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Status Report
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Community Treatment Facility(CTF)

Starlight Adolescent Center, Inc
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prepared for the
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Board of Supervisors Health and Hospital Committee
by SCVIU-IS
Mental Health Department

OVERVIEW

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NEXT STEPS

1

I BACKGROUND

Over 6,000 SCC wards and dependents and 500 AB3632
Speciai Education students rely on the MHD system for
treatment;

Many of these children, referred by Social Services

Agency and Probation are placed out of home in foster
care and residential group homes;

Since l9S0s MHD, SSA, Probation have coordinated care

through an interagency team of placement,
administrative, and program staff currently overseeing

care of up to 500 youth in most intensive services;

In addition, since FY98 BOS has committed significan|||^

resources to ensure that children placed out of home™^
receive needed and appropriate services;

I BACKGROUND(continued)
In FY98/99 the BOS approved a MHD augmentation to
establish a 24 bed sub-acute treatment program

MHD anticipated new CTF program model would be
appropriate:

- 1975 legislation called for an "array of community
treatment facilities"(CTFs)

- 1987 legislature initiated a request for the actual
development of standards for these facilities);

- 1999 regulations finalized and an allocation of 400
CTF beds was approved, with 36 beds allocated to
the South Bay Region;

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MJG and Associates, Inc. successfully bid to state for the

contract, and Santa Clara County was selected as the host
county to develop the new CTF for this Region

41-

2

n. CTF IMPLEMENTATION
ACCOMPLISHMENTS TO DATE
I'

The MHD developed a Draft Concept Paper for the
Santa Clara County Behavioral Health Center for
Youth outlining proposed behavioral health service
components for the County purchase facility (April
2000);
i

The County purchased facility at 455 Silicon Valley
Blvd.(May 2000)and executed a lease for a portion
of the facility with new provider (August 2000);

The MHD successfully negotiated contract with
Starlight Adolescent center, Inc. for new CTF

program and routine facility operation and
maintenance (August 2000);

1

IT. CTF IMPLEMENTATION (continued)
•ACCOMPLISHMENTS continued.

• Three workgroups were established to facilitate
implementation of the CTF (Legal, Program &
Facilities/Contract), meetly weekly to expedite tasks
(May - September 2000);
• MHD staff and legal stakeholders resolved and
formalized legal issues regarding admission and
medication consents (July 2000);

•> MHD and SSA, JPD, County Counsel staff developed
training materials(August 2000) and held two

trainings for 75 placement workers & others to
educate front-line staff about program and admission
processes(September 2000);
• In collaboration with the County Executive's Office

planned an open house event scheduled for
September 26, 2000.

3

n. CTF IMPLEMENTATION (continued)

Implementation Process
’ I FacIHtiesyCoritract W<wtigroep

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GSA Building Operations, Property Monagenient &

Purchasing; MH Admin, Systems Office & Qoolity
Improvement; OBA ;SCC Fire MarsKaS; County BD;

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SCVHHS Environmental Hoahh & Telecom Services; ,

COE; Courrty Courts^;County Exec's Office; MO /

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iLegal Workgroup
County Counsel, Juvenile Dependk«ncy Court, District'',

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Attorney; PubBc Guordktn's Office; MHD Fomily &
Children's Division; County Office of Education;
Mentol Heohh Advococy Project; MJG & AssocfahM^
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Program Mfcrfcgrbup

-

PROCESS
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' • ‘hfeeieiCollaoorgtior, 3
’ Vutuai Respect
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Mental Health Fomily & Children's Division; DFCS;

Sociol Services Agency; County Office of Educotion; MX3;
Juvenile Probation; SCVMC Admin; Family Partners;
Alliance for the Mentally ill {AAM); Aiomeda County

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• Cutrufel Comoeteocy
• •3icx»CiI:£-5.iaf'

• ..-«corfpl!Rh’“'cnt

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Behoviocxii Health

n. CTF IMPLEMENTATION (continued)
Progrcm Description: Starlight Adolescent Center, Inc.
A Community Treatment FadSty (CTF) is a secure/adEty for serious^ emadonaify

disturbed children who have tried ether less restriaive menial health intervendons and who

mqy require periods of contcunment." (DBS - CXI. LlcensinfO

CTF

Include:

» Certification by the State Department of Mental Health,
• Capacity to be locked with use of mechanical restraints
• Allows for length of stays > 90 days through review by
external case manager

• Provide persoital rights as for a mental health patient
(i.e., possibility of denial of rights and right to hearing)
• Defined specific staffing and child care training
requirements

4

II. CTF IMPLEMENTATION (continued)
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Program Description: Starlight Adolescent Center, Inc.

THE STARLIGHT MODEL
Case

Management

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Mental

Therapeutic
Behavior

Health

36 - Bed

Services

Locked

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Services

CTF

intensive MH
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NonPubiic

Treatment

School

Program

n. CTF IMPLEMENTATION (continued)
Program Description: Starlight Adolescent Center,Inc
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Target Population
AGE:

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GENDER:

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11-17 years old
Males
(20)
Females

(1^

Total:

(36)

DSM-IV Diagnosis;
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The most common of the disorders are expected to

include: Conduct Disorder, Disruptive Behavior Disorder,
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Major Depressive and Mood Disorders, Psychosis, and
Post-traumatic Stress Disorder.

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5

n. CTF IMPLEMENTATION (continued)
Program Description: Starlight Adolescent Center, Inc.

Symptomatology
• Physical and/or verbal assaults
• Suicidal/self-destructive ideation and gestures
• Runaway gestures or attempts

• High-risk sexual acting out
• Fire setting

• Socially inappropriate conduct
• Chronic explosive tantrums

2^

n. CTF IMPLEMENTATION (continued)
Program Description: Starlight Adolescent Center, Inc.

Symptomatology
CONTINUED...

• Marginal adaptive functioning
• Antisocial behaviors

• Delusions and hallucinations

• Hyperactivity/attention deficit
• Paranoia

• Depression and social withdrawal
• Disorganized thinking

• Learning difficulties and educational failures

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n n. CTF IMPLEMENTATION (continued)

H Program Description: StarlightAdolescent Center, Inc.

■ ^ Summary of Specific Services
• Comprehensive assessments and evaluations^
• Clinical treatment & psychotherapy

• Psycho-educational groups & skills development
curriculum

• Therapeutic groups & recreational activities
• Social services & case management
• Dietetic services

• Medication & medication monitoring
• Educational services
• Consultative Resources

• Monitoring of treatment outcomes
• Well-qualified staff

I •*'

n. CTF IMPLEMENTATION (continued)
Program Description: Starlight Adolescent Center, Inc.

Program Philosophy
•Safety, supervision & expectation of
success

•Positive youth development
•Enhancement of the quality of life
•Achievement of independence

7

n. CTF IMPLEMENTATION (continued)
Program Description: Starlight Adolescent Center, Inc.

★

Program Offerings
Program offerings include; group and individual'

therapies, skills training, behavior modification^
a variety of activity therapies and one-to-one
interactions through an approach that is solidly
anchored in a well supervised therapeutic milieu

n. CTF IMPLEMENTATION (continued)
Program Doicnption: Starlight Adolescent Center, Inc.

Program Goals
The program goals are to provide ari intensive treatment
program to SED adolescents who have had multiple
treatment failures which maintains them in their

community setting and assists them and their family or

caregiver to return as soon as possible to their family
environment with;

•Interagency collaboration

★

• Family a child involvement and participation
• Results orientation - measurable outcomes

•Cultural competent services
• Comprehensiveness
•Transitional services

8

in. Next Steps

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I.

Mental Health Department to conduct Facility Tour
and Program Open House

Leadership Team/SCVHHS review proposed program

components to ensure critical continuum of care is
covered and meet high needs within children’s
system of care
Develop additional program comprments

y Placement Conimictec) dtfdCillty

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Co-locate RISC Teain

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Development of Kid’s Crisis Center

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Assessment of a second residential component

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Provide Status Repeat to Health & Hospital Committee•41*

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