Housing Advisory Board Orange County Division (HAB-OCD): Motives for Housing the Homeless and others in need by Keith “Buster” Torkelson MS, Avey C Asus, and Magnus EMe

Feature Photos

In our feature photos we address three individuals for whom Keith “Buster” Torkelson MS had close contact. One is a person living in a Rent A Shared Room (RASR) environment [BillM]. Next is an individual that many say Died Too Young (DTY) [DUG]. And the last is a sample homeless person [WarBrook]. Housing and housing needs impacted all of their lives. We will address these three again with our Population Served Report (PSR). At this point in Mentalation Solutions Group’s (MSG’s) mission to advocate and publish most if not all papers will be part of “Buster’s” Magnus EMe Effort (MEE). EMe is the latest addition to our MSG team.

BillM in a three man room

Doug rented a two man room

WarBrook living homeless in Fountain Valley

Title

Motives for Housing the Homeless and others in need by Keith “Buster” Torkelson MS, Avey C Asus, and Magnus EMe

Twitter Information

20201103-TU: Impetus Study – Pursuing MSG’s Housing Help Line Fix for humanely housing disadvantaged citizens including homeless people’s in large counties #homeless #msg #keithtorkelson #bedbusters #keithtorkelsonhomeless #mhsa #innovation @marvel @keithtorkelson

Impetus Abstract – Executive Motivation Summary

Save Lives. Save Money. Housing difficulties can lead to severe injury or DEATH. This Summary Section I Item D is designed to be pasted into Mentalation Solutions Group’s (MSG’s) formal Mental Health Services Act (MHSA) Innovation Idea proposal. We call our idea BedBusters. We address Project Impetus in depth here with this report. First and foremost BedBusters will save lives. BedBusters will save money. Other BedBusters motivations or impetuses are a need to facilitate substantial and positive changes about housing for those in need. Those in need include the Homeless people in a target county. MSG’s BedBusters idea will be targeted at first towards Orange County California. BedBusters will directly reduce: Incidences of Suicide, homeless behaviors, hospitalization, and incarceration (jail or prison). BedBusters will shorten hospital stays and time on the streets. BedBusters may directly influence and improve the consumer housing experience as measured by: Quality Of Life (QOL), Satisfaction, Quality Of Sleep (QOS), effectiveness of medication, bed matching, harmony within the Rent A Shared Room (RASR), Etc.

MSG’s has about twenty more motives (impetuses) to push through BedBusters. We feel compelled to help disadvantaged peoples find GoodBeds. Homeless peoples are only a tip of a housing needy iceberg. We are encouraged by all the interest and resource devoting to housing the disadvantaged, particularly her in Orange County. We see short falls in Housing resources and documentation. We know eventually Housing Fixes will become Prevention oriented. Many or the Supportive Services should come after a person adjusts to their GoodBed. BedBusters will broker GoodBeds. Keith “Buster” Torkelson MS is MSG’s principal. Buster has some close associates that have died or gone mission because their Housing situation fell through. We make this effort to honor them and what they lost. We know how hard it can be to find a GoodBed in a harmonious environment. We find one of the key factors about Bed harmony is SleepAbility. SleepAbility is in part a combination of the consumer to SLEEP and an environment that is conducive for SLEEPing. We avoid making promises such as: Ten years to end homelessness by focusing on MSG’s housing fixes.

Prevent and Intervene Early - Fixes

In general MSG’s reports contain data. We ran Our Corona Associated Behavioral Health Screener for Stress on Buster. We find no significant change in Buster’s stress levels due to Corona. The California Code of Regulations defines the Fully Served Consumer. When it comes to housing a substantial number of consumers and future consumers are Under-served. BedBusters will help to more Fully Serve the consumer. Another MSG motivation is that we and Buster are just plain tired of waiting for Housing to get up to snuff. We promote the use of Technology for Recovery. BedBusters has at its’ core technology. In the course of this paper we allude to future reports. We have eight (8) in our elimination list [SEE APPENDIX D]. Over Housing we have witnessed Buster’s housemate, friends, and allies lose. At one scale of loss with call loses “Catastrophic”. Buster has faced on than one period of catastrophic loss in his lifetime. BedBusters will try its’ best to mitigate catastrophic loss. Executive: For a cool million anyone can buy into our BedBuster Fix. Remember Housing difficulties can lead to severe injury or DEATH. Ask Kelly Thomas. Oops we can’t!

Report Information Partners

What follows is a partial list of our information partners and stakeholders. Eventually some will become community and or vested partners.

Project Impetus Content Selections
-
Housing the Disadvantaged
Encouragement
Homeless Tip of an Iceberg
Resource Development - Product
Prevention

Services
Multiple Motives
Unmet Needs – Housing – Doug Keith
Unmet Needs – “Jessie”
Harmony & the GoodBed
Best Services - Collaboration

Promises
Need Summary
FYI - Peripheral Terms - Motivation (Impetus) Matrix
Actualizing a Promise – Fully Served
So Tired Of Waiting
Introducing Technology for Recovery
Catastrophic Loss Prevention – Brief
Takeaways – Cool Million
8 Reports on Elimination List

People – Cast of Characters - Groups

-
Character(s)	AcroCode	Note	Detail
-
Orange County Homeless	OCH	Gallery	New Link Below
Rent A Shared Room	RASR	Gallery	[STAYED]
MSG Cemetery	MSG-Cem	Post	[STAYED]
Orange County Special Populations	OCSPs		All Stayed except homeless
Died Too Young	DTY	Gallery	Legacy will update with Cemetery
People of Interest	POIs	Matrix	Addressed briefly
-

Last Reviewed: 20201024-SAT:

Link – Homeless Gallery (20201030-F)

https://housingadvisoryboard.blogspot.com/2020/10/we-walk-quietly-among-our-homeless.html

Why Blog? – Recovery Teck

For Keith “Buster” Torkelson MS Blogging helps Buster in keeping his Quality Of Life (QOL) elevated. In order to Blog he routinely engages in the following health promoting processes: Planning, processing, meeting performance challenges, improving literacy, continue his promise as a life-long-learner, solving problems, organizing his thoughts, and helping others. Buster’s various Blogs have helped him develop a voice and achieve closure. Blogging is a complicated extension on journaling. Journaling often is considered a pro-active and adaptive manner to cope.

Consumer Characters - Provider Characters

We here at Mentalation Solutions Group (MSG) call all people engaged in the delivery and using BedBusters characters. In the long run we expect some character overlap. We included a graphic (Venn Diagram) to introduce various associations of people impacted by BedBusters. The biggest divide is pure consumers and pure providers. There is also a third group the administrators. BedBusters at this point has three (3) elements: The Housing Help Line (HHL), the Housing Work Group (HWG) and the Housing Advisory Board (HAB). Project administration is heaviest about advisory with the HAB. One administrative task is to sell the project after its’ successful completion. An indicator of success will be if other large counties in California buy into delivering a HHL of their own.

[Figure IMPETUS Character VENN]

Legend - Beta

-
Code	Role	Note
-
C	Consumer	User
CP	Consumer Provider	Movement has waned a bit
P	Provider	User
PA	Provider Administrator	Account
A	Administrator
CA	Consumer Administrator	Favored by Mark Refowitz
CPA	Consumer Provider Administrator	Favored by Mark Refowitz
-

Last Reviewed: 20201103-TU:

We will address this more under Staffing. We still support the consumer-provider movement.

People – Cast of Characters – Individuals


Character	Note	Detail

Jessie	BadBed (MSG)	Taken into custody by the Police
Mikel R	Sleep and Medication problems	Too young to be under and inappropriately served Images at the end
Recent Encounter	20201021-W: Homeless in Garden Grove Homeless Hit by Car	For homeless person to get help they got hit by car
-

Last Reviewed: 20201024-SAT:

Things – The Health Promoting Bed

For us here at Mentalation Solutions Group (MSG) the notion of “Inappropriate Service” with respect to Behavioral Health came vis-a-vis D Steinberg. Steinberg helped author Proposition 63 AKA the Mental Health Services Act (MHSA, 2004). In honor of Steinberg we here at MSG call the language used in the MHSA (The Act) Steinberg Programing Language (SPL). We find his language to be a strong one. In 2004 there was, remains, evidence of Inappropriate Service with respect to Behavioral Health all through the State of California. Peoples that are disadvantaged in Orange County remain Underserved and or Inappropriately Served with regards to housing and securing a health promoting “Bed”.

Product - GoodBeds (MSG)

For now we focus on GoodBeds (MSG). With BedBusters we commit to helping secure GoodBeds (MSG) for the homeless either mentally ill or just behaviorally challenged. We consider homelessness a behavioral challenge. All homeless people are not mentally ill. We here at MSG have observed that a substantial portion of Orange Counties’ homeless are in need of Behavioral Health Services (BHSs). Securing a GoodBed (Housing) is a dimension of service that is “Complex (Hale, 2018)”. There is also a somewhat hidden larger population of disadvantaged in need of a GoodBed. BedBusters (MSG) is a comprehensive fix for housing problems.

[Tork Reconstruction Company & SCARED RABBIT Productions]

Supports - Medications & Psychotropic Experimentation

Many of those with housing issues are the product of psychotropic experimentation. Some are fortunate enough after years of experimentation to have been matched with at least one good medication. Yet, far too many have medications that cause more problems than remedies. Medication problems can be intimately associated with housing concerns, especially in incidences where one or more of a consumer’s medications interfere with SLEEP. Buster routinely ingests psychotropic medications. One of his medications actually enhances sleep. We classify Buster and those like him as Experimental Bunny Rabbits (EBRs). We address EBRs in other MSG reports. Aside: We find also that a significant hurdle about harmony and SleepAbility (MSG) in the Rent A Shared Room (RASR, MSG) are COPD related noises such as loud coughing during the night.

RASR Resource Audit

We here at Mentalation Solutions Group (MSG) have in our possession four (4) Rent A Shared Room (RASR) for the County of Orange (“OC”) lists. These lists reference some odd one-hundred (100) RASR facilities (Small Businesses). The RASR businesses in our lists cater to disabled people either physically, mentally, or both. Each business varies considerably with respect to the number of beds. The majority of the rooms are the Rent A Shared Room (RASR) format. Assuming an average of ten (10) tenants per house, our resource audit indicates one-thousand (1000) RASR “Beds” in Orange County. The only bed resource that seems to compare and even exceed this number of bed would be disabled people taken back in with their families. These beds could be considered rather permanent. BedBusters is specifically designed to help consumer find a GoodBed (MSG) in the RASR biome, econiche [SPELLED], or habitat.

Impetus Content - Housing the Disadvantaged

An impetus or driving force for this project is a series of HOUSING related crises in 2018. These crises were both individual and community in nature. We here at Mentalation Solutions Group (MSG) discovered that the homeless issues in Orange County California represent only a top on our housing iceberg. MSG has been developing Housing Fixes for the better part of 2020. We hope to development a system that not only solves personal HOUSING issues it will help overcome hurdles with HOUSING for our disadvantaged at large. We are inspired by our Buster’s lived experiences with taking residence multiple times in a Rent A Shared Room (RASR). The first time Buster rented a shared room was in Blake Hall at the University of California @ San Diego. We began formalizing our BedBusters approach early in 2018.

20201102-M: Who are we?

We are Mentalation Solutions Group or MSG. Our principle is Keith “Buster” Torkelson, MS. MSG was partially inspired to sustain effort on Housing concerns when in 2018 (March) was when Mary Hale MS stated in public: “HOUSING is a complex issue”. If Mary had not said that we were thinking we were making our fixes too complicated. Kudo to Mary! Our Housing Fix Project (HFP) is comprised of several units. The one we address now we call HOUSING Work Group (HWG). It has been challenging to keep our momentum going during these early phases. We project things picking up this upcoming 2019 summer quarter. (Avey Asus, 201906). Obviously our 2019 work was by MSG’s standards insufficient to submit a Mental Health Services Act (MHSA) Innovations Component Idea (OCI). Yet we have faith we will succeed even in the face of Corona concerns (20201025-SUN). We are going to make it by the end of 2020. A few of our players have been and will continue to be distracted by the Corona Virus Issue (CVI).

[Paste in LINK TO OUR CORONA CONTAINMENT REPORT]

202007 - In School Corona Control Measures Intel for Doctor Clayton L Chau By MSG and Keith “Buster” Torkelson MS UCD Pathology Surveillance Centered about Orange County California

https://ktork46.blogspot.com/2020/07/in-school-corona-control-measures-intel.html

Impetus - Encouragement

Impetus might be defined as “the force that makes something happen or happen more quickly”. For us here at Mentalation Solutions Group (MSG) we don’t get much encouragement to pursue “Fixing” housing problems in the “OC”. More than a year ago on September 9, 2019 (F) we met with Congressman Lou Correa to discuss our housing fixes including our Housing Help Line (HHL) idea. He really didn’t buy into it fully. Yet he did assign us a worker. Correa’s worker never contacted us as was promised. In our meeting, Correa indicated that not all are worthy of public support about their unmet housing needs. It requires great force with starts and stops to drive us through on this our Housing Fix Mission (HFM). We have a vision – remediation. More recently we here at MSG turned to the state for encouragement. Just last week (202010) the state reported that our homeless problem is second only Corona Containment as priorities for 2021. We will again refresh then expand MSG’s housing centered activities.

Project Impetus – Homeless Tip of an Iceberg

Since 2009 we here at Mentalation Solutions Group (MSG) have studied the Mental Health Services Act (MHSA). At one point Buster contributed to “The Acts” execution, especially when it came to the Technological Needs Component (TN). Since 2009 with regards to the MHSA and housing solutions we have observed more issues than tangible fixes. In computing “lingo: issues appear to be Crashing the System and the “Patches” are inadequate. Problems with Housing are most easily identified with respect to the homeless. Yet: Again the homeless are only a tip of an iceberg for housing the disadvantaged including the Behaviorally Challenged. We posit that homelessness in and of itself is a disability. Homeless is a behavioral disorder. With our project idea we lay out a framework to effectively and methodically fix housing issues beginning with Orange County California. Another impetus for MSG to take part is witnessing the unnecessary hardship people in need face trying to find a GoodBed for themselves or loved ones. Another MSG mission is matching more and more consumers up with a terminus, not terminal, GreatBed (MSG). A bed they can heal in, a bed that facilitates recovery, a bed that guarantees SLEEP, a resource with which a consumer can set their affairs RIGHT.

Encouragement Revisited

An example of when we needed encouragement with our Housing Help Line (HHL) idea and sub-project was when we met in person with Congressman Lou Correa. He failed to: Support us, boost our confidence or offer us hope about housing the disadvantaged in Orange County and around our country. What we rely on much for encouragement is the daily demands of fixing Housing problems for Buster and his associates. Publishing is a persuasion we need to continue moving forward. We here at MSG are committed to developing activities that substantially mend the communities Housing concerns. We here at Mentalation Solutions Group (MSG) believe in our Housing Help Line fix. We believe in our BedBusters prescribed support systems. The Housing Help Line (HHL) is to be supported by a Housing Advisory Board (HAB) and a Housing Work Group (HWG). This triad or trifecta is at the core of BedBusters.

Encouragement Index Persons Of Interest (POI)

-
POI	Role	EFG
-
Lou Correa	Congressman USA represents parts of Orange County	D
Jeff Nagel PhD	BHS Director	A
Clayton Chau MD	Director	A-
Donald Bren	Real Estate mogul centered about Orange County	C+
Rimal B Bera MD	Behavioral Health Doctor	B+
Gloria Shanks	Landlord for Disadvantaged Small Business Owner	A-
Lanaii Kline	Sibling	B+
Andrew Inglis MD	BHS Medical Director	B+
Mary Hale MS	Retired BHS Director [Encouragement Summative]	B+
-

Last Reviewed: 20201024-SAT:

[INSERT DOCTOR CHAU MD]

Doctor Clayton Chau discussing Homelessness

Encouragement & Social Media

With the exception of Mary Hale all of the people scored in the table above may continue offering Keith “Buster” Torkelson encouragement in the future. Our prolonged BedBusters effort requires sustained renewal. As compared with Mentalation Solutions Group (MSG) midstream publications (2015-2019) we are marketing this report different. On April 2, 2019 Google removed its’ Google Plus option. On May 1, 2016 Google discontinued Picasa in favor of its’ cloud based Google Photos. Briefly: We applied Picasa first and then Google Plus to gather readers. After Google Plus was discontinued we gave Pinterest a try. We were gaining readers again and then Pinterest fell through. So for tandem encouragement we are going master Twitter for sharing this MSG's BedBusters idea and project. As far as social media general is concerned our encouragement ebbs and flows. BedBusters will at one point be a summative effort whereas the marketing of it will most likely in some way or another constitute a formative effort. Only if Buster were younger we would send him to school to take about 12 units in Social Media, Sales, and Marketing.

Impetus – Resource Development - Product

Figure – Orange County Public Health Resources

Since 2010 we here at Mentalation Solutions Group (MSG) have acquired at least two directories published by the Orange County Health Care Agency (OCHCA). One was a Directory of Mental Health Services Act (MHSA) Programs and the other was specific to MHSA Prevention & Early Intervention (PEI) Programs. In the not so recent past someone indicated a Housing Specific Directory was in the works. We haven’t been able to locate the Housing Directory yet. When we Query “ochca directory” we get the hit for the address below. As we further navigate we get the

https://www.ochealthinfo.com/bhs option. One the bottom of the page we get the ImageLinks (Figure) below.

FYI - Query “ochca directory”

Orange County, California - Directory - OC Health Care Agency

https://www.ochealthinfo.com/about/admin/directory

Figure from > Link

https://www.ochealthinfo.com/bhs

My3 and BedBusters

The above figure is taken from an OCHCA webpage. At the bottom there are six “ImageLinks”. Obviously Suicide, Referral and Linkage, Policy, Each Mind, and Emergency Numbers are all very important for consumers and their families in the “OC”. We hope that “Just for our Homeless and Any in Need BedBusters Housing Help Line” makes this priority ImageLink matrix. It just occurred to us here at Mentalation Solutions Group (MSG) we need make a BedBusters Logo. Incidentally we want everybody to steal our ideas ASAP. In fact if there was something nearly equivalent to BedBusters available in the “OC” we would redirect our momentum.

Just For our Homeless and Any in Need

BedBusters Housing Help Line

Orange County, California – Behavioral Health Services (BHS) Downloads

One of the key products BedBusters will deliver is a super duper Housing Resouces Guide or Manual. The manual will be applied in-house and distributed to the community. The Housing Work Group will use a hardcopy and an electronic copy while putting together an individualized “Bed” portfolio for a consumer. The link below references a model directory: Medi-Cal Mental Health Plan Provider Directory.

FYI > https://www.ochealthinfo.com/bhs/about/aqis/aoabh/downloads

Please contact AQIS AOABH at ksabet@ochca.com or call (714) 834-5601.

Medi-Cal Mental Health Plan

Figure - OCHCA BHS MHSA Program Directory (2010)

Impetus – Prevention

Since 2009 “Buster” here at Mentalation Solutions Group (MSG) has tracked, read, and catelogued an more than one-thousand (1,000) pages of Mental Health Services Act (MHSA) literature. The easiest MHSA Component for him to get a handle on was the Technological Needs Component (TN). For more than six (6) years he was a Technological Needs Advisor (TNA). With technology he saw solutions clearer than with the other MHSA Components. It was satifying work. He monitored and contributed a bit to some projects such as the Electronic Health Records. The primary Technological Needs projects were: Electronic Health Records (hardware and software), Personal Health Records, Computing for Consumers and Families, Telepsychiatry, Patient Portals, and any technical project specified as an Innovation (INN). Buster has personal lived experience with all these areas as a consumer. Obviously when it comes to disadvanged about housing peoples, including the homeless, we would progressively migrate the BedBusters platform from a crisis management approach to a preventative approach.

Priority Populations Over Time

On June 24, 2014 we collected up an online report dated June 20, 2008 called Planning Guide for Prevention and Early Intervention (PEI) under the Mental Health Services Act (MHSA) (21 – Pages). It appears to be either authored or distributed by: California Department of Alcohol and Drug Programs Co-Occuring Disorders Unit. FYI Link > http://www.adp.ca.gov/COD

In this report they address: “Community Mental Health Needs Priority Populations”. Today is Friday October 30, 2020. As many of us are aware a general health priority population is Corona. Various sources indicated that the Corona Population will have a growing sub-population. Peoples impacted by Corona developing or acerbating mood and behavioral problems. Last week the State of California outlined its’ revised priority population list. Corona was listed as number one (1). Coming in second (2^nd) are our homeless.

Progress on 2008 Priorities

In 2008 the primier state level Co-occuring Disorder (COD) entity listed priorities about Mental Health (MH) needing solution. They were: Disparities in Access to MH Services, Psychosocial Impact of Trauma, At-Risk Children issues, Youth & Young Adults concerns, Mental Illness Discrimination and Stigma, and Suicide Risk mitigation. Housing impacts as of these priorities some more than others. Now for 2021 we can add: Housing the disadvantaged and emergence of Mental Health issues associated with Corona. A good question to ask is how well did we do about the 2008 list. Putting something on “The List” doesn’t indicate resolve. With BedBusters we can resolve the problems of housing the disadvantaged including the homeless on a county by county basis. Let’s start here in the “OC”!

Impetus – Services

Obviously many disadvantaged peoples, including the homeless, not only need yet require Supportive Services. We ALL the RIGHT to Supportive Service. BedBusters will do its’ part by directly matching the consumer with a Best Fit GoodBed (BFG). A key feature to a GoodBed is one that promotes health and SleepAbility (MSG). In many instances SleepAbility (MSG) requires psychotropic medications. A GreatBed (MSG) is one that passes scrutiny ounder measurement. Another Bed Centered Feature (BCF) is that the consumer have stable and adequate financial resources to afford it over time. In addition, generally in order to obtain medication the consumer needs resources to pay.

Medication Management

BedBusters relies on collaborative efforts to get the consumer money and medication. The other myraid of supports and services can help once the consumer settles in, adjusts, gets rest, begins to heal, and engages: Setting their affairs RIGHT. In their Health Care Agency (HCA) Service Forms (N=27) - Orange County, California - BHS Medi-Cal Provider Information documentation the HCA outlines some odd twenty-seven (27) forms. Since 2012 with his service provider Brand New Day (BND) Buster has addressed over half of the forms. None of them were actually helpful about Housing except the Psychotropic Medication Consent (PMC). Actually he was never presented with a PMC because BND knew he was game for another round of Psychotropic Experimentation.

FYI > https://www.ochealthinfo.com/bhs/about/medi_cal

Services and Housing Reversed

We suggest refining Supportive Services or SSs in the face of Housing. Concentrate or fractionate SSs down to only tasks required to get a consumer, including a homeless person, into a GoodBed (MSG). The overarching focus and priority should be targetted at getting the consumer into a GoodBed (MSG). One of the consequences of getting a consumer into a BadBed (MSG) is that their risk of relapsing into to homelessness increases. BedBusters will help disadvantaged peoples, including the homeless, secure a GoodBed. A longer range vision for us here at Mentalation Solutions Group (MSG) is that more and more of the GoodBeds (MSG) will panout as GreatBeds (MSG). Bed quality is under-investigated and not quantified at this time.

In Network Out of Network Housing - Some odd 39 MHSA programs in 2010

In 2014 we here at MSG were authoring and publishing our Accountability MHSA Innovations Newsletter (AMIN). During 2014 Buster peaked about his HCA related contributions. He was participating on both the Technological Advisory Committee (TAC) and on Innovations Advisory Committee (IAC). With the IAC team, the team’s most substantial task was to review and score (vet) a round of Innovation Idea Submissions (IISs). Buster believed that the learning accrued while executing the various Innovation ideas would best be applied to existing programs notably: The FSPs, PACT, and PEI programs. Many of the MHSA programs offer a bit of Housing Help. Many non-MHSA community programs offer Housing Help. They are underperforming a bit as evidenced by Homeless peoples.

GreatBeds (MSG)

Note: Once again, homeless peoples are just a tip topping of a difficult to sound iceberg. The resources and skills that work both with Mental Health Service Act (MHSA) program and community programs should be retained. This material will be reworked by our BedBusters’ Housing Work Group (HWG). We will amalgamate Bed Finding (BF) with BedBusters. An example of extracting what works and discarding the rest would be our process of supplanting the Mental Health Association - Housing Program (MHA-HP). They have tried a homeless “Babisitation” approach for too long. Disadvantaged people in Orange County have the RIGHT to make rest in GreatBeds ASAP. At this point it is challenging to find GoodBeds (MSG).

Special Population – Triple-occurring Disorders

Disadvantaged peoples such as the homeless in Orange County often have more than just housing problems. Many have co-occurring disorders (CODs) such as behavioral health issues and substance use disorders (SUDs). We have found that legal issues can be so disabling that we group CODs plus legal issues into Triple-occurring Disorders (TODs). We have a separate Special Populations report in the works. For now we recommend that the Housing Help Line keep it simple in the first year by addressing the homeless and those cases we will classify as simple.

Moving Simple V Complex (Populations)

Considering capacity, initially more people than the Housing Help Line (HHL-Beta) can help in the first year need help. During BedBusters’ first year of service our HHL will address simple populations and the homeless. Below we listed features about case intensity. For now we will not rank the list. Of course there are more categories than we have listed. Eventually we will finalize Mentalation Solutions Group’s (MSG’s) Case Intensity Scale for Housing Populations (CIS-HPs). Our final CIS-HP will include notes and challenge scores.

Case Intensity Scale (CIS) – Housing Populations

Nature

Inadequate Money
Sleep Issues
Move from RASR better RASR
Prison to Community
Jail to Community
Therapeutic Residential
SUD Recovery Home
Post Conservatorship
SMH to Community

Homeless with nothing
Homeless with proper meds and benefits
Hospital Short Term
Hospital Long Term
Amputee
Active Drinker
Active Drug User
New to RASR
Belonging Heavy
With Car
Need for Connectivity
Bedridden

Project Impetus - Multiple

Explain why you have chosen this Primary Purpose (above) and what unmet need the idea/project is responding to?

Impetus Content - Barbarian Challenge

Put an end to preventable catastrophic losses especially those surrounding the disadvantaged with unmet HOUSING needs. Fill gaps by perfecting a HOUSING-centered solution. Through guarded transparency address personal, population, and community related stigma. Slow the rate at which behavioral health consumers Die Too Young (DTY). Take a global approach that considers the some odd more than 150 ethnic groups on the planet. Come out of the closet as a Barbarian challenged by civilization. Address the homeless with a product line that works.

Quote

Crisis Prevention

“When an individual or a family develops a mental health problem, particularly a severe one, such as one requiring psychiatric hospitalization or involving law enforcement, they are faced with the question of whom to turn to find assistance and resources.” Mentalation Solutions Group’s (MSG’s) products focus on Housing and Bed Matching. Eventually our Housing Work Group (HWG) will apply BedMatcher (MSG) software. BedBusters provides a format for a number of community providers who have access to and trust within disadvantaged communities to collaborate, both with each other and with county mental health services, to provide routine HOUSING specific crisis management and crisis prevention services to consumers and family members.

Reference Format – MHSA Innovations (INN)

At some point excerpts from this Impetus Report will be included in a formal Mental Health Services Act (MHSA) INN Idea submission. We project our submission deadline at the end of 2020. Somewhere around 2014 Keith “Buster” Torkelson attended an Orange County Health Care Agency (OCHCA) sponsored INN idea submission training. We use the format and leading information provided at said training outlining the Collective Solutions idea from INN Round 3. The process may have change a bit since then. We do know the OCHCA has implemented an online INN Idea Suite.

FYI Link >

https://www.ochealthcareagency.com/innovations/

Impetus – Unmet Needs – Housing – Doug Keith
Reference Document – Gaps
Mental Health Services Act FY 2019-20 Plan Update - FINAL VERSION - New (330 Pages)
Source for Incidental Considerations – Page - 264

http://www.ochealthinfo.com/civicax/filebank/blobdload.aspx?BlobID=96051

In the document we reference above the authors identify eight (8) unmet needs with the Mental Health Services Act (MHSA). None focus directly on housing and housing needs for the disadvantaged, including the homeless. Peoples that are disadvantaged include yet are not limited to just the homeless. Another impetus for pushing through our Housing Help Line idea is that people need help finding a GoodBed (MSG) and moving. We had a friend that Died Too Young (DTY). After a period of stability in a Rent A Shared Room (RASR) the landlord was served with an eviction notice. Doug lost his security and anxiety set in. He moved, moved again, and again. He never could find a GoodBed. Last time Buster saw Doug – Doug had lost weight. Buster said: “You look good”. Then Doug died. It is impossible to correlate Doug’s DEATH to Housing yet not having a GoodBed didn’t help much.

[INSERT PHOTO OF DOUG]

Buster gives Doug a ride to the hospital

Doug is having a Panic Attack

Public Health Associated Housing

Too often is the case that the persons in need suffer catastrophic losses over a move that is faced with incredible uncertainty. Many times consumers and/or their families spend all their money just to find they have paid for an unhealthy or unsafe bed (BadBed). This loss of resources can lead to the consumer to opt for a homeless fix. With BedBusters we focus mainly on those suffering mental illness in need of a Rent A Shared Room (RASR) fix. The public health housing solutions are not completely up to the Housing Challenge. It has been about ten years since Reps in the OC suggested a Solution: “Ten years to end homelessness”.

Sleep & SleepAbility Position - Link to Extended Needs Report
20200309_Housing Advisory – Needs Report-I
By MSG and Keith E Torkelson, MS
Pre-sales for Housing Help Line Fix – Addresses SLEEP and SleepAbility

https://ktork46.blogspot.com/2020/03/20200309housing-advisory-needs-report-i.html

Project Impetus – Unmet Needs – “Jessie”

This is just one of many examples we have observed about a poor fitting beds (BadBed). Had the Housing Help Line (HHL) been in place there is a chance ever so slight that it may have mediated a better outcome for the consumer “Jessie”. We tentatively classify moves as follows: Easy, moderate, very challenging, SuperMax, and impossible. Jessie’s move could have been of moderate difficulty. After a period of unrest Jessie acted out. He was taken down at first by one big guy. After he escaped the first big guy two big guys tackled on to Jessie’s bed. In the process the big guy on top decided to punch Jessie hard in the face twice. The second blow broke Jessie’s nose. Jessie’s BadBed leaves him with a permanent scar. Eventually the police came and took a position against Jessie. Jessie left the house permanently that day. He was placed in handcuffs. Jessie really could have used a GoodBed. His move as it were was an impossible one. Incidentally, if Buster were to move now his move would be a SuperMax.

[INSERT PHOTO OF JESSIE]

Jessie on the bottom of the pile needed

Needed a medication change

Instead he end up with a broken nose

and put in handcuffs

Project Impetus – Harmony & the GoodBed

Let’s go back ten years ago. Buster was facing housing problems similar to Doug’s. We already addressed Doug above. If someone told Buster ten years ago that he would be in his GoodBed right now and with a well matched roommate he would say, “Unlikely”. Early on in Buster’s Rent A Shared Room (RASR) lifestyle (Circa 2007) Buster helped a friend in need find a temporary bed. Buster and his friend shared a room in Irvine. In hindsight it was a very good match and both were in GoodBeds. Then after Buster’s “Crash of 2012” room harmony was hard to sustain. Yet, since July of 2020 Buster shares a room with a good person, John. Room harmony has vastly improved. The majority of our BedBusters effort is borne out of a need to solve Buster’s own Housing Problems. Just because you have a GoodBed today doesn’t guarantee it will be tomorrow. We will address this more in our studies about Housing Models. –

Destinations Unknown

A bottom line is that disadvantaged people really have little idea about the destination for their GoodBed (MSG). It is as if you are living in Anaheim. Then you find a need to call “Nine-One-One”. The EMT’s arrive to discover you meet the criteria for emergency transport. After a long ride you end up in a hospital bed in South Laguna Beach – WTF. It is sort of you are living in Laguna Niguel and you call “Nine-One-One”, you meet the criteria for transport and you end up at College Hospital Cerritos – WTF. From South Laguna Buster was released to the bus bench on Pacific Coast Highway. A takeaway is: If you are a disadvantaged person more or less as compared to the “Normal” your “Destination is Unknown”. BedBusters will help remedy this uncertainty including the Anxiety that come with it. Aside: We have to use caution when publishing the numbers for Nine-One-One. We have found on at least two occasion online filters can catch it and bring down unneeded attention.

Project Impetus - Best Services - Collaboration

“I was encouraged to see this large gathering of the agencies and people who are dealing with homelessness in OC,” said Jocelyn Argame, Public Health Nurse, Whole Person Care (WPC). “It’s a recognition we need to work together and that Orange County is committed to working together to provide the best services.”

Supportive Services and Support - Selling Whole Person Care (WPC)

“It was nice to hear in one place, about all the work being done by HCA and our partners in this effort,” said Sharon Boles, Ph.D., Special Projects Manager, WPC. “I was grateful the discussion included the work of the Whole Person Care Pilot Project, which helped informed the public about the work being done by Whole Person Care.”

After Mary Hale – Coincidence & Correlation

“The conference also set the goal of renewing optimism the fight against homelessness and to understand how effective, shared practices, as well as knowledge and compassion, can lead to permanent solutions. As one speaker put it, “In the past two years OC has done more on homelessness that in the previous eight years. And together we can and together we will end homelessness in Orange County.” We feel ending homelessness is irrational. Yet with the help of BedBusters we can “Take a Chunk out of” Homelessness.

20200128-TU @1130AM – Hot of the Press

After we finished transcribing the material above we took a break near the bus stop at Bristol and Warner Streets in Santa Ana California. We encountered two homeless people. As we walked away a third joined them. In sum it was two females and one male. Work is needed constructing Mechanisms Of Homelessness.

[INSERT PHOTOS OF B&W BUS BENCH AREA]

Special Population – Homeless Field Work
[HOMELESS GALLERY]
Link – MSG’s Homeless Gallery (20201030-F)

https://housingadvisoryboard.blogspot.com/2020/10/we-walk-quietly-among-our-homeless.html

Full Services

Back in 2009 while familiarizing himself about the Mental Health Services Act (MHSA) Buster immediately gravitated to the notion of MHSA mediated Full Service Partnerships (FSPs). He thought that wow Full Services all in one place. If anything “Promising” is yielded from the other program test ideas the Promising Practices can be amalgamated into an existing FSP or two or even all of them. Didn’t happen and things expanded rapidly. An adjunct to BedBusters could be a Full Housing Service Partnership (FHSPs) for managing the peripheral Bed aspects such and medication, income, and health insurance. For us here at Mentalation Solutions Group (MSG) “Housing First” means landing the consumer in a GoodBed. Equal weight to a GoodBed is medication management targeted at facilitating: Rest, re-cooperation, and SLEEP.

Frequency of Encounters with the Homeless – MSG in the Field

Keith “Buster” Torkelson smokes cigarettes. In an effort to get away from people including children and non-smokers he finds himself adjacent to trash cans, around corners, and in the bushes. This increases his likelihood of running about homeless. In addition Buster’s cigarette smoking is an ice-breaker for establishing rapport since about 1 in 4 homeless people approach (close space) in order to “bum” a cigarette. At the corner of Bristol and Warner in Santa Ana it can be tricky getting away from people so oftentimes Buster smokes near the Warner East bus bench. Again, on January 28, 2020 (TU) not one but three homeless people took up residence on, at and near the bus bench. FAQ: Where are these people now, what happened to them, did they get help, and how come none of us know.

Evidence from the Field – Real World Evidence (RWE)

If our Housing Help Line (HHL) were in place and any of these persons agreed we would have made the call right there to get things rolling along. In a recent publication of the Health Care Agency’s - What’s Up! - Newsletter Director Richard Sanchez (OCHCA) mentions his “Blue Shirts”. We think that it would be a good idea that if any homeless and other person in need were contacted by the OCHCA Outreach & Engagement (O&E) Blue Shirts or any other Rep they request the person served about Housing matters wear a blue wrist band.

From Hospital to Street

On the streets we see individuals including homeless peoples sporting hospital bands. If we observed a blue wristband we, the community at large, would know more or less the person were on their way to get the help they need. Once a again in order to not propagate stigma to much the consumer would be given the option.

[INSERT FIELD WORK PHOTO – Orange County 2016 FROM HOSPITAL TO DOWN AND OUT]

Homeless person in Santa Ana

Wearing a Hosp Wristband

Location – Central Orange County California
Photo by Avey C Asus (August 16, 2016)
Direct and Indirect “Dumping” – Example of Homeless Mismanagement

Big Mistakes – Where is the Humanity?

It has been quite some time (2007) that Kaiser in Los Angeles got in trouble for releasing a patient to the streets. Releasing a person to the streets would be an example of “Direct Patient Dumping” (DPD). When a hospital releases a patient to an unlivable “Bed” we here at Mentalation Solutions Group (MSG) called this “Indirect Patient Dumping” (IPD). Quite some time ago Doctor Clayton Chau MD indicated that it is unwise to put a consumer back to the bed that put them in the hospital. When a person is in an unlivable bed they often cope by entertaining Homelessness. One of the functions of BedBusters’ Housing Work Group (HWG) is to ferrit out the GoodBeds (MSG) in the community.

FYI - Kaiser accepts settlement to end dumping of homeless patients

https://www.latimes.com/archives/la-xpm-2007-may-16-me-dumping16-story.html

May 16, 2007 By Richard Winton and Cara Mia DiMassa - Times Staff Writers

“Kaiser Permanente has agreed to a first-of-its-kind settlement aimed at ending patient dumping that requires the HMO to establish new discharge rules, provide more training for employees and allow a well-known former U.S. attorney to monitor its progress, officials announced Tuesday. The agreement by the nation’s largest HMO could resolve criminal charges and civil lawsuits filed against it last year by the Los Angeles city attorney’s office, alleging that it dumped on skid row a homeless woman who had been a patient. The Los Angeles city attorney's office has filed criminal charges against hospital giant Kaiser Permanente for endangering a former patient. The charges allege Kaiser dumped a homeless patient on the city's downtown Skid Row. The charges stem from video captured by security cameras in March.” Nov 16, 2006

20160408-F: Homeless Incident

Since 2012 Keith “Buster” Torkelson has on his own time performed fieldwork primarilly centered about the Homeless in the “OC”. In less than ten years he has approached more than one-hundred homeless persons on the streets. One thing that Buster looks for is an indication that a service agency has outreached with the various persons he meets. It has been nearly eight (8) years now and he has yet to meet a service agency Rep on the streets. Way back around 2009 Buster began attending OCHCA MHSA Steerting Committee Meetings (roughly monthly). At this time they were held at The Delhi in Santa Ana California. SCM’s at the time provided sandwiches, cookies, fruit, and coffee for free. Meeting after meeting Buster scanned the room looking to see if the homeless outside were invited into a meeting. These SCM meetings pertain to their wellness. All it would take is an outreach worker or Blue Shirt in attendence to go outside and Outreach. This was and is an enduring gap with outreaching with persons facing housing shortfalls.

20201021-W: Outreach Maybe?

While we here at Mentalation Solutions Group (MSG) focussed on Corona issues we ignored our field work about the homeless of Central Orange County. One, “Buster” was not taking the time on his stops in the community to seek out homeless people. In other MSG reports on Housing we indicated that we don’t cross paths with outreach workers. If you consider the Police outreach than yes we have witnessed Police-driven Homeless Outreach (PDHO). Then, suddenly last week on Wednesday September 21^st Buster observed something unique. A gal her form set on a clip board was transacting with three (3) homesless persons, two males and a female. Yeah! Buster was all happy. Almost immediately the homeless gal came over to Buster who was keeping his distance and said: “The (homeless) guy on the ground got hit by a car – she called the ambulance”. Well dawgone if she or an outreach worker would have arrived an a day or even an hour earlier we the Health & Human Services (HHS) community could have saved some money. The cost of the ambulance ride could have more than paid for one month in a Rent A Shared Room (RASR) environment.

[INSERT PHOTO OF GAL WITH CLIPBOARD Near WCW]

Worker helping injured homeless person

Gardne Grove California

WCW and OK

Some time ago, Buster became a member of the Wellness Center West (WCW). The WCW is a Mental Health Services Act (MHSA) funding program. Way back in 2009 Buster’s Orange County Health Care Agency (OCHCA) supervisor, Kate Pavich, assigned him to partner up with the original Wellness Center in Santa Ana. This Wellness Center is now called Wellness Center Central (WCC). The WCC eventually moved to its permanent Capital Facilities funded location in Orange. At neither the Santa Ana or Orange location did we notice homeless people gravitating. Yet near or around the WCW area homeless people gravitate. The individual we address above as hit by car was living adjacent the WCW. In the same construct as is the WCW is another MHSA funded program: Opportunity Knocks Full Service Partnership (OC-FSP). One item of good news is after the WCW Corona related closure they have executinf a modified protocol opened up again.

Time Line – 10 years to end homelessness
Orange County's Ten-Year Plan to End Homelessness
On January 12, 2010, the Orange County Board of Supervisors approved the Draft Plan

Plans to Resolve Homelessness

We Google Searched “orange county homeless”. We confirmed our belief that there we homeless in Orange County California. Aside: There are also homeless in Orange County North Carolina. We assume homelessness can be a bad thing. The ACLU or American Civil Liberties Union of Southern California agrees with us. Telling the truth since 2010 “Buster” has had approximately one-hundred (100) face-to-face encounters with homeless peoples on the streets. Still merging into 2021 our local homelessness is not a pretty picture.

If you didn’t look before here we offer up another chance.

Link – MSG’s Homeless Gallery (20201030-F)

https://housingadvisoryboard.blogspot.com/2020/10/we-walk-quietly-among-our-homeless.html

Back circa 2010 while attending the annual Mental Health Association (MHA) Meeting Of the Minds (MOMs) Mary Hale spoke on Orange County’s Ten-Year Plan to End Homelessness. On January 12, 2010, the Orange County Board of Supervisors approved a draft plan. Well how do you think the ten year plan came out for us here in the “OC”? It didn’t – Nada! End implies an all or nothing approach. End implies a Solution. Stop using the word end! It is like in 1919 we just survived the war to end all wars. Our housing help is orientated about Fixing things a little at a time. “One bed at a time”. When it begins to save substantial money BedBusters can then elevate itself as a true Promising Practice. Between Promising and Solution is Best. We here at Mentalation Solutions Group (MSG) have a peeve with Best. When it is sold to other big counties then it might be considered a Best Practice and maybe never a Solution.

[INSERT WARBROOK – DIED HOMELESS AND TOO YOUNG]

WarBrook here Died Too Young (DTY)

Died Homeless

Fountain Valley

Impetus - Promises

It was about ten (10) years ago now that we here at Mentalation Solutions Group (MSG) were introduced to the notion of promising Orange County to end homelessness in ten (10) years (10YTEH). There are at least two aspects to homelessness: First the numbers and second the impact. We witnessed 10YTEH presented at an annual Meeting Of the Minds in part by Mary Hale. All we could conclude at the time is this endeavor is very likely not to work. Now other stakeholders indicate the 10YTEH approach has fallen short. Our homeless are still out in force and continue to have an impact in our community. For this upcoming November (2020) election Orange County Supervisor Andrew Do indicates he will address the homeless problems in the “OC”. “We're putting our mental health dollars to work addressing homelessness,” said Orange County Supervisor Andrew Do, Chairman of the Board of Supervisors.

Homeless People - POI – Andrew Do

Today is Friday October 29, 2020. The big election is afoot. We saw material regarding Supervisor Andrew Do’s position. One is he commits to helping the homeless. We have heard this promise before. We did a little research and found two articles. In the first entitled:

FYI - Homelessness: Orange County Adds 4 Dozen Homeless Beds with Housing Grants

https://d1.ocgov.com/OC-Adds-4-Dozen-Homeless-Beds-with-Housing-Grants

[ADDRESSED IN DEPTH IN UPCOMING HOMELESS POPULATION REPORT]

POI – Andrew Do – 2^nd Article
In the News: Supervisor Andrew Do’s Homeless Plan

https://d1.ocgov.com/Homeless-Plan

“Orange County is supporting Supervisor Andrew Do’s homeless plan. On Tuesday, the Orange County Board of Supervisors approved Supervisor Andrew Do’s homeless plan to turn an abandoned bus terminal into a transitional homeless shelter. Under Supervisor Andrew Do’s homeless plan, the new transitional homeless shelter will offer a range of services, including:”

-
-Service (Andrew Do)
-
Safe Humane Sleeping Facilities
Shower And Bathing Facilities
Additional Restrooms
Health And Safety Inspections Of Food Prep By Community Non-Profits
Help Connecting Homeless Vets To Vet Assistance Programs
Access To Existing Programs
-
-Access To Services That Provide
-
Basic Aid
Mental Health Services
Substance Abuse Treatment
Legal Aid
Job Training Services
-

Last Reviewed: 20201102-M:

Housing First

We here at Mentalation Solutions Group (MSG) find no reason to trust Supervisor Do. In over ten years of meetings, conferences, and training we find him unremarkable. There nothing new or innovative in his plan. We have no idea how he is going to fund his plan. We do agree to collocate some of his services where the homeless beds are. He focuses more on trapping consumers in his “Safe Humane Sleeping Facilities” rather than getting them into a GoodBed. For your typical homeless person servicing with all or a good share of Do’s elements will be a case of “Over-service”. When promoting “Housing First” we mean: Consumer Matching with a GoodBed not Over-service with “Program”. Basic Aid is a keeper though. Something missing is reuniting the family. We will address “Do” in our next paper on Homelessness.

Transitional Homeless Shelter Approach

With Mentalation Solutions Group’s (MSG’s) Housing Help Line (HHL) we will improve need-to-bed turnaround time. If people have their resources in place we can place them in no more three days (72 hours) from the bed of origin whether it is: On the streets, in a Transitional Homeless Shelter (THS), out of the hospital or any other temporary place. Several people in Buster’s Rent A Shared Room (RASR) cohort have been kept in the hospital days or even weeks while the “Worker” locates a bed. Many of them are placed in BadBeds. Much can be saved by finding a bed earlier and knowing it has a good chance of being a GoodBed.

Solution V Fix V Patch

For the purpose of standardizing BedBusters nomenclature we need to define some of our terminology. Here we address: Solutions, Patches, and Fixes. For all practical purposes when we refer to Patches and Fixes we treat them as the same thing. Eventually we will better differentiate the two. In computer Lingo our programs for addressing housing have many “Bugs”.

FYI - Types of software patches – Computer Analogies

“A single patch can fall into more than one category, however. Bug fix patches correct problems in the software. These patches help the software run more smoothly and reduce the likelihood of a crash. Security patches address known security vulnerabilities, making the software more secure.” The one who takes the hit in a program crash is usually the consumer.

Need – Audit Existing Resources

As we mentioned we have hard copies of near one-hundred (100) Mental Health Services Act (MHSA) related documents. In addition we as least that many MHSA related E-Documents. Many that buried in our archives had materials dealing with Housing and Homelessness. An impetus for us here at Mentalation Solutions Group (MSG) to sustain our BedBusters effort is than no-one within the MHSA network or out of the MHSA network seems to be doing it. Especially no one seems to be providing for anything quite up to snuff with MSG’s Housing Help Line (HHL) element.

Orange County, California - MHSA - OC Health Care Agency

https://www.ochealthinfo.com/bhs/about/pi/mhsa

We reviewed the Current (July 2020) BHS Service Directory (165 pages). On Page 140 they address Housing. On page 145 they address Recovery & Supportive Services. Yet they actually miss when it comes to the need and value to place consumers, including the homeless, in a GoodBed. Unfortunately these GoodBeds are not going pop out of nowhere. BedBusters Housing Work Group (HWG) element is going to work hard capturing them. Beds in transitional facilities are not GoodBeds. In fact we have sampled about fifty (50) beds in Shared Room Environments (SREs). Less than half would qualify as GoodBeds. Make note that each time there is a bed turnover the room and therefore the Bed quality changes. For example when a non-drinker of alcohol leaves and is replaced with a drinker of alcohol.

Corona – Derived Mental Health Screener for BND – Planning Ahead
FYI – Return of the OCHCA What’s Up Newsletter

https://www.ochealthinfo.com/about/admin/pubs/newsletters/whatsup

For Buster: “Recognize the symptoms of stress you may be experiencing:”

R-BL = Retroactive - Baseline

-
##	Symptom	2019 (R-BL)	2020 1030 (F)	Note
-
01	Feeling irritation, anger or in denial	0.50	0.50
02	Feeling uncertain, nervous or anxious	0.50	0.50
03	Lacking motivation	0.00	0.00
04	Feeling tired, overwhelmed or burned out	0.50	0.50
05	Feeling sad or depressed	0.25	0.25
06	Having trouble sleeping	1.00	0.50	Substantial Gain
07	Having trouble concentrating	0.75	0.75
-
	Know the common work-related factors that can add to stress during a pandemic:
	Work or Volunteer Work Related Symptoms
-
08	Concern about the risk of being exposed to the virus at work or other work areas	0.00	0.25
09	Taking care of personal and family needs while balancing work life	0.50	0.75
10	Managing a different workload	0.75	0.50
11	Feelings that you are not contributing enough to work, or guilt about not being on the frontline	0.00	0.25
12	Uncertainty about the future and your safety	0.50	0.50	Bed Quality
-
	CALC	=5.25/12	=5.25/12
	Corona Associated Behavioral Health Screener Score =	43.8%	43.8%	As of yet Corona has little impact on Buster’s stress
-

Last Reviewed: 20201030-F: Higher scores are problematic: 20201030 (F) Assessment for Keith “Buster” Torkelson MS

FYI – Returning Resource – HCA’s What’s Up Newsletter

https://www.ochealthinfo.com/about/admin/pubs/newsletters/whatsup

For us here at Mentalation Solutions Group (MSG) one of our favorite Newsletters to read is the Orange County Health Care Agency (HCA) What’s Up! Newsletter. What’s Up provides an insider view of What’s going down with the HCA. Then Corona hits. Beginning around April 2020 there was a gap in publication. It persisted. We here at MSG thought that What’s Up had been scrapped. And boom just in the tic-of-time, October 2020, it is back. Obviously Corona dominates the October issue. Yet the October 2020 includes a homeless related update: “Homeless Navigation Center - Huntington Beach”.

[SEE APPENDIX C for What’s Up October 2020 Table of Contents]

Optimism in Huntington Beach

“OC Health Care Agency (HCA) staff: Were among County agencies that joined Chairwoman of the Orange County Board of Supervisors Michelle Steele and a collection of elected City of Huntington Beach and State representatives, at the groundbreaking for a Navigation Center to serve those experiencing homelessness in Huntington Beach. The County is working with the City of Huntington Beach to bring up the sprung structure,” said Jason Austin, Director, Office of Care Coordination with the HCA.”

Homeless Navigation Center

“Huntington Beach breaks ground on 174-bed homeless navigation center on Cameron Lane.” Each time we here at Mentalation Solutions Group becomes aware of a new Housing “Fix” we have to ponder where BedBusters fits in with it. We are going to defer the processing of this new and improved homeless “Fix” till our report on Services and Supports.

InfoBase on Housing & Help Line Need

MSG Housing Help Line more than a year in the making

-
Stage	Note
-
Personal Needs	We need viable options for our next bed Bed owners are timing out
Needs of Others	We see others facing hardship(s) associated with housing
Resource Management	The existing resources are insufficient
Evaluated Existing	We have evaluated existing resources on multiple occasions
Solidify SLEEP Approach	We believe that without SLEEP there is little recovery
Personal Needs	We have asked for help and received little sensible support
Apply Call Center Experience	Buster has enduring lived experience with call centers
Select Sales Approaches	Decided to publish first then submit second
Begin Publish	Already begun with support materials Housing Advisory Board Blog
Branding	MSG and BedBusters
Ask For Help	Again asked for help With much effort we did get some help this year (2020)
Research Assessments	For assessing producers, consumers and environments
Develop Assessment	Bed centered assessments are weak They do not capture the “Bed” experience well
Selling of Housing Help Line Idea	During the course of 2020 we have worked selling this idea about ten times We will continue into 2021
Take a step back	We took a break associated with Corona priorities
Publish PRN	Going to leverage Twitter to reach more readers in need
Submit for INN Idea	We set the submission date on or before Christmas 2020
-

Last Reviewed: 20201024-SAT:

Needs Reporting

We have reviewed some very lengthy Commercial-Of-the-Self (COTS) living arrangements need evaluations and independent living readiness forms. In our report on assessment of living arrangements we will summarize our findings. For the most the existing assessments do not capture the Rent A Share Room (RASR) experience. Items from a typical COTS assessment that fit well may need to be extracted for building better fitting assessment tools. We here at Mentalation Solutions Group find assessment important for many reasons. As far as the BedBusters call center is concerned assessments will digitized and programmed into the call center software. Disadvantaged consumer, including the homeless, housing needs matter more than ever. In our report on Measurement we will measure: Needs, need fulfillment, Quality Of Life (QOL), consumer satisfaction, BedMatch, etc. Material from this report is to be extracted and combined with other required in a formal HCA MHSA Innovation Idea submission. We here at MSG have already published an Introduction to Needs (Housing) Report. We include the link below.

Needs Study
20201102-M: Applied to: 09_HHL_Project_Impetus_20052403_Notes
Published: 20200309-M: Housing Advisory – Needs Report-I
By MSG and Keith E Torkelson, MS
Pre-sales for Housing Help Line Fix
Addresses SLEEP and SleepAbility

https://ktork46.blogspot.com/2020/03/20200309housing-advisory-needs-report-i.html

Database Query > 05_HHL_Needs_Matters_20020202_Notes I

Six (6) Month Housing Need Investigation
Figure – Work Done - MSGBase “Needs” Query
Metadata > 15_BedBusters_Publications_MSG_20100903_Register

Impetus – Need Summary

When it comes to needs at the Bed level Maslow’s Hierarchy begins describes the “Bed” well. His traditional pyramid of human needs includes five (5) levels. Buster calls the two (2) lowest levels Basal Human Needs (BHNs). For many disadvantaged people they spend most of their time on Physiological needs such as: Breathing, consumption, drinking, sleeping, excreting, self-regulation, and entertaining sex. Breathing, sleeping, and sex are bed elements. Breathing is a bed element because more often than not one is more aware of breathing while in bed. Interesting enough consumers’ primary complaint at this level is getting enough to eat. The second level is very important at the room level. Within a shared room it can be tricky attaining and maintaining Security of: Body, resources, health, and property. All these needs might best be included in one or more assessments that capture the Bed and the Room experience.

Figure – Needs Pirated From Maslow

Maslow's Needs

Needs Legacy Report

Retro on March 9, 2020 (M) we published an introductory report addressing needs about housing. We published it in our Housing Advisory Blog. We call it Need Report I. Keith “Buster” Torkelson wrote most and Mentalation Solutions Group (MSG) published it. One of our Needs Report’s purposes was pre-selling our Housing Help Line Fix. In addition it addresses issues around SLEEP as well as MSG’s SleepAbility concept. Below is a link to Needs Report I:

[DITTO LINK]

https://ktork46.blogspot.com/2020/03/20200309housing-advisory-needs-report-i.html

Database Query > 05_HHL_Needs_Matters_20020202_Notes I
FYI – A Blast to the Past
Promises Still to Keep: A Second Look at the Mental Health Services Act
Report #233, September 2016 (34 pages)
A Little Hoover Commission Letter Report to the Governor and Legislature of California
Database Query >

Table – Little Hoover Findings with the MHSA (2016)

-
Excerpt	Page	Note
-
A Continuing Challenge: “Muddled” Leadership Still Oversees MHSA Spending	7	Impact of past leadership unfavorable Impact of current leadership unknown
The Question Remains: Where is the Money Going?	12	Hopefully a small part will go to this BedBusters Idea
Still Unknown: Is the Act Achieving its Goals?	15	With respect to housing unclear With respect to homeless it is not
Californians Still Need Meaningful Ways to Participate in Spending Decisions	19	Until now we here at MSG have had only a minor impact directing MHSA spending
Counties Need More Ways to Share Success	21	Built into BedBusters will be final report for sharing with other counties
-

Last Reviewed: 20201021-W:

FYI - Peripheral Terms - Motivation (Impetus) Matrix
Centered About Housing and Houses

-
Element	Note
-
Dualism	“Two opposed or contrasted aspects” such as Mental Health and a GreatBed
Dynamic	Ever improving Housing-centered systems There are so many variables that it is unlikely that BedBusters will ever fully mature
Improve Community Perspective	Healthier disadvantaged people will improve our community outlook
Legacy	So many Mistaken Belief(s) about consumers, their needs and their shortfalls about GoodBeds
Link to Publications	[INCLUDED ELSEWHERE]
Regulation	Rent A Shared Bed owners need to begin regulating themselves The reason is Buster attended a Board & Care regulation training – The B&C Regs miss the meat and potatoes for delivering a GoodBed We need the input of those on the front lines – The Bed owners Static regulations cannot capture the Bed Dynamic
-

Last Reviewed: 20201021-W:

Link to Publications – Housing Publications to Date [STAYED]

MHSA Terms


Element	Note

1-Impetus	[ADDRESSED AS A WHOLE HERE]
Accountability	“Accountability is the obligation to explain, justify, and take responsibility for one's actions.” BedBusters will assist in defending public health with fixes for the homeless Defense will probably come due in five (5) years Last go round defense did not go very well for public health as well and its’ contractors Right now there still appears to be an Accountability Gap
Disparity	“Lack of equality; inequality; difference” We will address only three inequalities Rent versus affordability Penetration of the 1/3 rent cap rule Bed-to-bed quality
Gaps	“A break or hole in an object or between two objects. An unfilled space or interval; a break in continuity.” After more than ten years gaps in bed quality and the bed delivery process still persist
Inappropriate Service	Derive a definition from CCR by exclusion We here at MSG advocate for the consumer In others words if we engaged in law (LAW1) we would be a defensive group [More BELOW]
SPMI	Serious and Persistent Mental Illness Used too loosely SPMI means unable to work or attend school ever
Transparency	We promote Transparency by including real world evidence
Unmet Needs	SPMI still have more unmet needs about housing than fixes

Last Reviewed: 20201021-W:

LAW1 (MSG)

LAW1 is based upon four principles: Empathy, common sense, the RIGHT Nothing, and defending those that cannot defend themselves. Disadvantaged people are highly vulnerable. We see them get taken almost on a daily basis.

California Code of Regulations (CCR)

For this section we reference "California Code of Regulations” “(Vol. 12), Title 9” Rehabilitative and Developmental Services" Date: Sun, 2 Jan 2011 12:28:07 - 0800 MIME-Version: 1.0. - Barclays Official California Code of Regulations. MSG’s Barclays version has approximately two-thousand (2,000) pages. As you can see it was released in 2011. It’s likely the CCR has been updated multiple times since 2011. Yet short of a whole new act being passed the 2011 version serves us well. When perusing the CCR one can attack the codes from the strengths angle or the deficits angle. Initially in staying aligned with strengths-based we approached Full Services. Then we saw many of the people we care or cared for falling and crashing and burning. Some died homeless or destitute because they could not find a GoodBed (MSG). We saw and still see people Unserved or Under-served. Especially, the disadvantaged lack when it comes to Housing Associated Needs (HANs). There was once a promise in Public Health: Consumers “will receive the same level of services as provided to all other patients”. When this doesn’t happen it is not Under-serviced it is Inappropriate Service (IS). In the CCR (2011) you will not find a definition for IS. In the Appendix (Appendix B) we include the 2011 CCR definitions for: Fully Served, Unserved, and Under-served.

Inappropriate Service (IS) – Landmark Example

When pondering IS (IS) the first thing we think about is psychiatry. We have a separate Blog called Psychiatry for Dummies. A sound example of IS in the realm of psychiatry are when psychiatrists supported lobotomies and the like. The last reported lobotomy in the US was performed by this Freeman guy in 1967. We assume Freeman was a Neuro-surgeon and not a Car Mechanic. We assume that a referring psychiatrist was involved. “The patient died from a brain hemorrhage (Nov 30, 2005)”. “About 50,000 lobotomies were performed in the United States.” “The Soviet Union banned the surgery in 1950, arguing that it was contrary to the principles of humanity (Dec 11, 2010).” The Noble Prize Laureate who won the prize for his variation on the surgery is the only person in history that people argued to rescind his award. For us here at Mentalation Solutions Group (MSG) unserved and underserved fall under IS.

Impetus - Actualizing a Promise – Fully Served

If you Google “Inappropriate Service” you get no Behavioral Health related hits. The hits are targeted at “Inappropriate”. In Behavioral Health Services (BHSs) Inappropriate is used for the most part for describing a consumer-deficiency. We thought for sure that by osmosis we had come across a definition for IS. Thus off we went plowing through our CCR. No Inappropriate Service! Yet we did find clues for defining Under-served and Unserved. Fully Serviced is there also [AGAIN SEE APPENDIX B]. Not taking care of a consumer housing needs in humane manner is an example of IS. BedBusters will one case, one call, at a time gradually propel our system towards truly providing “Full Services”.

Motives Centered About Beds

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Aspect	Note	Motive
-
Focus about sleep and SleepAbility	Considered when valuing the quality of a “Bed”	We have a belief that people cannot fully recover without substantial bed rest and SLEEP Psychotropic medication is often necessary for disabled as well an normal people to SLEEP
Improve Bed Quality	All beds are not created equal Address Bed Quality Disparities	Need for improvements Bad mattresses Insufficient covers Crummy pillows Bed bugs Etc.
Rent A Shared Room environment	Define room level quality standards	Buster has observed room environments harming consumers
BedBusters	Overall Project Idea with three key elements [TABLE BELOW]	Because we are tired of waiting for an equivalent system of service and support
-

Last Reviewed: 20201028-W:

BedBusters Three (3) Key Elements

This is just a cursory outline of BedBusters’ Utilities.
This will be better defined in other MSG BedBusters Reports such as the Product Definition Report (PDR)


Element (Utility)	Note (Elemental Activities)

Housing Help Line (HHL)	Incoming Information Capture Establish rapport and trust with consumer and/or their representative Standardized yet evolving format Mastery of call center software Tier system technical support escalation model
Housing Advisory Board (HAB)	Reporting Information Processing Decisions and Strategies Resource Development Engaged in learning activities Selects Consumer-Off-the-Shelf (COTS) instruments Other PRN
Housing Work Group (HWG)	Assembles and creates necessary materials and products not delegated to the HAB Creates and updated Housing Resource Directories (HRDs) Creates assessments Processes assessments Generates Bed portfolios Arranges delivery of plan to consumer Arranges Transportation Other PRN
-

Last Reviewed: 20201028-W:

Impetus - Motivation Summary

Housing difficulties can lead to severe injury or DEATH. First and foremost BedBusters will save lives. BedBusters will save money. Other BedBusters motivations or impetuses is the need to facilitate substantial and positive changes about housing those in need. BedBusters will directly reduce: Suicide, homeless behaviors, incarceration (jail or prison), hospitalization time, etc. BedBusters may directly influence and improve measurable: Quality Of Life (QOL), Satisfaction, Quality Of Sleep (QOS), effectiveness of medication, bed matching, harmony within the Rent A Shared Room (RASR), Etc.

[INSERT KELLY THOMAS]

Pirated Photo of Kelly Thomas

Homeless and Killed In Actoin (KIA)

Needs - Impoverished About Housing Remedies

Many reports addressing unmet needs have been published since 2009. One we here at MSG have selected to review was published by the OCHCA (FY) 2019-2020. The needs met and unmet were shared at part of our local MHSA plan update. In this update we find very little direct reference to the “Bed” as currency for solving Housing Needs. In the table below we adapt eight of the FY: 2019-2020 needs to MSG’s BedBusters Housing “Fixes”.

Applying Criteria of Others
Table - Eight MHSA (Unmet) Needs Identified Across Planning Meeting (FY 2019-20)
Reference
Mental Health Services Act FY 2019-20 Plan Update
Final Version - New (330 Pages)
Source for Incidental Considerations – Page - 264

http://www.ochealthinfo.com/civicax/filebank/blobdload.aspx?BlobID=96051

-
#	Need (Unmet)	Help Line Impact	Note
-
1	Increased Awareness of/Improved Navigation of the Behavioral Health System (BHS)	Great	BHS increases weight of HOUSING Concerns & Fixes
2	Systematic screenings for mental illness	NA	Hardship rather than Mental illness part of the eligibility criteria A Prevention Approach
3	Training for individuals, families and providers	Users	Will learn as familiarity with BedBusters system grows
4	Implementation and/or Expansion of Peer Support Models	Good	Peers lived experience might facilitate collecting key consumer facts & building rapport
5	Time-Limited Expansion of Existing Direct Services	NA	3 year expansion with Housing Work Group (HWG) With Plan B we do address possible expansions
6	Time-Limited Funding of New Services	Yes	MHSA Innovation Funding
7	Targeted Stigma Reduction Programs	Incidental
8	Additional Supports to Remove Barriers to Increase Access/Training	Good	Ongoing training for Help Line Interceptors (Agents) & our Community of Users at large
-

Last Reviewed: 20201019-M:

Feature Persons Of Interest (POIs)

-
POI	Association	Note	Quick Grade
-
Helen Cameron	Permanent Supportive Housing	Solution line may never meet the need line (AKA Breakeven) Solution growth too slow	C-
AgG (STS)	Conflict of Interest Anon is best	Very good Rent A Shared Room (RASR) model Resource could be lost to the community due to owner/operator aging out	A-
Lou Correa	Congressman For Santa Ana region	Offered us resources that never came through	C
Andrew Do	Running for Supervisor	Indicates will help homeless yet this is unlikely At this point we find little to trust about him	D
Mary Hale	Retired OCHCA BHS Director	After indicating in public that “Housing is a complex issue” (2018) gave up and left Housing issues behind her	D
Julie Paulino	Rent A Shared Room (RASR) business owner	Comparatively a pretty good RASR model	B
David Nowe	Rent A Shared Room (RASR) business owner	During the 2008 real estate problem, with one month’s notice placed all his residents on the street No help with referrals	C
-

Last Reviewed: 20201102-M:

Impetus - So Tired Of Waiting

As far back as 2010 and beyond, Orange County (“OC”) has been plagued with issues about housing its’ disadvantaged peoples including the disabled and homeless. Dozens of Hard to Meet Needs (H2MNs) have been identified about components such as Community Services & Supports (CSS) and Prevention & Early Intervention (PEI). As reported at the local Mental Health Services Act (MHSA) semi-monthly Steering Committee Meetings (SCM) substantial progress is appearing. As indicated by chronic housing issues substantial re-work of resources is in order. An impetus for our BedBusters idea and project is to help fill housing gaps and thereby improve the Quality Of Life for those in (dire) need. Housing problems can lead to severe injury or DEATH. We here at Mentalation Solutions Group (MSG) as well as other stakeholders are tired of waiting for a highly effective Housing system. Some of the stakeholder MSG represents are those whom Buster has shared a house (as well as a room) and those he associates with about the housing sector. When it comes to housing these people had and continue to face challenges obtaining individualized appropriate services. Appropriate services will do nearly “Whatever it Takes” to get a consumer into a “GoodBed”. BedBusters will at its core get peoples in need into GoodBeds.

Impetus – Introducing Technology for Recovery

About California there has been initiative for leveraging technology for helping consumers with manage their Behavioral Health Needs. For the most part the Electronic Health Record should be mature now. Near its’ core BedBusters applies technology. Each BedBusters element has technology module. The Help Line and the Work Group are expecting to rely on “Teck” more than the Advisory Board. Each of the three BedBusters elements require both hardware and software. The Help Line software will require upgrade or updates weekly based on the finding of the Work Groups. In the long run BedBusters will gradually migrate from Crisis Intervention to a Preventative Approach. Again, BedBusters can promise consumers, particularly our population of Serious and Persistent Mentally Ill (SPMI), measurably better lives

FYI – SPMI

“Serious and persistent mental illness, (SPMI), is a group of severe mental health disorders as defined in the Diagnostic and Statistical Manual used by mental health professionals to diagnose clients. The SPMI category includes Major Depression, Bipolar Disorders, Schizophrenia and Borderline Personality Disorder.” Buster is being treated for Anxiety and Sleep Disorder. He plans to take the Big Five Personality Test sometime this month (November, 2020).

FYI - Consumer-survivor - Psychiatric survivor’s movement

“The psychiatric survivors movement is a diverse association of individuals who either currently access mental health services, or who are survivors of interventions (experiments) by psychiatry, or who are ex-patients of mental health services”

CTP and Optimism – MSG’s Take

We here at Mentalation Solutions Group (MSG) define Consumer-survivor as peoples who are survivors of interventions including experimentation by psychiatry. If a psychiatric intervention was for the most part pharmacological then, a survivor is one that does not need medication anymore. Back in 2009 Keith “Buster” Torkelson enrolled in and complete one-hundred and sixty (160) hours of consumer training. The course called the Consumer Training Program (CTP) was funded in Orange County by Orange County Health Care Agency (HCA) Mental Health Services Act (MHSA) monies. A couple of the guest lecturers discussed Consumer-survivors. At the time it would appear that some of those suffering clinical depression could recover and get of medication. An example of a person who reported they took the function with no medication route was Doctor Clayton Chau MD.

Performance Earned Value (PEV)

After Buster and his cohort completed the Consumer Training Program (CTP) that yielded Paraprofessional Health Workers “Buster” was more optimistic with Health & Human Services (HHS). After graduation Buster was picked up by the Health Care Agency (HCA) as an advisor. First he advised on Technological Needs (TNA) and later with Innovations (ICA). After success with the CTP Buster discovered he would benefit from further education. Buster eventually enrolled (2011) at Cypress College in two four (4) unit courses: Introduction to Health and Human Services and Crisis Intervention. His GPA at Cypress is 4.0. Actually his cumulative Orange County college GPA is 4.0. The institutions Buster attended are as follows: Orange Coast College, Saddleback College, California State University at Fullerton, Santa Ana College, and Cypress College. For Buster, since 2011 chronic and recurring housing problems caused our optimism with Health and Human Services (HHS) to decay.

Small Business Start Up & Plan B

Centered in Orange County our primary sell is with the Orange County Health Care Agency (HCA). The abstract of this report on Impetus will be pasted into a formal Mental Health Services Act (MHSA) Innovations (INN) Component Idea for submission. For other regions, particularly for counties with greater than one million (1,000,000) people this “Over Plan” can be readily modified into a Small Business Plan (SBP). Down the line we foresee quality assurance and improvement via competition. Orange County’s Warmline (talk line), OC-LINKS (referral line), and other call centers will still retain some housing value. Plan B – We have a plan B. It is to hijack the existing Warmline to serve as a Housing Help Line. BedBusters is still needed yet much of the startup costs for the Help Line element can be saved.

Divest Current Housing Solutions

As BedBusters gains momentum we recommend divesting monies from extant Housing “Solutions”. When an extant Housing Solution is not delivering as promised “Kill It”. Take the lessons learned and run with BedBusters.

Regulation

BedBusters Housing Work Group component will help to better regulate Rent A Shared Room (RASR) environments. Of course BedBusters will address the homeless directly and indirectly. BedBusters is realistic in that it promotes “Fixes” over Solutions. Fixes are superior to the current shape of things (solutions) in that the current solutions are mostly Patches. In general, we will use the term “End” or “Solve”.

Tangible Options & Promises

The BedBusters process will contribute by setting a Standard Of Excellence (SOE) for peripheral areas in need. BedBusters focuses on a key resource: “TheBed”. We will improve the futures of those with housing issues. Housing problems may cause severe injury or DEATH. BedBusters champions the consumer over: Providers, bed owners, case workers, Etc. BedBusters is not completely consumer-driven. BedBusters will facilitate many improvements with housing including: Updating and creating more effective resources, offer consumer-driven tangible options on a case by case basis, address “Accountability” with Housing, and improve assessments about Housing. Assessments at the Bed level need some work, modification, transformation and generation. The Bed assessments will help any peoples that Share A Room (SAR) including married couples and siblings.

BedBusters Associated Savings

-
Improvement	Addressed With
-
Facilitate Net Sleep And Healing	Needs and product
Facilitate Setting Things RIGHT	Global Need Recovery V RIGHTing
Fill Gaps With Housing	Needs and products
Prevent Catastrophic Loss	Needs and prevention Example “Buster” 2012
Reduce Homeless Rate	Special population
Reduce Suicide Rate	Special population
Save Lives Example Doug and Mark	Special population Died Too Young with Housing Complication
Save Money	Financial, money, statistics and money
-

Last Addressed: 20201024-SUN:

Database Query >
08_PEI_Catastrophic_Loss_16091002_Contents V2020

Impetus - Catastrophic Loss Prevention – Brief

Catastrophic losses are the endpoints of failed interventions. Some end points are hospitalization, suicide, incarceration, conservation, severe injury, landing in an institute for mental disease (IMD), accidental death, and homelessness. Many of the failed interventions are centered about Housing. We believe BedBusters and our Housing Help Line (HHL) will most dramatically save lives and money by matching the consumer with the best bed possible a GoodBed (MSG). BedBusters will evolve into a prominent preventative and early intervening service and support.

Divesting Housing

Years ago during 2014 we developed and published a rudimentary introduction to what we here at MSG call the Refowitz Convergence Principle (RCP). We just Queried online “refowitz convergence principle” and our brief came up as the first Google Ordinal Hit (GOH).

The Refowitz Triple C Principle - MHSA Policy & Procedure
An MSG Development (AnimaCules Blog)
Link >

http://ktork46.blogspot.com/p/mhsa-policy-procedure.html

The R-TCP translates as the Refowitz Triple C Principle. Triple C translates as Contain, Combine, and Converge.
Database Record > Metadata >
INN_AMIN_0002_Convergence-Prinicple_14100905 V2020

Triple C - Convergence Principle

When Keith “Buster” Torkelson signed on to help the Orange County Health Care Agency (OCHCA) back in 2009 he was hoping to land a gig around the Innovations (INN) component of the Mental Health Services Act (MHSA). Instead he was taken aboard in Orange County (OC or The OC) to help with MHSA Technological Needs. At the time Mark Refowitz was the Director of Behavioral Health Services. In public at the OCHCA MHSA Steering Committee Meeting Mark would discuss the urgency about getting the MHSA monies (funds) to the streets. MHSA funds if not spent can revert back to Sacramento. Actually there has been at least one incidence for OC MHSA funds reverting. Yet we knew that at one point OC may be spending more money than they get. So we set the stage for Triple C. We suggest that after BedBusters gets on its’ feet existing Housing Solutions might best be partially combined into BedBusters. Other than BedBusters the only entity or agency working Housing Calls should be a privately home Housing Call Center. This will introduce the competition factor to drive quality assurance.

Make A Profit

When Buster began to understand the nature of the Orange County Health Care Agency (HCA) he saw some areas to make a profit. One small item he thought they could make a profit was selling the annual MHSA calendar. His supervisor indicated that we (HCA) cannot make a profit. Buster said to himself: “How do we know the programs are successful if they don’t meet a fiscal challenge such as making a profit?” BedBusters if implemented by the HCA will not make a profit. We can break even or save money. Yet the privately owned BedBusters can make a profit. The privately owned tier 1 accounts (clients) will be the Bed Owners. For the Rent A Shared Room bed owners they spend quite a bit of time fielding calls for people or their representatives looking for a “Bed”.

Full Services in One Place

Eventually, Buster in addition to Tech Needs assignment was assigned the OC MHSA Innovations Advisory Committee (IAC). Yet he still kept pace with the other MHSA components. The mainstay and one if not the biggest overall spenders of MHSA monies are the Full Services Partnerships (FSPs). We here at Mentalation Solutions Group (MSG) believe the outcomes or lessons learned from an Innovations project that the new approach should be assimilated (possibly accommodated) into the FSPs. This is an act of combining. One might ask: How is combing associated with BedBusters Housing Help Line? It is similar to puzzling. You have all these separate, potentially more the one-hundred, puzzles. Each puzzle has one-hundred pieces yet only fives per puzzle (program) is really needed. Take five from each puzzle and put them together with BedBusters. In the present Housing is so fragmented that it is nearly incomprehensible. As Mary Hale stated at the Steering Committee Meeting in 2018: “Housing Is a Complex Issue”.

Summary – BedBusters (MSG-2021-2024)

Housing problems may cause serious injury

or DEATH.

[INSERT KELLY THOMAS - Ditto]

Was homeless

Blunt Force Trauma = DEAD

Impetus – Takeaways – Cool Million

A takeaway might be defined as “a key fact, point, or idea to be remembered, typically one emerging from a discussion or meeting”. In science we call takeaways facts or best answers. For some reason in social sciences such as social work or therapy they prefer takeaway. Regarding impetus a take away is: It is a complex affair resolving housing problems for the disadvantaged including our homeless. We here at Mentalation Solutions Group (MSG) have provided in this report alone enough information for any reading this report and having about one million dollars ($1,000,000.00) to spend over three years to begin their business plan. Yet were here at MSG still have time before our tentative deadline to write and publish Ancillary Reports. High on our list is our Product Definition Report (PDR). Every time we arrive and a new acronym we think about: Have we seen it before? Prior to now we associated PDR with Physician’s Desk Reference. Well that’s what I said EMe take it from here…

Appendix A - SynoTerms

Table - Impetus – SynoTerms (Selections)

-
Term	Note	Detail In Context
-

Continuing motion	In the better directions	Need to curtail existing and move in a better direction BedBusters
Drive	Propel or carry along by force in a specified direction.	Lived Experience We predict the Help Line’s utility will accelerate over time
Driving force	The impetus, power, or energy behind something in motion.	Gaps and unmet needs associated with housing
Empower	Give (someone) the authority or power to do something Make (someone) stronger and more confident, especially in controlling their life and claiming their rights.	When it comes to housing the disadvantaged it is very difficult to sustain empowerment In many cases the consumer learns helplessness
-

Last Reviewed: 20201031-SAT:

Appendix A - SynoTerms

Table - Impetus – SynoTerms (Selections)

-
Term	Note	Detail In Context
-
Energy	The simplest definition of energy is "the ability to do work". Energy is how things change and move	BedBusters will rely AMB quantitative Work
Impelling force	To urge or drive forward or on by or as if by the exertion of strong moral pressure : force felt impelled to correct the misconception	Obvious housing hardships
Momentum	The quantity of motion of a moving body, measured as a product of its mass and velocity.	Direction toward Solutions
Thrust	To push forcibly; shove; put or drive with force	Innovative and unlikely approach
-

Last Reviewed: 20201031-SAT:

Appendix A - SynoTerms

Table - Impetus – SynoTerms (Selections)


Term	Note	Detail In Context

Encouragement	The action of giving someone support, confidence, or hope Persuasion to do or to continue something. The act of trying to stimulate the development of an activity, state, or belief.	Impetus and Encouragement [ADDRESSED EARLIER SEPARATE]
Force	Strength or energy as an attribute of physical action or movement.	BedBusters is not a physical Movement it is more a Human RIGHTs Movement (HRM)
Incentive	A thing that motivates or encourages one to do something.	Buster’s per motive is to create a resource to help other and that if needed can help him
Inspiration	The process of being mentally stimulated to do or feel something, especially to do something creative.	Buster’s inspiration is his family has substantial experience to share when it comes to Call Centers
-

Last Reviewed: 20201031-SAT:

Appendix A - SynoTerms

Table - Impetus – SynoTerms (Selections)

-
Term	Note	Detail In Context
-
Motivation	The reason or reasons one has for acting or behaving in a particular way. The general desire or willingness of someone to do something.	Personal Issues – Chronic Busters Behavioral Health Doctor recognized him as a Housing Advocate
Power	Energy over time	Consumers exhaust too much Energy solving their housing needs
Push	A vigorous effort to do or obtain something	Fix housing issues Unify housing resources and programs
Stimulus	A thing that rouses activity or energy in someone or something; a spur or incentive. An interesting and exciting quality.	Those that died too young with housing associated with their demise Homeless people
Strength	The quality or state of being physically strong. The capacity of an object or substance to withstand great force or pressure.	Tackling good of others in the face of great risks
-

Last Reviewed: 20201031-SAT:

Appendix B - "California Code of Regulations”
“(Vol. 12), Title 9”
Rehabilitative and Developmental Services"
Date: Sun, 2 Jan 2011 12:28:07 - 0800
MIME-Version: 1.0

3200.160. Fully Served.

"Fully Served" means clients, and their family members who obtain mental health services, receive the full spectrum of community services and supports needed to advance the client's recovery, wellness and resilience.

3200.240. Outreach and Engagement Service Category.

"Outreach and Engagement Service Category" means the service category of the Community Services and Supports component of the Three Year Program and Expenditure Plan under which the County may fund activities to reach, identify, and engage unserved individuals and communities in the mental health system and reduce disparities identified by the County.

3200.300. Underserved.

"Underserved" means clients of any age who have been diagnosed with a serious mental illness and/or serious emotional disturbance and are receiving some services, but are not provided the necessary or appropriate opportunities to support their recovery, wellness and/or resilience. When appropriate, it includes clients whose family members are not receiving sufficient services to support the client's recovery, wellness and/or resilience. These clients include, but are not limited to, those who are so poorly served that they are at risk of homelessness, institutionalization, incarceration, out-of-home placement or other serious consequences; members of ethnic/racial, cultural, and linguistic populations that do not have access to mental health programs due to barriers such as poor identification of their mental health needs, poor engagement and outreach, limited language access, and lack of culturally competent services; and those in rural areas, Native American rancherias and/or reservations who are not receiving sufficient services.

3200.310. Unserved.

"Unserved" means those individuals who may have serious mental illness and/or serious emotional disturbance and are not receiving mental health services. Individuals who may have had only emergency or crisis oriented contact with and/or services from the County may be considered unserved.

Appendix C – What’s Up Table of Contents
Query “OCHCA whats up”
FYI – The Return of: What’s Up Newsletter

https://www.ochealthinfo.com/about/admin/pubs/newsletters/whatsup

What’s Up Newsletter is distributed monthly to Health Care Agency staff. What’s Up contains tributes to employees, tips for the workplace, program news, and other helpful directives and information for employees.

Subscribe to this newsletter - PDF file October 2020 Issue (PDF)

Director's Message
Peer to Peer: Norma Sanchez – A "Go-to" Person
SOAR Awards
New Public Health Director
New Public Guardian
Behavioral Health Services COVID-19 Response
Coping with COVID-19
5 Things You Need to Know About: COVID-19
Sheriff's Award for Correctional Health Services
Juvenile Health Services Influenza Award
Free Flu Shot
Employee Honors
Homeless Navigation Center in Huntington Beach Groundbreaking
Employee Directory App
Zest for Health: Strawberry Pops
Leveraging Your Benefits: Credit Union

Appendix D - Future Report Elimination

-
Topic	Note
-
Population Served Report (PSR)
Special Populations Report (SPR)
Challenge Scoring	Case Intensity Scale for Housing Populations (CIS-HPs)
Homelessness and Local Players
Services and Supports
Assessment of living arrangements
-
Measurement we will measure:	Needs, need fulfillment, Quality Of Life (QOL), consumer satisfaction, etc.
-
Product Definition Report (PDR)
-