Sunday, March 14, 2021

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

 

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

Twelve Minute Read (Rate 10 Pages/Minute)
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. 

Dewitt
Dewitt sharing a four man room

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

FAQ – How Does Housing Quality Effect Individual And Population Health?
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
Project Ownership – BedBusters a MSG Brand
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
Motivations To Move & MoveAbility
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
Assessment - What is a Housing Trap?
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
Table – Deliverables - Reports and Reporting
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

https://housingadvisoryboard.blogspot.com/2020/11/motives-for-housing-homeless-and-others.html

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.

 [INSERT BILL DUG AND WARBROOK]

Bill in top bunk of three man room
Status = Dying Old Man
Doug AKA Dug
Status = Died Too Young

WarBrook
Time Series Homeless
Status = Died Too Young

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” 

One Person Camp – Warner in Santa Ana California
Keith Torkelson films update video homelessness in Orange County
KET - Dec 2, 2017 (Clip 1:44)

https://www.youtube.com/watch?v=VDSqk3eU_Nc

Shelter Model Steel Craft Modules in Garden Grove California
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


Orange County Behavioral Health Services Training (Circa 2009)
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.”

  1. Introduces new mental health practices/approaches including prevention and early intervention that have never been done. 
  1. Make a change to an existing mental health practice/approach, including adaptation for a new setting or community.
  1. 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.


Aunt Joyce 93 Years Old

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]


Reference

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)

http://www.stanislausmhsa.com/pdf/innovation/Stanislaus_County_INN-17_FinalReport_SuicidePreventionInnovationProject.pdf

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.

Human Time Periods - Human Ages & Futurism
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.

 


Denise - Lou - Steve - Mark

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:

MSGBase Metadata >
05_HHL_Needs_Matters_20020202_Notes I
Work Done

20200309 Housing Advisory Needs Report-I – By MSG and Keith E Torkelson, MS – Pre-sales for Housing Help Line Fix – Addresses SLEEP and SleepAbility
https://ktork46.blogspot.com/2020/03/20200309housing-advisory-needs-report-i.html
By Keith E Torkelson MS Alias Keith “Buster” Torkelson

In Process
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 >

02_LA_HAB_Housing_Statistics_19102701_Working-I V2020
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]


Mark Eating at a RASR
“Break-on through to other side”
Status = Died Too Young by Suicide

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.

Word of the Day (WOD) = Perishable
Things likely to decay or go bad

Lived Experience Brainstorm and Focus
Motivations To Move & MoveAbility

Away from parent(s) house
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 closes property
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’

HAB_Permanent_Supportive_Housing_PSH_18121505_Research V2021
MSGBase “publication”

[HELD BACK]
Link to Publication Summary (Register)
HAB And BedBusters Publication Tracking
15_BedBusters_Publications_MSG_20100903_Register V2021

Work Done
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

We will discuss the difference between Buster’s in-house databases MSGBase and TRCBase later in this report.
Chrome Query Metadata “keith torkelson homeless”

MSGBase > Homeless Metadata >
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”


Blogs Including Those Dying Too Young
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…


MSG Cemetery - Repose Garden
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


Feature Photograph(s)
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.

RIP "Herbert" My Friend




“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

Circa 2007 Buster's BHD
He graduated Buster

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


Pirated Curve (Analogy)

Healing is not linear (Chau Circa 2009)

Figure – FYI Healing Curve 2


Pirated Healing Curve (Analogy)

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.

 Volunteer Work for the OCHCA
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.

FYI - CBHDA and Housing - Advocacy

CBHDA - Five Policy Areas – Hard Cases

-

 

 

 

 

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

 

 

-

 

 

 

 

Last Reviewed: 20210309-TU: OOS = Out Of Scope

FYI > CBHDA > https://www.cbhda.org/
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-à-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.


Art Show Santa Ana - Erase Stigma

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)

https://www.mirecc.va.gov/visn5/training/docs/Easing_Self_Stigma_Training_Slides_Peer_Webinar_6-19-17.pdf

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

https://www.stigmafreeoc.com/

Blog or Website
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. 


 Special Topic - Stigma & Confidentiality

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.

WarBrook - 2013 & 2014 - Notice the clothing change

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]


MSGBase Metadata “homeless” Hit
HAB_Homeless_Management_19022503_Notes V2021-C

Indications of Outreach – Interacting with the Homeless of OC

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

https://housingmatters.urban.org/articles/how-housing-quality-affects-child-mental-health#:~:text=Researchers%20have%20found%20that%20poor,ability%20to%20regulate%20family%20activities.

 

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.


Kelly Thomas & The Police Officer that Disciplined Him

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

FYI - CalMHSA's Mission
“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


https://youtu.be/1mx95-AqQr0


https://youtu.be/FMg6qRJYANc

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

 


Buster leads lesson at the MHSA
Wellness Center West


Correa shaking it up in the OC


Correa reports the impact of the Trump White House Siege


We may do a mini-profile on Correa


This is the family that Buster re-united by Publishing a Video
featuring their MIA loved-one


Dashboard Analogy


Not really sure


1960s kid's cartoon
This guy is committing suicide because he
failed at taking over the world
Big boom followed pulling the switch



Good example of Transparency and Accountability


Person with a three cart lifestyle in Fountain Valley


Homeless History


No Time for Old Men


Buster's youngest sister
She Died Too Young


World Wafer Candidate


Buster just letting them rest


 Promo - Be Well


Our Innovation Inversion


Skinny John in his RASR Bed
Since 2012 the Bed served about eight persons
It hasn't been a Very Good Bed


Buster could make Herbert Laugh


Buster's Grand-mammy Running her Call Center




Will the joy and "Mission Consumer-Provider" come return?























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