Turning Point Community Programs

TURNING POINT COMMUNITY PROGRAMS IS COMMITTED TO EMPOWERING PEOPLE OF ALL AGES AND IDENTITIES TO LIVE THEIR BEST LIFE THROUGH THE DELIVERY OF QUALITY BEHAVIORAL HEALTH AND SOCIAL SERVICES.

TPCP CURRENTLY OPERATES EIGHT YOUTH/TAY PROGRAMS IN BOTH SACRAMENTO AND YOLO COUNTY. BELOW ARE HIGHLIGHTS FROM SOME OF THESE PROGRAMS.FLEXIBLE INTEGRATED TREATMENT (FIT) PROGRAM, FORMERLY KNOWN AS FOCUS, HAS BEEN IN OPERATION SINCE 1999 AND WORKS WITH YOUTH WHO ARE EXPERIENCING EMOTIONAL AND BEHAVIORAL DIFFICULTIES. THE THERAPIST/TREATMENT TEAM MEMBERS, PARTNER WITH YOUTH AND THEIR FAMILIES IN ADDRESSING THEIR STATED NEEDS UTILIZING A FAMILY-FOCUSED, STRENGTH-BASED APPROACH. FIT IS ABLE TO INCREASE OR DECREASE CLINICAL SUPPORTS DEPENDING ON THE LEVEL OF NEED THE YOUTH HAS AT ANY GIVEN TIME. THE PROGRAM PROVIDES INDIVIDUAL, FAMILY, AND GROUP THERAPY, SKILLS TRAINING, ADVOCACY, CASE MANAGEMENT, AND PSYCHIATRIC SUPPORTS. THE PROGRAM ALSO INCORPORATES SPECIFIC EVIDENCE-BASED PRACTICES AS TREATMENT MODALITIES.IN THE 21/22 THE FLEXIBLE INTEGRATED TREATMENT (FIT) PROGRAM SERVED A TOTAL OF 465 UNDUPLICATED CLIENTS WERE SERVED. COMPARING THE 222 CLIENTS WITH BOTH AN INITIAL AND RE-EVALUATION/DISCHARGE CHILD AND ADOLESCENT /NEEDS AND STRENGTHS ASSESSMENTS (CANS), THERE WAS A DECREASE IN THE TOTAL ACTIONABLE ITEMS IN 7 (77.8%) OF THE 9 CATEGORIES IN THE CHILD BEHAVIORAL/EMOTIONAL NEEDS DOMAIN (I.E., PSYCHOSIS, DEPRESSION, ANXIETY, ANGER CONTROL, ETC.). FURTHER, THERE WAS A DECREASE IN THE TOTAL ACTIONABLE ITEMS IN 10 (90.9%) CATEGORIES OF THE LIFE DOMAIN FUNCTIONING DOMAIN (I.E., DEVELOPMENTAL/INTELLECTUAL, DECISION-MAKING, SCHOOL BEHAVIOR, ETC.). OF THE 465 UNIQUE INDIVIDUALS SERVED, 97.0% ACCRUED ZERO PSYCHIATRIC HOSPITALIZATIONS. LASTLY, 35.6% OF DISCHARGES WAS DUE TO THE CLIENT HAVING SUCCESSFULLY COMPLETED SERVICES.THERAPEUTIC BEHAVIORAL SERVICES (TBS) IS AN INTENSIVE, ONE-TO-ONE SHORT-TERM OUTPATIENT MENTAL HEALTH TREATMENT SERVICE THAT HAS BEEN IN OPERATION SINCE 2002. TBS IS DESIGNED FOR CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL PROBLEMS WHO ARE EXPERIENCING A STRESSFUL TRANSITION OR LIFE CRISIS AND NEEDING SPECIALIZED SUPPORT SERVICES. TBS SERVICES UTILIZE AN INDIVIDUALIZED APPROACH BUILDING ON YOUTH AND FAMILY STRENGTHS TO CREATE A BEHAVIOR PLAN THE FAMILY IS ABLE TO MAINTAIN AFTER SERVICES HAVE ENDED. THIS PLAN IS DEVELOPED FROM A DETAILED FUNCTIONAL BEHAVIORAL ASSESSMENT WHICH INCLUDES ENVIRONMENTAL STRATEGIES, DEVELOPMENT OF SKILLS AND NEW BEHAVIORS, POSITIVE SUPPORTS, AND REACTIVE STRATEGIES. SERVICES ARE PROVIDED UNTIL THE INDIVIDUAL'S BEHAVIORS HAVE BEEN RESOLVED OR REDUCED TO AN ACCEPTABLE LEVEL, NO LONGER PLACING THEM AT RISK. IN 21/22, THE KAISER TBS PROGRAM SERVED A TOTAL OF 136 UNDUPLICATED CLIENTS. BETWEEN THOSE 136 CLIENTS, THE AVERAGE LENGTH OF SERVICE (IN MINUTES) PER CLIENT WAS APPROXIMATELY 2,158. FURTHER, AT DISCHARGE, 85.0% OF CLIENTS SERVED KNEW WAYS TO KEEP CALM (IN COMPARISON TO 70.8% AT INTAKE), 83.8% COULD TELL WHEN THEY BEGIN TO FEEL UPSET/OVERWHELMED (COMPARED TO 70.4% AT INTAKE), AND 82.3% FELT THEY KNEW WHAT TO DO SHOULD THEY BECOME UPSET/OVERWHELMED (COMPARED TO 64.2% AT INTAKE). ADDITIONALLY, KAISER TBS RECEIVED A YOUTH SATISFACTION RATE OF 86.1% WHILE CAREGIVERS GAVE A RATING OF 91.8%.IN THE 21/22 FISCAL YEAR, 36 UNDUPLICATED CLIENTS WERE SERVED THROUGH THE YOLO TBS PROGRAM. THROUGHOUT THE ENTIRE FISCAL YEAR, ONLY 9 CLIENTS ACCRUED JAILS DAYS, HOMELESS DAYS, AND/OR EMERGENCY INTERVENTIONS WHILE SERVED THROUGH THE YOLO TBS PROGRAM. ADDITIONALLY, SACRAMENTO TBS RECEIVED A YOUTH SATISFACTION RATE OF 88.0% WHILE CAREGIVERS GAVE A RATING OF 98.6%.

TURNING POINT COMMUNITY PROGRAMS (TPCP) PROVIDES INTEGRATED COST]EFFECTIVE MENTAL HEALTH SERVICES COMBINED WITH EMPLOYMENT AND HOUSING SERVICES TO PROMOTE RECOVERY, INDEPENDENCE AND SELFSUFFICIENCY. PROGRAM SUCCESSES ARE MEASURED IN THE REDUCTION OF HOSPITAL, INCARCERATION, AND HOMELESS DAYS AS WELL AS THE DECREASED USE OF EMERGENCY ROOMS AND CRISIS SERVICES. PRGRAMS SUCCESS IS ALSO MEASURED THROUGH CONSUMER SATISFACTION SURVEYS. PEOPLE MOVE BEYOND THEIR DIAGNOSES, RECOVER, AND CONTRIBUTE TO THE COMMUNITY. TPCP SERVES OVER 16,000 CLIENTS WITH PSYCHIATRIC DISABILITIES IN TEN NORTHERN CALIFORNIA COUNTIES: SACRAMENTO, STANISLAUS, YOLO, NEVADA, PLACER, BUTTE, MERCED, SAN JOAQUIN, SONOMA, AND SOLANO. CLIENTS WITH MENTAL ILLNESS SERVED INCLUDE THE HOMELESS, ADULTS, FAMILIES INCLUDING CHILDREN AND YOUNG ADULTS/TRANSITION AGED YOUTH (TAY).TPCP ALSO PROVIDES UNIQUE SERVICES THROUGH ITS TRANSITIONAL SUPPORT SERVICES (TSS) PROGRAMS LOCATED WITHIN SACRAMENTO, SOLANO, SONOMA, AND BUTTE COUNTY. TSS PROGRAMS PROVIDE COMMUNITY SUPPORT SERVICES TO ADULTS CHALLENGED WITH CO-OCCURRING PSYCHIATRIC DISORDERS AND DEVELOPMENTAL DISABILITIES. THE TYPE AND INTENSITY OF SERVICES PROVIDED WILL BE BASED ON THE MINIMUM LEVEL OF INTERVENTION NECESSARY TO MAINTAIN THE HEALTH/SAFETY OF THE INDIVIDUAL AND TO SUPPORT PROGRESS TOWARD THEIR IDENTIFIED GOALS. TSS IS DESIGNED TO MINIMIZE DEPENDENCY AND TO EFFECT THE MOST RAPID "NORMALIZATION AND COMMUNITY INTEGRATION POSSIBLE. THE CENTRAL ASPECT OF THE TSS PROGRAM IS MEMBER CHOICE. BEFORE AN INDIVIDUAL IS OFFERED TSS MEMBERSHIP, THEY WILL BE HELPED TO UNDERSTAND THE TSS PHILOSOPHY. TSS WILL HONOR EACH PERSON'S EXPRESSED GOALS.IN FY 21/22, THE NEWEST TSS PROGRAM LOCATED IN SONOMA COUNTY SERVED 82 UNDUPLICATED INDIVIDUALS. OF THE 82 INDIVIDUALS SERVED, 92.7% ACCRUED ZERO PSYCHIATRIC HOSPITAL DAYS; 97.6% ACCRUED ZERO HOMELESS DAYS, 97.6% ACCRUED ZERO JAIL DAYS, AND 84.1% ACCRUED ZERO EMERGENCY INTERVENTIONS. THE PROGRAM ALSO RECEIVED AN OVERALL SATISFACTION RATE OF 96.3%.TURNING POINT COMMUNITY PROGRAMS OPERATES A FULL SERVICE PARTNERSHIP (FSP) INTEGRATED SERVICES AGENCIES (ISA) IN SACRAMENTO. ISA SERVICES GENERALLY INCLUDE THE PROVISION OF PSYCHOSOCIAL REHABILITATION AND RECOVERY SERVICES FOR ADULTS WITH PSYCHIATRIC DISABILITIES AND EXTENDED HISTORIES OF LONG-TERM HOSPITALIZATION. THE GOAL IS TO HELP INDIVIDUALS "TAKE CHARGE OF THEIR LIVES" THROUGH INFORMED DECISION-MAKING ALONG WITH PSYCHIATRIC, REHABILITATIVE AND PSYCHOSOCIAL SUPPORT. SERVICES ARE BASED ON THE INDIVIDUAL'S LONG-TERM GOALS AND DESIRED RESULTS. THE ISA SERVED A TOTAL OF 269 UNDUPLICATED INDIVIDUALS WITHIN THE 21/22 FISCAL YEAR. IN THAT REPORTING PERIOD, OF THE 269 INDIVIDUALS SERVED, 90.3% DID NOT ACCRUE PSYCHIATRIC HOSPITAL DAYS, 96.3% DID NOT ACCRUE INCARCERATION DAYS, 97.0% DID NOT ACCRUE HOMELESS DAYS, AND 74.7% DID NOT ACCRUE EMERGENCY INTERVENTIONS. THE PROGRAM RECEIVED AN OVERALL SATISFACTION RATE OF 73.3%.IN SACRAMENTO COUNTY, TPCP'S PATHWAYS TO SUCCESS AFTER HOMELESSNESS PROVIDES COMPREHENSIVE, INTEGRATED MENTAL HEALTH SERVICES INCLUDING HOUSING FOR 350+ CHILDREN AND THEIR FAMILIES, TRANSITION AGED YOUTH, ADULTS, AND OLDER ADULTS. PATHWAYS PROVIDES PERMANENT SUPPORTIVE HOUSING AND MENTAL HEALTH SERVICES FOR THOSE WITH PSYCHIATRIC DISABILITIES AND LONG-TERM OR CYCLICAL HOMELESSNESS. STAFF USES A HARM-REDUCTION "WHATEVER IT TAKES" APPROACH TO SUPPORT MEMBERS IN MEETING THEIR DESIRED GOALS. FAMILIES WITH CHILDREN ARE OFFERED CULTURALLY DIVERSE SUPPORTIVE SERVICES SO THEY CAN STAY TOGETHER AND BE PART OF THE COMMUNITY. ALL ELIGIBLE GROUPS WILL MAINTAIN HOUSING; CHILDREN WILL ATTEND SCHOOL OR QUALITY DAY CARE AS APPROPRIATE; TRANSITION AGE YOUTH AND ADULTS WILL BE SUPPORTED TO IMPROVE THEIR QUALITY OF LIFE THROUGH EMPLOYMENT, EDUCATION, VOLUNTEERISM, AND AN IMPROVED SOCIAL SUPPORT SYSTEM; AND OLDER ADULTS WILL BE ACTIVELY ENGAGED IN WAYS THAT ENHANCE THEIR INDEPENDENCE AND DECREASE ISOLATION. PATHWAYS IS ONE OF THE FIRST MAJOR PROP. 63 MENTAL HEALTH SERVICES ACT FUNDED PROGRAMS TO BE LAUNCHED IN SACRAMENTO COUNTY. IN THE 21/22 FISCAL YEAR, PATHWAYS SERVED A TOTAL OF 349 UNDUPLICATED INDIVIDUALS. IN THAT TIME PERIOD, OF THE 349 INDIVIDUALS SERVED, 83.7% DID NOT ACCRUE PSYCHIATRIC HOSPITAL DAYS, 91.4% DID NOT ACCRUE INCARCERATION DAYS, 72.2% DID NOT ACCRUE HOMELESS DAYS, AND 81.7% DID NOT ACCRUE EMERGENCY INTERVENTIONS. ADDITIONALLY, THE PROGRAM RECEIVED AN OVERALL SATISFACTION RATE OF 79.1%.

IN THE 21/22 FISCAL YEAR, TPCP OPERATED THREE CRISIS RESIDENTIAL PROGRAMS (CRP) IN THE SACRAMENTO AREA. CRISIS RESIDENTIAL PROGRAM (CRP) SERVICES ARE INTENDED TO PROVIDE A SHORT-TERM ALTERNATIVE TO INPATIENT PSYCHIATRIC SERVICES FOR PERSONS EXPERIENCING AN ACUTE PSYCHIATRIC CRISIS. SERVICES MAY ONLY BE USED TO AVERT A PSYCHIATRIC ADMISSION, OR TO SHORTEN THE LENGTH OF AN INPATIENT STAY. CRP SERVICES ARE DESIGNED FOR PERSONS WHO MEET PSYCHIATRIC INPATIENT ADMISSION CRITERIA OR ARE AT RISK OF ADMISSION, BUT WHO CAN BE APPROPRIATELY SERVED IN COMMUNITY SETTINGS. SERVICES ARE PROVIDED IN A SUPPORTIVE ENVIRONMENT THAT MODELS AND ENCOURAGES HOPE, EMPOWERMENT, PERSONAL ACCOUNTABILITY, AND THE DEVELOPMENT OF MEANINGFUL LIFE ROLES. IN ORDER TO ADAPT TO THE EVOLVING CULTURES OF PERSONS SERVED, THE ENVIRONMENT IS PERMEABLE TO OUTSIDE FACTORS AND INDIVIDUAL NEEDS. INDIVIDUALS ARE REFERRED DIRECTLY FROM THE MENTAL HEALTH TREATMENT CENTER, SACRAMENTO COUNTY MENTAL HEALTH PLAN PROVIDERS, EMERGENCY DEPARTMENTS, THE CRESTWOOD PSYCHIATRIC HEALTH FACILITIES, AND PRIVATE PSYCHIATRIC HOSPITALS. IN FY 21/22, TPCP'S OLDEST CRP WHICH OPENED IN 1992, SERVED A TOTAL OF 123 UNDUPLICATED INDIVIDUALS. OF THE 117 DISCHARGES THAT OCCURRED WITHIN THE REPORTING PERIOD, 66.7% WERE DISCHARGED DO TO HAVING SUCCESSFULLY MET THEIR GOALS. LASTLY, THIS CRP RECEIVED AN OVERALL SATISFACTION RATE OF 90.7%. THE RIO LINDA CRP SERVED 164 UNDUPLICATED INDIVIDUALS AND HAD AN OVERALL SATISFACTION RATE OF 93.3%. IN THE 21/22 FISCAL YEAR, A TOTAL OF 100 UNDUPLICATED INDIVIDUALS WERE SERVED AT THE HENRIETTA CRP. THOSE 100 CLIENTS WERE SUPPORTED THROUGH LINKAGES MADE TO VARIOUS OUTPATIENT SERVICES SUCH AS SELF-HELP GROUPS, HOUSING RESOURCES, FINANCIAL RESOURCES, AOD SUPPORTS, AND FOOD AND CLOTHING SERVICES. OF THE 95 INDIVIDUALS DISCHARGED WITHIN THE REPORTING PERIOD, 61.1% WERE DISCHARGED DUE TO HAVING SUCCESSFULLY MET THEIR GOALS. LASTLY, THE PROGRAM RECEIVED AN OVERALL SATISFACTION SCORE OF 96.8%.

SINCE NOVEMBER OF 2017, TPCP, IN PARTNERSHIP WITH SACRAMENTO COUNTY, HAS BEEN OPERATING THE FIRST MENTAL HEALTH URGENT CARE CLINIC (MHUCC) IN SACRAMENTO COUNTY. THE MENTAL HEALTH URGENT CARE CLINIC (MHUCC) IS A WALK-IN CLINIC FOR INDIVIDUALS WITH AN URGENT MENTAL HEALTH NEED. THE MHUCC IS A CLIENT-CENTERED PROGRAM THAT FOCUSES ON PROVIDING IMMEDIATE RELIEF TO INDIVIDUALS AND FAMILIES IN DISTRESS. THE PROGRAM INTENDS TO AVERT PSYCHIATRIC EMERGENCY ROOM VISITS AND INVOLUNTARY HOSPITALIZATIONS. THE GOAL OF MHUCC IS TO FOSTER RECOVERY FOR INDIVIDUALS AND FAMILIES THROUGH THE PROMOTION OF HOPE AND WELLNESS. THE CLINIC PROVIDES QUIET ROOMS AS A PLACE FOR INDIVIDUALS AND FAMILIES TO SAFELY AND COMFORTABLY ADDRESS THEIR CRISIS AND DISTRESS, INCLUDING SPECIFIC ROOMS DESIGNED TO MEET THE NEEDS OF CHILDREN, ADOLESCENTS, AND ADULTS. AS A WALK-IN CLINIC, THE MHUCC WELCOMES ANYONE EXPERIENCING MENTAL HEALTH DISTRESS REGARDLESS OF AGE AND ABILITY TO PAY. INDIVIDUALS EXPERIENCING NON-PSYCHIATRIC EMERGENCIES ARE ENCOURAGED TO VISIT THEIR LOCAL EMERGENCY ROOM OR CALL 911.IN THE 21/22 FY, A TOTAL OF 4,566 REFERRALS WERE MADE TO THE MHUCC. 3,173 OF THOSE REFERRALS WERE ACCEPTED AND SERVED. 2256 REFERRALS WERE SELF-REFERRALS WHILE 373 WERE MADE BY FRIENDS/FAMILY, 45 WERE FROM EMERGENCY DEPARTMENTS, 234 WERE MADE BY THE PRIMARY CARE PHYSICIAN, 124 CAME FROM SCHOOL SETTINGS, 77 WERE FROM LAW ENFORCEMENT, AND 8 CAME DIRECTLY FROM JAILS. WITHIN THE REPORTING PERIOD THE MHUCC PROVIDED 1214 TRIAGE SERVICES, 910 PEER SERVICES, 4014 CLINICAL SERVICES, 2461 NURSING SERVICES, AND 1958 PRESCRIBER SERVICES.