Mental Health Branch Cultural Competence Plan June 2011
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Humboldt County Department of Health and Human Services Mental Health Branch Mental Health Branch Cultural Competence Plan June 2011 California Department of Mental Health Cultural Competence Plan Requirements CCPR Modification COVER SHEET An original, three copies, and a compact disc of this report (saved in PDF [preferred] or Microsoft Word 1997-2003 format) due March 15, 2011, to: Department of Mental Health Office of Multicultural Services 1600 9th Street, Room 153 Sacramento, California 95814 Name of County: Humboldt Name of County Mental Health Director: Karolyn Rim Stein, RN Name of Contact: Jaclyn Culleton Contact’s Title: Ethnic Services Manager/Program Manager Contact’s Unit/Division: Mental Health Branch Contact’s Telephone: 707 268-2923 Contact’s Email: [email protected] CHECKLIST OF THE CULTURAL COMPETENCE PLAN REQUIREMENTS MODIFICATION (2010) CRITERIA X CRITERION 1: COMMITMENT TO CULTURAL COMPETENCE X CRITERION 2: UPDATED ASSESSMENT OF SERVICE NEEDS CRITERION 3: STRATEGIES AND EFFORTS FOR REDUCING RACIAL, ETHNIC, CULTURAL, AND LINGUISTIC MENTAL HEALTH DISPARITIES CRITERION 4: CLIENT/FAMILY MEMBER/COMMUNITY COMMITTEE: INTEGRATION OF THE COMMMITTEE WITHIN THE COUNTY MENTAL HEALTH SYSTEM X CRITERION 5: CULTURALLY COMPETENT TRAINING ACTIVITIES CRITERION 6: COUNTY’S COMMITMENT TO GROWING A MULTICULTURAL WORKFORCE: HIRING AND RETAINING CULTURALLY AND LINGUISTICALLY COMPETENT STAFF CRITERION 7: LANGUAGE CAPACITY CRITERION 8: ADAPTATION OF SERVICES Table of Contents Criterion 1: Commitment to Cultural Competence . 1 Criterion 2: Updated Assessment of Service Needs. 9 Criterion 3: Strategies and Efforts for Reducing Racial, Ethnic, Cultural and Linguistic Mental Health Disparities. 23 Criterion 4: Client/Family Member/Community Committee: Integration of the Committee within the County Mental Health System . 33 Criterion 5: Culturally Competent Training Activities. 35 Criterion 6: Commitment to Growing a Multicultural Workforce: Hiring and Retaining Culturally and Linguistically Competent Staff. 41 Criterion 7: Language Capacity. 47 Criterion 8: Adaptation of Services . 59 Attachment A: Excerpt from Mental Health Services Act Annual Update Fiscal Year 2011/2012 Overall Implementation Progress Report and Community Services and Supports Approved Programs. 71 Attachment B: Mental Health Branch Administrative Organizational Chart. 141 Attachment C: Translator/Interpreter Job Description. 145 Attachment D: Spanish Bilingual Proficiency Examination Announcement. 149 Attachment E: Cultural Competency Data Definitions and Sources. 153 Attachment F: Cultural Competency Population Data . 159 Attachment G: Excerpt from Mental Health Services Act Community Services and Supports Fiscal Year 2004/2005 Population Assessment and Analysis of Disparities. 179 Attachment H: Excerpt from Mental Health Services Act Prevention and Early Intervention Plan Fiscal Year 2008/2009 Identification of Priority Population and Description of Selection Process and Rational. 191 Attachment I: Excerpt from Mental Health Services Act Fiscal Year 2011/2012 Prevention and Early Intervention Overall Implementation Progress Report for Fiscal Year 2009/2010. 199 Attachment J: Excerpt from Mental Health Services Act Annual Update Fiscal Year 2011/2012 Prevention and Early Intervention Approved Programs: Suicide Prevention, Stigma and Discrimination Reduction, Transition Age Youth Partnership. 205 Attachment K: Excerpt from Mental Health Services Act Community Services and Supports Fiscal Year 2004/2005 Disparities. 263 Attachment L: Provider Directory Humboldt County Medi-Cal Managed Mental Health Care. 267 Attachment M: Directorio de Proveedores Condado de Humboldt Cuidado de Salud Mental de Medi-Cal. 283 Attachment N: Humboldt County Resource List. 303 Attachment O: Mental Health Branch Databook . 317 Attachment P: Table of Contents Department of Health and Human Services Integrated Trends and Progress Report Spring 2010. 387 Attachment Q: Participant Demographic Form . 391 Attachment R: Department of Health and Human Services Newsletter Article “Workshops on Cultural Competence for Mental Health Branch Staff” September 2010 . 395 Attachment S: Example Training Flyers “WRAP Works!”, “The Soloist” and “Building Capacity to Work with Latin@ Communities Experiencing Family Violence” . 399 Attachment T: Mental Health Branch Three Year Training Plan Outline . 407 Attachment U: Mental Health Branch Cultural Competency Trainings February 2008 through April 2011 . 411 Attachment V: Excerpt from Mental Health Services Act Workforce Education and Training Plan Fiscal Year 2009/2010 Workforce Needs Assessment . 425 Attachment W: Excerpt from Mental Health Services Act Annual Update Fiscal Year 2011/2012 Workforce Education and Training Approved Programs: Support to Peer Volunteers and Staff, eLearning Technology, Training for Evidence Based Practices and Full Service Partnerships. 439 Attachment X: Excerpt from Mental Health Services Act Annual Update Fiscal Year 2011/2012. 447 Attachment Y: Policies and Procedures: “Access to Interpreters and Culturally and Linguistically Competent Providers”, “Text Telephone (TYY) Use”, “AT&T Language Line Use” and “Obtaining Interpretation, Translation and Special Needs Telephone Services” . 451 Attachment Z: Answering Service Script. 461 Attachment AA: Language Line Training flyer, Outline and Print Screen Location. 465 Attachment AB: Excerpt from Informing Materials “Guide to Medi-Cal Mental Health Services and Humboldt County Mental Health Branch’s access brochure entitled “Information about Humboldt County Mental Health”. 471 Attachment AC: Posters: “Did you know?” and “Interpretation Services Available” . 479 Attachment AD: Interpreter List and Interpretation Services forms. 485 Attachment AE: Use of Interpreter Form. 493 Attachment AF: Mental Health Branch Services and Programs. 497 Attachment AG: Mental Health Branch Posting Requirements Checklist. 501 Attachment AH: Policy and Procedure “Community Education Plan” . 505 Attachment AI: Policy and Procedure “Distribution of Informing Materials” . 509 Attachment AJ: Mobile Engagement Vehicle Schedule . 513 Attachment AK: Poster “Hate Free Zone” . 519 Attachment AL: Poster “Every BODY has an issue” . 523 CRITERION 1 COUNTY MENTAL HEALTH SYSTEM COMMITMENT TO CULTURAL COMPETENCE Rationale: An organizational and service provider assessment is necessary to determine the readiness of the service delivery system to meet the cultural and linguistic needs of the target population. Individuals from racial, ethnic, cultural, and linguistically diverse backgrounds frequently require different and individual Mental Health Service System responses. I. County Mental Health System commitment to cultural competence The county shall have the following available on site during the compliance review: A. Copies of the following documents to ensure the commitment to cultural and linguistic competence services are reflected throughout the entire system: 1. Mission Statement 2. Statements of Philosophy 3. Strategic Plans 4. Policy and Procedure Manuals 5. Other Key Documents as identified by the County II. County recognition, value, and inclusion of racial, ethnic, cultural, and linguistic diversity within the system A. Provide a copy of the county’s CSS plan that describes practices and activities that demonstrate community outreach, engagement, and involvement efforts with identified racial, ethnic, cultural, linguistic, and other relevant small county cultural communities with mental health disparities. See Attachment A: Excerpt from the Mental Health Services Act Annual Update Fiscal Year 2011/2012, Overall Implementation Progress Report and Community Services and Supports Approved Programs B. A one page description addressing the county’s current involvement efforts and level of inclusion with the above identified underserved communities on the advisory committee. Methods for obtaining input and maintaining stakeholder involvement for underserved communities occur in a diversity of ways that include but are not limited to: Humboldt County Department of Health & Human Services sponsored education and planning meetings. These are widely advertised meetings inviting people to gather to discuss mental health services. Humboldt County Department of Health & Human Services participation in community meetings where mental health services education and planning are Humboldt County Department of Health and Human Services 1 Cultural Competence Plan June 2011 discussed. These are meetings already occurring in the community where a county staff person attends and requests that mental health services planning be on the agenda for a specific meeting to focus on education and input. These are often meetings sponsored by local community-based organizations and associations that represent and/or serve diverse stakeholders. This dramatically increases the number and diversity of individuals providing input. Humboldt County Department of Health and Human Services conducted an extensive planning process for the Community Services and Supports component of the Mental Health Services Act. Many of the individuals who participated in the planning process as Mental Health Board members, clients and family members, and staff provided insight and lessons learned for further mental health services planning. The initial Community Services and Supports planning process component of the Mental Health Services Act included: six regional meetings, thirteen targeted, stakeholder meetings, four age-specific advisory