportunity to prioritize patients, strengthen local oversight, and increase accountability. HASD&IC will continue to engage with supervisors on the Medi-Cal managed care procurement process.
Healing the Emotional Scars from the Pandemic
Even in the best of times, burnout is common for health care workers. The pandemic — which uprooted workplace routines and turned knowns into unknowns — has only made these stressful and demanding jobs that much harder.