Title
Housing the disadvantaged: About Reporting
– BedBusters from Fixes to Solutions by Keith “Buster” Torkelson MS and Team
MSG – A telephonic innovation in health and human services
“Buster” Blog(s)
Housing Advisory Board
AnimaCules
Memo
- New & Improved Projection
Just over One hour to Peruse (1 Page/Minute)
Approximate 8 ½ x 11 Equivalents = 85 pages
145 Incidences of BedBusters
Dedicated to - Dewitt Conover
(Died Circa 1997)
Dewitt is an example of graduating too early and into an unhealthful environment. Later on we discuss what we here at Mentalation Solutions Group (MSG) call triple diagnosis. In 1995 MSG’s principal Keith “Buster” Torkelson MS met Dewitt at a residential treatment facility in Dana Point California. At one point Dewitt and Buster shared a room. Buster is the only survivor of the four consumers sharing a four man room. Dewitt was unable to build a foundation in recovery before he graduated. Dewitt graduated himself into an inappropriate “Bed”. Dewitt Died Too Young (DTY) while trying to make Bed work out for him. This report we dedicate to Dewitt. While living together Buster’s odds for Recovery were no better than Dewitt’s.
Abstract & Executive Summary
[BROUGHT
FORWARD from Partner Report]
Executive Summary - For Less Than
1.5 Million
“Here in this report we are
promoting the Housing Help Line of our Housing Product Line. We are Mentalation Solutions Group
(MSG). We are requesting between
$500,000.00 and $1,000,000.00 in Mental Health Services Act (MHSA) funds under
the Innovations Component (INN) to get things rolling. The Help Line will be centered about Orange
County California. We have two primary
methods to get our Housing Help Line to the streets. One is submitting a formal INN Project
Idea. The other is via our Housing
Advisory Board Blog (HAB-B). With our
HAB-B we can share our idea Adlibitum [SPELLED]. In MSG’s Housing Fix Portfolio we have
defined about a dozen (12) products.
Some of them are small whereas others are “Huge”. We call our overall project and product
BedBusters. It is really not huge as
projects go yet that is how Mary Hale described Behavioral Health related
Housing. Our [MEDIUM] size dividing line
is at this time $1E6 per year.” We
feature on MSG rendered assessment our: Housing Trap Assessment.
We have better technology now!
Buster began his studies in computing
back in 1981 at Orange Coast College.
During the interval 1981-1998 Buster mostly used computers provided for
him at work or in school. Buster is a
4.0 Programmer. Personal computing took
off for Buster when his father, George Gerald Torkelson CPO, gifted Buster with
a refurbished Cyrix Desktop, monitor and Lexmark Printer. Buster watches the growth of information and
diagnostic technology carefully. In
passing Buster heard someone say: “We have better technology now! Yet when it comes capturing the Rent A Shared
Room (RASR) Bed experience technology is lacking. Buster does the best he can using his Samsung
Smartphone and a Sanza Fuze to collect objective data (media) associated with
the RASR experience. Buster is immersed
in the RASR experience. We will discuss
his technology for recovery notions latter.
This report addresses Mentalation Solutions Group’s (MSG’s) Housing Product
a BedBusters Bundle. BedBusters relies
heavily on technology. In fact it could
be funded in public health as a Technological Needs Project (TNP).
Cursory Outline
POI – Clayton Lon Chau MD PhD
Social Marketing
October 2019 - Work Done
Feature Photos
- Ethics
- Confidentiality & Stigma
- Re-Building the Housing Network - Dialing in our
Helpers
- Innovation
MHSA & Other
- Promote
OC LINKS [CALL CENTER] - 855-625-4657
- Transforming
the Mental Health System
Meeting with Congressman Lou Correa
Separate Report – Model Stanislaus (Stanislaus Rules)
Table – Product - Final Report Predictions & Rigor
Resolving DEATH
- Persons Of Interest (POIs)
- Housing is a Complex Issue (Hale)
- Brief – The Need & Unmet Need
- Special Population our Homeless
- Real World Phenomena (RWP) - Died Too Young
MSG Cemetery Gallery
Vignette - Young Jessie BadBed > MIA
Rent A Share Room Environment
In Memory of Herbert Hoover Porter A Mini-Bios
- Person
of Interest - An Advent Doctor Inglis MD
- Linking Physical
Performance to SUD Recovery
- Need –
Move Insurance (MoveIns)
- How is
it a Smart Phone?
- Special
Topic – Profiling – Vignette AgJ = JDT = John
Resources for Recovery Paradox
Stigma – A Blast from the Past
20210224-W: Action Items – Mental Health Board (MHB) Catchup
Table – Persons Of Interest (POIs)
- Homeless
Time Series (Longitudinal Tracking)
- Outreach
Markers
- LAW1
& Judge Judy
- Interim V Formative Reporting
- Metadata Reports – Define Metadata
FAQ – Rehash - Is housing quality associated with behavioral health?
Accountability
History that deserves to be remembered
The Corona & PEACE Time Dilation
- Consumer
Training Program (CTP)
- Result
– Sales & Marketing
- MSGBase
Metadata – HAB – More for Less
- Environmental
Sampling - 20210308-M: How is it environmental sampling?
- Recommendations
– Simplify Housing
[END CONTENTS]
Report Partners
Mixture of Community
& Intellectual Partners
Introduction
FAQ
– How Does Housing Quality Effect Individual And Population Health?
FYI - Housing and mental health |
Mental Health Foundation
https://www.mentalhealth.org.uk/a-to-z/h/housing-and-mental-health
“Housing is a fundamentally key
factor in people's mental health. People with housing problems are at greater
risk of mental health problems. Good-quality, affordable and safe housing is a
vital component in good mental health, as well as supporting those with
existing mental health conditions.”
Task – Social Media Sales and
Marketing
Feature Links – A Look Back
In this report we here at Mentalation
Solutions Group (MSG) explores reporting as it relates to addressing housing
needs of disadvantaged peoples including the homeless. Here our primary pursuit is project reporting
and products. Our secondary pursuit is
to improve MSG’s and Buster’s sales and marketing skills using free social media. We have published several articles addressing
housing and unmet housing needs. We
often make reference to the homeless population yet there are many other
populations in need of housing improvements.
For our product we exclude populations in need that are better off than
the Behaviorally Health disabled or the Serious and Persistently Mentally Ill
(SPMI).
Readership Fixes
Since chartering our first Blog
AnimaCules back in 2012 our readership has dwindled. When we used to be happy with five-hundred
viewers for a good post we cut our threshold to fifty. Our primary set back was when Google
discontinued Google Plus. We were
growing again with Pinterest yet after building our Brand: Pinterest cancelled
our biggest most accessed “Board”. For
about a year now we have been giving Twitter a try yet have yet to master
it. So we are back our original motive to
publishing for “Buster’s closure. With
regards to Twitter we are busy collecting in scope @s such as @cbhda. Basically, there is nothing that says lived
experience more than a Bed.
FYI - Next Step After we figure
out Twitter - 6. Instagram
https://smallbiztrends.com/2016/05/popular-social-media-sites.html
“Instagram is another social
media channel with a heavy emphasis on visuals. The site launched in 2010 and
was later purchased by Facebook. It has more than 1 billion monthly active
users and is mainly a mobile platform. Like Facebook, Instagram offers targeted
advertising options to help business users reach a specific user. Instagram
also offers various posting options, including photos, videos, slideshows,
stories, and live streams.”
Social Marketing
Keith Torkelson Pathology
(@KeithTorkelson)
https://twitter.com/keithtorkelson?lang=en
Twitter Profile
The latest Tweets from Keith
Torkelson Pathology (@KeithTorkelson)
Fix for humanely housing
disadvantaged citizens including homeless people's in large population centers.
Keith Torkelson Pathology @KeithTorkelson
External Quality Review Officer (MSG) Graduated Twice from UC Davis (Two
science degrees: Avian Science & Pathology) - Retired & Volunteering -
Housing Advisory Board (Blogger) Creator: 20190508-W > New Twitter Member
Twitter Development @ selection example
CBHDA (@cbhda) |
Twittertwitter.com › cbhda
@cbhda = County Behavioral Health
Directors Association: Serving the community by providing high quality care
while planning for the future. Sacramento, CA.
Homeless and Homelessness
MSG’s BedBusters Bundle fixes have
nothing to do with creating beds. BedBusters
is designed to address beds in the following ways: Evaluation, para-bed resource development,
brokering, improve existing, and locating all using our state of the art Bed
centered call center, etc.
FAQ - We are often asked: Why
volunteer time and work pro-bono?
Volunteering - Why do it?
TRCBase Metadata>
VnE_PC_CTP_Assign05a_Volunteerism2009010903
V2021
Considering it is unlikely we
will monetarize our BedBusters Bundle idea all our published reports and report
starts have been completely delivered or initiated pro-bono. People ask Buster questions like: What are
you doing and why are you doing it? One
reason we do it is to give back that was so freely given to us.
Fixes and Solutions
Ever since becoming Mental Health
Services Act (MHSA) aware in 2008 Buster has come across service and supports
saying that they were Solutions. About
ten years ago Mary Hale MS presented on the program: Ten Years to End
Homelessness. On a population level Solutions
are hard to come by. For example, raise
minimum wage to end poverty. When the
sum of all fixes yield better outcomes for let’s say 88% of a population and
the number in the population exceeds 100 then possibly this Performance Earned
Value (MSG-PEV) might indicate a Solution.
BedBusters is not going to solve things.
BedBusters is going to fix things on a person-by-person and bed-by-bed
circumstance.
Learning Something New
Reporting goes hand in hand with
sales and marketing. After taking the time
to write and publish a report MSG finds it desirable that people in need can
find it and read through it. Again, for
about a year now we have been working with Twitter. From examples of Tweets by others we see they
use @s and #s. We still do not know how
they function.
Week of Gratitude
On Facebook we declared this
first week of March 2021 a week of gratitude.
Buster has a Facebook account yet due to Stigma issues he rarely if ever
uses it to promote our reports. Our
reports often contain medical records. We
here at Mentalation Solution Group (MSG) are grateful to Google and Free Google
Blogger (FGB).
March 2016 – Work Done - MSG AnimaCules
Blog
http://ktork46.blogspot.com/2016/03/
Eradication Issue BY4 Keith
Edward Torkelson, MS. MSG Accountability Newsletter (AMIN). Sampling of
Observations for OC Homeless (2010s). You've visited this page 2 times. Last
visit: 2/26/21
[BROUGHT FORWARD from AMIN Eradication]
“Permanent Supportive Housing”
[…The first line of the Steinberg
related statement addresses permanent supportive housing. It is very hard for us here at MSG to gather
enough comfort that we may address our lived experiences about housing. In short housing has been at the root for
much trauma for us ever since if [IT] became a problem back in 1988. Doctor Clayton Chau (2011) acknowledges in
his video clip (Profile of Hope) that a housing situation that leads to
hospitalization must be carefully and correctly managed. In other words a consumer should not be
returned to the same environment that generated symptoms intense enough for an
“Admit”. Housing issues our one of MSG’s
three eradication prescriptions (social element)…]
POI – Clayton Lon Chau MD PhD
See Profiles of Hope by Clayton
Chau, M.D., PhD on YouTube for Yourself
Video for Clayton Chau
psychiatrist – Runtime = 9:25
https://www.youtube.com/watch?v=xDwTiX0K9gc
October 2019 - Work Done
Housing Advisory Board Orange
County Division (HAB-OCD) Oct 23, 2019
Housing Advisory – by Keith
Torkelson MS, Avey C Asus and MSG – Initializing Housing Partnerships I – HAB
https://housingadvisoryboard.blogspot.com/2019/10/20191023-w-housing-advisory-by-keith.html
Note - Buster is always at risk of homelessness. Buster's housing centered risks vary from time-to-time.
Tuesday, November 3, 2020 – Work
Done
Motives for Housing the Homeless
and others in need by Keith “Buster” Torkelson MS, Avey C Asus, and Magnus EMe
- Includes Embedded Housing Related Images
Feature Photos
In our feature photos we address
three individuals for whom Keith “Buster” Torkelson MS had close contact. One is a person decaying in a Rent A Shared
Room (RASR) environment [BillM]. Next is
an individual Doug that many say Died Too Young (DTY). And the last is a sample homeless person we
call WarBrook. Housing and housing needs
impacted all of their lives. We will
address these three consumers with our Population Served Report (PSR). At this
point in Mentalation Solutions Group’s (MSG’s) mission we advocate mostly by
publishing on Blogger. Blogger is one of
Mentalation Solutions Group’s (MSG’s) most important community and intellectual
partners. Most of MSG’s 2021 papers will
be part of “Buster’s” Magnus EMe Effort (MEE).
EMe is the latest addition to our MSG team.
Selling Los Angeles (LAC-DMH)
When Buster signed on with the Orange
County Health Care Agency (OCHCA) Mental Health Services Act (MHSA)
Technological Needs Advisory Committee (TAC) he did so in an in-kind
relationship. In order to get up to
speed with OCHCA Behavioral Health Services (BHSs) Technological Needs (TNs) Buster
reviewed what Los Angeles County was doing.
The LA Intel aided Buster for keeping pace with the OCHCA’s Electronic
Health Record, Personal Health Records, Consumer Computing, Tele-psychiatry, telephonic
medicine, technology for consumers and family members, patient portals etc. In adjusting to new OC MHSA INN’s materials
and methods we have decided: As if selling BedBusters to Los Angeles County
(LAC-DMH) in addition to “The OC” as well.
With respect to managing the MHSA Innovations Component (INN) we feel
“The OC” has done better than LAC-DMH. Try
as we may online we can’t find anything about how to submit an Innovations Idea
to LAC-DMH.
FYI - Los Angeles County MHSA
Innovations
https://dmh.lacounty.gov/about/mhsa/innovation/
http://file.lacounty.gov/SDSInter/dmh/220189_INN2HealthNeighborhoodsProposalSLT101514.pdf
https://dmh.lacounty.gov/about/mhsa/announcements/
Social Media – You Tube
FAQ - Are videos documenting
housing for the disadvantaged going to have any value in the future? Buster has been watching You Tube Videos (YTVs)
about the USS Battleship New Jersey. One
thing he enjoys is learning fairly complex things. Our housing centered videos do not appear to
be very complex. They do document the
life of peoples for the most part ignored particularly Dying Old Men (DOM)
living in a Shared Room Environment. We
have had one our uploaded videos picked up by an estranged family. Buster gets credit for helping reunite a
family. Before our Video post the subject
a RASR person had no family involvement before our upload now he has: Brother, father, grandma, and his mom now
interested in him. Buster’s Cypress
College Crisis Intervention teacher Gary Zager would be proud of Buster and
award him a silver star for re-uniting a family. In this case with almost no viewership our
video product has in this case significant value. You lose 9 and win 1: That's Health &
Human Services (HHS) for you. Below we
provide 2 links go our homeless theme shorts.
Video Records
You Tube Video results for “keith torkelson homeless”
Keith Torkelson films update video homelessness in Orange County
KET - Dec 2, 2017 (Clip 1:44)
https://www.youtube.com/watch?v=VDSqk3eU_Nc
Potential model for homeless shelters in Orange county a short video by Keith torkelson
KET - Dec 6, 2018 (Clip 0:33)
https://www.youtube.com/watch?v=Qqn7t_P-GwQ
Ethics - Confidentiality & Stigma
For now and quite some time in
the future only consumers can end Confidentiality Driven Stigma (CDS). Due to the Health & Human Services (HHS) ethical
principle “Confidentiality”: Certified and licensed practitioners can only share
very limited information about the consumers they serve. So the routine goings on in Behavioral Health
Care (BHC) is often shrouded in mystery.
This leads to the Non-BHC (NonBHC) population in general to fill in the
gaps with inadequate Intel. These
non-consumers arrive at with mistaken beliefs.
Mistaken beliefs either by the consumer, family and populations at large
often fuel Stigma. When Steinberg, now
Governor of California, and colleagues penned what we here at Mentalation
Solutions Group (MSG) refer to as Steinberg Programming Language (SPL) he did
not fire a salvo at Confidentiality. So
we assume the workings of Confidentiality will remain intact for a bit. In the meantime it is the responsibility of
the consumer to address Confidentiality and Stigma. We will discuss Stigma later on. BedBusters has and is addressing the Stigma
associated with being both a Special Need Person (SNP) and disabled while
living in the Rent A Shared Room (RASR) environment. We promote https://www.stigmafreeoc.com/
[INSERT Mayor STEINBERG shared
author of the MHSA]
https://www.cityofsacramento.org/mayor/
The
Assignment – Winter 2021
Prepare
to share and sell Mentalation Solutions Group’s (MSG’s) BedBusters Idea to stakeholders
Re-Building the Housing Network - Dialing in our Helpers
In
tandem with our BedBusters efforts is delivering on Buster’s quarterly physical
and Behavioral Health treatment plans. Brand
New Day HMO (BND) is Buster’s health insurer.
Last year BND granted Buster with helper upgrade. BND Buster’s Program calls their helpers:
Life Coach, Care Coordinator, Personal Service Coordinator, etc. Buster just likes to call his BND Service and
Support Teammembers (S&STs) his helpers.
Some of his helpers we call friends.
Buster and his new and improved helper: Howard T, have been meeting once
per month. Buster uses part of meeting
time to promote BedBusters. At this
moment, March 4, 2021, Buster is faced with a Personal Housing Challenge (PHC). He has a relatively new (< 1 year)
individual sharing a Rent A Shared Room (RASR) with him. Let us call this antagonist J Dave T. A huge achievement this winter quarter would
be to communicate awareness about the situation to Howard. Yet, Howard appears to have fewer housing
resources and alternatives than does Buster.
We are thinking of using media to get the story across. Onces again our BedBusters Bundle is catalyzed
with Keith “Busters” Torkelson MS’s Personal Housing Necessities (PHNs).
Introducing
– Integrative – Life Coaching
We
are planning a meeting with Life Coach Howard T form March 2021. Buster and Howard have had about five
face-to-face (F2F) meetings since Sofia the program director partnered
them. Buster has tried both limited and
integrated scope dialogues. This time we
are preparing mixed topics. We call our
mixed approach: Integrated Help Update (IHU).
In our last F2F Howard had us help with a placement for one of his
charges. We would like to see how that
came out Brand New Day (BHD) has a cash
Rewards program in otherwords BND pays its’ member if they perform well. Buster has an outstanding reward of $25.00 -
$10.00 = $15.00 for meeting the Colonoscopy requirement. The date of his colonoscopy was June 4,
2020. BND recently added a Healthy Food
Benefit (HFB). It deposits in an ATM
account $30.00 per month for the member to augment their food with healthier
often more expensive food. For the HFB
you can access your account via telephone or online. We will recommend to Howard that members do
it the telephone way: Telephone is easier.
Briefly we hope to address Corona.
Even though Buster has been solicited to get a vaccine out in the community
he is waiting for his BND in Network PCP calls him in to get it.
Integral
yet Complex Domain – Living Arrangements
Yet,
if we hear nothing by April 1, 2021 we will look elsewhere. Most of Buster’s siblings are in the process
of getting vaccinated with respect to Corona.
At least two executives with Brand New Day know we publish about
Buster’s BND experience. We do it mostly
with our dedicated Brand New Day HMO Blog.
We are going to put together a brief for Howard deciphering some of our
readership (viewership) figures. As also
Medication Management is a priority for Buster.
Howard teaches a Medication Management group at BND. We plan to share with our outline for new and
improved Medication Management lessons.
We will give honorable mention about Buster’s current Rent A Shared
Roommate (RASR) AgJ. Last is addessing
CARES Act and stimulus money budgetting.
Unlike some of our Psychiatric-social domians transportation and
computing: Living arrangements is always
multi-factoral and integrated.
BedBusters is complex because housing the disadvantaged including the
homeless is complex.
20210311-TH:
Word Count - Word Stats - This Paper
MSGBase “stat” – Generating
for Report to Life Coach
Innovation MHSA & Other
In keeping with the fact that we
will submit our BedBusters Bundle project idea to the OCHCA when the time is
right we address MHSA Innovations (INN) next. Since 2009 Buster has sat through
more than a half dozen do over lessons on this material. The material below is from either his first
or second MHSA INN lessons he attended.
For many of you reading this report we’re sorry for the do-over.
TRCBase - Metadata “Innovation
Innovation Component of MHSA (Prop 63)
Overview of an Innovative Project
“An innovative project is
defined, for purposes of the DMH guidelines, as one that contributes to
learning rather than a primary focus on providing that service. By providing the opportunity to “try out” new
approaches that can inform current and future practices/approaches in
communities, an Innovation contributes to learning in one or more of the
following three ways.”
- Introduces new mental health practices/approaches including prevention and early intervention that have never been done.
- Make a change to an existing mental health practice/approach, including adaptation for a new setting or community.
- Introduces
a new application to the mental health system of a promising
community-driven practice/approach or a practice/approach that has been
successful in non-mental health contexts or settings.
Learning – Back to New Material
The OC has call centers. Some call centers serve the public while
others serve internal operations. As far
as call centers in of themselves being new, no call centers are not new. Yet a call center dedicated to housing the
disadvantaged including the homeless is a new idea. Bed brokering is a key aspect for fixing housing
concerns and complaints. We here at
Mentalation Solutions Group (MSG) call our housing fix the BedBusters Bundle. In the process of helping consumers, families
and our users: Together BedBusters will help us learn our housing topographies. You might be surprised and sometimes
aggravated at what you see in the process of becoming situationally aware. We promise with BedBusters earlier and more
effective Intervention that will hatch Prevention. One of the background elements of MSG’s BedBusters
Bundle is Move Insurance (MovIns). For
the majority MovIns for disadvantaged persons does not exist. In addition to core BedBusters element MovIns
will be new.
Promote OC LINKS [CALL CENTER] - 855-625-4657
[SERVICE] Navigators are
available Monday through Friday from 8AM to 6PM by phone at 855-OC Links
(855-625-4657) or by connecting online through a Chat line at www.ochealthinfo.com/oclinks
“Innovations Final Report”
This Mentalation Solutions Group
(MSG) report on reporting addresses some features about project reporting. MSG’s initial sells were to the Orange County
Health Care Agency (OCHCA). We were
hoping to get our project idea picked up as a Mental Health Services Act (MHSA)
Innovations Project Idea (IPI). An
executive with the OCHCA once stated:
“Housing is a complex issue (Hale)”.
In this report MSG shares our ideas for fixing unmet housing needs. We call our overarching project the
BedBusters Bundle and sometimes Triple B.
Examining the MHSOAC – How is it?
MHSOAC = Mental Health Services
Oversight and Accountability Commission
The MHSOAC has a final ruling for
a county picking up an MHSA INN project idea.
We favor direct submission to the MHSOAC. It will save the county time and effort
preparing the plan for vetting by the MHSOAC.
A couple years back Orange County was doing Innovations’ business as
usual by submitting their work ups as an INNs pod. OCHCA’s approach was furthering small budget
projects. Then the MHSOAC black-balled
too many (MHSOAC Fiasco). Since this
MHSOAC fiasco our local MHSA Innovation (INN) hasn't been INN business as usual. The MHSOAC scoring criteria (rubric) for INN
project ideas should be made available to the public (Transparency Principle).
FYI - [PDF] - Enclosure 1:
Innovation Guidelines - DHCS - CA.gov (14 Pages)
MHSA Proposed Guidelines for The
Innovation Component of The County’s Three-Year Program And Expenditure Plan
https://www.dhcs.ca.gov/formsandpubs/MHArchives/InfoNotice09-02_Enclosure_1.pdf
“Each county must provide to DMH [EXTINCT]
and the MHSOAC a final report upon completion of the project.”
Communicating Results
“Communicating the findings from
any Innovation (INN) is important to transforming the mental health system. Counties should follow up with the
stakeholders/community regarding the findings of an INN project. Counties and
communities are encouraged to be creative in determining how best to
communicate the results and lessons learned from the INN project.” In this report we address some of the deliverables
generated with implementing our BedBusters Bundle (MSG, 2021). In addition, we address communicating results
and lessons learned.
FYI - Reporting Standards
“Examples of possibilities for
maximizing learning opportunities from the Innovation include holding follow-up
stakeholder/community meetings, participating in statewide, regional or
national forums, [again] “developing a manual or other medium that describes
the INN project in sufficient detail to allow others to replicate or adapt the
practice/approach”, reporting to other counties, California Department of
Mental Health (DMH [DEFUNCT]) and the Mental Health Services Oversight and
Accountability Commission (MHSOAC) at statewide meetings, and/or contributing
to national forums.”
Reporting Responsibility
Our BedBusters notion was born
out of gaps and unmet needs with local, regional, statewide, national, and
global housing for the disadvantaged. Here
Mentalation Solutions Group (MSG) addresses our Housing fixes at the county
level. Keith “Buster” Torkelson has
served on the following MHSA centered committees: Technology Advisory (TAC), Consumer Action
Advisory (CAAC), and Innovations Advisory (IAC). So naturally due to lived experience in
Health & Human services Buster started to sell a Housing Advisory Committee
(HAC). While adjusting to the new way
the Orange County Health Care Agency (OCHCA) is implementing the Innovations
(INN) component of the Mental Health Services Act (MHSA) we here at Mentalation
Solutions Group (MSG) have been refining our approaches to “Fix” housing
problems for the disadvantaged including the homeless. We have portioned BedBusters into three main elements: Housing Advisory Board, Housing Work Group
and our Housing Help Line. It is the HAB
to which we assign responsibility to report.
Transforming the Mental Health
System
Keith “Buster” Torkelson MS had
an aunt his mother’s younger sister Joyce Maxine Brown (JMB: B1925-D2020). JMB
we swore that people only need four hours sleep per 24 hours. She was Buster’s mom’s business partner in a
24 hour 7 days a week small business. For
the early years Aunt Joyce was the on-call 24/7 partner. Younger people such as JMB in the 1960s can
get by with more sleep deprivation. Yet
at one point for many cognition and productivity can deteriorate. But up until the end at age 95 her sleep
system worked. BedBusters’ primary
impact to the Mental Health System will be to improve the Sleep Economy
(SleepEcon). We here a Mentalation
Solutions Group (MSG) will argue again and again that next medication: Sleep
and rest are the most important determinants in Mental (Behavioral)
Health. In SleepEcon the Bed is the
commodity and SLEEP and rest are the currencies.
Project Ownership – BedBusters an MSG Brand
If Buster’s family were younger we
would just give delivering BedBusters on our own. Buster is the youngest in his central family at
age 61. We the family we have done the call
center small business gig twice. Buster’s
interests of old age are taking more and more time. As of today March 11, 2021 Buster has
attended to 22 Health Related Engagements (MSG-HREs) this year. Yet this is a good thing for entrepreneurs! Buster and we here at Mentalation Solutions
Group (MSG) out and out are giving our BedBusters project idea away. Yet, remember BedBusters is MSG’s Brand. Pertaining to MHSA Innovations (INN) projects
this is an important position. On
submitting an MHSA INN Project Idea you give it away more often than not permanently. There is a chance in the Request for Proposal
(RFP) stage that you can win your project back yet this doesn’t frequently occur. So all those INN projects closed to date
remember they are more or less gifts from the community. The project after completion and getting
picked up might best always make reference to the one or more that gave it up
in the first place. It takes quite a bit
of effort to write and submit an MHSA INN Project Idea.
Lessons Learned & Results
“A description or links to any
reports, manuals, CDs or DVDs or videos, or other materials that have been
developed and will be used to communicate lessons learned and project results.”
Table – Sharing Results –
Proposed Role of the Housing Advisory Committee
|
- |
|
|
|
|
Medium |
Content |
Note |
|
|
- |
|
|
|
|
Reports |
Final Report Final Innovations Report |
HAB writes reports PRN |
|
|
Website |
Lessons Learned |
At present this would be shared
via Buster’s Free Interactive build on Facebook |
|
|
Blog(s) |
Share the Experience including
photo & video |
Consumers, Users, Providers |
|
|
Manuals |
Housing Help Line (HHL) Housing Work Group (HWG) Housing Advisory Committee
(HAC) Account Expectations PRN |
The owners of the beds may
become HHL accounts |
|
|
CDs |
Assessment Related Slideshow of key players |
Measured Outcomes |
|
|
DVDs |
Video documentation of the
processes |
|
|
|
PowerPoints |
Training presentations by HAB |
Agents & Work Group members
require training |
|
|
Videos |
Ditto as DVDs Share on You Tube |
|
|
|
Other materials |
Demonstrating the processes Selling the processes |
|
|
|
- |
|
|
|
Last Reviewed: 20210214-SUN:
(Valentines)
BedBusters Market Penetration –
Sales Adjustments
We here at Mentalation Solutions
Group (MSG) are adapting to changes about the Mental Health Services Act (MHSA)
for California and Orange County. Three
hurdles have presented themselves: The MHSA Innovations component submission
process has changed, funding small projects has changed and the overall money
for MHSA spending has decreased. So
until we can figure things out we are working on our BedBusters project idea
from a more general angle. An example
would be to sell Steinberg the current Governor of California. We already failed at selling Correa a
Congressman from California. He says the
all the disadvantage including the homeless are not worthy of help such as a
dedicated Housing Help Line. We will
discuss Congressman Correa as a Person of Interest (POI) at a later time.
Meeting with Congressman Lou
Correa
[INSERT CORREA and Buster]
Mental Health Services Act
Proposed Guidelines for The Innovation Component of The County’s Three-Year
Program And Expenditure Plan
https://www.dhcs.ca.gov/formsandpubs/MHArchives/InfoNotice09-02_Enclosure_1.pdf
MHSOAC (b) Final Innovation
Report
“Each county must provide to the MHSOAC a final report
upon completion of the project. The final report may be included in the
County’s annual update or its integrated Three-Year Plan, whichever is due
during the year the project is completed; the county does not have to provide a
separate report. The Final Innovation
Report will be posted on the MHSOAC website from which others can learn about
the project and its findings.”
“MHSOAC final innovations report”
https://mhsoac.ca.gov/what-we-do/innovation
There must be more than 50 completed Innovations Projects
we still cannot locate them on the MHSOAC website. That is one reason we prefer the counties to
do them as standalones and share them on the county website in addition to
submitting them to the MHSOAC.
MSGBase > Query “fir” for Final Innovation Reports
Separate Report – Model Stanislaus (Stanislaus Rules)
We here at Mentalation Solutions Group (MSG) have reviewed
several MHSA INN Final Reports. Most of
them we found on the county website. For
example “Stanislaus final innovation reports” http://www.stanislausmhsa.com/innovation.shtm
> 9/28/2020
Suicide Prevention Innovation Project- Final Report (201 Pages)
Separate Report
We prefer the separate report route. Unlike Community Service & Support (CSS)
and Prevention & Early Intervention (PEI) the Innovations Component of the
MHSA took a bit longer to implement. Buster
waited eagerly for the INN Final Reports so he could use some of the tools for
his own recovery. He found that the
standalone (separate) method superior to the inclusion only by 3-year plan or
annual updates. Like Stanislaus various county
departments of brain health published their FIRs on their respective websites. For Orange County they might better include a
link to one or more INN final reports or page(s).
Personal Need – Things new and better
After Buster graduated from the MHSA funded Pacific
Clinics Consumer Training Program (CTP-Spring-2009). He interviewed with the county. Team Kate Pavich, Kate Pavich, Keith Ersilius
and Benny Luna, assigned him the MHSA Technology Advisory Committee (TAC) with
a future in MHSA Innovations. Buster
liked the INN approach because he knew it was going to take some new approaches
to help him with his setting things RIGHT.
We here a Mentalation Solutions Group (MSG) call this process
RIGHTing. RIGHTing differs from
Recovery. As people get older we find
them less likely to recover. Our
database (TRCBase) indicates we recorded our first MHSA INN centered research
during the summer of 2009.
TRCBase Query “inn” - Foundations
MHSA Proposed Guidelines for The
Innovation Component of The County’s Three-Year Program And Expenditure Plan
(Likely 2009)
https://www.dhcs.ca.gov/formsandpubs/MHArchives/InfoNotice09-02_Enclosure_1.pdf
Time Stamps
These reports such as the “dhcs” one referenced above are more
often than not written by professionals.
The Department of Health Care Services (CA-DHCS) body has numerous
employees doing numerous rolls. Some
employees are dedicated report writers.
We looked through the InfoNotice09-02 report and could not find the
report dates. Based upon the metadata we
assume “09-02” indicates 2009. It
happens more than expected incidences where is hard to fix a date to body of
work. When it comes to financials every
page should have a time stamp.
The final report should include…
Remember there are more Final Report Styles (FRSs) than those prescribed as Innovation Final Reports. This report is sort of a mock final report that goes off prescription. In addition, it is a formative report. We decided to address project qualities for closure before our next stage, spring quarter, of selling BedBusters.
Table – Product - Final Report
Predictions & Rigor
|
- |
|
|
|
Requirement |
Prediction Notes |
|
|
- |
|
|
|
A brief description of the issue addressed (up to 1/2 page) |
Housing quality for the disadvantaged including the homeless |
|
|
A description of the project including the purpose(s) and
expected outcome (up to 1 page) |
Match consumers with the BestBed possible [Separate] Measurably better outcomes |
|
|
An analysis of the effectiveness of the project (up to 3 pages) |
Using the data that was collected and including the
perspective of the project participants. The analysis should include at least
the following information… |
|
|
Any changes or modifications made during implementation |
Case to case adaptation of primary product (Housing
portfolio) |
|
|
How it affected those who used it |
Users and consumers will feel more empowered and hopeful |
|
|
What we learned |
Gaps in housing process and unmet housing needs can be
remedied |
|
|
Whether the project would be recommended for others to replicate |
Including any lessons learned in implementation, with a
comment about its cost effectiveness Thorough fiduciary tracking to make Cost/Benefit report
easier and more accurate |
|
|
Whether the project will be continued under a different
funding source |
Under a different funding source Recommend picking it up as a PEI Program |
|
|
- |
|
|
Last Reviewed: 20210304-TH:
Project Success Measured by
Duplication
The final report shall be
thorough enough that others wishing to duplicate the BedBusters Bundle have
enough information and facts to readily draft a small business plan or project
plan. Agencies wishing to duplicate our
Triple B project shall be made available the BedBusters’ Operations Manual
(BOM). BedBusters is a Mentalation
Solutions Group Brand.
For Buster’s Mentor – Act Local,
Think Bigger - Third World Adaptation
Our BedBusters notion is not
readily adaptable to third world or agrarian societies. BedBusters and especially the Housing Help
Line will require a technological infrastructure. As far as the paper materials generated by
our Housing Work Group and disseminated (shared) by our Housing Advisory Board
these would have value in technologically impoverished regions and countries.
Futurism - A Bed – Past Now and
Future
Historically people have cycled
about BadBeds and GoodBeds. Some people
never had a GoodBed in their lives. In
the movies we see sick rich people bedridden in a really nice bed while they
recovery for a year or more. Next to
nutrition (and love), Beds used to be the only treatment people had access to. Some
people such as Polio victims never really got out of their beds on their
own. There future of Beds simply holds two
futures: More BadBeds or more GoodBeds.
We here at MSG via BedBusters are delivering on more GoodBeds. Our highest aspirations are promoting
GreatBeds. Some normal people for
various reasons lack GoodBeds. There is
a whole mattress market founded on this fact.
Resolving DEATH
We include this part for a
breather and a bit of fun. Buster caught
wind of UC San Francisco Futurism while his niece was attending medical school
at UCSF. UCSF Futurist posits: What Will
Health and Medicine Look Like in 2050? | UC San Francisco.
By UCSF Faculty and Alumni UCSF
Magazine Winter 2020
https://www.ucsf.edu/magazine/health-2050-predictions
“No one can see the future, but
that won't stop us from trying. We asked UCSF faculty and alumni to score these
predictions for likelihood and impact.”
Don’t tell them yet while in San Francisco and in close proximity to SF
Buster detected the phenomena he calls: “Exit Point”. The UCSF Futurist still have yet to detect
the Buster’s Exit Point Phenomena (BEPP).
Years to Recovery 2019 MHSA
Revenue Levels
Basically, they predicted a
pandemic yet were not in place to mitigate Corona. Some predict that Corona will and is
influencing the mental health of vulnerable persons. We believe BedBusters is a Mental Health Fix
(MHF). Corona has effected how we plan
to deliver on BedBusters. Prediction:
Prop 63 (MHSA) taxpayers will never as a whole regain their pre-Corona affluence.
From one Metal Person to another (Buster Brainstorming)
All the ages below Metals Play a role
|
- |
|
|
|
MSG Age |
Note |
|
|
- |
|
|
|
Pre-historic |
Enough food and clean water Sleep was the preferred
medication |
|
|
10,000 years BCE |
This is important because the
historian have destroyed the timeline for this period |
|
|
Transhumant |
The great migration hey might
be a good idea to bring animal producers along |
|
|
Agrarian |
The only stable configuration |
|
|
Iron & Copper |
Gifts from the gods |
|
|
Bronze |
Enters tin due to a glitch in
the iron economy |
|
|
Civilization |
Population centers |
|
|
Dark |
Who really knew thing went dark |
|
|
Industrial |
Birth of Precision Measurement
and standards Lathe changes world |
|
|
Health |
You would figure before there
was modern healthcare that people lived over fifty Sleep and rest the best
medicines |
|
|
World War |
It pays to act on premonitions
and foreboding |
|
|
American Dream Housing |
Land ownership and housing
don’t come easy The plague made possible land
management by the farming class |
|
|
Technology & Energy |
The progress made on more
renewable energy is unexpected invest in batteries |
|
|
Information |
Can’t eat it yet brings for to
the table Semi-conducting metals |
|
|
Social Poverty |
Where we are at Corona 1 year
into social poverty |
|
|
An Iridium Economy |
Buster believes in batteries |
|
|
Magnetic |
Leveraging magnetism to
overcome gravity Working Universal Field Theory Prepare for Teck &
Information Crash |
|
|
Disease and Famine |
Corona may be just an early
warning Famine goes hand and hand with
pandemics also watch out for war and handheld nuclear weapons |
|
|
Zero Gravity No Bed |
Bed Crisis: How come in zero
gravity people just don’t float around to sleep? |
|
|
Reconcile DEATH |
[Out of Scope] |
|
|
|
|
|
Last
Reviewed: 20210310-W:
Persons
Of Interest (POIs)
We discuss POIs further on in this report. Doctor Nagel (JAN) is the most aware of what Keith “Buster” Torkelson is up to. Doctor Nagel and Buster left their dialogue off when in-person lost much of its’ meaning. At the time we were working on the Housing Advisory Board element of BedBusters. The last time we talked with JAN Buster had just finished the Housing Help Line sell to Congressman Correa. We will address our meeting with Correa and lessons we learned in the future. In short Congressman Correa was not much impressed.
Funding
Summary – Corona Rework
As
If…
We
are working as if our BedBusters Project Idea will be considered by the Orange
County Health Care Agency (OCHCA) as a Mental Health Services Act (MHSA)
Innovations Component (INN) Project Idea.
Plan A is that the money will be there.
Plan B is that BedBusters is picked up by another MHSA component such as
Prevention and Early Intervetion (PEI).
Plan C is to sell it elsewhere.
BedBusters is a great small business opportunity!
MSGBase “hab” HAB = Housing Advisory Board
Housing
is a Complex Issue (Hale)
In
2018 Mary Hale was the Orange County Health Care Agency (OCHCA) Behavioral
Health Serives (BHS) Director. At the
same time many homeless people were displaced enough to eventually gather at
least three times near the Santa Ana River
Let’s call three of the populations: Power Stationers at Warner and
Harbor, Rivers Edge Peoples of Fairview, and Angel’s Camp Squaters. Mental Health Services Act (MHSA) monies have
been and are designed to help the Behaviorally Disadvantaged Peoples (BDPs). Somewhere around April of 2018 Mary moved
into behavioral health consulting before fixing The OC’s homeless problems. We believe her move may be associated with
the OC’s homeless. Yet one thing she
gave the community was her circa 2018 statement in public at the Steering
Committee Meeting (SCM) that “Housing is a complex issue”. Two things are evident: Prior housing solutions
are not working well enough and a novel approach to fix things such as our BedBusters
Bundle.
A
Team of four doing the work of fifteen
As
far back as we can remember (before 2009) we have monitored two Housing
Solutions: The Mental Health Association Homeless Center and H.O.M.E.S. Both have been delivering Housing Solutions
for more than ten (10) years. They have
sizable staffs to deliver their Solutions.
Compare us here at MSG: Avey C ASUS, Lled Buzzard, EMe, and of course
our principal Keith “Buster” Torkelson MS.
Evidently, it takes us a lot of time to Solve issues as promised by our
competitiors in Housing. And we keep
coming back to Mary Hale’s MS inspiration that: “Housing is a complex issue”. Believe her: It Is!
Brief
– The Need & Unmet Need
On
February 16th, 2021 Keith “Buster” Torkelson’s life coach asked him
to place in a bed a 70 year old female. We
assumer she was receiving Behavioral Health Services (BHS) at Brand New Day
(BND). BND is Buster’s insurer. Mentalation Solutions Group (MSG) offered Buster’s
new and improved life coach six Rent A Shared Room (RASR) prospects: Shanks’,
Christina’s, Paulino's, and to call the Mental Health Associations (MHAOC) Homeless
Service Center. Last time we checked the
MHA would provide only three (3) prospects at a time. On March 16, 2021 (TU) we will see how things
came out. Since 2007 Buster has rented a
bed in a RASR environment. Buster’s need
as well, as many in his BND cohort, is to secure a GreatBed (MSG, 2021). In addition we need viable options for Buster
to prevent housing associated losses while applying an Early Intervention
approach.
Intervention
Before
Corona circa February 2020 there was tangible focus was on the homeless. Not just in Orange County yet all over the
State of California. Yet whether people
classed as homeless or suffering in a BadBed (MSG, 2021) we here at MSG find the
common unmet need: Securing a GoodBed
with the chance of graduating to a stable GreatBed (MSG, 2021). Bed quality goes hand-in-hand with service:
Intesity, dosage and efficacy. Buster
still crosses paths with quite a number of consumers that are underserved. Rather than focus too much on Health Service
we concentrate about the social component of Psychiatric-Social Intervention
(PSI).
Bed
the Commodity
A
GreatBed is a precious and valuable resource.
GreatBeds can be hard if not impossible to come by. BedBusters is designed to gradually improve
housing conditions for the disadvantaged including the homeless. BedBusters is designed to save money by
getting people from more costly beds into BetterBeds.
“The
Unmet Needs of Housing” – NewCities Sep 2, 2020
Reference
> https://newcities.org/the-big-picture-the-unmet-needs-of-housing/
High
Cost and Availability
Of
course building GoodBeds is needed such as those powered under Permanent
Supportive Housing (PSH). Yet, the
existing beds for the disadvantaged in Orange County need to be inventoried and
assessed for quality. Just as with a
larger general population in the United States needing affordable housing the
disadvantaged peoples need affordable housing as well. People in recovery need
“Safe decent housing we could want any of our own families to live in. Some sources correlate “a housing crisis” to
“a health crisis”. Yet the focus is
still on building new Beds or renovating exisiting Beds. That renovating approach could come in handy
for the Rent A Share Room (RASR) bed owners.
Housing the disadvantaged is to address an Iceberg of Beds. For every homeless person you see on the
street there are about ten (10) people in a Rent A Shared Room (RASR) stuck in
a BadBed needing a GoodBed or BetterBed.
Special
Populations
We
have a start on our report: Special Populations including those with Special
Needs. Eventually, BedBusters will
address all populations except Families and Children. Yet in the first year, BedBusters will serve
easy populations and homeless only. With
our supportive services report we will delve more into populations.
Auto Link:
05_HHL_Needs_Matters_20020202_Notes I
Work Done
https://ktork46.blogspot.com/2020/03/20200309housing-advisory-needs-report-i.html
By Keith E Torkelson MS Alias Keith “Buster” Torkelson
MSGBase Metadata >
05_HHL_Needs_Matters_20020301_Notes II V2021
Special Population our Homeless
Referencing:
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0245088
The
only way that national level counts of the homeless point-in-times would mater
is when most if not all counties with 2.5 million persons or more picked up the
BedBuster Housing Bundle Fix (Triple B).
In the article above attributed to MJ Fleury (2021) the author(s)
indicate that in 2016 “an estimated 550,000 individuals in the US experienced
homelessness”. We gather this is for the
whole year. Rather than rework our
statistics Mentalation Solutions Group (MSG) discovered will rely on the statistics
we have gathered. Remember the homeless
are only one sub-population we will serve with our BedBusters Bundle. Below we have links to our papers on
statistics in the context of BedBusters.
MSGBase
Query “statistics”
MSGBase Metadata >
Work Done – Statistics – Context Housing Advisory
Housing Advisory Board Blog
Statistics
Part IA
https://housingadvisoryboard.blogspot.com/2020/02/20200219-w-housing-advisory-hab.html
Statistics
Part IB
https://housingadvisoryboard.blogspot.com/2020/02/20200219-w-ib-hab-part-ii-of-ii.html
On
Counts
We
recommend during the first year the Housing Advisory Board component of BedBusters
collect the most recent counts and other statistics. In practice, we find some numbers are easy to
come by whereas others have never been pubished,
Housing
Trends
Reference
> https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0245088
“Homelessness
is an increasing social problem”. The
authors indicate that it is “difficult to estimate the real number of
individuals experiencing homeless due to lack of participation from many
communities in the count, and lack of consistency in methodologies”. In Orange
County due to The Santa Ana Riverbed Crisis (TSARC) we supposedly have a better
system to get point in time counts. That
means that when figures are published they are more accurate that with other
areas such as San Jose. Where do
homeless people come from?: Beds. What
drives them out of their bed: A BadBed.
We include as a BadBed ones that are not affordable. There are some GoodBeds in the community yet
many of them are not longterm fixes.
Criteria
& Outreach
We
posit that being homeless is a behavioral disorder, therefore, an individual
found homeless need not meet strict criteria for appropriate Behavioral Health
Services (BHS). In addition we believe
that finding a disadvataged person a GoodBed is a BHS. In their article the authors state:
Author
on Homeless and Comorbity
“Compared
with the general population, homeless individuals experience more mental health
disorders (MHD), substance use disorders (SUD), and acute or chronic physical
illnesses (e.g. tuberculosis, human immunodeficiency virus-HIV). It is
estimated that 30–60% of homeless individuals have MHD, 50% of whom have
co-occurring MHD-SUD, while chronic physical illnesses affects about 46% to 85%
of this population. Overall life expectancy may be reduced as much as 30 years
among homeless individuals as compared with the general population.”
Real
World Phenomena (RWP) - Died Too Young
For a long time now we here at Mentalation Solutions Group (MSG) entertained a notion that Buster was witnessing people with Behavioral Health Symptoms Dying Too Young. Even those in a GoodBed were Dying Too Young. The GoodBed just extends things a bit. An MSG vision is if they are provided a series of GreatBeds early enough they may have a full life. An example of one that Died Too Young is Buster’s aquantance “Mark”. We call him Road Kill Mark. Mark committed suicide after he was place in a Rent A Shared Room (RASR) BadBed. BedBusters cannot guarentee a GoodBed in all incidences, yet it will improve the chances of a consumer finding the best bed possible.
[ROAD KILL MARK]
Population
Health - Fishing for Unmet Needs and Service Gaps
We
have separate publications and starts addressing unmet needs and service gaps
in public health. When it comes to
housing the disadvantaged and disabled including the homeless and veterans the
unment needs and service gaps are self-evident.
If the foundations, frameworks and resources are not up to snuff then
how can we deliver on the promises of continuity and better outcomes.
Things likely to decay or go bad
Motivations To Move & MoveAbility
Can’t afford current sitiation anymore
Can’t get enough rest
Can’t get enough SLEEP
Closer to job
- Closer to school
- Get out of the hospital
- Graduate from residential program
- Graduate to a BetterBed
- Into treatment facility
Landlord timing out
Out of the dorm
Recover some priviledges such as selecting, purchaing and cooking your own food
Situation impairs mental health
- Situation impairs physical health
- Stablize
- To less restrictive
- To more restrictive
- And many more
MSGBase > MHSA_INN_HAB_18091401_Products V2020
In our start on MSG products we
list and at times describe some of our housing fix related products. The core products are fourfold: Integrated BedBusters Bundle, Housing Advisory
Board (HAB), Housing Work Group (HWG), and Housing Help Line (HHL). Most of the other products we will deliver separate
from these three lines. Honorable
mention is our Move Insurance Idea (MoveIns).
Placing People – Practical - 20210216-TU:
Activity with Howard T “Helper”
Late last year (2020) Buster was
finally approved to replace his worthless helper as measured by (AMB) previous
helpers with a promising new helper. The
new helpers name is Howard T. After
several in-person meetings Howard knows that Buster has interest in Housing
Fixes. At their Face-to-face meeting on
February 16, 2021 (TU) Howard engaged Buster is a real world concern. Howard was working on placing a seventy or so
year old Special Needs Female (SNF). She
needed a Rent A Shared Room (RASR) near the clinic in Garden Grove. Buster offered up four leads. First Shanks Broadway, next ask Shank for
Christina’s Number, also call Julie Paulino regarding her Empire Co-ed House
and call the Mental Health Association (MHAOC) homeless service center. The MHAOC promises three bed owner numbers at
a time. That is total of six numbers
post haste. In our March F2F with Howard
we are going to Follow-up on how we did.
Abundance of Evidence and Real
World Phenomena
Self-evident & Powers of Ten
(1 > 10 > 100 > 1000 > 10000)
The connections between housing
and health are self-evident. For every 1
homeless person you see in a day there are ten floating in limbo and
one-hundred possibles in a BadBed. Permanent
Supportive Housing (PSH) in Orange County has yielded somewhere around 200
units. These might be considered
GreatBeds. The PSH promise is an
affordable Single Resident Occupancy (SRO) situation with Supportive Services. Since 2009 we have met less than ten (10)
people that benefited from PSH. We
wonder why in ten years or so no-body has outreached to Buster to get him on
the PSH Track? Buster is always at risk
of homelessness.
MSGBase “psh’
MSGBase “publication”
Link to Publication Summary (Register)
HAB And BedBusters Publication Tracking
15_BedBusters_Publications_MSG_20100903_Register V2021
MSG Homeless Gallery – Documenting the Homeless
Auto Link – Homeless Gallery (20201030-F)
https://housingadvisoryboard.blogspot.com/2020/10/we-walk-quietly-among-our-homeless.html
MSGBase V TRCBase
Chrome Query Metadata “keith torkelson homeless”
HAB_Homeless_Management_19022503_Notes 2020-C
HAB_Homeless_Gallery_20090202_Notes
MSG Cemetery Gallery
Many sources indicate that Housing Quality is correlated to Health. Mentalation Solutions Group (MSG) not only finds Housing Quality associated with health it is associated with catastrophic loss including pre-mature DEATH. We here at MSG have been working on our MSG Cemetery Gallery. We have been puzzling to stop progress on this paper until we publish our Cemetery. Yet, we have included enough of the fallen here. Many of our prior publications make reference to the fallen such as those that Died Too Young (DTY), Dying Old Men (DOMs) and those Missing In Action (MIAs). As Pat Benatar said in 1983 Love Is A Battlefield > SPMI is a Minefield.
MSGBase > “cemetery”
MSG Proto-Cemetery
Chrome Query “keith Torkelson death”
MSG Cemetery – Omega Section
Keith Torkelson - P3D - Died Young - In Memory – AnimaCules Blog
http://ktork46.blogspot.com/2014/05/the-dag-p3d-died-young-in-memory.html
Eugene "Geno" Faust
(40s) War Brook (50s) - Don Hockett (60s) - Devin Petersen (20s) Douglas
"Dug" Keith (50s) - Kimberly Kircher-Smith (50s) Don McMahon…
Keith Torkelson - Peace in Death, Disaster, and Disease – AnimaCules Blog
http://ktork46.blogspot.com/2013/12/peace-in-death-disaster-and-disease.html
Dec 12, 2013 — Peace in Death,
Disaster, and Disease (P3D or Pin3D)
Last Update: June 23, 2017. Peter
Gabriel In! Features Errol the Mummy
after he lost in GoodBed - By Keith Torkelson – M.Sci. and AVEY
Vignette - Young Jessie BadBed > MIA
Evidence of Inappropriate Service
or Under Service
We can tolerate the Dying Old Men
(DOM) being underserved yet it really bothers us here at Mentalation Solutions
Group (MSG) when Transitional Aged Youths (TAYs) or young adults are
inappropriately served. One of the
reasons Buster signed on for Psychotropic Experimentation was that those coming
after him need not suffer as much and actualize better outcomes. In the following photographs taken with a
pre-smartphone is Jessie: Transitional Aged Youth being dog piled in his Rent A
Shared Room (RASR). Jessie threatened
Ted the shot caller. Ted freaks out so a
quest Carl intervenes by smashing Jessie to the floor. Jessie escaped Carl and jumped to the safety
of his bed. As anyone knows from the
Psych Ward when drawing “The Muscles” attention if you retreat to your bed the muscle
component of the altercation is unnecessary.
Centralized Assessment Team (CAT)
Carl jumped Jessie again on
Jessie’s bed. Then Wayne weighing about
350 pounds jumps on top above Carl and begins punching Jessie in the face. Wayne breaks Jessie’s nose. Trying to get some air Jessie was
kicking. Jessie kicked out the window
and cut his foot on the broken glass.
Meanwhile Ted has called “911” and the police not the EMTs are on their
way. This could have been resolved if Ted
knew to call the Centralized Assessment Team (CAT). Buster told Jessie to calm as much as
possible because the Police are coming and you don’t want any drama like this
when they come. The police arrived and
Jessie submitted easily handcuffing and custody. .
Buster’s Perspective
On this day the commotion in the
next room drew Buster’s attention. Buster
limits sharing about the workings of his current Rent A Shared Room (RASR)
environment because it poses a conflict of interest. But he knew this altercation was going to be
remarkable. In the end Jessie is status
Missing In Action (MIA). We have a
unique plot in our MSG Cemetery for those MIA.
A Position of Defense
It can be a difficult position to
sustain yet we here at Mentalation Solutions Group (MSG) work to always take
the consumers position. In general
health care sees that consumer as doing something wrong. For example when one gets admitted to the
Psych Ward they assume the consumer was not compliant in taking their
medications as prescribed. When you see
your PCP and you are grossly overweight they assume you have a controllable
eating problem. Quite a few people in
Orange County live in arrangement where food is provided. You eat what is given you. Point Made: We try to act as if a defense
attorney. Yet there are a few
exceptions: Two of them are: A consumer
is interfering with Buster’s personal interests such as maintaining PEACE in
the room and promoting regular healthful SLEEP.
If something comes up that Buster needs to ask for help he puts his
interests first and will work against his RASR roommate.
On Profiteering – Example
Christina
Buster has helped several RASR
landlords run their operations. Some assistance
is small while others such selling a bed is larger. Because Buster was a small business owner
roughly from 2000-2005 he believes in profit.
In the community there is a gal Christina that after performing her term
of duty with the Mental Health Association (MHAOC) decided to go into the Rent
A Share Room (RASR) business. Buster has
had dealings with Christina for more than ten years. Christina’s House seemed a viable alternative
to where Buster lives now. Then MSG
caught wind that Christina had one or more four man rooms. For RASRs AKA Room & Boards there are no
regulations. We will discuss regulations
for RASR Board & Cares at a later time.
We have never observed more than two people per room in a Board &
Care. Unfortunately Christina appears to
be profiteering at the expense of disabled often seriously disabled people.
Rent A Share Room Environment
Two-man – What does a “House” make?
Buster rented a two-bedroom
apartment in Laguna Niguel for seven years.
He was the principle on the lease.
In 2004 Buster suffered a period of catastrophic losses. In order to get adequate help Buster
surrendered and called “911”. 2004
marked Buster’s first stay in an inadequate RASR environment. At one point he was placed at Eden Manor in
South Gate. South Gate was way distant
from his support systems. His family
rescued him and he moved to Chapman in Garden Grove. Chapman took all of his monthly check except
one-hundred ($100) dollars per month. At
four dollars a day for cigarettes as well as a bit more for discretionary
spending Buster was cutting into his Move money. His MoveAbility was decreasing.
For The Next Generation – It’s
For the Children
Buster’s monetary resources were
dwindling thus reducing his MoveAbility.
In no time Buster would not have money to move. He decided to move in with his life-partner
(since 1999). In 2006 he became
over-burdened again and needed help.
From 2006-2010 he went through a series of moves about RASR environments. On average a two-man room cost $500/Month per
occupant. The typical RASR house had
four (4) rooms. The income per house for
the landlord(s) is then $4000.00 per month or $48,000 per year. Two make more money landlords add bunk beds
to fit three and four people per room.
Two per room for a time is acceptable yet not three and four. The new generation owners are putting profit
ahead of consumer needs including health.
Tell your children if you develop symptoms you may live in a four person
room for the rest of you lives. Much of
what we do a MSG is to provide for the kids in a manner respecting their needs.
In Memory of Herbert Hoover
Porter A Mini-Bios
Buster met Herbert Hoover Porter
(HHP) back in 2012. They both were
Renting A Share Room (RASR) in different rooms within the same operation. The operation owned and managed three (3)
houses in Santa Ana California. Herbert
was also serviced by the same insurer as Buster. Living were Herbert lived offered him few if
any Protective Factors (PFs). Buster’s
situation differed in that Buster was able to grow some PFs. In other words Buster has gained a bit while
Herbert didn’t. After years of doing OK
Herbert declined. His decline was associated
with new people in his house. They were
being mean to Herbert. Late last year
Herbert died. We here at Mentalation
Solutions Group (MSG) place Herbert in the Died Too Young (DTY) category. Buster attended Herbert’s funeral. Buster could always make Herbert laugh but not
anymore.
“Free
at Last” – Funeral Collateral
Respecting
our RASR Fallen
The
funeral collateral Buster was given at our friend Herbert’s funeral last
October (2020) states” “Free at last”.
People really do not believe for real that DEATH is freedom. If they did they would just let people be and
manage their passing to the best of their abilities (MSG ManagedPassing). Herbert is important because Buster and
Herbert shared the Rent A Shared Room environment together. In addition they shared insurers – Brand New
Day. Buster could make Herbert
authentically laugh. None of the BND
Helpers seemed to care that Herbert died – Died Too Young. No person from BND showed to close out the
case by attending Herbert’s funeral.
VMV
- Virtues Mission and Values
Frameworks & Foundations –
Summary
Prior to 2009 Buster approached
his health mainly from a Medical Model perspective. Since 2009 we here at Mentalation Solutions
Group (MSG) have taken more of a Sociological Approach. Buster has far more college credits about
science and medicine that he does in Health & Human Services (HHS). Yet since graduating the MHSA funded Consumer
Training Program (CTP) Buster has been working hard on self-educating himself
in Sociology. In the fall of 2011 he
earned 8.0 units in HHS. In both
classes: Introduction and Crisis Intervention he was a high performer. He took the classes at Cypress College. His Cypress GPA is 4.0. In fact his overall Orange County GPA is
4.0. The schools he has grades for are
in chronological order: Orange Coast, Saddleback College, California State
University @ Fullerton, Santa Ana College and Cypress College.
Person of Interest - An Advent
Doctor Inglis MD
This paragraph will be included
in the materials when, if and ever, we get to sell Keith as and educated and
working Pathologist melded with more or less Lived Experience in Sociology. We here around Mentalation Solutions Group
(MSG) think of Buster as a self-educated Social-pathologist. Doctor Bera Buster’s Behavioral Health Doctor
(BHD) called Buster a Housing Advocate.
A key difference between clinical pathology and social pathology is the
nature of assessment. Laboratory assays
versus text evaluation. OK Enough!
Buster was told in the CTP that his lived-experience could be of value in
helping others in need. Early on Buster
with his social pathological training desired to assess and help populations of
one-hundred or more. Now he focuses on
fewer people applying a wide range of instruments. He also self-evaluates himself a good deal. We target Doctor Andrew Inglis for sharing
Buster education and lived experience.
Before he retires, Buster would like Dr. Inglis to give him the title of
social pathologist
Linking Physical Performance to
SUD Recovery
It is self-evident that physical
performance is linked to physical health.
In the realm of residential treatment for Substance Use Disorder the
programs are now including gym membership or gym time in their treatments. When Buster is enrolled in one or more
college courses he always ramps up Physical Education. Where Buster lives now: Buster is the only
one with a rigorous fitness routine. His
insurer Brand New Day (BND) likes and even Rewards Buster for how he works his
program. A way to stave off becoming a
Dying Old Man (DOM) is exercise such as jogging, dancing and stretching. We have a performance evaluation called Activities
of Daily Living Extended.
Introduction to Assessment
At the core of BedBusters is
assessment. We always look first to see
if there is a Commercial-off-the-shelf (COTS) tool for capturing the user’s
needs, situation, and experience first. The
majority of our in-house assessment tools are modified, derived and
transformed. It really frustrates us
when we find a good COTS tool and they want to charge us or get permission. One area unique to Mentalation Solutions
Group (MSG) is our Roommate Matching Series (RMS) that addresses: Harmony,
PEACE, and Preferences.
Special Topic - Triple Diagnosis
– Case Intensity
Let’s get real that even
non-consumers may have serious housing problems. Catastrophes such as wildfires do not
discriminate. What make a difference
with the loser’s resilience are resources such as homeowners’ insurance. As a consequence of intense experiences such
as home loss even “Normal People” can find themselves with a symptoms such as
anxiety. As we understand some cases are
easy some are hard. A case involving
legal status tends to be hard. We here
at Mentalation Solutions Group (MSG) consider criminality a diagnosis? Over and over we see criminals reintegrating as
over-burdened. There was or is a program
in “The OC” called Opportunity Knocks (OK) with a mission to reintegrate
criminals. On many an occasion while in
the program “Criminal” opt out. The
choose the typical criminal-justice route because the program is too
demanding. As with Substance Users a
criminal may require saturation or immersion in recovery full time. Substance use and Behavioral Health issues
take a back seat as the law-breakers try their best not to cycle back to a BadBed
in county jail.
Need – Move Insurance (MoveIns)
Due to the fact that when Buster
goes into the Psych Ward his cumulative stay for one episode is long often
exceeding thirty (30) days, Buster opted for Medi-Cal to insure him rather than
let’s say Kaiser Permanente. Medi-Cal
has a personal property limit of $2000.
Buster earmarks most of his savings for moving. Even with the simpler moves, moving takes way
more than just money. Buster has $500 in
his credit union and $500 in Prudent Reserve.
Even with money Buster is not moveable in a moment’s notice. Move insurance with a $30/Month premium would
be highly desirable to those in need anywhere.
Like auto insurance (MoveIns) augmented with Triple A Move Insurance
(MovePlus) should also include a complete transportation bundle. MoveIns can take care of all the consumers’ short-term
needs except making the phone calls and finding bed options (GoodBed,
MSG). MoveIns also supports the consumer
with snags such as paying rent for two beds at the same time.
Treatment and Righting Take Time
Even in a GoodBed, treatment and
setting things RIGHT (was recovery) take time.
Years ago a friend of Busters, Doctor Clayton Lon Chau MD PhD, shared
either in a college course or presenting at a local conference that: “Recovery
is not linear”. Recovery even in more ideal setting is not linear. An example of a fairly ideal setting with for
the most part GoodBeds would Westminster Therapeutic Residential Center
(WTRC). Typical Rent A Shared Rooms
(RASR) are exhausting often hostile environments. Sara Chetkin in her book addresses: The
Healing Curve: A Catalyst to Consciousness.
Experimenting on Human Subjects
Chetkin implies healing is
possible. We here at Mentalation
Solutions Group (MSG) come across many cases in which healing is not just
impossible yet the consumers are decaying. We can all agree that if healing is
possible it takes time in a healing environment. MSG found a reference regarding the healing
curve for Pressure Ulcer Patients (PUPs).
It took 125 days or 18 weeks for 90% of the sample set to achieve 90%
healing. This is not what we here at MSG
observe with persons suffering Behavioral Health Problems (BHPs) particularly
those Seriously and Persistently Mentally Ill (SPMI). When Buster first signed on for psychotropic
treatment and experimentation the two psychiatrists (Graham & Dean) running
their “Haldol” experiment indicated that Buster would never heal. Since you are goner let us “balance your
brain chemistry” for the benefit of others.
The experimental pursuit seemed noble enough so Buster without much
information consented. The Graham and
Dean Haldol Experiment took one of Buster’s Cat Lives (BCLs). Buster’s brother-in-law who came up with his
brother and father to help Buster move stated: Wow! They killed you. When doctor Deutsch in “The OC” took over
Buster’s case he said you are overmedicated.
In hindsight we think is was closer to dead.
Better Healing Model
The Pressure Ulcer study patients
achieving 90% healing is a good model for the following reasons. It reflects reality for the SPMI population in
that not all patients heal. It indicates
that healing is not linear. The graph indicates
that given the best treatments patients (consumers) take a long time to heal. In 14 days there is a latency with no
response. We draw an analogy to selling
BedBusters, it would take 14 one-hour sessions to get people up to speed. That seems reasonable with the amount of
Intel we have to share.
Figure – FYI Healing Curve 1
Healing is not linear (Chau Circa
2009)
Figure – FYI Healing Curve 2
Healing - Progress & End
Point(s)
Actually, as we just mentioned the
ends or outcomes for many SPMIs is not healing.
Healing would imply they can make it without medication(s). Progress is more cyclical where they cycle
back to a pre-existing state. These
pre-existing states are call episodes. Healed
persons AKA consumer-survivors are rare.
We questioned at time zero there could be zero progress. We gather in a way when Buster we treated by
Graham and Dean he was at zero progress.
Something to ponder: Where zero-progress suicide fits in with healing?
Jumping Someone Else’s Train
In the treatment model: Recovery
and healing do not occur until the problems are detected, diagnosis agreed upon
and signs and symptoms adequately addressed.
With the Medical Model substantial gains about: Depression, anxiety, and
delusions will not show without intervening with psychotropic medication (Meds)
. Buster knows a few consumer-survivors
i.e. those once on Meds that doesn’t require them for normative
performance. The healing model above is
interesting in that if progress is having resources than consumer with inadequate
resources may be stuck. We find with
Buster resources are more mutable than his diagnoses. We favor Mentalation Solutions Groups (MSGs) statistical
cure method that is as follows: Assessing the consumer with about 1000 items
(questions) yielding better overall picture than do briefer tools. Across 1000 items Buster scores better than
those in his current Rent A Shared Room cohort.
Yet, we have yet to declare him Cured Statistically. It is the living arrangements and medical
domains that have us tied up.
On Dying – DEATH and His Friends
“I used to rule the world – seas
would rise when I gave the word…” Literacy is one thing that makes Buster a bit
different. As the saying goes “Publish
or perish” for Buster it is publish or decay and die in a BadBed. To Decay: Then Buster would be like the
majority of disabled men his age, a Dying Old Man or DOM. Some go down gracefully others kicking and
screaming. As one approaches fewer
resources (nothing) or resource exhaustion it makes the world of difference
whether you have the Right Nothing or the wrong nothing. In the end it would still appear we all terminate
with some form of NOTHING. Yet, Buster
knows with his mother dying that she had very little worldly connections except
Buster holding her hand. She liked that
end-stage hand holding.
How is it a Smart Phone?
OK! Let us return to technology
for consumers. When Kathleen Murray let Buster
go from the OCHCA MHSA Technology Advisory Committee (TAC) Buster was getting
ready to work on Technology for Consumers.
There was also a MHSA Innovations Project Idea to put technology in the
hands of consumers. If the TAC were to
meet next month, April, Buster would prepare on how the MHSA can put Smartphones
in every person with a Behavioral Health diagnosis in their hands. In addition he would advocate for the county to
fund county-wide Wi-Fi. Dr. Chau on and
off has promoted several on-line Behavioral Health APPs. Rather than consumers having PCs or Laptops
the preferred method to access these semi-promising APPs is a Smartphone.
TRCBase “IAC” IAC = Innovations
Advisory Committee
Changes - Satisfaction
Brand New Day (BND) helpers often
indicate that stability is without change.
Translated is a consumer needs to move it is the consumer causing the
problem. BND helpers do not perform
adequate site visits or are they made to feel welcome to hang out a bit. Stability is fine when someone gets the
opportunity to live in a great house and a GreatBed. Last year 2020 and the beginning of 2021 has
tossed oodles of changes at Buster. To
track changes across Psychiatric Social Domains (PSDs) MSG uses a survey
called: How Satisfied are You? Buster
picked it up at the OCHCA Costa Mesa clinic while Buster was being served by
Doctor Andrew Inglis. It introduced
Buster to what we call Dominal thinking with the empowerment of
Satisfaction. While Buster was doing his
gig with the OCHCA MHSA Technology Advisory Committee (TAC) he presented on the
Satisfaction Tool. Kathleen his
supervisor said that survey in not being leveraged.
Circles in the Sand – Consumer
Satisfaction Tool
Mentalation Solutions Group (MSG)
describes leveraged as: Collected, analyzed, and distributed. Back to changes - We transformed the OCHCA Satisfaction tool a
bit. Mostly we added some categories to
extend their ten or so to fifteen.
During 2020-21 Buster has had changes about nearly all fifteen domains
or categories. Some changes are good
others quite challenging. Buster’s insurer
Brand New Day has awarded Buster a new helper Howard. So far that is a good change for Buster. Interestingly enough Doctor Inglis pops into
the map as OCHCA BHS Director. We look
forward to re-connecting.
Inception
An Intersection V Convergence
Suggestion: Only things that come
together or intersect should be retained.
Housing is one such thing that needs uniting due to its’ necessity
across so many people. One of the first
things we looked into was: Do housing concerns and fixes suffer conflict of
interest. Yes, from the consumer
perspective. Try for yourself or helping
another while shopping for a GoodBed. In
the process it is likely to meet: Conflict with the bed owners, landlords, and
managers.
MSGBase ‘hab” HAB = Housing
Advisory Board
Re-orientation
MHSA Innovations
Our
records show we Mentalation Solutions Group (MSG) began formalizing our housing fixes ideas back during
the summer of 2018. We began with the
Housing Advisory Committee (HAC) element and chose to sell Dr. Jeffery “Jeff”
Nagel. And we did. And we were inspired. Buster attended one of doctor Nagel’s MHSA Innovations
specific workshops somewhere around the middle of the last decade. Off we go promoting here and there. Little success. We indicated to doctor Nagel a couple of
times that Buster was working on a housing solution. We set our sights on submitting a formal MHSA
INN project idea. We took the time to
discover the components of a Great and Novel Housing Program that could in due
process help the homeless. Upon
re-orienting about and upgraded INN submission process we discovered some
hurdles: Method, money and madness.
Method – Action Submit
We could get our BedBusters
Innovation Project Idea submission assembled in about one month. Yet old methods and new method avail us
not. Just as we have developed our super-duper
idea MHSA monies are harder to come by and may continue that way for quite some
time.
MSGBase Metadata >
07_OCHCA_MHSA_INN_BedBusters_Submit_21010202_Notes
Special Topic – Profiling –
Vignette AgJ = JDT = John
Buster knows John. John is approximately 59 years old. John identifies as a Norwegian
Caucasian. He came to us after being
released from Orange County Jail (OCJ) for an alcohol related offense. We had high aspirations and hopes for
John. He had many preferences in line
with the incumbent Rent A Shared Room (RASR) roommate. He was given a single decker bed. That type of placement is reward right
off. During 2020 on and off John’s cough
like noises irritated the incumbent yet never in more than five months did he
interfere with incumbent Buster’s sleep.
New as of February 2021 John has carried on his coughing into the
night. Twice now he has interfered
around 3am with Buster’s sleep. Buster
has exhausted his coping skills and will ask for help from the management-landlord
team. Buster refrains from asking for
help. The outcome is pending. Status =
Chronically Problematic.
[Pending LINK TO SOUND BITE Need Convert
to a You Tube Format]
We may stay this one we are not
prepared to spend time on media creation
Seventh Life Experiment
Previously we discussed Buster’s
brother –in-law indicated that Buster lost a life or looked dead. We call this period The Haldol
Experiment. Buster even wrote a poem
called Haldol Man. Haldol Man has been published
by others a couple of times. Since 2009 Buster has participated in many
so-called fixes, promising practices and even best practices. Below are some of the promising practices
that he participated in. For Buster, none
of these it turns out had substantial Protective Value. What protected him was his “Cat Like Reflex”
or maybe his seventh "Felinic" Life.
Going back to college
Completing two HHS courses at Cypress College
Moving out of a BedTrap
Consumer Training Program
Crisis Intervention Training
Pacific Clinic Networking
OCHCA Networking
Evidence of Meaningful Engagements
TRCBase
– “time”
Aside - CAREs Act – Funding
We were listening in on a OCHCA –
Mental Health Board (MHB) mediated Zoom Meeting earlier this month (February
2021). We attend mainly to hear what Dr.
Nagel says. The Corona Affair (TCA) has
made it challenging to keep in touch.
With the MHB meeting doctor Nagel addressed the CARES Act. We missed a few MHSA Steering Committee
Meetings. He may have mentioned CARES
earlier. So just to make sure that it
doesn’t include a Housing Help Line Fix we will look briefly in CARES. We checked it out. We could find nothing in scope about funding
Housing Help Lines.
Funding
Stream - Sales History
The
longer it takes the more we learn about funding. We have been Pre-selling since
2018. Our sales has yielded a range of
results. We just know a Housing Help
Line centered product is needed to fill that gaps about landing one in need
with a GoodBed. And we dream that
BedBusters may just put them in the BestBed of their lives.
Results - Assessing for a BedTrap
– Summary View
Asssessment
- What is a Housing Trap?
MSGBase
>
08_Housing_Traps_21022807_Notes
Mentalation
Solutions Group (MSG) has a working definition for a Housing Trap. We derived from a Commercial-off-the-shelf (COTS)
definition. Housing Traps are
situations which make it difficult or impossible for the tenant to move to a
better and potentially more affordable place. We created our own 22-Item Housing Trap
Assessment based of Buster’s Lived Experience.
We applied it for the first time using a real person, AgJ. AgJ is residing in a Rent A Shared Room
(RASR). As we were working out this
report we wondered why it has been so challenging. Many notions came to mind yet a repeating
hurdle is that it includes so little original data. ON of MSG’s prime move motivations is sharing
assessment-driven data. So here! Some original data for Ya’ALL. Even though AgJ is trapped he is Satisfied
for the most part. Buster is not
completely Satisfied with AgJ.
Consumer AgJ
Housing
Trap Assessment (22-Items in Two Parts - Summary)
Part of a MoveAbility Score (MAS)
|
- |
|
|
|
|
Time Stamp |
|
AgJ 2021 0227 (SAT) |
|
|
- |
|
|
|
|
|
Part A CALC |
=9.25/12 |
|
|
|
Part B CALC |
=6.25/10 |
|
|
|
Parts A & B CALC |
=15.50/22 |
|
|
20210227-SAT |
Disabled Person Trap Score (DOTS) = |
70.5% |
|
|
- |
|
|
|
Date
Scored: 20210227-SAT: Last Review: 20210313-SAT:
Housing
Trap Assessment (22 Item Part A of 2)
|
- |
|
|
|
|
## |
Trap
– Part A |
AgJ 2021 0227 (SAT) |
|
|
- |
|
|
|
|
01 |
Check
is only enough to cover rent, phone, and food |
1.00 |
|
|
02 |
Few
viable alternatives |
1.00 |
|
|
03 |
Individual
considers or executes shady dealings to get money |
1.00 |
|
|
04 |
Insurmountable
gaps between beds |
0.75 |
|
|
05 |
Jail
long enough that you don’t get a monthy check |
1.00 |
|
|
06 |
Landlords
that profiteer |
0.50 |
|
|
07 |
Landlord-tenant
exceptions not in place |
0.75 |
|
|
08 |
No
effective family to help |
0.75 |
|
|
09 |
No
framework, standards and regulations |
1.00 |
|
|
10 |
No
physical help with the move |
0.25 |
|
|
11 |
No
user friendly terms for moving away |
0.50 |
|
|
12 |
No
user friendly terms for moving in |
0.75 |
|
|
- |
|
|
|
|
|
Carry Part A CALC |
=9.25/12 |
|
|
|
Part of Disabled Person Trap Score (DOTS) = |
|
|
|
- |
|
|
|
Date
Scored: 20210227-SAT: Associated with MoveAbility Score (MSG)
Housing Trap Assessment (22 Item Part B of 2)
|
- |
|
|
|
|
## |
Trap |
AgJ 2021 0227 (SAT) |
|
|
- |
|
|
|
|
13 |
No
way save |
1.00 |
|
|
14 |
Not
enough rest to gain ground |
0.75 |
|
|
15 |
Only
alternative is long term homeless strategy |
0.50 |
|
|
16 |
Only
alternative is short term homelessness |
0.50 |
|
|
17 |
Only
escape is 911 and the psychward |
0.25 |
|
|
18 |
Paying
rent on two or more beds |
0.75 |
|
|
19 |
Roommate
that is a parasite |
0.00 |
|
|
20 |
So
much of one’s check is taken that one cannot save for a move |
1.00 |
|
|
21 |
System
that thinks stable is living in an unhealthy enviroment |
1.00 |
|
|
22 (10) |
Vulnerable
and taken advantaged of |
0.50 |
|
|
- |
|
|
|
|
|
Carry Part B CALC |
=6.25/10 |
|
|
|
Part of Disabled Person Trap Score (DOTS) |
|
|
|
- |
|
|
|
Date
Scored: 20210227-SAT: Associated with MoveAbility Score (MSG)
Resources for Recovery Paradox
In Health & Human Services
(HHS) much of the spending is done by providers on behalf of the consumer. The Consumer Training Program (CTP)
introduced us a paraprofessional cohort to the concept that if given the proper
resources and education the consumer could better manage themselves in health-partnerships. Buster finally got health-partnerships through
to his insurer Brand New Day (BND) and now they have a few new benefits: Rewards of cash to those meeting health
milestones and their Healthy Food Program (HFP). BND’s HFP is such that BND deposits monthly to
a BND debit card $30.00. Recovery or
more appropriately setting things RIGHT takes resources. No Seriously and Persistently Mentally Ill
(SPMI) consumer should be left without discretionary money each month. We here at Mentalation Solutions Group (MSG)
suggests: They should always have $100.00 or more for discretionary
spending. For Buster the OCHCA driven
MHSA used to give him: Gifts in kind, Food Stipend Rewards, and just out-n-out
gifts. These distributions enabled
Buster sustain and if need be regain his Quality Of Life (QOL). One of the peripheral missions of BedBusters
is to advocate using our Housing Advisory element. This includes our Free Interactive Housing
Advisory Board. We advocate for landlord
transparency about their tenants financials.
We advocate: No consumer in a Rent A Shared Room (RASR) Bed should not
be charged so much for rent with or without food that the consumer doesn’t have
at least $100.00/Month to spend as they wish.
The paradox is as a consumer worsens they lose the resources to invest in
their Recovery. Examples would be their
privilege to drive or control their money.
Once again this is a consumer defense position.
California Behavioral Health
Directors Association (CBHDA)
We here at MSG caught wind of the
CBHDA while profiling Mary Hale MS. We
dig so we can better serve our community and people we consider important to
us. Mary used to give CBHDA update
reports at the OCHCA MHSA Steering Committee Meetings (SCM). Missions and Policy play a key role for an
agency or entity to remain focused in delivering their product. BedBusters’ distal product is delivering the
GreatBed. On their website CBHDA lists
five policy areas. From our vantage
point all five remain serious concerns.
Common to all these areas is that a Bed is involved. Very few people do not require a Bed. Yet, in some rare and very weird
circumstances there is a NoBed. A
constraint with BedBusters’ is our policy that in servicing for the first year we
avoid “hard cases” except Homeless peoples during the first year of operation.
|
- |
|
|
|
|
|
Area |
BedBusters |
Note |
|
|
|
- |
|
|
|
|
|
1Housing and Homelessness |
First Year |
Special Population |
|
|
|
2Substance Use Disorder Issues |
Second Year |
Special Population SUD & COD |
|
|
|
3Criminal Justice |
Third Year |
Special Population Difficult TUD = Triple Occurring Disorders |
|
|
|
Children and Youth |
OOS |
NA |
|
|
|
Mental Health Services Act (MHSA) |
Integral |
Priority Funding |
|
|
|
- |
|
|
|
|
Stigma – A Blast from the Past
TRCBase >
Stigma_Scale_Ref_11051705c
V2021
Buster first ran
into Stigma when he returned as a student to UC Davis School of Veterinary
Medicine in 1989 after a one year medical hiatus. Buster was self-stigmatizing because he was
different vis-Ã -vis his original cohort were sophomores while he was still a
freshman. He felt as if he had flunked. At the time he had no idea about Stigma. Then around 2009 Pacific Clinics asked him to
join their Stigma Reduction & Elimination Group. The leader did not encourage Buster take position
about his angle based on lived experience.
First off Buster wanted to make a bid for naming the group. He preferred Anti-stigma Action Panel (ASAP). Yet in preparing for the Pacific Clinics
group he did learn a little bit about living a life wrought by Stigma and
Oppression. Actually the group leader
Krista was oppressing the members with her structure. MHSA mediated Stigma Reduction was assigned
to the Joint Power Authority (JPA) CalMHSA long ago. Buster believed in order to have an impact
our group would have link up with CalMHSA.
While trying to come up with a good Stigma Reduction Logo he discovered
that Stigma is a rarely used Greek letter.
Buster also worked out beta version for a Stigma Scale. Now-a-daze Buster is very not likely to
self-stigmatize yet the consequences of self-stigma past are with him forever
as wounds and battle scarring.
Community Records - Photographic – Erase Stigma
After graduating the Consumer Training Program, one of
the efforts Buster did on the side was submit artwork and poetry for the annual
MHSA Calendar. At one point circa 2010
he was invited to show his art at the Erase Stigma Art Show in Santa Ana. It was a great, energetic, and hope building
affair. Thereabouts the CalMHSA was
assigned MHSA PEI funds to reduce or eliminate Stigma. Buster is fond of the workbook approach
espcially if they have an assessment or two associated with them. At this point
we would recommend that CalMHSA pick, promote and distribute a
Commercial-off-the-shelf (COTS) workbook.
Below are some references. Mike
Veny’s (2019) book was written in the CalMHSA’s stigma fix window.
FYI
- Transforming Stigma Workbook: How to Become a Mental Wellness Superhero
https://www.amazon.com/Transforming-Stigma-Workbook-Wellness-Superhero/dp/0578495244
Veny, Mike - Paperback – November 14, 2019
“Are
you or a loved one struggling with mental health challenges? Do you feel like
you are silently suffering in silence due to shame about your situation? Are you at a loss trying to figure out what
to do or how to get help? Do you feel like this is getting in the way of your
happiness and success? It's time for you
to begin Transforming Stigma.”
A Veteran’s Angle
FYI
- MIRECC / CoE VISN 5 - Ending Self Stigma (ESS) Resources & Manual
https://www.mirecc.va.gov/visn5/training/ess/ESS.asp
FAQ
- What is Self Stigma?
“Internalized
(or self) stigma is a harmful effect of the societal stigmatization of mental
health problems. Experiencing stigma can cause people to absorb these
stereotypes into their beliefs about themselves. This interferes greatly with
their morale, wellness, recovery and treatment.”
FAQ
- What is Ending Self Stigma (ESS)?
“Ending
Self Stigma (ESS) is a 9 session group program designed to help people
experiencing mental health problems to resist internalized stigma and its
harmful effects, through practical personalized strategies. It is designed to be delivered in 9 weekly
75-90 minute sessions, by one or two mental health providers and/or peer
facilitators. It is most appropriate for psychosocial rehabilitation programs,
VA PRRCs, mental health clinics, mental health consumer-run centers, and
similar settings. For a full copy of the
2016 ESS manual and related materials so you can offer ESS at your site click
HERE”
Questions?
Contact Alicia.Lucksted@va.gov
On
Multi-week sessions – ProCon Dualism
Compare
CTP with BND’s COPD & Intro HHS
Buster
has attended over 100 multi-week trainings (education). Yet we will address three: The Consumer
Training Program (CTP), Brand New Days COPD training, and Cypress College
Introduction to Health and Human Services (HHS). One thing they all have in common is
dissimination of information. Yet, the
information was not of equal value. The
CTP had assessments yet they needed a module on assessment including an exam on
assessing. BND’s COPD training had no
assessment(s) at all. Intro to HSS had
assessments yet a very week practical (lab) component. Below we reference a VA training for providers. More trainings need to provide the consumers
with equal information as providers. It
is Stigmatizing to practice dualistic methods.
This dualism hit home while we here at Mentalation Solutions Group (MSG)
were investigating Quality Of Life (QOL).
We found the Professional Quality of Life (ProQOL) implies that that
Professionals have reserve factors prescribing their special QOL. If it take 9 sessions for the VA train
professionals than adjusting for education level it will take a minimum of 9
sessions for the consumer to make progress about the Stigma imparing their
lives.
FYI
- [PDF] - EASE-ing Self Stigma (30 Slide Presentation)
Using
Education
“Use
myths/facts worksheet as part of group/individual meetings to elicit discussion
about stigma. Help individuals come up
with counter-examples of misconceptions about mental illness they have heard or
experienced.” In his: The Anxiety and
Phobia Workbook Paperback – March 1, 2015 by Edmund J. Bourne PhD calls
counter-example “Talking back”. He has a
specific way to practice and master “Talking back”. Buster tried Bourne’s methods back in 2007:
It worked rather well.
Promotion
- Stigma Free Website – Stigma Promotion @ The End
20210313-SAT: “1,587 PLEDGES - Add yours today!”
FYI
- Toolkit – Stigma Free OC
https://www.stigmafreeoc.com/toolkit/
“Help expand awareness of Stigma Free OC by supporting this movement within your business, municipality, school or faith-based organization. Below you’ll find components of the Stigma Free OC toolkit including action plans, social media resources and other customizable materials that you can download.”
Aside
- Stigma = Life and Rebirth is Strengths Based
Back in 2011 Buster enrolled and finished with an A Grade a 4.0 unit course at Cypress College call Crisis Intervention. His instructor was Gary Zager the department chair at the time. Gary selected Kristi Kanel’s Book A Guide to Crisis Intervention for the textbook. The book introduces a belief that Zager supported: Crisis = Danger and Opportunity. We take their lead with making things up by defining our belief: Stigma = Sum of life and rebirth.
Buster
had an aunt his mother’s younger sister up until December 21st,
2020. She passed at her home at the age
of 95. Buster had known her for 61
years. Since 2012 Buster met with his
aunt regularly. They reworked their
respective timelines over and over. We
here at MSG call this our Structured Temporal Reconciliation (STR) method. At one point Buster and his aunt were working
her timeline. Her husband served in
World War in the Pacific Campaign in the Army.
At one point Buster said had seen footage of Guadalcanal. Buster is not certain yet that is very likely
Guadalcanal is where his Uncle began his service to this his country. When Buster discussed his new view of
Guadalcanal his aunt’s comment about any footage featuring WW2 was “that is not
real – Hollywood made it!”. It would would
have served no purpose and possibly cause her harm if Buster say brought Pearl
Harbor the real footage of Pearl Harbor to show her. We here at MSG have progressly watched more
and more war footage yet very rarely do the presenters cross what we call
Hamburger Hill. Hamburger Hill is were
you see soldiers alive one moment and in pieces the next without frame
cutting. We believe that the people of
this country or the world as well would best be served without censoring due to
confidentiality the Mental Health stories past and present un-cut. They should see those in the Psych Ward as
the wounded troopers. They might best
video footage capturing the effects of a poor fitting medication. And we believe that an axis for Stigma is Confidentiality. The curtains of Confidentiality can only be
pulled aside by the consumer, family members, and those risk-taker/radicals
delivering service. Brand New Day gets
on Buster’s case for his Transparency.
Transparency is a weapon for the “Allies” in the War Against Stigma
(WAS).
TRCBase – Queries “stigma” and “ASAP”
Anti-Stigma
Action Panel
Right off while oriented himself about Stigma for Pacfic Clinics Buster worked on a name for the Group and a Logo. Below are some of his logo designs. The name he proposed was Anti-stigma Action Panel (ASAP).
Moving
On – Mental Health Board (MHB) & Conflicts of Interest
20210224-W: Action Items – Mental
Health Board (MHB) Catchup
Discover - Behavioral Health
Advisory Board (BHAB) ochca
With the implementation of the
MHSA in Orange County at any given time there is often something new. It takes a lot of work to keep pace with the OCHCA
mediated programs such as Be Well or No Place Like Home. Beds for the disadvantaged are being
created. Programs to get people ready
for supported or independent living are in effect. Yet, we have yet to see a comprehensive
placement program such as our BedBusters Bundle. At February’s MHB Meeting Mentalation
Solutions Group (MSG) heard something new called the Behavioral Health Advisory
Board (BHAB). As far as creating a new
board: We think our Housing Advisory Board (HAB) would have been a better
investment. Elements of a BHAB should
already be in effect long ago. Years ago
Buster was encouraged to apply for a (the) consumer slot on the MHB. He spoke in front of the MHB a couple of
times. He was compensated with a $20.00
food card every time he spoke. Yet he
detected a Conflict of Interest (COI).
The county MHB is in the OCHCA hierarchy. The county Mental Health Board (MHB) might
better stand independent from the OCHCA.
More often than not the MHB says yes to anything that the OCHCA presents
it with. We just checked online, several
other counties are implementing a BHAB. Well
we gather they were forced into it “mandated by state law” and everything. MSG’s Housing Advisory Board might better be
mandated by law. Even though Buster is
getting pretty old we feel he still has enough steam to contribute meaningfully
on our Housing Advisory Committee.
FYI - BHAB
“The Behavioral Health Board is
an advisory body to the Board of Supervisors and the Behavioral Health &
Recovery Services Director on matters concerning mental health in the county.
The Behavioral Health Board is mandated by state law, and consists of 15 board
member positions and one County Supervisor.”
Homeless Buster :0(
We here at Mentalation Solutions
Group (MSG) began our BedBusters effort with the Housing Advisory Board (HAB)
element. Periodically we have attempted
to sell our ideas. For the most part
since 2018 our efforts have been in vain.
So each time we sell again we prepare a new angle. The real reason our housing work and advocacy
is so exhaustive is that we also try in due course to solve Keith “Buster”
Torkelson’s housing problems. When we
began Buster was at risk of homelessness himself. For the first time in a long time we can say
Buster’s risk of homelessness has ameliorated.
With hard work Buster’s unsatisfactory living arrangements for winter
quarter 2021 has been better.
Table – Persons Of Interest
(POIs)
BedBusters Champions & Dream
Team (Brief)
|
- |
|
|
|
|
|
Person of Interest |
Role |
Note (Relative to Buster) |
|
|
|
- |
|
|
|
|
|
Clayton Chau |
Mission |
First association as teacher then presenting in the
community then supervisor and selected Buster for INN Committee |
|
|
|
Jeffery Nagel |
Inspiration |
Took time to encourage us one-on-one |
|
|
|
Andrew Inglis |
Role Development |
Seeking revised title for Buster – Social Pathologist At one time Buster’s BHD |
|
|
|
Donald Bren |
Super Fix |
Has resources to make substantial impact on housing the
disadvantaged Timing out due to age |
|
|
|
Howard T |
Grounding |
Housing practical Reality check how hard it is to place a behaviorally
disabled person |
|
|
|
Casey Dorman |
Retired |
First association with Dorman as a teacher Saw Buster’s value when it came to writing assessments |
|
|
|
Rimal Bera |
Antagonist |
Identified Buster’s commitment as a Housing Advocate |
|
|
|
- |
|
|
|
|
Last Reviewed: 20210314-SUN:
Homeless Time Series
(Longitudinal Tracking)
[INCLUDE TIME SERIES OF HOMELESS
PERSON]
Not since “WarBrook”
It is hard to collect time series
samples for a homeless person in the community.
Changing plans and schedules often do not bring Buster repeatedly to the
same location. Our first time series samples
were of “WarBrook”. From 2012 to 2016
Buster relied on the OCTA for transportation.
At his homeward bound connection, Brookhurst and Warner, Buster
routinely ran into a gentleman maybe about 50 years old. Buster transacted with “WarBrook” for more
than a year. On at least one occasion
the homeless gentlemen told Buster his name.
Buster forgot and before long the man died homeless. We called him WarBrook for the corner we saw
him at. WarBrook asked for routine handouts. Buster tried to help when he could. It’s Sad: We will address WarBrook more in
our Died Too Young (DTY) Cemetery Post.
Work Done - Link to Homeless
Gallery
Friday, October 30, 2020
“We Walk quietly among our
Homeless” Homeless Gallery - Orange County Centered by Keith “Buster” Torkelson
and MSG (202010)
https://housingadvisoryboard.blogspot.com/2020/10/we-walk-quietly-among-our-homeless.html
Homeless Hiatus
During fall (2020) and the start of winter (2021) we noticed the homeless in north county appear to dwindle. And then it gets cold in 2021 February (4 days around Valentines). This person shows up overnight at the Warner – Bristol Bus Stop. For the course of three days we captured a time series.
History
Guy
Buster
used to watch a You Tube program called “The History Guy”. At the beginning of the ten or so minute
lesson The History Guy would say something like: “This is History that deserves
to not be forgotten”. We feel that
WarBrook and Kelly Thomas should not be forgotten.
[INSERT KELLY THOMAS]
HAB_Homeless_Management_19022503_Notes V2021-C
Evidence of Outreach
Mentalation Solutions Group (MSG)
including Keith “Buster” Torkelson MS slowed our community outreach work due to
the Corona Virus Affair (CVA). Pretty
much we sustained helping them here and there yet did not collect as that many
photographs or videos. During February
2021 we ran across two homeless cases that we feel needed remembering. Pre-Corona Buster spent a lot of time at the
Bristol & Warner Starbucks.
Starbucks had free Wi-Fi and a healthy social dynamic. Yet, Buster still frequents the corner. It is at Bristol and Warner that Buster gives
(outreaching) what he can to homeless..
Referrals
When Mentalation Solutions Group
(MSG) do our Outreach Work (OW) for the homeless or anyone else in need we serve
a dual purpose. We give what we can as
well as check to see if any other outreach channels have made contact. In 2008, Buster attended his first OCHCA MHSA
Steering Committee Meeting (SCM). Not
once since 2008 has he caught the Outreach & Engagement (O&E) group
making contact. At that first meeting at
the Delhi in Santa Ana he saw homeless people on the grass that could have been
invited in and shared the goodies such as Sannies, melon and coffee. Since the early SCM days Sannies have been
discontinued. Caveat: Family members would catch wind of this new
MHSA way of doing things. They would
stop everything to attend a SCM. The
public comment segment usually occurs at the end. With public comments a family member would
share their dilemma. For their effort
the response from channels was: We don’t handle cases or the like at the SCM. This also occurs yet worse at the Mental
Health Board (MHB) meetings. All it
takes is to assign the family and engagement worker. Nazee is an example. Buster met Nazee in his Consumer Training
Program class. She had a brother that
was ill. In various Behavioral Health
related venues Nazee would ask for help.
She could get a commitment from those she asked to help. A couple of years ago we asked someone where
is Nazee? The response was she doesn’t
participate anymore after her brother died.
Outreach Markers
Two homeless individuals stood
out in February 2021. One was a person
who remained homeless at the Bristol north bus stop for about four days. We saw no signs that anyone in the right
place outreached to them. Then about the
same time a torn-up elderly woman.
Buster gave her some money in exchange for a video clip. She beamed in from her hostile world just
long enough to indicate she was grateful.
We here at MSG have addressed Outreach & Engagement in at least one
other paper. When people in the right
place transact with homeless people they need to leave their marker: One marker
on the person and one marker on the location.
These photos are evidence of Buster’s near daily outreach work. If there was a resource such as BedBusters we
could have got this gal on her way to a GoodBed.
Figures
Metadata “homeless woman”
Outreach
LAW1 & Judge Judy
A few years back while on a
Health Respite in Temecula Keith “Buster” Torkelson heard Judge Judy on the TV
state: “I protect those that cannot protect themselves” We like her value and
steal if for Mentalation Solutions Group (MSG).
Consumer Defense Position
With the exception of those that directly
interfere with Keith “Buster” Torkelson’s nightly SLEEP and PEACE while
producing: We here at Mentalation Solutions Group (MSG) try our best to take
the position of defending the consumer.
Reporting Stages
Housing Advisory Group &
BedBusters (MSG, 2021)
This Iteration is Pretty much
done
|
- |
|
|
|
Stage |
Status |
|
|
- |
|
|
|
Development |
Formal Charter 2018 |
|
|
Discovery |
Done |
|
|
Early Stage Reporting |
Done |
|
|
Pre-Sales |
Now |
|
|
Hurdles |
Now |
|
|
Lived Experience |
Now |
|
|
Expand approaches |
Now |
|
|
Sales-01 Closure |
Pending |
|
|
|
|
|
Last Reviewed: 20210223-TU:
Reporting Stages
Housing Advisory Group &
BedBusters (MSG, 2021)
Still to Come
|
|
|
|
Stage |
|
|
|
|
|
MHSA monies re-discovery |
|
|
MHSA INN Trend |
|
|
Overcome Corona Losses |
|
|
Submits |
|
|
OCHCA Re-tooling MHSA monies |
|
|
Results of submission findings |
|
|
Products |
|
|
Adapt to no in person MHSA SCMs Impairs situational awareness
& chemistry |
|
|
Adapt to our HCA Person of
Interest Triad priorities Develop out of channels
approach |
|
|
Blog publications – Past Now
and Future |
|
|
- |
|
Last Reviewed: 20210223-TU:
Idea Submission Notes
We here at Mentalation Solution
Group have discussed and will discuss this again: MHSA INN project idea submission. When we began writing our BedBusters MHSA
Innovations Project Idea we were working with old Intel. Things about the OCHCA have changed enough so
we are uncertain how to get our BedBusters Bundle Housing Fix through to the
right people. We are trying to do it
through channels as we did with our prior INN Project Ideas. It is as if the whole MHSA INN department has
disappeared. The phone number we found
on the OCHCA Innovation webpage doesn’t pick up. We called the OCHCA referral line OC LINKS
and they can’t link us to Innovations.
MSGBase Query “submit”
Interim
V Formative Reporting
Below
we practice final project reporting.
This format is a bit different than what we have found with counities
such as Stanislaus with their Final Innovations Reports. For us this is a formative or progress
report.
|
- |
|
|
|
Requirement |
Note |
|
|
- |
|
|
|
Project Name |
BedBusters Sales |
|
|
Project Specialist |
Keith E Torkelson, MS |
|
|
Work Group |
Avey C Asus, Lled Buzzard,
EMe |
|
|
Period Covered |
2018-2021 |
|
|
Project Number |
MSG_BBB_Sales_20210223 |
|
|
Date of Status Entry |
20210314 |
|
|
Projected date of
completion |
Submissions Hopefully 2021 |
|
|
|
|
|
Last
Reviewed: 20210314-SUN:
Interim, Progress or Formative
Reporting – BedBusters Bundle
|
- |
|
|
|
|
Requirement |
Note |
Detail |
|
|
|
|
|
|
|
Project Summary |
Housing Help Line driven
housing fix bundle |
BedBusters |
|
|
Project Overview |
Deliver on the three
BedBuster Key Elements |
Housing Help Line Housing Work Group Housing Advisory Board |
|
|
Current timeline position |
Began 2018 Start of year 3 of 6 |
BedBusters |
|
|
- |
|
|
|
Last
Reviewed: 20210314-SUN:
BedBusters - Action Steps –
Pre-sell
|
|
|
|
|
|
Item |
Category |
Status |
|
|
|
|
|
|
|
1 |
Submission |
Paused |
|
|
2 |
Rework |
In Progress |
|
|
3 |
Share |
Partial Online |
|
|
4 |
Submission |
Puzzling it out |
|
|
5 |
Accepted |
Working on contingency plans |
|
|
|
|
|
|
Last
Reviewed: 20210314-SUN:
Risk Management – Pre-sell Stage
|
|
|
|
|
Requirement |
Note |
|
|
|
|
|
|
Key Risks and Issues |
Consumer Loss of life Lost investment |
|
|
Risk/Issue Name |
Gravity |
|
|
Status > Owner >
Description |
OC Public Health &
Behavioral Health Services |
|
|
Project Status this month |
Re-tooling and re-fit Strategy changes for spring |
|
|
- |
|
|
Last
Reviewed: 20210314-SUN:
Overall Project Status –
Pre-sell Stage
|
- |
|
|
|
Component |
Note |
|
|
- |
|
|
|
Budget |
Cost estimates done $1,000,000 per year |
|
|
Schedule |
Roughly for 3 years |
|
|
Qualities at close |
Defining |
|
|
Scope |
Increasing |
|
|
Risks |
For a large county
one-million dollar loss |
|
|
Roadblocks |
MSG’s sales and marketing
skills Social media hurdles |
|
|
- |
|
|
Last
Reviewed: 20210314-SUN:
Metadata
Reports – Define Metadata
For
us here at Mentalations Solutions Group (MSG) metadata represents anything but
the contents of the file or InfoBite itself.
For the most part our in house database queries align with our Internet
queries. Things such as file and record
names, date stamps, file type, file size, and file location are metadata. MSG has two databases TRCBase and
MSGBase. If the records are designed
properly we can use metadata to create reports.
Below we list some standard reports.
Types of Reports - Nov 5, 2020
Reference
> Reference
Report Types by Whatagraph
Types
of reports include
|
- |
|
|
Report
Type |
|
|
- |
|
|
Annual
Report |
|
|
Audit
Report |
|
|
Closure
Report |
|
|
Compliance
Report |
|
|
Expense
Report |
|
|
Feasibility
Report |
|
|
Justification
Report |
|
|
Meeting
Minutes |
|
|
Memo |
|
|
Progress
Report |
|
|
- |
|
Last
Reviewed: 20210307-SUN:
Table – Deliverables - Reports
and Reporting
We have three directories (listings)
for Renting A Shared Room (RASR) in Orange County. All of them are out of date. Some of the reasons they are out-of-date are:
The housing operation went out of business, land lines have been changed to
cells, new businesses have not been added, etc.
Our Housing Work Group (HWG) will be responsible for resource
development and maintenance. The following is a list of some of the resources
for BedBusters’ HWG to work with.
|
- |
|
|
|
Report |
Note |
|
|
- |
|
|
|
Audits |
Especially of existing resources |
|
|
Appling Technology |
Includes notions for software updates |
|
|
Cost/Benefit Evaluation |
Hire a CPA up front |
|
|
Data Dictionary |
[STAYED] |
|
|
Grade Book |
HHL Agent enrichment and merit increases |
|
|
Housing Resource Guide |
Hopefully the county will release an update Else it will be HWG product |
|
|
Operations |
Enough information for replication |
|
|
Policy & Procedure |
This will be generated by the HAB and shared with the
community |
|
|
Program |
Enough information to give people a picture of BedBusters |
|
|
Project |
Final Report including lessons learned and next steps |
|
|
Proof Of Concept |
POC - HAB assessments cost-benefit study |
|
|
Registry of Fixes |
A listing of problems encountered and fixes applied |
|
|
Sell to PEI component |
After BedBusters wishes to improve the consumer housing
experience and prevent catastrophic losses |
|
|
Service & QA |
Shared by all BedBusters elements |
|
|
Site Visit Logbook |
Self-explanatory |
|
|
Statistical Summaries |
HAB and HWG used in POCs |
|
|
Technical Support Fix Manual |
Only for fixes addressing reduced productivity Day-to-day glitches need not be addressed |
|
|
Wider scope gap filling |
Eventually BedBusters with fill gaps in other areas such
as support and services and definitely Early Intervention |
|
|
- |
|
|
Last Reviewed: 20210214-SUN
(Valentine’s Day)
Site Visits – Stigma Reduction
One of the roles for BedBusters’
Housing Work Group (HWG) is site visits.
This is where MSG is stumped: We do not have the resources we used to
have for performing Rent A Shared Room (RASR) site visits. We have in our possession four outdated RASR
listings. In trying to update them we
have run into some roadblocks. The listed
Bed statuses are as follows: NoBed, TooMuch, Phone number doesn’t work, out of
business, out of culture, etc. Let’s
just round it to 500 RASR beds for the BH disabled in the OC. These are sprinkled about 50 or so
facilities. These facilities are often
small businesses. The owners are
leery. If a consumer is shopping for
themselves they are encouraged to not query a full set of shopping
questions. So educated shopping is
discouraged. You just can’t drop-in and
get good answers. Even on the phone it
is hard to get any answers other YesBed or NoBed. Out of the total listings we have: About 1/3
are Board & Cares (B&C) the other 2/3 are for what have been incorrectly
called Room & Boards (R&B). Both
B&C and R&B have stigma attached to them especially for the
consumers. That is why we call our re-framed
standard living arrangement Rent A Shared Room (RASR). RASR refreshes the Bed Market ridding a
history of Stigma.
Product Up Front Method (PUFM)
Communicating Results - Nature of
Final Report
One of the closing requirements
for an MHSA funded Innovation’s Component project is a Final Innovations Report
(FIR). FIRs are summative reports. This here is a formative report. We here at Mentalation Solutions Group (MSG)
are writing it to help us see the end at the tunnel. We need to maintain our momentum. We have already published several reports
associated with our BedBusters Bundle idea.
In this report we address some notions for Housing the disadvantaged. We here at MSG and previously Tork
Reconstruction Company (TRC) have been monitoring the housing needs and
homeless situation for quite some time.
Our initial fix was to help people in need of a Bed as chance presented
itself. Doctor Bera calls Buster a
Housing Advocate. Initially we learned from
trying: It is very hard if not impossible to find a GoodBed. In a BedBusters Testimonial Report (BTR) it
would be prudent to include some before and after testimonies. Failures need to be recognized, validated and
shared. Sometimes housing issues can be
linked to pre-mature DEATH.
Turnaround Time
Five times out ten when a
consumer commits Suicide or Dies Too Young (DTY) we discover they were in a
BadBed. BedBusters will deliver
BetterBeds. At first we expect to find
some NoBeds. What is with NoBed,
GreatBed etc.? These are our naming
conventions as if we were writing a BedBusters algorithm. Something to look forward to when BedBusters
can assemble a consumer BedOption portfolio is Technologic Mediated Efficacy
(TME). Initially the Housing Help Line
(HHL) will collect the Intel whereas the Housing Work Group (HWG) will deliver
on the Individualized Housing Portfolio Fix (IHPF). Eventually the HHL agent may deliver a
FastFix with a FastBed. BedBusters’ IHPF
turnaround goal in the first year is 72 hours or less. Therefore we could help place those in a
PricyBed on hold before their hold gets extended due to housing issues. An
example of a PricyBed would be the Psych Ward.
TRCBase Metadata – MHSA Housing –
Query “final”
Reporting – Operations Manual(s)
Several reports might best be written centered about our Housing Help Line (HHL) element. Yet a high impact report would be a Housing Help Line Operations’ Manual (HHLOM). When this project finds success the Operations Manual will help streamline project replication of this Housing Help Line notion, service and support. The Operations Manual will include some standard forms, flowcharts, Germane Lessons’ Learned (GLLs), a registry of fixes, etc.
Timing
– MHSA Related Submissions
|
- |
|
|
|
|
Fiscal Year |
Note |
Detail |
|
|
- |
|
|
|
|
2019-20 |
Note |
Miscellaneous sales |
|
|
2020-21 |
Corona interrupted efforts |
Substantial Prop 63 revenue reduction Innovation centered hurdles |
|
|
2021-22 |
Unlikely |
It would be too rushed |
|
|
2022-23 |
Best shot |
|
|
|
- |
|
|
|
Last Reviewed: 20210308-M
Time
Spent MHSA
We
here at Mentalation Solutions Group (MSG) spend quite a bit of time keeping
pace with local as well as other county implementation of the Mental Health
Service Act (MHSA). It used to be easier
to keep tabs when the HCA held in person MHSA Steering Committee Meetings
(SCMs). Obviously there are some
features of the virual Zoom SCM meetings we have become accoustomend to over
the last year or so. We are waiting for
a stakeholder or stakeholders to determine the costs and benefits of in-person
versus virtual meetings. Buster prefers
in-person meetings. Public education is
now closing their distance education experiment. A hint that it might be beneficial to go back
to in-person is public schooling. Some
things in life cannot be substituted with the distance approach. If in-person meetings where not integral to
human progress them education would not take the risk to immerse the kids in a
potentially higher risk environment.
Reactivity
Rule
For
an individaul we have a Reactivity Rule:
Wait three days before making a big decision or a change that can
wait. For Agencies we have the three
month rule. All of a sudden we suffer Corona
Reactivity. Due to Corona all kinds of
things that Buster believed was integral to his health became: “Status
unnecessary”. The county either of their
own response or rule making mandated at a higher level engaged in Corona
Reactivity. OCHCA public health
superceded prior Housing concerns. Yet,
probably with high importance and impact Corona has substantially cut into
OCHCA funding. MSG’s BedBusters
initiative timeline has holes or gaps in it.
We ask: Will housing become the interest that it was pre-Corona? We are acting as if and getting ready for
Post-Corona re-emergence of housing concerns.
BedBusters will be needed more than ever.
How is it Mental Health Funding (MHF)?
BedBusters Bundle
People might argue that housing
has little to do with Behavioral Health and that Behavioral Health has nothing
to do with housing. This is important
when we consider how to fund BedBusters.
We consider public health monies our first choice for funding. Below is table briefly outlining public
Behavioral Health money. If we were to
fund BedBusters using the most appropriate account we would spit roughly equal
between: CSS, PEI, Tech Needs (TN), and Innovations (INN). We could sell individually to each component
yet other than Innovation we do not know how to do selling to the other components. We will pursue selling Prevention & Early
Intervention (PEI) in addition to our first choice INN.
Non-MHSA
|
- |
|
|
|
Funding Stream |
Note |
|
|
- |
|
|
|
1991 MH Realignment |
Unlikely |
|
|
2011 MH Realignment |
Unlikely |
|
|
Behavioral Health Sub-account |
No knowledge |
|
|
Medi-Cal FFP |
Unlikely |
|
|
Other |
|
|
|
|
|
|
Last Reviewed: 20210308-M
MHSA – Components and Funding Streams
|
|
|
|
|
Funding Stream |
Note |
|
|
|
|
|
|
Integrated |
Viable option |
|
|
CSS |
Post close pickup option |
|
|
INN |
Primary target |
|
|
PEI – Local (County) |
Either direct or post Innovation pickup |
|
|
PEI - Regional |
CalMHSA Direct sell unlikely |
|
|
TN |
Option to support Hardware & Software |
|
|
Other |
Still Looking |
|
|
- |
|
|
Last Reviewed: 20210308-M:
FAQ – Rehash - Is housing quality
associated with behavioral health?
With BedBusters we will begin to
probe deeper into the how and why housing effects the Behavioral Health of
individuals and populations. We will
begin with simple cases and progress all the way to near impossible or
impossible cases.
FYI - How Housing Quality Affects
Child Mental Health
October 26, 2017 by Will Schupmann
“Researchers have found that
poor-quality housing may create stress for parents, increase their own mental
health problems, and limit their ability to regulate family activities.” Oct
26, 2017
FAQ - How does housing affect
mental health?
Housing and mental health |
Mental Health Foundation
https://www.mentalhealth.org.uk/a-to-z/h/housing-and-mental-health
“Housing is a fundamentally key
factor in people's mental health. People with housing problems are at greater
risk of mental health problems. Good-quality, affordable and safe housing is a
vital component in good mental health, as well as supporting those with
existing mental health conditions.”
Defensive Position
Overall and in 51 percent of all
circumstances Mentalation Solutions Group (MSG) and Buster generally defend. When it comes to the consumers Buster defends
many. When it comes to the Health Care
Agency (HCA) he defends them also. We
here a MSG rely on others to be critical. An example is the Little Hoover
Commission (LHC) Report #233 September 2016: Promises still to keep: A second look
at the mental health services Act.
Buster caught up with the LHC Report at a MHSA Steering Committee
Meeting. The report indicated that the
implementation of the MHSA yielding better outcomes was not up to snuff. For Buster engagement with the MHSA is when
the OCHCA MHSA Workforce Education and Training (WET) component sent him to
school for free. So Buster considers
himself a “Company Person” even though he has never received an OCHCA pay
check. One element in Proof Of Concept
(POC) is a cost/benefit analysis. As
Mary Hale put it before she migrated away from the OCHCA “cost-benefit analyses
are hard to do”. We promise with
BedBusters cost-benefit analysis and reporting.
In addition we promise while applying our Accountability Principle that
we will not hide our failures.
MSGBase – Little Hoover Report
#233, September 2016
MHSA Innovations Notes
Compare 2010 to 2020
Back in 2010 Buster had faith and believed in the MHSA Innovations Component (INN). In the early years of seeing the results of implementing the INN people seemed spirited. And say with a eight million dollar a year budget many (around 8) projects were implemented in a cycle. Then the MHAOAC didn’t approve funding for a significant number of projects in a cycle. Briefly the steps in an INN project are:
Idea > Submit > Vetting
> Selections > Write a Plan > Submit to MHSOAC > Approval >
Solicitation > RPF or MOU > Contract Grant (In house V community) >
Implement the plan > etc.
Writing the Plan
It is the writing the plan part
that now impacts us. The county favors
few big projects rather than many small projects. In fact they considered not favoring any INN
projects at all. This impacts BedBusters
because it is a small project pole. In
addition, we here at Mentalation Solutions Group (MSG) are having a hard time
navigating the new and improved INN submission system.
FYI - Memorandum Of Understanding
(MOU)
“A memorandum of understanding is
a document that describes the broad outlines of an agreement that two or more
parties have reached. MOUs communicate the mutually accepted expectations of
all of the parties involved in a negotiation. While not legally binding, the
MOU signals that a binding contract is imminent.” Feb 25, 2021
TRCBase – RFP
MSGBase “funding”
08_Funding_Healthcare_Housing_21022803_Notes
HealthyHomes
The kernel of BedBusters is the
Bed. Examining the Bed Multiverse we find
the Rent A Shared Room (RASR). RASRs
provide for housing the disadvantaged in the community. “We have a dream”. Mentalation Solutions Group’s (MSG’s) dream
is that we can globally improve the quality of the home in such a way that it
will truly be a HealthyHome.
Services – Case Management –
Housing
Every housing centered case is a
bit different. This is largely due to
variations in three factors: Agent or diagnosis, Environment or house and bed,
and host factors such as resources. Below
is a table of case features as they relate to Housing Case Difficulty
(HCD). Eventually case difficulty will
be better defined ascertaining what makes (someone or something) different. We will apply some screening tools for
calculating a quantitative case difficulty score. In the beginning BedBusters will address
simple cases so as not to get bogged down on cases and special populations that
it is too naïve serve. In the first year
of BedBusters we will serve one special population the Homeless. The County of Orange has already invested
much time, effort, and money addressing its’ homeless. From experience implementing call centers
such as the Warmline the county should have materials and methods to fast track
the Housing Help Line.
Method - Controlling for
Complexity
We recommend avoiding the hard
cases and let existing channels service the hard cases until the Housing Help
Line matures and succeeds with simpler cases.
|
- |
|
|
|
|
Difficulty |
Features |
Note |
|
|
- |
|
|
|
|
Easy |
Client familiar with RASR operations |
Has at least one success in a RASR environment |
|
|
Moderate |
Three placements |
Nine beds considered |
|
|
Hard |
Client has hard time adjusting to any bed in recent
history |
|
|
|
Impossible |
Three or more cycles back |
Three portfolios delivered with no progress |
|
|
- |
|
|
|
Last Reviewed: 20210307-SUN:
FAQ - How Is It We Are Stuck
About Financing?
The snags about MHSA Innovations. There are at least two MHSA funded helplines in Orange County: The Warmline and OC LINKS the referral line. One or both may have started as Innovation Projects. The annual budget for each of these call centers is in the one-million dollar range with the OC LINK line spending more than the Warmline. Where we began with what is now BedBusters is with our Housing Advisory Committee (HAB). With BedBusters the HAB would operate in the back with a little petty cash budget as Buster did while serving on the Technology Committee (TAC) and the Innovations Committee (IAC). The core service of BedBusters is the Housing Help Line element. Now we find some emergent or prominent snags with OCHCA Innovations. Because we are stuck about financing we are looking into alternate routes to bring BedBusters up and running. Realistically BedBusters is preventive in nature. With BedBusters we are going to prevent for those we serve catastrophic loss including loss of life. Buster knows at least one person that after having a BadBed who committed suicide. We call him Road Kill Mark. Road Kill Mark is a central player in MSG’s Stigma Reduction Mission (SRM).
[INCLUDE PHOTO OF ROADKILL MARK]
Family
Involvement – Stigma Reduction
In
the photograph above Mark eating. In
about one months time Mark is dead. Buster
shared a house and time with Mark. In
their morning discussions together Mark shared repeatedly that he was angry
with a Brand New Day (BND) associated doctor - Doctor RB Bera. After about one month Mark set out on his
own. Buster ran into him at BND. Mark was still irrate. Then within a month of Buster talking last to
Mark a BND Member (BND-M) said: “Mark committed suicide – he jumped off a
freeway bridge into traffic”. Buster
gets irritated himself about the generalized lack of transparency and
accountability. The doctors can’t be authentically accountable due to
confidentiality issues. Not all
consumers can be transparent particulary those that die. Mark died to young (DTY) and was
inappropriately served. In order to
assuage Stigma more people need to speak up.
If Mark’s family would have spoke up then we would put Mark to Rest in
PEACE and let his wishes served by the his family.
Accountability
Doctor
RB Bera and his partner in crime (Kami) spoke at the meeting of the Minds (MOMs)
a couple of three years back about clients that scare them in an
appointment. Doctor Bera is fortunate
that Mark picked plan B. In school
Buster was introduced to ethical principles about Health & Human Services
(HHS). One was Mandated Reporting. It is really hard to tell if someone is just
venting or they are really going to set their anger in motion. I guess if someone has to Die Too Young (DTY)
it is best that it is the consumer. Not
really! How does this relate to
BedBusters? At one point we read that actuaries
value a human life at one million dollars.
Adjusting for age and disability Mark’s life at time of DEATH was
probably worth five-hundred thousand. If
BedBusters could have saved Mark and let’s say Kelly Thomas the cost would be
worth it.
FYI
- Value of life - Wikipedia
“Then
the total dollar amount that the group would be willing to pay to save one
statistical life in a year would be $100 per person × 100,000 people, or $10
million. This is what is meant by the "value of a statistical life.””
History
that deserves to be remembered
Let
us return again to BadBeds. For the
majority of homeless people sleeping on the street they are in a BadBed. Our poster child for the consequences of a
BadBed is Kelly Thomas. After getting
mangled by two of Fullerton’s finest Kelly ended up in a WhoKnows bed – a
DEATHBed. The History Guy would arguably
say The Kelly Thomas Affair (TKTA) is “History that needs to be remembered”. We do have to admit that a Rent A Shared Room
(RASR) can be difficult if not impossible to navigate.
Cost
of a Homeless Person
At
one point the Mental Health Association of Orange County (MHAOC) publishs that
it costs $100,759.00 for a homeless person.
For a 365 day year that is roughly $276.0520548 per day. Were did this model homeless person sleep
throughout the year. The MHAOC runs a
homeless service center in Santa Ana California. So we gather they think they spend $276 per
day serving and supporting the often chronically homeless persons they
serve. Without a itemization and breakdown
we find it hard to believe them. It
looks like this is a case of sentationalism.
For more than ten (10) years Buster has associated with the MHAOC. With the exeption of the annual MHAOC Meeting
of the Minds (MOMs) we here at Mentalation Solutions Group (MSG) are not
impressed with their work. Over ten
years ago they were on-board with the solution called: “Ten years to end
homelessness”. We can’t resolve all of
the homeless issues yet it appears we are not much better off by them ten years
ago
BedBusters Impact – Prevention
and Early Intervention
|
- |
|
|
|
|
|
Aspect |
Champion |
Expected Change with BedBusters |
|
|
|
- |
|
|
|
|
|
Evaluation |
MSG V Testing Unit |
|
|
|
|
Homeless Remediation |
OCHCA |
Slight Improvement |
|
|
|
Housing Quality |
Agency that monitors Board
& Cares |
Improvement |
|
|
|
School Safety |
Public Health |
OOS |
|
|
|
Solution Center(s) |
OCHCA |
Substantial Improvement |
|
|
|
Stigma and Discrimination Reduction |
CalMHSA |
Improvement |
|
|
|
Student Mental Health |
CalMHSA |
OOS |
|
|
|
Suicide |
CalMHSA |
Slight Improvement |
|
|
|
Technology for Health |
Dr. Chau |
Improvement Especially with HCA driven free
Wi-Fi |
|
|
|
Well-being, Satisfaction & QOL |
USD Health & Human Services Social Security |
Improvement |
|
|
|
- |
|
|
|
|
Last Reviewed: 20210308-M: OOS = Out Of Scope
FYI - Orange County, California -
Center of Excellence
https://www.ochealthinfo.com/gov/health/bhs/mhi/coe.asp
Neurobehavioral Testing Unit
“The mission of CalMHSA is to provide member counties a flexible, efficient, and effective administrative/fiscal structure focused on collaborative partnerships and pooling efforts in”:
•Development and implementation of common strategies and programs
•Fiscal integrity, protections, and management of collective risk
•Accountability at state, regional, and local levels
Funding - CalMHSA Summary
CalMHSA is a Joint Powers
Authority (JPA). At some point in the
implementation of the Mental Health Services Act (MHSA) various counties agreed
to pool MHSA Prevention & Early Intervention (PEI) monies to better
administer three projects: Suicide prevention, School mental health, and Stigma
reduction. At one point either directly
or through the county we would like to bring CalMHSA on board with BedBusters. We here at MSG aren’t very impressed with our
CalMHSA. They have had ten (10) years to
reduce Stigma & Discrimination. We
are not seeing it yet – we are going to check online at the CalMHSA whether
CalMHSA has a Stigma Assessment. Without
an assessment it is mighty hard to prove an agency has impacted or reduced something. We are bias with our belief that a promising
approach to Stigma Reduction includes Transparency and Accountability. In this paper we are for the most part transparent
with of findings surrounding the Rent A Share Room (RASR) environment. It is our civic duty to share even if guardedly
the TRUTH. Actually if the CalMHSA JPA
picks up BedBusters it would be a Preventive win for them. Many people when they visit a RASR for the
Behavioral Health Disabled (SPMI) say “they deserve” these impoverished
conditions.
TRCBase – JPA
TRCBase – Stigma
Back at The Timeline
We used to calibrate Buster’s
Health & Human Services timeline with the monthly in-person MHSA Steering
Committee Meeting (SCM). Another key checkpoint
was his monthly in-person CBC blood draw.
We find it harder to keep pace with the new and improved OCHCA Zoom
meeting approach. We also incur greater
costs of time and material doing it the zoom way. In order to get on the OCHCA BHS track Buster
attended the Mental Health Board (MHB) zoom mediated meeting for February 2021. Buster is listening specifically for housing
updates. We took notes as Doctor “Jeff”
shared and will briefly address them elsewhere in the paper. We believe that it benefit BedBusters by
examining non-MHSA funding streams. Our
first choice MHSA Innovations money is now tricky and a bit more complex.
Development - From Housing
Advisory Committee to BedBusters
Back in 2008 Keith “Buster”
Torkelson MS caught wind of a OCHCA funded program called the MHSA WET Consumer
Training Program (CTP). He applied for
and was accepted into the spring quarter 2009 class. The class was comprised of consumers and
family members of consumers. To skip
briefly along: After graduating he
signed on as a formal volunteer with the OCHCA.
His capacities were: Behavioral
Health Technology Advisor, Innovations Advisor, Consumer Action Advisor, and
independent jobber. One of the
independent jobs Buster performed was for Dr. Horner the OCHCA Quality Assurance
Control Officer.
Lived Experience with Innovations
Component
Buster’s first involvement with
the Innovations Advisory Committee (IAC) was fall quarter of 2011. During September 2013 he assisted by vetting
the current cycle of Innovations Ideas.
He attended a formal Innovations training that introduced some of the
revisions to the Idea Submission Process (ISP).
We here at Mentalation Solutions Group (MSG) thought Buster had
Innovations down. Nope. Regarding MHSA Innovations some new hurdles
have presented themselves. As we have
discussed previously BedBusters has three main components: Housing Advisory
Board, Housing Work Group and Housing Help Line. Our records indicate that MSG first began
describing our Innovation-driven Housing Advisory Board (HAB) approach back
during the summer of 2018.
Action Item - Idea Submission –
TGTU - TIME
Our goal is to have our
BedBusters’ Innovation Idea ready for submission by the end of winter quarter
2021. We have two formats to follow: One
introduced to us at an INN workshop proctored by Doctor Jeffery “Jeff” Nagel
and the other taken from the OCHCA Innovation webpage forum. We were looking back at Buster’s MHSA related
timeline. It formally begins with his
acceptance into the spring quarter 2009 MHSA funded Consumer Training Program
(CTP). He submitted his first MHSA
Center Of Excellence (COE) timecard spring of 2009. We think of during 2009-2012 of how much
Buster has accomplished. In 2012 he
began sharing via his Blogs. We think
again how much he accomplished. Since 2020 March we are experiencing a time
dilation. Buster’s weekly production is
down and try as we may we can’t catch “The Clock”. One factor is that Buster routinely SLEEPs
more.
Materials – Information &
Data
MHSA Innovations Metadata
We here at MSG have two in-house
databases. For years 2014 and before our
database is Tork Reconstruction Company Database (TRCBase). For years 2015 and after our database is Mentalation
Solutions Group Database (MSGBase). They
have completely different structures.
TRCBase is directory driven whereas MSGBase is query driven. Our Innovations information and data is split
between both databases. The Metadata for
MSGBase is more exhaustive. Our file burden
for TRCBase is approximately 26696 files whereas MSGBase is about 10000 files. Work files include: Word, Excel, PowerPoint,
PDF and Publisher. Work files do not
include Images, Video clips, Video, Sound bites or Music. Our INN database burden is 1174 items. Our Innovation database burden is 117
items. One last difference TRCBase uses
far more Excel Spreadsheets to capture and analyze data.
TCRBase Metadata
The Corona & PEACE Time
Dilation
An issue: Buster is producing
less and less. In 2019 Buster produced adequately: As Measured By (AMB)
publications. Buster suffers from
anxiety disorder. It often presents
itself as Attention Disorder. For example while in Starbucks using their
free Wi-Fi he found that all the buzz helped him focus. It has been more than a year without
Starbucks Wi-Fi and the stimulus of social buzzing. Last, Buster resides in a Rent A Shared Room
(RASR) with a roommate that suffers severe congestion. This roommate (AgJ) makes airway clearing
noises on and off all day long. Buster
finds it hard to concentrate with coughing and the like. This factor we find key yet soon we will
discover other factor driving Buster’s productivity down. It seems as if time has dilated and Buster
endochronobiologic system is falling of the environmental zeitgebers.
FYI – “Some of the examples of
zeitgebers are light, temperature, eating or drinking patterns, etc. These
external cues help the internal biological clock to be consistent with the
rhythmic cycle. This process wherein the rhythmic events match the period to an
environmental oscillation is called entrainment.”
Consumer Training Program (CTP)
Buster has been working as a
paraprofessional health worker ever since he graduated 2nd in his
class from the OCHCA MHSA WET Consumer Training Program back in spring of
2009. Two of the most important CTP
skills he practices are profiling and treatment planning. He also works with External Quality Review
(EQR). His current Behavioral Health
Doctor, Rimal B Bera indicates that Buster is a Housing Advocate. Combine all that and more together and we get
Buster driving BedBusters.
Metadata
> CTP Treatment Planning
Volunteer
for Gifts
As Buster’s timesheets indicate he was on the clock for the OCHCA beginning fall quarter 2009. He volunteered for gifts. In various capacitities he helped: Mark Refowitz with Kiosks (Deputy Director and then Director), Kathleen Murray with Personal Health Records (Supervisor Technological Needs), Doctor Horner evaluate treatment planning (Mentor in QA), and Doctor Chau with various (Mentor Center of Excellence). Yet early in 2012 Buster started crashing and burning. This crash or episode resulted in catastrophic losses. After 2012 Buster did not re-up his formal volunteer status with the OCHCA. His OCHCA two or so years engaging meaningfully with the OCHCA when tested his networking demonstrated little Protective Value.
Meta
Data – OCHCA First & Last Timesheet
Feature Issue – Submitting
We here at MSG and MSG DBA TRC:
Since 2010 have submitted MHSA INN Ideas about ½ dozen times. Our BedBusters submission is the most detailed
yet. We have been working on BedBusters
passively for years. We picked up the
pace in 2018. Now that we are preparing
to submit, we are having a bit of trouble with the Innovations how and
when. We evaluated the OCHCA Idea
Generation Website. It indicates to “Get
in Touch with Us”. Yet no-one picks up
at the phone number provided @ 714.517.6100.
We tried the number in Buster’s cell 714.667.5600 for the MHSA
Office. The phone agent said it’s not
the number for the MHSA Office anymore. They
told us to call OC LINKS the referral line.
OC LINKS could find no number for either the MHSA Office or the MHSA INN
Office. The Idea Generation Website says
you can submit a message. We submitted
our message and no-one responded.
FYI > OCHCA MHSA Innovations
https://www.ochealthcareagency.com/innovations/
About The Idea Generation Website
https://www.ochealthcareagency.com/innovations/about/
MSGBase Metadata
Method – Hurdle – Submission On
Hold
We here at Mentalation Solutions Group (MSG) are close to assembling our MHSA Innovations project idea. Initially we are going to use Idea Format Method 2 as described in the Innovations Workshop. There is a hurdle we have been working to overcome. On the Idea Generation Website we find this note: “Please note that on November 28, 2019 the idea submission process was placed on hold in order to focus on further review of the existing idea submissions. Ongoing status updates will be provided to the community as they become available.”
Methods - Table – MHSA
Innovations Methods Progress
|
- |
|
|
|
|
|
Method |
Time Stamp |
Note |
Detail |
|
|
- |
|
|
|
|
|
1 |
2009 |
Brief Original Method |
Probably not enough information
to write a plan |
|
|
2 |
2015 |
Upgraded Method from Workshop
led by Doctor Nagel |
Uncertain of the method because
we can’t connect with the proper staff person |
|
|
3 |
2019 |
Formats found on Idea
Generation Website |
Consistency is Variable |
|
|
- |
|
|
|
|
Last Reviewed: 20210307-SUN:
Result – Sales & Marketing
Plus and Minuses of Hurdles - Summary
2018-2021
|
- |
|
|
|
|
Hurdle |
Note |
Status |
|
|
- |
|
|
|
|
Selling OCHCA Executive |
HAB Idea |
Pass |
|
|
Free interactive blog |
Bulletin board/forum |
SoSo |
|
|
The Feds Lou Correa |
HHL |
Fail Says all are not worthy |
|
|
Idea submission process |
HAB |
SoSo: Decided to flesh out more |
|
|
Donald Bren Real Estate Mogul |
Bed development |
Fail: Unable to catch his attention |
|
|
Governor of California |
HHL |
Fail: No response |
|
|
Corona revenue bust |
Emerging Hurdle |
SoSo: OCHCA loses MHSA revenue monies |
|
|
Innovation Idea Projects A few big V many small |
Funding |
SoSo: After MHSOAC fails to approve several ideas |
|
|
Christmas 2020 |
BedBusters |
SoSo: OCHCA Executive Staff |
|
|
Continued Corona related revenue bust |
Slowing pace to get back on the OCHCA timeline |
SoSo: Take Innovation money idea Cut costs Pull Prudent Reserve |
|
|
Idea Submission process |
BedBusters (2021) |
SoSo: Cannot reach the proper people |
|
|
Calling OC LINKS for the first time |
INN submission |
Fail: Failed to find the contact we asked for |
|
|
- |
|
|
|
Hurdles: Last Reviewed: 20210314-SUN:
HAB = Housing Advisory Committee: HHL = Housing Help Line
Things Greater Than Us (TGTU)
Ya ’Know we just have to wonder exactly
what intervened in the MHSA Innovations Process. We have been working on our Housing Advisory
fixes since 2018. Our goal was to submit
for the 2020/21 planning year. Then
Corona comes, in-person MHSA Steering Committee Meetings (SCMs) are not
necessary and were dropped, a moratorium was place on Innovation Idea
Submissions, a super-huge Innovations Idea enters the picture, a substantial
reduction in MHSA revenue, programs put on hold and stopped, INN monies
threatened to be moved to another MHSA category, and it has been impossible to
connect with the county MHSA INN team.
Out of this chaos we have an idea to submit our idea to another county
such as Los Angeles.
MSGBase Metadata – HAB – More for
Less
In our BedBusters related
studies, we began early addressing conflicts of interest with our Housing
Advisory Board (HAB) fix. There will be
some conflicts and potential supplanting for resolution in the project plan
phase. Eventually the county will see
both private and public staff reductions about their respective Housing
Programs. As Buster used to tell his
Most Signification Other Ever (MSOE): Joan, we can get more value while
reducing overall costs.
[INSERT MSOE JOAN]
Outreaching to Linda at Chapman
Board and Care
Proof by Replication – Key
Reports
We hope our BedBusters’ approach
will be tested in Orange or Los Angeles County first in our request for Mental
Health Service Act (MHSA) Innovations monies.
We will prove our BedBusters concept over a three year period. Focal to
our proof is cost/benefit analysis. For
this purpose BedBusters will retain a CPA.
We foresee substantial savings about bed costs. With the early Orange County Health Care
Agency (OCHCA) Innovations Projects we thought that the lessons learned might
best be picked up by the Full Service Partnerships. Many Innovations Projects were sustained as
standalones. BedBusters is looking into
post-project pick-up as a standalone either under Prevention & Early
Intervention (PEI) or Technological Needs (TN).
Tools Fitting Needs
We here at Mentalation Solutions
Group (MSG) have spent considerable time analyzing assessment instruments to
best capture the consumer housing experience.
We have also been working with technology to capture the consumer
housing experience. We used video to
capture Dying Old Man John. During his tenure
it was very hard for Buster to get rest including SLEEP. We include links to TorkMark videos
below. As some say: A picture is worth a
thousand words. For the most part we
have our choice assessments including environmental samples ready for our INN
Project Idea (IPI) submission.
[INSERT DOM JOHN and pos video and links to most viewed]
Environmental Sampling - 20210308-M:
How is it environmental sampling?
The county is promoting various Tech”
tools for consumers’ to use in their treatment and recovery. Some of them are: 7 Cups, Mindstrong,
PsyberGuide and Help@Hand. Back in the
day Star Trek the TV show introduced the Tricorder. The Tricorder had data sensing and recording
functionality. In his last year we
captured our Dying Old Man (DOM) declining in Rent A Shared Room (RASR)
environment. With current methods: When
it comes to the RASR environment it is hard to capture the pertinent
features. Currently Buster relies on a
Sanza Fuze digital media device to capture sound bites in WAV format. We picked the Fuze because of its’
sensitivity. Buster uses a Smartphone to
capture video in Mp4 format. Now and
again we publish or upload some of Buster’s videos (TorkMark) to You Tube. Below are links to two videos capturing our
featured DOM. It is not so much he is a
DOM it is the neglect and suffering he faced in his last months. TechRec = Technology Recommendation. If the county were to invest in one chunk of
technology to support the consumer it would be county-wide fee Wi-Fi.
Figure – Short TorkMark films RASR Including Links
Transmission of Chaos and Learned
Helplessness
The English used be fond of
saying on a shift change: Everything is
in order. In a Rent A Shared Room (RASR)
environment chaos of mind, behavior, body and material often rule. People with little property cannot keep their
belongings in order unless constantly reminded.
People with chores to do need constant reminding. Consumers stare blankly at the TV screen
without capturing and thinking through what they are watching. Yet, their behavior is such that frequently they
learn helplessness. If you ask them to
change an unhealthy behavior to a healthier one such as SLEEPing through the
night they say: “I can’t”. And if a day
in the RASR isn’t well structured micromanagement prevails. Policy, law, and order are two distal pursuits for
BedBusters. We have to get more consumers
working their own programs of recovery.
Policy and the like will is a task for our BedBusters Housing Advisory
Board.
Product Development - Iterative
Approach
Both MSG in-house deliverables
and shared deliverables will be refined via an Iterative Approach. The Operations Manual(s) will be freely
shared in the public domain. Considering
that housing and BestBeds will always change over time the Resource and
Resource Development Manual (RDM V Housing) will keep pace. The BedBusters’ Bundle will be proven by
Mimicry. A couple years back the OCHCA
BHS Director indicated that it is difficult to deliver cost/benefit (C/B)studies
about OCHCA BHS programs. We highly
encourage a CPA on the team to track C/B at all levels from: Individual, bed
owners, city wide, county wide, regionally, statewide, etc. When privately owned Telephone Answering
Services (TASs) and Call Centers come on board profit/loss statements will
contribute to C/B and Proof of Concept (POC).
BedBusters will change the landscape of housing the disadvantaged,
including the homeless, for all impacted by housing gaps and shortfalls. BedBusters has several strategies with one: Seek
out and dispose BadBeds. Obviously for many
a BadBed is sleeping outside on the sidewalk.
Summary – Formative Report
So far with our BedBusters
project we have learned much. The
implementation of the Mental Health Services Act (MHSA) is continually
evolving. Just because something was
considered necessary today it may not be necessary tomorrow. As early as 2014 MSG DBA Tork Reconstruction
Company (TRC) proposed and published our Mark Refowitz Convergence
Principle. We were seeing finished MHSA
INN Projects picked up as isolated programs.
In order to “get the money on the streets” and spend MHSA allocations, the
number of MHSA funded programs was expanding rapidly. This seemed fine at the time because it was a
challenge to spend all MHSA monies in a given year. Everyone seemed to think 85% or more of
MoneyMax would be available. Then
emerges the Corona Affair. We here in
“The OC” were proud to have a substantial MHSA Prudent Reserve (PR). Without much ado: Toto we are not in Albuquerque
anymore. With less revenue programs are
cut, new programs are stayed, the PR is hacked, and the profile for
Innovations’ Projects has changed. Yet,
BedBusters is needed to meet unmet housing needs. We roughly figure an investment of one
million ($1,000,000) per year will reap substantial rewards. In due course of this report we have posited some
qualities of BedBusters at close. If the
qualities are met at any time the project might close early and come in under
budget. FYI - AMIN was our
Accountability MHSA Innovations Newsletter.
MSGBase Metadata
Action Items & Next Steps
Assemble the MHSA INN Submission
Check in with POIs
We nurture faith that BedBusters
will find a home in the community. If
need be we may have to split this report because Blogger challenges about long
reports. Our goal to publish is by the
end of March 2021. Now that Buster has
his new and improved Brand New Day helper on board we hope to update him about
BedBusters on a monthly basis. Mentalation
Solutions Group (MSG) will continue to inform using our Housing Advisory Board Blog. The steps that led to the development of
BedBusters will be included in standalone reports. Here, a few recommendations we have about
BedBusters.
Recommendations – Simplify
Housing
Improve systemic honesty,
transparency and accountability. We
project that countywide: We are not even half way to resolving housing issues
about the disadvantaged, disabled, and homeless. We get tired of workers about a particular
program indicating they have a housing solution when we can’t even see a
fix. We ask all stakeholders: Be open-minded
about the scale of housing problems in our county as well as elsewhere. As Mary Hale said: “Housing is a complex
issue”. Be willing to work rigorously
and selflessly in the beginning until BedBusters matures as the premier housing
fix bundle. Last keep improving formative
and summative measurement. Some housing
centered assessments will need be created to improve situational awareness. We will share assessments in our Housing
Assessment Report (HAR)
Promotions – Repeat of Embedded
OCHCA - Volunteerism – Add link
https://www.ochealthinfo.com/about/admin/programs/volunteer
Promoting - One Health
20201227-SUN: One Health
Initiative - One World One Medicine One Health
http://www.onehealthinitiative.com/
Mission Statement – One Health
“Recognizing that human health
(including mental health via the human-animal bond phenomenon), animal health,
and ecosystem health are inextricably linked, One Health seeks to promote,
improve, and defend the health and well-being of all species by enhancing
cooperation and collaboration between physicians, veterinarians, other
scientific health and environmental professionals and by promoting strengths in
leadership and management to achieve these goals.”
MSG’s Contribution
Mentalation Solutions Groups
(MSG’s) position for 2021. Keep
monitoring One Health’s progress and publish a standalone report for the
purpose of gaining One Health’s attention.
Monitor activities surrounding their upcoming conference: Consortium of
Universities for Global Health (CUGH) 12th Annual Conference:
Addressing Critical Gaps in Global Health and Development. March 12, 2021 – March 14, 2021. Apply principles locally in our efforts to
close “critical gaps” about housing the disadvantaged including the homeless. We feel that housing, rest, and sleep core
social determinants for Health. People
should have the right to sleep in a health-promoting environment. If “Buster” were back in Davis California he
would visit upon some of the One Health-ers.
World Wafers
20210110-SUN: World Wafers: We
Have a Dream
Various sources report different
numbers about the hungry (starving) in the world. For 2018 “worldhunger.org” reported that the
overall starving as of 2016 in our world is estimated: At “about 815 million
people of the 7.6 billion people in the world, or 10.7%, were suffering from
chronic undernourishment in 2016”. (The United Nations Food and Agriculture
Organization (FAO), 2016). Of particular
interest is that “actionagainsthunger” reports for 2019 a: “Stunting (children
too short for their age as a result of chronic malnutrition) fell from 33
percent of children under age five in 2000 to 21.3 percent in 2019.” That indicates that just over twenty (20)
percent of children suffer nutrition problems.
Poor nutrition is associated with poor performance such as disease
resistance and growth. The Dream is the
North feed the South until they get back up on their knees. We used to call the medium of redistributing
food World Wafers. Next we called it
Schwabe World Wafers to give credit where credit is due. Now our final incarnation is Salmon-Schwabe
World Wafers (MSG, 2021)
20210110-SUN:
Commitment – Calvin “Cal” Schwabe
Legacy – World Wafer Fixes
When Keith “Buster” Torkelson MS
was a student of Doctor Calvin Schwabe in the late 1980s he committed to Act
Locally while thinking globally with respect to Public Health. At the time Dr. Schwabe’s overarching
strategy appeared as grandiose. He
indicated that his students and followers will have global impact by acting
locally. This was before 1990 when the
internet took off. Doctor Schwabe is
considered by many of his contemporaries to be the Father of Veterinary
Epidemiology. Malnutrition is a
population and therefore an epidemiologic concern. “Cal” wrote and published at least three (3)
editions of his groundbreaking work: Veterinary Medicine & Human
Health. If you suffer your way partially
through the book you know that it is substantial. Keith's early work in Poultry Nutrition as an
undergraduate in Avian Sciences and later as a graduate student gave him keen
insight in to both individual and population nutrition. Adequate food for human health is still a
huge issue on Earth. Once in lecture Dr.
Schwabe discussed the North-South food imbalance and how it is up to the North
(haves) to better feed the South (have not enough). Mentalation Solutions Group’s (MSG’s) idea
does not deal with food distribution as much as what to re-distribute. The North might best create complete
nutrition World Wafers and re-distribute them to the areas in both the south
and patchy north in need! Of course the
dividing line is the equator. Here we
promote the Salmon-Schwabe World Wafers (MSG, 2021) concept.
Stigma Awareness – Promotion
We promote and participate > https://www.stigmafreeoc.com/
Images @ the End
