Report 2019-119 Recommendation 7 Responses

Report 2019-119: Lanterman-Petris-Short Act: California Has Not Ensured That Individuals With Serious Mental Illnesses Receive Adequate Ongoing Care (Release Date: July 2020)

Recommendation #7 To: San Francisco Department of Public Health

To ensure that it connects patients who have been placed on multiple short-term holds to appropriate ongoing treatment, San Francisco should, by no later than August 2021, adopt a systematic approach to identifying such individuals, obtaining available mental health history information about these individuals, and connecting these individuals to services that support their ongoing mental health.

60-Day Agency Response

Mental Health SF legislation creates an Office of Coordinated Care (OCC) to oversee mental health and substance use services. The OCC is responsible for 1) Maintaining an up-to-date inventory of available space in all City operated and funded mental health and substance use programs; 2) Providing and supervising case managers responsible for monitoring compliance with individual treatment plans and identifying appropriate housing placements; and 3) Coordinating the care of patients who are exiting the County Jail system or General Hospital's Psychiatric Emergency Services. Funding for the OCC has been budgeted pending mayoral approval, and includes a Bed and Patient Tracking System; Jail and PES Linkage Support; Crisis Linkage Support; and more positions for Case Management, Intensive Case Management, and Critical Care Management.

SF-DPH recently reached out to the Manager of Community Health of one of our largest private hospitals asking to discuss the feasibility of obtaining alerts when individuals are admitted for involuntary detention who have had multiple prior involuntary detentions. By working through the details of such a data sharing agreement, we hope to establish a workflow that could be replicated in our other Designated Receiving Facilities.

A Street Crisis Response Team is being developed which will provide a non-law enforcement response to behavioral health emergencies and divert individuals in crisis away from emergency rooms and criminal justice settings into behavioral health treatment facilities. Each team will include a paramedic from the Fire Department, and a behavioral health clinician and behavioral health peer from the Department of Public Health.

  • Estimated Completion Date: August 31, 2021
  • Response Date: September 2020

California State Auditor's Assessment of 60-Day Status: Pending

All Recommendations in 2019-119

Agency responses received are posted verbatim.