Title
OCHCA MHSA INN plus Housing Innovations Project
Idea Submission Project Name BedBusters for OCHCA by Keith E Torkelson, MS
2021 Up-to-date homeless
Circa 2021 Santa Ana
If Twitter
Submitting a comprehensive housing
project plan to the Orange County Health Care Agency (OCHCA) gaining the attention
of Clayton Lon Chau M.D., Ph.D. #claytonchaumd
Other Tweets PRN
Mixture of Community & Intellectual Partners
& Stakeholders
Abstract
Basically we here at Mentalation
Solutions Group (MSG) have drafted a Mental Health Services Act (MHSA)
Innovations Project Idea (IPI). Our
project addresses Housing concerns for the disadvantaged including the homeless
in Orange County California. Now that we
are ready to submit our IPI we find that the county has closed the submission
process. It is rather frustrating to
come this far and to be told we have to wait.
So until the county opens up the MHSA INN submission process we here at
MSG are exploring alternative routes. We
pick Doctor Clayton Lon Chau MD, PhD to champion our endeavors. Keith “Buster” Torkelson MS is MSG’s
principal. Buster began working on his
MHSA literacy back in 2008. Since 2008
Buster has grown two MHSA centered networks.
For the most part both these networks have disbanded. Now we are working on a new and improved Orange
County Health Care Agency (OCHCA) network.
Doctor Chau was in network 1 (OCHCA-1) and then he went away to Los
Angeles County so he was not part of Buster’s second MHSA network 2 (OCHCA-2). For MSG’s Network 3 (OCHCA-3) build we hope
again to include Dr. Chau as a prime mover.
Executive Summary
We are asking for an average of
$1 million per year over the course of three years to get our Housing Bundle
(BedBusters) going. This money is in par
with that spent per year on another call-center service OC LINKS. During the fourth year BedBusters will
transition from being a project to a service.
We would prefer it not be a contracted service rather a county-run
service. BedBusters or something similar
might best be funded long-term with Prevention & Early Intervention funds. Yesterday, we attended the Annual Meeting of
the Minds (MOMs). While listening to the
presentation on Homeless Solutions it occurred to us that BedBusters might not
be the best name for our effort. So now after
this paper we call our housing bundle “OCBeds”.
Introduction
20210513-TH: Strategic Decisions
– A Path Less Travelled
Mentalation Solutions Group (MSG)
has gradually improved our MHSA Innovation Project Idea (IPI). We began by strategically filling unmet Housing
needs for the Rent a Share Room (RASR) and disabled population. More often than not our peoples suffered
Behavioral Health disabilities.
Initially, we developed our Housing Advisory Board (HAB) element. During the summer of 2018 we began selling
our HAB idea. Our sales met with mixed success.
Dr. Nagel seemed to like our idea for a dedicated HAB. Now some odd three (3) year later we have a
bundle of Housing elements. We call our Housing
bundle BedBusters. BedBusters has three
core elements: Housing Advisory Board
(HAB), Housing Work Group (HWG), and Housing Help Line (HHL). In order to sell BedBusters we selected the
MHSA Innovations (INN) route because MHSA INN was the route Buster is most
familiar with.
New Order
Yet as we said business is not as
it was before the county stayed IPI submissions. Unexpectedly, now we are trying to make sense
of the New MHSA Innovations Order.
Somehow Buster found himself out of the OCHCA MHSA distribution and
contact loop. Submission of new IPIs
appears to be on hold while the county (OCHCA) catches up a bit. We felt it prudent to track down what was
going on with OCHCA MHSA monies. We
include our findings later on in this report.
On a Path Less Travelled (PLT) we have decided to sell to non-OCHCA MHSA
INN interests such as Los Angeles County Department of Mental Health (LAC-DMH). We also intend to address some the OCHCA’s
non-Housing interests such as Psychiatric Advanced Directives (PADs).
PAD Promotion (PAD-I)
It looks like the county is
interested about delivering Psychiatric Advance Directives (PADs) using
Innovation monies. In addition currently
there is some odd two Innovation Projects spending big money. It seems prudent to integrate PADs into
BedBusters. For 2021 Buster has found it
challenging Mentalation Solution Group’s voice heard as an MHSA
stakeholder. In this paper we address a
little bit of the California Code of Regulations (CCR) to see if MHSA
Stakeholders such as Mentalation Solutions Group and Buster is still necessary.
PAD-II
In MSG’s work to get the lay of
our new land using the most up-to-date OCHCA MHSA Innovation Project Idea (IPI)
processes, Buster crossed paths with the Psychiatric Advance Directive (PAD)
IPI movement. We here at MSG feel that
for The OC the PAD idea is a good one.
We aren’t sure if it will get by Board of Supervisors (BOS) and then the
MHSOAC. Buster has been working on the
Beta Version of his personal PAD. The
PAD template he has been working with has about fifteen (15) items. We here at MSG feel that different PAD items
have different weights. For Buster we
think his greatest needs in times of hardship are the SleepAbility of his bed
and the medications he requires nightly to enhance sound rejuvenating
SLEEP. In a manner we thought PADs would
be a distraction. Yet if we chip away
here and there and concentrate about the PAD section on housing we can
assimilate PAD efforts into our Housing efforts. Our goal here at MSG is to have Buster’s PAD
in its’ Beta-form done by the end of this summer (2021).
Stigma Elimination-I
Another county interest is Stigma
Reduction. As with many of our papers we
include real: Family members, consumers, and health and human services
workers. Years ago now (2009) when the
OCHCA paid for Buster’s training and education as a Behavioral Health Worker Paraprofessional
(BHWP) many of the classroom lecturers indicated that his Lived Experience (LxEs)
is and would continue to have strategic value.
Here in this report (publication) we include some of Buster’s LxEs. Buster’s shares his medical records online to
help reduce personal and community stigma.
Currency “The Bed”
With BedBusters or any sound
Housing program the unit of exchange is “The Bed”. Here we will address some BedBusters
processes briefly. Our Housing Work
Group HWG) will grade beds as one of their services. The Housing Help Line (HHL) element will
collect standardized information telephonically. This HHL information pertaining to consumer
and/or family member needs is to be passed forward to the HWG. The HWG will design an individualized Bed
Portfolio within 72 hours. The Bed
Portfolio will have three (3) choices.
The Housing Advisory Board (HAB) will generate reports as needed (PRN)
and continue to sell the BedBusters process.
In a capacity of selling the HAB will also present to the
community. Eventually the HWG will continuously
audit Bed Quality and generate Bed-centered resources.
Networking - Profile Dr. Clayton
Lon Chau (CLC) MD, PhD
For the time being while MHSA
Innovations submissions are on hold we here at Mentalation Solutions Group
(MSG) are on hold. We are investigating
other routes and agencies to sell our Remedial Housing Ideas (RHIs). Years ago Buster was educated here and there
by Doctor CLC. Doctor CLC appears to be
in Keith “Buster” Torkelson MS future once again. With this report we begin directly selling
Dr. Chau. If we succeed we hope to begin
meeting with Doctor Chau once per month beginning in July 2021. In the past Buster has attended many routine
and regular meetings were CLC made a showing.
We feel that now CLC may be able to re-level his time by migrating time
spent from Corona to Housing. As a
minimum our Beta Housing Advisory Board (B-HAB) should include CLC and Doctor
Jeffery A Nagel (JAN). We also think
that Doctor Andrew Inglis should be brought on board. Over the past year while Corona required
significant resource Housing problems did not go away.
MHSOAC Review Tools
In order to pre-vet our Innovations
Project Idea (IPI) we are looking back through our notes when Buster helped the
MHSOAC. Buster helped the MHSOAC with
some regulations and their Innovations Project Plan review tools. While we are waiting for a good time to get
our IPI through more than one-thousand (1000) people in Orange County are in
BadBeds. This includes our homeless. We here at Mentalation Solutions Group (MSG)
find a degree of “Urgency” to get our people out of BadBeds and into approved
GoodBeds. We have a simple formula GoodBed
= A physically SleepAble Bed + A SleepAble consumer. A SleepAble consumer may require medication
to obtain health promoting and rejuvenating SLEEP.
Urgency
Buster had a friend for about two
(2) months. Mark was his name. Mark’s bed was not a good match. In addition, Mark was not in the position to
get good sleep. After about two (2)
months Mark moved away from Buster’s influence or purview. In the community Buster saw Mark once and
Mark was still too activated. In no time
at all we here at Mentalation Solutions Group (MSG) heard over-the-wire that Mark
is dead! He reportedly jumped to his
death off a north Orange County freeway overpass. Oncoming traffic, impact or both killed Mark. A better bed and more effective medication
might have prevented Mark from Dying Too Young (DTY). There is a degree of self-evident Urgency to
get our Housing Help Line (HLL) up and running and begin the arduous task of
placing people such as future Mark’s in GoodBeds.
Outreach and Engagement
Since 2009 Buster has invested many
hours in Outreaching to our homeless sector.
The photos of homeless people we share here and elsewhere represent only
a fraction of those we took. The photos
we took are less the ten (10) percent of those we could have taken. Some of our FAVs are those documenting in
time series such as one person across four (4) hours or another person during
the course of a month or even a year. We
only engage very few people. For Buster
engagement is when the person facing hardship responds to his in the field Acute
Rapport Building (ARB) by feeling comfortable in sharing their stories.
Meaningful Compensation
Today is June 14, 2021
Monday. Nearly each month the OCHCA
hosts their MHSA Steering Committee Meeting (SCM). Buster has been attending SCM’s since
2008. In the early days the county would
give stipend cards to those consumers in the audience that spoke up. Since 2008 Buster has taken MHSA principles
and shared them with his insurer Brand New Day.
One idea Buster offered BND was to offer stipends to its’ high performers. Brand New Day now has a rewards program for
compensating high performers. For
example BND now pays Buster $10.00 to fill out and submit their Health Risk
Assessment (HRA). The survey is about
seven (7) pages long. That converts to
$1.42 per page. Our current incarnation
for Buster’s PAD has about fifteen pages.
This has a BND-HRA equivalent value of $21.42. For the time and effort it takes to fill out
a PAD this is too little. The current
PAD movement should include compensating consumer to fill out their PADs.
Profile Andrew Inglis MD
Since formally signing on with
the OCHCA Buster has witnessed dozens of OCHCA employees come and go. His initial OCHCA MHSA Network spanned
2008-2011. His second OCHCA MHSA Network
spanned 2013-2017. Since 2017 he has
been working on his third OCHCA MHSA Network (OCHCA-N3). This will probably be his last OCHCA
Network. At the core of Keith “Buster”
Torkelson’s OCHCA-N3) are Doctors’ Inglis, Chau and Nagel. We envision someday that Buster all three
will engage in-person with monthly Housing Advisory Board (HAB) meetings. We will continue our profiling work about
Doctors Inglis and Chau.
Anti-Confidentialist V Anti-Confidentiality
In order to address stigma,
accountability and transparency Buster routinely releases his medical records
to the community via his Blogs. This
disturbs his insurer Brand New Day (BND) a bit because they have trouble
knowing who and how the records were released.
Buster is a long way from full disclosure yet we here at Mentalation
Solutions Group are helping him stick with it.
The county has an interest in Stigma Reduction. We here at Mentalation Solutions Group (MSG)
find that confidentiality promotes Stigma.
Housing Solutions
BedBusters and housing programs
like it will make substantial gains toward fixing housing problems, concerns,
and unmet needs. At this point we ran a:
When to kill a project algorithm? If
this were any effort other than housing our BedBusters Innovation Project Idea is
for us a kill. As Sharon Ishikawa, our
local MHSA Coordinator, stated in a recent Zoom meeting: Slow down, simplify
and project Innovation efforts for the future.
Now we here at Mentalation Solutions Group (MSG) have a little time to
kill. We can delve deeper into sharing
about Buster’s Lived Experience with housing the disabled, disadvantaged, and
homeless. In this report with include
some of our OCHCA Network Build 3 (OCHCA-N3) contact information. In order to get updated MHSA Innovations
information we tried a mass mailing. No-one
replied.
Selling
Back in 2018 while working with
our Housing Advisory Board (HAB) element Buster engaged in a few in-person
sells. Until the county opens up their MHSA
Innovations (INN) submission process we are investigating alternate sells. As Sharon indicated the county needs time to
close out some of their existing INN projects.
For 2021/22 it looks like they will be spending about $11 million on
existing INN projects. It they get
approval for the Psychiatric Advanced Directive (PAD) notion they will spend a
bit more. We will keep looking at the
MHSA Innovations Idea Generation Website for any indication that new
submissions are welcomed again.
Indicators of BadBeds
In this report we introduce the
concept that most homeless people are in BadBeds. We also find that the observance of one
homeless person reflects that fact that there are many non-homeless in
BadBeds. We offer insight into BadBeds
with some of our proprietary pictures.
To close out this introduction we briefly two existing call centers: OC
LINKS and the Warmline. Neither call
center actually meets consumers’ needs for a GoodBed. Gradually overtime BedBusters is a promising
practice that will match vulnerable peoples with a GoodBed in order that they
can begin and stay on their journey towards healing.
2021 Annual Meeting of the Minds (MOMs)
20210617-TH: Today is the Mental Health Association’s (OC)
Annual Meeting of the Minds (MOMs). Last
year’s was cancelled due to Corona. This
year it is a virtual conference. Buster
decided that the homeless discussion was the highest priority for his
time-spent. The program indicates there
will be four (4) proctors. We are going
to make a brief evaluation tool in order to determine if each is actually
solving homelessness. We hold over our
MOMs findings for our paper on project selling.
Problem Solving Approach
Helpers in Health & Human
Services (HHS) whether doctor, lawyer, peer, case manager all have slightly
different approaches. When it comes to
getting consumers from BadBeds to GoodBeds we concentrate about a Problem
Solving Approach (PSA). Basically there
are two premier problems with housing.
Getting those in need from BadBeds into GoodBeds and develop enough
GoodBeds to meet the outstanding needs of each consumer.
MSGBase >
BedBusters_Problem_Solving_2105160_Notes
Materials - Resources up Front –
Unrated Beds
Outcome of Keith “Buster”
Torkelson MS collecting some odd ten years of housing resources
Mental Health Association – Room & Board List 01/01/06
For Demonstration Purposes Only
Samples of other Rent a Shared
Room listings
Method – Hurdle – Submission
Process Placed On Hold
20210516-SUN: We here at
Mentalation Solutions Group (MSG) targeted submitting our Innovations Project
Idea (IPI) for the end of January 2021.
Then we discovered for us and others an emerging gap. Orange County Health Care Agency (OCHCA)
Mental Health Services Act (MHSA) Innovations (INN) Idea submissions were
closed November 28, 2019. There’s no
indication when Innovations Project Ideas (IPIs) will open up again.
FYI - Message on Idea Generation Site
“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.”
Evolution of Methods to Submit a MHSA Innovations Project Idea
We return to what inspired and
drove this paper on submitting a MHSA Innovations Project Idea (IPI). It doesn’t look like we can submit our idea in
the near future. Therefore, we will
continue to write and publish this work on submission before the end of June
2021. In addition, we are taking a Persons
of Interest (POIs) approach while developing our OCHCA Network-3 (OCHCA-N3).
Exploring Options – Passing Time
& Selling our Project Idea
|
- |
|
|
|
|
|
Option |
Note |
Detail |
|
|
|
- |
|
|
|
|
|
Assemble Project Binder |
Select best material from BedBusters
Library |
With hopes of reviewing with Dr.
Clayton C |
|
|
|
Begin Project Name change |
BedBusters shall reposition |
New name OCBeds OCBeds (MSG) |
|
|
|
Chalk it up to sharing lived-experience |
Move ahead with personal needs |
Process driven and closure value about housing |
|
|
|
Contact some stakeholders |
Email, Phone, Face-to-face |
About 10 different ones for summer of 2021 |
|
|
|
Kill the idea |
Kill the project criteria met |
If our Project were not important we would probably kill |
|
|
|
Make Appt with Dr. Chau |
Discuss products |
Begin with Housing Advisory Board Note: Sharon Ishikawa says send short emails |
|
|
|
Profile some principals |
Concentration about The OCHCA Triad |
Inglis, Chau and Nagel |
|
|
|
Promote some things |
In-person meetings OCHCA movements |
Steering Committee Mtgs Stigma Free OC PADs |
|
|
|
Publish as we go |
Publish in smaller chunks |
Work to limit to 50 pages not counting pictures |
|
|
|
Sell |
Huge challenge |
Re-evaluate Twitter approach |
|
|
|
Sell to another county |
SCBeds & LACBeds |
Santa Clara & Los Angeles |
|
|
|
Submit |
Improve situational awareness |
Unfortunately Sharon indicates it is not the time |
|
|
|
Visit upon some stakeholders |
Need recurrent inspiration |
The OCHCA Triad and others Keep selling Brand New Day |
|
|
|
Wait |
|
Could be a year before INN monies are freed up |
|
|
|
- |
|
|
|
|
Last Reviewed: 20210611-F:
Nomenclature
With respect to Housing fixes we here
at Mentalation Solutions Group (MSG) have created a few terms such as BadBed,
GoodBed, GreatBed, SleepAbility, ProSumer and the like. We will share our working definitions for the
terms we created in of Sales Report.
Christmas 2020 Promotion
MSGBase >
Basically
our Christmas 2020 promotion failed.
About the three Persons of Interest (POIs) we targeted only on
responded. This is one of the reasons we
are renaming our BedBusters product and brand idea as OCBeds. Next we include our marketing collaterol
introducing our Housing Solution Bundle BedBusters. We really didn’t know what to expect. We called it our Christmas 2020 Promo. Again, for the most part it failed to
sell. As the proximate outcome Buster
was hoping get envited by one of our target persons (POIs) to do a brief
presentation. As the ultimate outcome we
were hoping to present to all three at once in an unprecedented get together
kicking our new and improved OCHCA-3 Network (OCHCA-N3). We call Drs. Andrew Inglis, Clayton Lon Chau
and Jeffery A Nagel the 2021 OCHCA Triad.
They may be reserved because we include them in our Innovations Project
Idea (IPI). The last outcome would be to
get assigned a worker with Proven Housing Knowledge and Pull (PHK&P). This assocation would be the start of
BedBusters Housing Advisory Board (HAB) element. Back in the day before he retired Dr. Dorman
said colaboration such as these are needed within “The Agency”. Remember from here on BedBusters is OCBeds.
20210523-SUN:
Blurb for Each (Oldest Relationship to Newest)
A
new member in our OCHCA Networking (OCHCA-N3) is Sharon Ishikawa. About a month ago Sharon indicated that we
need to keep our email correspondence with the county (OCHCA) stakeholders
short. Next in our sales stage we here
at Mentalation Solutions Group (MSG) will practice writing short emails to the
new and improved members of our OCHCA-N3 Network. If and when we see each in person we will be
ready to hand off update note. We are
waiting patiently for in-person to resume for the county. Retired OCHCA Director Mark Refowitz told
Buster to: “Always have your Elevator Speech ready”. Its been years since he retired and Buster
misses him. Mark did a great job from
the consumer perspective.
Next Stage Hopes and Dreams – Persons of Interest
Our
primary Persons of Interest (POIs) with respect to our Innovation Project Idea
(IPI) are Inglis, Chau, and Nagel. Since
2007 Buster has invested a good deal of time with each. If you don’t ask then you probably will not
receive. How is it that Buster is
reserved to ask each for an audience?
Because he is a bit intimidated.
The resistance with our MHSA Innovations Project Idea (IPI) is
incredible. That is why we will begin
with Dr. Chau. Doctor Chau and Buster’s
relationship is the most diversified.
Giving What He Can – Continuum Impossible to Easy
When it comes to securing a
GoodBed there are easy and hard cases. Some
cases where the consumer dies before finding a GoodBed are impossible. Having bills to pay after you get out of the
hospital or jail can be very hard on a consumer making their case all the more
difficult. We will address case
difficulty in our Sales Report. When
Buster crosses paths with a homeless person or other in need he engages them
the best that he can. Engagement is more
often than not is in the form of a hand out.
On a case-by-case basis Buster gives them what he can. When those in need ask for a cigarette and or
money Buster cuts loose. Very few of the
homeless say: “I need a BetterBed”. Sometimes
Buster only talks with them for a while [SEE PHOTO BELOW]. If they don’t ask yet are behaving themselves
he gives them a bit of cash. Sometimes
they purchase Alcohol with the money. If
they are so remarkable yet it could be risky to photo-document he pays them for
the photo. Back around 1993 while
outside the OCHCA Behavioral Health Services (BHS) clinic on Ball Road in
Anaheim he saw a homeless couple digging in the dumpster. Buster DBA Keith said to himself: “Wow we
have people out here digging in the dumpster needing help and the people who
could help are all cozy in their offices inside”. The couple didn’t appear to have behavioral
issues enough to meet the criteria for the clinic to help them. Buster said hey can I get a photo of you
two? The man said: “Give us each a
cigarette”. Then they get all posing
with their digger sticks in hand. Buster
says no do the digging thing as before.
Photo is long gone.
Photo on Right Buster (“ket”) doing the real thing
Sharing immediate needs and battle scars
Every
Picture Tells a Story
In
the pirated photo above on the left we find the homeless guy who is actually
looking pretty good and the outreacher outreaching. If memory serves us correctly the man on his
knee is or was rather important. The
photo looks staged – photo op PR thing.
The outreacher is taking the coach posture indicating I know what you
need listen to me. Compare the coach
approach with Buster back in 2019.
Buster’s form indicates you are my peer, we are equal and on the same
level. Buster: Let’s share this moment
to see the shared world in front of us. Buster:
When we part ways where is each of us going to go and why? In fifteen or so minutes Buster learned a lot
from that guy. He is a homeless veteran
from Northern California. In Northern
California he reported having a GoodBed.
One or more of his family members here in Orange County was/were in need
of help. Our Vet here said: “He gathered
his resources and made his way down to Orange County to help out my family”. His family members used up his
rescources. If memory serves us
correctly he covered some of their rent.
He gave them all of his money.
Now, a the time of the photo this Vet is homeless. Caveat: We might add he looked pretty good.
All he wanted from us was a cigarette and a lead on a carpentry job so he could
get to work immediately then go back home to his GoodBed in Northern
California. We said unfortunately our
carpentry job guy Colby Klink house turner is in South County. Buster recommended tracking down a handyman
if you can.
Table - Call Centers & Other Housing Resources
FAQ – How helpful are the
following resources for securing a GoodBed?
|
- |
|
|
|
|
Resource |
Helpful |
Type(s) of Beds |
|
|
- |
|
|
|
|
211 Call Center |
Weak |
Gateway to services NA |
|
|
Warmline |
Weak |
Out of Scope NA |
|
|
OC LINKS |
Weak |
Have yet to have a successful
phone call NA |
|
|
911 Emergency |
Yes |
Temporary & Transitional Often transitional via the
hospital |
|
|
Brand New Day |
SoSo |
Uncertain Quality Lack Resources BND helpers report how
difficult it is placing a member in a GoodBed |
|
|
Mental Health Association |
SoSo |
Uncertain Quality Will not share resources as
they did in 2006 |
|
|
Family |
SoSo |
Out of scope for them Uncertain Quality |
|
|
Jail |
SoSo |
BadBeds Temporary, Transitional, Long-term |
|
|
BedBusters |
Yes |
Stable GoodBed Preventive Approach |
|
|
- |
|
|
|
Last Reviewed: 20210618-F:
Homeless as Indicator for BadBeds
In some of our previous reports
(work done) we addressed the Iceberg Nature of housing and homelessness. It is not as much as placing or helping a
consumer place themselves rather it is securing a GoodBed or GreatBed. Bed quality for the disadvantaged including
the homeless is for the most part lurking in a shadow realm. Locally many beds exist in the Rent a Shared
Room (RASR) sector. With respect to
quality these RASR beds have huge variance ranging from terrible to good. A task of the Housing Work Group (HWG) is
evaluating bed quality.
20210618-F: Iceberg Diagram by
MSG
Crisis What Crisis! – Emerging
Hurdles
With overcoming the hurdles
before us on the way to submitting our MHSA Innovations Project Idea (IPI) we
face both Danger and Opportunity. We
have time to put ourselves out there and deliver on a promise. Re-develop as a community stakeholder both as
consumers and providers. Whereas Buster
used to be considered an OCHCA insider he is at present an outsider. With the reprioritizing solving housing
problems with Corona one might figure housing issues are nearly solved. Housing can be both disappointing and
frustrating. We here at MSG are a bit
confused, yet, we will work things out. We
believe that stakeholder input such as submitting MHSA Innovations Project
Ideas (IPIs) is still a Mental Health Services Act requirement.
FAQ - How is it different now?
For sure the percentages of
homeless are lower than let’s say the Great Depression.
FYI Homelessness – Depression
Projection
Stock picks reports that: “During
the Great Depression, there were 2 million homeless people in the United States”. We choose 1930 as our reference year. In 1930 there were about 123.1 million people
in the United States. Calculation:
=2/123 = 1.63%. In 1930 1.63% of
Americans were homeless. It took huge
efforts including a World War to overcome Depression related homelessness. For Orange County on Dec 3, 2020 the homeless
figures are: “The County’s homeless population increased 43% between 2017 and
2019, or 4,792 to 6,860, with Santa Ana's share jumping to 26% from 20%”. In 2019 Orange County’s population was 3.176
million. Calculation: =6860/3175000 =
0.22%. In 2019 0.22% of Orange Countians
were homeless. This is after nearly ten
years of concentrated effort to end homelessness. We feel that due to the eminent behavioral
health crisis things may get worse. Over
the horizon looms another form of Great Depression: Major depression, alcoholic
depression, substance use depression, and depression due to catastrophic
loss. Homelessness associated with these
depressions my actually continue to increase.
Link
http://www.stockpickssystem.com/the-great-depression/
What are the issues? Networking
When we began rigorously
addressing housing issues about three years ago we here at Mentalation
Solutions Group (MSG) thought the Innovations Project Idea (IPI) submission
step was going to be as straight forward as it was say in 2014. Try as we may we can’t connect with appropriate
stakeholders in the Orange County Health Care Agency (OCHCA). We are going to change our approach by exploring
other options. With the OCHCA Buster grew
two networks: OCHCA-N1 and OCHCA-N2.
About four years ago we closed out his OCHCA-N2. Now we are growing our post-Corona OCHCA-N3E
(Extended) Network. We here at MSG don’t
do it often yet Buster felt a hankering to review the California Code of
Regulations (CCR). We are reviewing
Mental Health Services Act (MHSA) stakeholders’ value and the community
planning process. We will address the
CCR in our Sales Report(s).
FAQ – With respect to the Mental Health Services Act: Are community members and stakeholders important anymore?
FAQ – How do does a stakeholder
sell a Prevention & Early Intervention program (project) idea?
POI Open File on Sharon Ishikawa
SCR_OCHCA_BHS_MHSA_Sharon_Ishikawa_21042103_Notes
Keith “Buster” Torkelson MS is
the principal with Mentalation Solutions Group (MSG). Buster enjoys profiling Persons of Interest
(POIs). He prefers to pen positive
profiles. That is one reason Buster goes
back into his lived experience to investigate and share news about the strong
performers he associated with. Across
several domains Buster is an above average performer. Somehow Buster found himself out of the MHSA
loop. We finally found some information
regarding current and future OCHCA MHSA Innovations Projects. In the table below we share rough figures.
List of Current Innovations Projects
Taken from > MSGBase
01_Assess_MHSA_SCM_Value_17110602_Tool V2021
20210419-M:
OCHCA MHSA SCM on Innovations
Migrated
to: 07_OCHCA_MHSA_INN_BedBusters_Submit_21010202_Notes
FAQ – How is it that the MHSA
Innovations time and monies are all tied up?
Matrix – Notes taken about Innovations from Steering Committee Meeting via Zoom (SCM-Z)
|
- |
|
|
|
|
|
Innovation
Project |
Spent 2019-20 Approx Budget |
2020-21 Projected |
2021-22 |
|
|
- |
|
|
|
|
|
Step
forward on-site engagement in the collaborative courts |
$140K |
- |
- |
|
|
Strong
families strong children BHS for military families |
(15K) |
- |
- |
|
|
BHS
for Independent living |
$500K |
$900K |
|
|
|
Help@Hand
(formally MH Technology Suite) Started 2018 |
$5E6 |
$5E6 |
$3.1E6 |
|
|
Statewide
early psychosis learning health care collaborative network |
$200K |
$500K |
$560K |
|
|
BHS
System Transformation |
$9E6 |
$8.5E6 |
$5.3E6 |
|
|
- |
|
|
|
|
|
Administrative
Costs |
$1E6 |
$1E6 |
$1.2E6 |
|
|
- |
|
|
|
|
|
INN Associated Cost Totals |
20E6 |
$18E6 |
$11E6 |
|
|
- |
|
|
|
|
Last Reviewed: 20210618-F:
Aside: Orange County (Circa 2018)
“The Commission will consider
approval of $24,000,000 to support the Orange County Mental Health Technology
Solutions Innovation Project”.
Research & Emails: Also share with Sales Report(s)
Persons & Areas of Interest –
Includes Email Addresses
|
- |
|
|
|
|
Character |
Role |
Note |
|
|
- |
|
|
|
|
Sharon Ishikawa |
MHSA Coord |
Phone: (714)
834-6023 Phone: (714)
834-3104 Email: sishikawa@ochca.com |
|
|
Jeff Nagel |
BHS Dir |
|
|
|
Flor Yousefian Tehrani |
MHSA INN Projects |
Innovations Manager 949-215-1696 |
|
|
Clayton Lon Chau |
HCA Dir |
#claytonchau |
|
|
Andrew Inglis |
HCA BHS Dir |
|
|
|
Lou Correa |
Congressmen |
|
|
|
Lala Truong |
Lou Correa Caseworker |
|
|
|
Donald Bren |
Rich person timing out – possible stakeholder by paying
MHSA tax |
949-720-3400 Call 949.720.2636 / Email sstarkey@irvinecompany.com 86 years (May 11, 1932) |
|
|
Karla Perez |
In Network |
(714) 834-5481 |
|
|
Richard Krzyzanowski |
Our Ace in the Hole |
Client and Family Leadership Committee (CFLC) - MHSOAC |
|
|
- |
|
|
|
Last Reviewed: 20210510-M:
Why Classify a Process as a
Project?
Process: Submit OCHCA MHSA
Innovations Project Idea
As a process Buster’s engagement with selling BedBusters is not paying off anymore and we are encouraged to quit. As a project, we here at Mentalation Solutions Group (MSG) have the Opportunity to turn this sales, marketing, and submission venture into a Valuable Learning Tool (VLT). As we indicated earlier if Housing were not possibly the most important factor in human health we would move on to other efforts such as grading Buster’s insurer Brand New Day (BND).
When and why kill our BedBusters Project?
High scores are less favorable
|
- |
|
|
|
|
Criteria |
Satisfied |
Reason/Details |
|
|
- |
|
|
|
|
When it no longer has strategic value |
No (0.0) |
No longer contributes to my organization’s long or short term
business strategies |
|
|
When it is simply no longer feasible |
SoSo (0.5) |
Project cannot be done under current circumstances |
|
|
When deliverables repeatedly fail to appear, despite best
efforts of the team |
SoSo (0.5) |
Resources have been exhausted |
|
|
When the deliverables are substantially and continually
behind schedule |
SoSo (0.5) |
Assessments, Audits & Surveys |
|
|
When there are more issues than successes |
Yes (1.0) |
Issues out number successfully complete milestones and
deliverables |
|
|
When budget or resource allocations are continually
exceeded |
SoSo (0.5) |
Our personal budget and resource allocations approach
exhaustion for this project |
|
|
- |
|
|
|
|
Criteria to kill project score |
3.0/6 = 50% |
We gather we are stuck in the submit stage for a while - BedBusters
is on hold |
|
|
- |
|
|
|
Last Reviewed: 20210618-F:
Kill Method Reference - Standard
Table 4 of 5 – Guideline: When to
Kill the Project (Appendix E: Greer, 2001)
Greer, M. (2001). The Project Manager’s Partner: A
Step-by-Step Guide to Project Management: 2nd Edition. HRD Press, Inc. Amherst MA. Contains 150
pages, plus Appendices.
MSGBase > Metadata
14_PM_21052001_When_Kill_BedBusters
14 – PM - Why Kill this Project?
[Template]
Idea Submission Notes – Going Through Channels
We here at Mentalation Solutions
Group (MSG) are discussing and will discuss again: Mental Health Services Act (MHSA) Innovations
Project Idea (IPI) submission. When we
began writing our BedBusters MHSA IPI we were working with old Intel. Things about the Orange County Health Care
Agency (OCHCA) have changed enough so MSG is uncertain how to get our
BedBusters Bundle Housing Fix through to the right people. Part of the change been no in person MHSA
Steering Committee Meetings (SCMs). This
in part is associated with the Corona problem.
We are trying to submit our IPI through channels as we did with our
prior IPIs. Based upon our emails and
phone call 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. The
recording says we have not called during business hours. We called the OCHCA referral line OC LINKS
and they can’t link us to Innovations.
The phone Reps’ do not know what we are talking about. We have emailed several key OCHCA players. We would prefer an MHSA Innovations process
update.
Clayton Lon Chau - Easy to Harder
Housing Evolution
Keith E Torkelson, MS AKA Buster submitted
his first Orange County Health Care Agency (OCHCA) Mental Health Services Act
(MHSA) Innovations Project Idea (IPI) over ten (10) years ago. It involved solving Housing problems with
peoples in need who were members of the MHSA Consumer Action Advisory Committee
(CAAC). Our BedBusters proposal was
supposed to be a slam-dunk funded under the MHSA Innovation’s Component. The lived experience we have shared targets
call centers and the Rent a Shared Room (RASR) “Bed” market. MSG has decided to target our OCHCA friend Dr.
Chau (CLC). That means we write this as
if Dr. CLC were going to see all of it.
Dr. Chau knows a bit how Buster thinks.
Maybe we can meet routinely with Dr. Chau monthly in the capacity of
Housing Advocate on the Housing Advisory Board (HAB). Dr. Bera Buster’s Behavioral Health Doctor
(BHD) indicates from what he can see Buster is a: “Housing Advocate”. In one appointment Bera said: “Thank you for
Advocating about Housing”. Buster doesn’t
like the word reformed and much as Evolution.
We here at Mentalation Solutions Group (MSG) are promoting a Housing
Evolution.
Face-to-face (F2F) as a Promising Practice
Remember BedBusters is on the
verge of becoming OC Beds. With
BedBusters we here at Mentalation Solutions Group have been and will continue
to do our share. With respect to the
OCHCA and MHSA beginning in 2009 Dr. Chau was the one who encouraged Buster to
think out of box and act proactively. If
we feel eventually we will get him on-board one way of another. Again, we hope to meet with Doctor Chau in
person now that Corona his subsiding. During
Corona Buster was part of a high risk for Corona population: Criteria Met =
High-risk congregate residential settings.
So he stayed away from trying to make Face-to-face (F2F) appointment
with key county players such as Dr. Clayton Lon Chau. We here at Mentalation Solutions Group (MSG)
believe in F2F meetings and group events.
We had hoped by now that the county had collected enough Intel via
survey to determine that F2F MHSA Steering Committee Meetings are superior to
Zoom Meetings.
MSGBase >
14_Corona_Virus_20051401_Vaccines
V2021
This simple indicates that Buster
is vaccinated with 2 doses of Moderna.
MSGBase>
05_HHL_Products_Reporting_20020203_Notes
V2021
Lived Experience
Out of the Box - 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 Circa 2009) he did so in an in-kind
partnership. Partnership is one of the
commands in Steinberg Programming Language (SPL). Steinberg was one of the authors for the
Mental Health Services Act (MHSA). For
accelerating up to speed with OCHCA Behavioral Health Services (BHSs) MHSA
funded Technological Needs Component (TNs) Buster reviewed projects that Los
Angeles County (LAC) was executing. 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
Innovation’s (INN’s) materials and methods we decide: As If Selling (AIS) BedBusters
to Los Angeles County (LAC-DMH) and Santa Clara County (SCC) 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. Caveat: Stanislaus County is a MHSA
Innovation high performer.
FYI - Los Angeles County MHSA Innovations
Tangent – Hyperlink Bugs – For a Later Time
We would prefer converting our
web addresses into HyperLink form yet we still cannot be sure that on a link by
link basis they will all work. We have a
“link checker” somewhere. We might run
it on this paper after it has been migrated into the cloud.
FYI – Link LAC-DMH
https://dmh.lacounty.gov/about/mhsa/innovation/
FYI
http://file.lacounty.gov/SDSInter/dmh/220189_INN2HealthNeighborhoodsProposalSLT101514.pdf
https://dmh.lacounty.gov/about/mhsa/announcements/
We used to convert the web
addresses to Hyperlinks yet they were generating too many bugs. In particular extracting full web addresses
out of the Hyperlink. We like Hyperlinks
and are going to master them.
Distraction or Not - Psychiatric Advance Directive (PAD) Update
As of today, May 15 (SAT), 2021
Buster has attended four maybe five sessions explaining the hopes of
implementing Psychiatric Advance Directives (PADs) in “The OC” and other
California counties. As with Orange
County’s Mental Health Technology Solutions Innovation Project and BedBusters:
Technology is at the heart of delivering PADs.
We here at Mentalation Solutions Group (MSG) now believe in PADs and
their potential for good. In other words
the PAD presenters have succeeded in selling Buster to find time to work on his
and others’ PADs. We don’t know how he
is going to do it yet Buster set July 2021 as the deadline for delivering his
Beta-PAD. We will discuss PADs again in
a standalone report. His PAD pre-sell
with his insurer Brand New Day (BND) didn’t go very well. After discussing it twice his BND helper
still thinks we are talking about Advanced Health Care Directives (AHCDs). In one of the information sessions someone
discussed the challenge in selling PADs to stakeholders outside the Health Care
Agency (HCA). We recommend a substantial
concentration about housing quality and the bed needs in the consumers’ PAD.
PADs – Public Comments
MHSA
Publications and Reports - Orange County, California
HCA
/ BHS / Prevention & Intervention Services / MHSA / MHSA Annual Reports
Please email your Public Comment form to mhsa@ochca.com
How is it PADs?
The
website entered above indicates that “Public Comments will be accepted until
Sunday May 23, 2021 at 11:59 p.m.”
Normally we would comment. The site
describes PADs as: “Psychiatric Advance Directives - Multi-County Collaborative
- Innovation Project”. Our comments
would be: That even though we here at Mentalation Solutions Group believe that Housing
is a more urgent issue than PADs we support PADs as a worthwhile endeavor. We feet that PADs should have a 1/5
concentration about the Bed Needs of the consumer. In addition there might best be a 1/5
concentration about the medication needs of the consumer. PADs will take MHSA INN monies and therefore
are in competition with our Innovations Project Idea: BedBusters now DBA as
OCBeds!
Record of Buster’s Logic
One of Buster’s main tasks is
writing and publishing. On and off he
enjoys publishing a whole bunch. It
helps him with process and closure. Publishing
has given Buster a voice. Writing is an
activity that makes Buster different from the Dying Old Men (DOM) whom with he
lives and associates with. You know how
they say: “Publish or Perish”. Writing
and publishing requires some technology basics: A stable platform such as a
laptop, key software such as Microsoft Office, connectivity such as Wi-Fi, a
reasonably fast internet connection, etc.
Today is Saturday. On Saturday we
here at Mentalation Solutions Group (MSG) dedicate most of our time to housekeeping,
technology and Quality of Life (QOL).
During the week when we write we classify writing as productivity. On the weekend when we write we classify our
work as technology. The goals such as
uploading page are same yet the methods are different.
Anti-Confidentialist V Anti-Confidentiality
We thought for sure that Buster
had come up with a new term: Anti-Confidentialist or @C. We searched on-line and found a hit with
Anti-confidentiality. For Buster the @C
is different than Anti-Confidentiality.
We discovered on-line some unexpected conflict and confusion so we will
put comparing Anti-Confidentiality and @C on the back burner. When it comes to confidentiality Buster
favors the Steinberg Programming Language commands Accounting and Make Reasonably
Transparent (MRT) over keeping secrets and confidentiality. We here at Mentalation Solutions Group (MSG)
practice guarded disclosure. As Buster
gets older he finds sharing the facts in his own case propagates less harm to
himself and others. We call this Harm
Reduction. Our Harm Reduction Policy
(HRP) was a foundational MSG principle beginning with our “Yellow Journalism”
stage. MSG’s publications featured and
continue to feature: Real people, real records, real world phenomena and real
experiences. We would say we have earned
our Gold Seal of Transparency.
Confidential Record Access
We have worked hard to be honest
while addresses Confidentiality and Stigma.
In particular Stigma associated with groups such as the: Mentally
challenged, behaviorally challenged, substance users and outright
criminals. We have records including
photographs of those consumers that we have known that in the face of overwhelm
died! They died more often than not
prematurely. If they are relatively
young we say: [They] Died Too Young (DTY).
We want to honor the dead without messing up person’s close to them process
of grieving. Briefly back to defining
our New Depression. Another type of
depression would be that associated with DEATH and Grieving. There is a change that people are going to
take DEATH harder.
Confidentiality and Presentations
More than ten years ago Buster
began presenting about Health & Human Services. He practiced sharing real records from the
get go. One of his last presentations he
executed on behalf of his supervisor OCHCA Kathleen Murray was around December
of 2016 on Patient Portals. His feature
Portal was Quest Diagnostics’ MyQuest Patient Portal. The talk was for the MHSA associated Consumer
Action Advisory Committee (CAAC). Kathleen
showed for what she called lending support.
Members of the CAAC became alarmed that Buster was sharing Real Medical
Records (RMRs). Even if someone captured
enough information off the screen: What harm could emerge from knowing Buster’s
lab results?
Moving Ahead
As with nearly all presentations
when the audience is ten (10) or more in attendance Buster offers them a
Presentation Satisfaction Survey (PSS).
After Buster reviewed and analyzed the surveys he found the audience scored
him an average grade of “C”. Next time
Buster had a Face-to-face (F2F) with Kathleen he shared his “C” grade. Kathleen responded saying "I give you an
“A”. Buster said how is that? Kathleen responds: Before your presentation
the audience knew little or nothing about Patient Portals you have succeeded in
introducing them to Patient Portals. In
addition, Buster stimulated some passion by engendering critical thinking with
the group. Now that we think about
Buster misses Kathleen’s quarterly end of meeting five minute pep talks. Kathleen has since retired from the
OCHCA. Her last role with the OCHCA was
in Compliance and Quality Assurance.
[REMOVED]
04_SCR_John_Pathologies_Deficits_Assessment_21052103_Notes
John is Buster’s contemporaneous Rent
a Shared Roommate (RASR) as of June 20, 2021.
They have been sharing a room going on one year. John demonstrates several psychiatric-social
deficits. John influences Buster’s daily
rest and SLEEP. He is one of the most
important factors for Buster’s health.
We will return to John in a Sales Report and a standalone profile study.
[INCLUDE PHOTO OF JOHN]
Honor Roll in the Middle
When people die slow you have a
better chance to process it. The Corona
situation has driven a new way of grieving.
We call it distance grieving.
When normally you show in person for a ceremony, funeral or service we
now have to be satisfied with distance funerals and the like.
Lived Experience
We honor Buster’s friend
Christopher L.R. (CLR)
“Chris” and Keith “Buster” Torkelson grew up with each other on McDaniel Drive in Garden Grove California. They have been friends for about 45 years. This photo was taken by his daughter in May of 2021. CLR is in the hospital being treated for kidney problems, presumptive congestive heart failure, fluid in his lungs, and a nasty bed sore. In this photo Chris is about 59 years old. We here at Mentalation Solutions Group (MSG) classify him as Dying Too Young (DTY). DTY was also the case with several of Buster’s friends such as Mike M who has long “Passed”. As he is right now we feel CLR is in a Twilight Stage. As Buster’s Behavioral Health Doctor Rimal B Bera once said: “People are going to die”. It is not that people are going to die that intrigues us it is how they lived and died for the benefit of others. We here at Mentalation Solutions Group (MSG) have and are working to maximize the benefit from their sacrifices.
Outreach & Engagement
Buster’s friend Chris Roach could have benefitted with Outreach & Engagement (O&E). Something was behind his substance use that in all probability damaged his kidneys. Buster’s O&E work began back in 2007 when his case worker Diana Shipley provided Rent A Shared Room (RASR) housing resource (list) created by the Mental Health Association (MHA). Diana Outreached both Diana and Buster Engaged and Buster Linked. Both Diana’s and Buster’s work together began at Westminster Therapeutic Residential Center (WTRC) in Westminster California. Diana was the provider and Buster was her consumer. The resource was a list of Room & Boards. We more aptly call Room & Boards RASR for many reasons. Two of our reasons to re-classify are RASR is a better description and the term Room & Board is Stigmatizing. To engage Buster called Lisa’s House in Irvine California. Claire Kitchens the house manager Linked with Buster by accepting his rent check.
Example - Outreach Marketing and
Sales
Buster also prepared, garnered approval,
and distributed Outreach marketing material on behalf of one of his
landlords. See the example below.
February 2, 2011: Attn: To Whom It
May Concern:
Distribution: Dena, Vickie,
Christina, and or Tina, Others and Prospects
Minimal Distribution:
WTRC (Fax: 714-898-5269) : >
OC-HCA: MHSA Ofc: HCA BHS Clinics: >
mha: Center for Homeless (Fax:
714-668-1531) > MHSA: Wellness Center
In: LA > R & B folder
*On Pricing
At the time the landlord approved the marketing collateral
above every renter had individual bed leases indicating how much the monthly
rent would be. Even though some
occupants in the house were paying $450 in 2011 Julie was asking newbies $500
per month. In 2011 the consumer monthly
checks for the 2011 Julie’s House Cohort ranged from $700 to $1400 per
month. Some sources indicate that monthly
rent might better be fixed at no more than 1/3 of the consumer’s entitlement
check(s). A few in the Julie’s House
Cohort were fortunate enough to have one or more family members help them
out. We will address pricing in a
separate report.
O&E Since 2012
Since 2012 Buster’s Outreach & Engagement (O&E), actually Outreach-Engagement-Linkage (OEL) methods have changed. The basic currency of Buster’s Outreach work is centered about photo documentation. We here at Mentalation Solutions Group (MSG) feel the people we run across that are in need of a BetterBed should be remembered. With O&E, next we look for any indication that other persons in a better position to help had made contact with them. In previous reports we recommended that if an agency such as the OCHCA made contact yet could not engage leave markers indicating that they tried. A colored wristband would suffice. Next we step back to see if anyone other than law enforcement is transacting in real-time in front of us. Since 2012 we saw one Outreach Worker (OW). That is one (1) OW transacting in more than 100 opportunities. The transaction took place late in 2020 near the Wellness Center West in Garden Grove. She the OW looked all official with her clipboard everything. While observing we determined what she was up to by asking a bystander. She was calling an ambulance for a homeless male. We thought wow if you would have come yesterday the consumer might have saved on the ambulance bill copay. Buster has had many opportunities to call the Centralized Assessment Team (CAT). He still hasn’t witnessed in person the CAT being very helpful.
Referral or Not – A case of Nazee
N
We here at Mentalation Solutions
Group (MSG) frown a bit with the Health & Human Services Behavioral Health
Services Referral Process (BHSRP). When
Buster took Crisis Intervention at Cypress College (Circa 2011) his teacher,
Gary Zager, was both college teacher and program director for Casa Youth
Shelter. Mr. Zager told the class that
when he encounters someone in need he has a rule to refer them away. While we are venting we would like to address
points of entry. Buster has attended
meetings with diversified Health & Human Services (HHS) formats:
Conference, focus group, information session, committee, board, etc. People, mostly family members, catch wind of
the HHS professionals making themselves available to the public believe: Wow
these people can help me; I’m exhausted and need help real bad! So they more often than not family make time
and show up to let’s say at the Mental Health Board (MHB) meeting. Near the end of said meeting during public
comment they share their quandary just to here we don’t do real casework here.
Finding a Promising Fit
Again, the response is more often
than not “we can’t help we don’t do that here”.
Here we have a real world example.
We will call it Nazee’s predicament.
Back in 2009 when Buster participated and completed the OCHCA MHSA
Workforce Education and Training (WET) funded Consumer Training Program (CTP)
one of his classmates was Nazee N. Nazee
had a brother who was very ill facing behavioral challenges. Some say he had Post-traumatic Stress
Syndrome (PTSD) with onset in the old country that we assume is Iran. For years we tracked Nazee on her quest get
her brother the appropriated services.
She was referred quite a bit. Dr.
Chau appeared to be helping her and him.
A year or so Buster was catching up with a CTP plus Extended Network
friend. Buster says: “Like wow have you
seen Nazee about”. This Anon CTP friend
said: Nazee’s brother committed suicide so she stopped showing up to MHSA
functions. Nazee was part of Buster middle-east
cultural competency skill set. Through
her he could get in touch with some of the collateral damage feeding behavioral
health decline in the Middle East.
Case-in-Point (CIP): Nazee N.
This photo was taken at a
Consumer Training Program (CTP) function around May of 2009. The picture features: Nazee – Ana –
Jean. All are family members. Buster took the photo. Krista, a consumer, is in the
background. Except for Krista all three
were family members of those with fairly urgent needs. Even as a paraprofessional Buster knew
Nazee’s case was too difficult for him.
The day of the photo was a break from our normal 3 hours in the class
each day. The CTP course materials were
for the most part were created by Nikki D.
LaTonya Tingstad actually delivered the course for spring 2009.
https://www.facebook.com/nikki.duesterberg
https://www.psychologytoday.com/us/therapists/nikki-duesterberg-torrance-ca/444799
Photo - Nikki D. with Dr. Chau
Both Nikki and Buster agree that the Consumer Training Process is still strategic, needed and in demand. Buster feels the intensity is therapeutic.
Outreach and Engagement
Derived from: “Our Outreach and
Engagement Services Program Provides”
Applied to Keith “Buster”
Torkelson MS and his work with MSG & OCHCA
|
- |
|
|
|
|
Provision |
MSG |
OCHCA |
|
|
- |
|
|
|
|
Education |
Teaching Groups at the Wellness Center |
As Dr. Dorman said “part of the agency operates in a
vacuum” Presentations for the CAAC |
|
|
Assessment |
We use assessment driven presentations to engage those
that attend |
2007 while Buster was being attended to by Dr. Inglis the
Agency got us going on the concept of measuring consumer satisfaction |
|
|
Short-Term Case Management |
Quarterly bursts |
Heather Rinks and Andrew Inglis (*) great models for an
appointment |
|
|
Educational And Life Skills Classes |
Participated as consumer with Brand New Day (BND) classes External Quality Review function |
Sent Buster to school for non-certified Paraprofessional
Health Workers |
|
|
Support Groups |
Whole bunch of these Helped us build our Health Related Engagement (HRE)
product |
In-person SCMs Committees, conferences, etc. |
|
|
Transportation Assistance |
Buster is phasing this out and letting the ambulance transport
those in need |
They have been working at it yet consumers need
transportation help when they move |
|
|
In-Person Outreach |
Buster averages just over one per week |
Outreach – we still see little evidence on the streets |
|
|
- |
|
|
|
Last Update: 20210618-F:
(*) Andrew Inglis MD
Dr. Inglis can’t say this but in
the name of Stigma Reduction we here at Mentalation Solutions Group (MSG)
will. Transparency is one means to
counter Stigma. Back in 2007 for about
one year Buster was seeing Dr. Inglis at the OCHCA Costa Mesa Clinic. Dr. Inglis was helping with the measures
required for Buster to stay on his newly matched psychotropic medication
Clozapine. Indirectly Buster was paying
for this appointment. We figure the
burden of cost by elimination. Someone
was getting paid. The OCHCA was not
paying or was Dr. Inglis working pro-bono.
We think Dr. Inglis owes Buster equal time now for time spent and some
form of trade. We call this reverse
compensation. In just a tiny fraction we helped put Dr. Inglis where he is now. Dr. Inglis and his partner in crime Heather
Rink graduated Buster as a success. If
it was not for Buster and those consumers like Buster he definitely would not
have reached for the top. Buster offered
tangible confidence that his practice works.
It is really cool because now we have another doctor to compare on near
equal echelon with Dr. Chau and Dr. Bera.
As compared to (ACT) Drs. Chau and Bera, Dr. Inglis is going to have to
step it up when it comes to digital presence.
MSGBase >
07_Fun_OCHCA_Whats_Up_18112601_Selections V2021
Review – What’s Up! Determine: What’s Up!
The
OCHCA has a newsletter directed at its’ workers. The newsletter is called: What’s Up! We went back reviewing to determine the
incidence rate of articles addressing homelessness and housing before Corona,
during Corona, and now what we consider will be a summer where Corona can finally
take a backseat. We are hoping for much
of the business as usual say what was going on in 2017. It will be nice to see articles on housing
and homelessness return starting in the July 2021 edition. Remember we are delivering a plan that will
substantially relieve housing problems including the homeless burden. As we wait disabled, disadvantaged, and
homeless people in need of a GoodBed are dying.
Some are Dying Too Young (DTY).
https://www.ochealthinfo.com/page/whats-newsletter
Urgency II and Accountability
How
times flies! Mark featured above was in
need of a GoodBed and a GreatDoctor back when Buster took this photo circa
2017. Mark Died By Suicide (DBS) within
a month of this photo. He was way to far
behind on much needed SLEEP and rest. If
you aren’t measurably helping please step back.
If you take pay for not helping then shame on you with your lack of
accountability. Since Buster did not
have the indication, time or resources we did not start a profile on Mark. If you notice Mark is rather physcially fit that
combined with frustration driven anger Mark represented a transferrence
risk. This means he could be dangerous
at times. Unfortunately we do not know
for certain who the Doctor in Charge (DIC) was.
Well Mark’s DEAD and like those before it doesn’t appear to matter. No-one seems to take responsibility. They don’t have to because his case details
is confidential. Most have already
forgotten him but not us at Mentalation Solutions Group (MSG).
Two Retirements
Keith “Buster” Torkelson MS
signed on with the OCHCA back in 2009 after completing the OCHCA MHSA WET
sponsored Consumer Training Program (CTP).
The course was designed to generate consumer & family members with
paraprofessional capacities. Soon after finishing
second in his class Buster signed up with the HCA as a formal volunteer with a
time card and everything. In 2012 Buster
new his own health and welfare were deteriorating. His new Rent a Shared Room (RASR) match did
not permit health promoting SLEEP. In
the process as to not just disappear he ended his formal volunteer role with
the HCA. He tried to demonstrate
resilience and bounce back as quick as possible. Our database, MSGBase, indicates that
Buster’s last engagement with the HCA MHSA Technology Advisory Committee (TAC)
was during fall quarter 2017. Not too
far after Kathleen his HCA supervisor indicated that the purpose of the TAC had
come to an end and that we had delivered on setting all TAC projects in
motion. Even after this separation,
Buster still acts in a manner as if he were associated with the OCHCA. In particular he does work such as this paper
while keeping both (OCHCA) Drs. Nagel and Chau and now Inglis in mind.
Comparison Profiling
We can’t say for certain yet it
would appear that both Dr. Nagel and Chau had to re-level their time-spent let
say about Housing for reacting and addressing Corona. We addressed Corona with in our landmark
report: Corona getting the kid’s safely back in the classroom. We here at Mentalation Solutions Group (MSG) decide
it best to work in the background continuing our housing efforts on behalf of
the OCHCA. Until we find the information
we need about submitting our MHSA INN Project Idea (IPI) we will work a bit on
profiling some of the housing unmet needs’ stakeholders such as: Dr. Inglis,
Chau, Nagel, Ishikawa and posthumously Schwabe.
We fondly call Drs. Inglis, Chau and Nagel the OCHCA Triad. It was a terrible loss in networking time
when Mark Refowitz former OCHCA BHS Director and OCHCA Director retired. Let’s start with Dr. Schwabe. Dr. Schwabe is one of Buster’s mentors. He has passed on yet leaves a legacy not just
limited to One Health. Dr. Schwabe is
one of our standards for professional excellence in Health & Human Service.
His impact is global. Posthumously his
cohort calls him” The Father of Veterinary Epidemiology”. Housing and GoodBeds is an epidemiologic
concern.
MSGBase > TAC nearing an end
MHSA_TC_TAC_Communications_17121403_Recordings
MHSA_TAC_SubAgenda_17121604_KET
Aside - Our Part – Corona Redirect
- Profile Calvin Schwabe Update
Keith “Buster” Torkelson MS
always wanted to participate in a Global Disease Eradication Effort (GDEE). For Buster’s mentor Calvin Schwabe the
disease to eradicate was Rinderpest also called Cattle Plague. The “World Organization for Animal Health
(OIE)” indicates that “on 25 May 2011” Rinderpest was eradicated. Dr. Schwabe passed in 2006. By many in high places, he is considered as
delivering on the role Father of Veterinary Epidemiology. We here at Mentalation Solutions Group (MSG)
offered Busters tidbit on Corona Control in a classroom setting.
20210513-TH: Viewership
As in often the case the
viewership for our published paper inspires us.
At one point we will go back and use the Tweet as well as other social
media methods to increase the penetration of the three papers we list below. Previously MSG shot for 1000 page views per
publication yet things have evolved and we are satisfied until we go viral with
anything over 100 page views.
Feature photos
Top: A relative of Busters’
that died from Corona related illness
Middle: Dr. Daniel
Elmer Salmon Dr. Schwabe's mentor
Bottom: Dr. Calvin
Schwabe
FAQ
How’s it that Homelessness can’t
be eradicated?
The Consumer-Survivor
As we have discussed elsewhere, from
2009-2011 Buster attended several lectures by Dr. Clayton Chau. On more than one occasion Dr. Chau described
the process of his illness and treatment.
He indicated his diagnosis was in the Depression Cluster. To the best of our knowledge Dr. Chau doesn’t
get to take psychotropic medications anymore.
He also indicated that his first and possibly only Behavioral Health
Doctor (BHD) was very effective. We have
little idea about Dr. Chau’s life and times in his home county: Vietnam. He has most likely spoken at length about
Vietnam. We assume that after his
diagnosis he was treated and adhered to his treatment. Some say the earlier BHD
professional catch your symptoms and offer appropriate treatment that the
prognosis in better. It looks like they
caught Dr. Chau’s ailments early. We
forgot just how transparent Dr. Chau is about his history. We here at Mentalation Solutions Group (MSG)
define a Consumer-Survivor as a consumer that at one time required medical
intervention (consumer) and does not require daily medication or any other psychiatric-social
intervention (survivor) anymore.
Permanent Damage
We have only met two persons who
fit into the Consumer-Survivor scheme:
Drs. Clayton Chau and Daniel Fisher.
We met Dr. Chau through the Consumer Training Program (CTP) and Dr.
Fisher at the week-long Alternatives Conference in 2010. Buster is unlikely to ever be completely off
psychotropic medication. He has an
intractable SLEEP disorder and requires nightly Clozapine to sleep. Drowsiness is a side effect of
Clozapine. Clozapine is a major
tranquilizer. Major tranquilizers do not
cause tolerance as do other “Sleepers”. The
fact that Buster is dependent on nightly Clozapine is an indicator of his
symptom severity in and of itself. Yet
for Buster it is associated with nightly deep SLEEP. If a consumer suffers permanent damage from
psychotropics such as weight gain or impotence it is unlikely you meet the
survivor portion of Consumer-Survivor.
Commercial-off-the-self
(COTS) Definition of Consumer or Psychiatric Survivors
“The psychiatric survivors
movement is a diverse association of individuals who either currently access
mental health services, or who are survivors of interventions by psychiatry, or
who are ex-patients of mental health services.”
If @ First…Profile
We here at Mentalation Solutions Group (MSG) actually expected things to go a bit more smoothly with submitting our super cool and happening Mental Health Services Act (MHSA) Innovations Project Idea (IPI). Well: No! “Where there is danger there is opportunity” (Zager, 2011). Buster faces two types of dangers. One is alienating his supporters. The other danger is for Buster not having a solid housing or bed portfolio and plan. Here an opportunity is there may be one or more GreatBeds out there for him to discover. In order to determine our “Next Steps” we will do a bit of profiling. When Corona hit MSG stepped back from our Housing efforts to make some Corona contributions. From May 2020 to July 2020 we published, in one or more of our Blogs, three papers addressing Corona. We did our share and now resume work about Housing and Unmet Housing Needs. BedBusters could be funded as a MHSA Technological Needs Project (TNP).
OC Community Program Planning
Process
“Orange County has
operationalized the community planning requirements outlined in the California
Code of Regulations (CCR) into the general strategies and steps…over the past
several years the HCA has been refining its approach to integrate data into its
planning process more systematically, particularly as part of assessing mental
health needs and identifying issues and priorities. It has also expanded and
refined its approach to engaging community stakeholders in the planning
process, evolving from a single community meeting that followed an extended
public comment format to a series of semi-structured discussions and focus
groups with community stakeholders.”
Commentary: We are inspired that Mentalation Solutions Group (MSGs) input as a stakeholder and designer of public comment remains important. Persons of Interest (POIs) busy meeting non-housing needs such as Corona-driven activities and Psychiatric Advanced Directives (PADs). Actually for Buster housing needs will be included in his personal PAD.
HCA Update
“As described in Orange County’s
MHSA Three-Year Plan (page 14) the HCA was and is committed to increasing
meaningful engagement with clients, consumers and family members, particularly
those who identify with one or more of the MHSA Priority Populations [Buster is
more often than not at risk of homelessness]. However, due to the COVID-19
pandemic, the HCA had to adapt its Community Program Planning Process (CPPP)
activities in 2021 and shift away from in-person interactions and meetings. As
such, the HCA recognizes that the feedback and input received to-date for the
FY 2021-22 Annual Plan Update may more accurately reflect the perspectives and
interests of those with the financial means, access to technology and digital
literacy to engage in a virtual and/or electronic format. As opportunities for
in-person gatherings become available, the MHSA Office will seek to engage
those who were unable to participate in this year’s virtual meetings and/or
online surveys.”
Commentary: For us here at MSG BedBusters and now OCBeds is both a meaningful engagement for Buster as well as a necessary engagement to meet the Housing needs in our communities. We hope to see “in-person” meetings such as the MHSA Steering Committee Meeting (SCM) resume ASAP. Again, Buster is in a MHSA Priority Population because he is always at risk of Homelessness. In other we don’t have his BedBusters GoodBed portfolio complete. After we finish this we will investigate transitional housing for Buster.
On To Profiling – Mentor First - Championing A Situation or Disease?
We here at Mentalation Solutions
Group (MSG) are not championing a disease as much as we believe in our
Summative Housing Solution (SHS). Our
Solution does not include eradicating homelessness in Orange County. I will substantially remedy
homelessness. The unmet needs we will
solve are facilitating as many consumers as possible by getting them into a
GoodBed with hopes of graduating them into a GreatBed. We will address criteria for a GoodBed at a
later time. Back in the 1980s Dr. Calvin
Schwabe was Buster’s college professor.
He had great expectations for himself and his students. Dr. Schwabe took part in setting in motion the
Rinderpest Global Disease Eradication Effort (Rind-GDEE). He did not live to see the overall project
close. His efforts with Public Health
and his unwavering commitment give us faith that what we are setting in motion
here will eventually come to full fruition even after Buster cannot continue
the effort. Dr. Schwabe put in more than
40 years working with Rinderpest.
Relatively, Buster has only invested five or so years on his Housing
Control Efforts (HCEs).
Aside FYI - Promote One Health
Calvin Schwabe Lectureship - School of Veterinary Medicine
https://ohi.vetmed.ucdavis.edu/education/calvin-schwabe-lectureship
“This lectureship commemorates the pioneering One Health work of Calvin Schwabe, who helped strengthen the UC Davis School of Veterinary Medicine's commitment to One Health by ensuring that future veterinarians integrate human, animal and ecosystem protection into their professional work.”
"The critical needs of man include the combating of diseases, ensuring enough food, adequate environmental quality [INCLUDING HOUSING], and a society in which humane values prevail," Dr. Calvin Schwabe
Dr. Schwabe was a Person of Interest (POI) in Keith Torkelson MS (Buster) UC Davis Graduate Network. Our part in One Health is to promote our World Wafer Idea (WWI).
What’s Up Register - Trade Journal Review?
Interests B4 during and after
Corona
We have been trying to gauge when
Housing will move back into the forefront where it belongs as it was before the
advent of Corona. While watching Dr.
Chau talk on May 5, 2021 we listened between BeWell video crashes to see what
he discussed more: Corona or Housing. He
addressed Corona more than housing. This
is an indication that he may not be ready to meet with us regarding our Housing
Solution – BedBusters. He did not
acknowledge receipt of the last email explaining introducing our project idea. Our need is to know when and how to submit
our OCHCA MHSA Innovations Project Idea (IPI) plan. Historically “Communication Breakdown” is not
typical between Buster and Dr. Chau.
Sidebar - Innovations Project Idea – A Summative Solution
Criteria for a Housing Solution
need to be defined clearly up front. It
is wise not to use eradication, elimination, annihilation as goals. Everything on the way to a solution is a
patch or fix. Eventually the sum of
individual fixes will increase the chances for a solution. BedBusters will address hundreds of formative
housing fixes. Cases will be tracked
using standardized assessment(s). If a
single case is closed favorably this will be one incidence of summative
solution. The consumer has the final
word in defining their individual solution.
BedBusters Elements
BedBusters will soon become
OCBeds! We call the parts of BedBusters
elements so as not to be confused with MHSA Components. For some reason the
latest build of BedBusters has been hard to sell. Maybe it is the name that turns people off. The people, agencies, etc. that pick up
BedBusters may feel free to name their Housing Bundle yet give BedBusters some
credit. We have discussed elsewhere the
evolution of BedBusters. We began with
our Housing Advisory Board (HAB) notion.
The current build of BedBusters includes three main elements: Housing
Advisory Board (HAB), Housing Work Group (HWG) and Housing Help Line
(HHL). BedBusters relies on and is built
around technology. As a minimum the HHL
needs: A server, T1, software, and a well-trained staff. As with the OCHCA Electronic Health Record,
BedBusters software and hardware will be continually evolving and in need for
repair (ongoing support).
Empowering Resources
One of the mains goals of the HWG
is to keep the resources up-to-date. A
HWG task will is performing Rent a Share Room (RASR) site visits to track and
update bed-centered resources. Site
visits should be standardized in a way to not push the BedOwners away. The community should be provided core
material used by the HHL in that they have the opportunity to solve housing
problems without BedBusters’ intervention (Empowerment Principle). A product of the HWG is to generate a bed
portfolio with a minimum of three viable options in less than three (3) days or
72 hours. To meet the deadline the HWG
works over the weekend. This will help
the hospitals with early yet humane release from the Psych Ward. In addition, this will help the jails address
the revolving door problem. How many
times have you been in jail speaking to a Transitional Aged Youth (TAY) and
they say I stay in here because it is safer than what I have on the outside?
Profile - Person of Interest (POI) – Howard Trazo
Whereas BedBusters is a
population level Housing solution Buster also has Housing Related Personal
Unmet Needs (HaRPooNs). His Personal
Housing Network (PHN) is different than his OCHCA-N3 Network. For personal needs Buster relies a bit on his
program and insurer Brand New Day (BND).
Near the end of last year the BND Director called Buster on the phone
asking for a favor. Buster asked for a
favor in exchange. Please “graduate me up
to a new and improved BNDHelper”. The
director agreed and after more than two years of programmatic stagnation Buster
was given a helper of choice: Howard Trazo.
Howard identifies as a Behavioral Health Care Manager (BHCM). Once again we here at Mentalation Solutions
Group (MSG) have found that two of the most important movers with Behavioral
Health are Quality of SLEEP (QOS) and major tranquilizers that promote
sleep. Buster and Howard have been
working a bit with BND member housing issues.
Buster has high expectations for the Trazo-Torkelson Partnership and
Alliance.
GoodBeds and an Opioid Crisis
We
decided to include this because of the Opiate Crisis! Opiate use greatly influences the GoodBed
options that the consumer has. Historically,
Buster has not relied much on presribed opiates to resolve his physical and
emotional PAIN. He uses them as
prescribed for one night and then sets them aside because they interfere with
his quality of SLEEP. Buster cannot
remember as single time that he took opiates inappropriately. He was given fentanyl to put him asleep for
his only and last Colonoscopy on June 4, 2020.
He has no craving for fentanyl.
If Buster can get through the ebb and flow of PAIN without PAINKillers
we feel there is hope for PAIN management without prescribed or street
pharmacological analgesics. Anesthetics
may be in your future when MSG’s Managed Passing notion catches on. The opiate crisis is no laughing matter!
PUT
Buster
knows many people who can’t even make a GoodBed work for them because on a
daily basis they are pre-occupied with analgesia. Physical PAIN is an indicator of PAIN deeper
within. We consider PAIN a Thing Greater
Than Us (TGTU). We even have a God of
PAIN we call PUT for Panoe Universalis Terminalis or
Terminal Universal PAIN. That would be
the Big Fat Foot (BFF) and Mr. Take Away (MTA) all in one. Mr. Take Away can rob you completely of the
sensation of Pleasure. If you don’t
perceive these rascally rabbits PUT, BFF and MTA: Rejoice! They are about lerking in the Twilight of the
darker world. PUT’s processes that do
not discriminate. For this reason we here
at Mentalation Solutions Group (MSG) support Managed Passing with dignity and
bliss in a GreatBed. Everyone should
have the right to die in a GreatBed. Below
we share data on Buster’s progress with PAIN Management. We address acute and residual PAIN. We leave out Chronic PAIN for another time.
PAIN
Assessment Results for Keith “Buster” Torkelson
Self-score – Real Time 20210524-M:
|
Acute Pain and Residual Pain |
20210524-M: Pain Resolution Score-Acute (PRS-A) = |
Buster lifetime |
57.5% |
Product - Buster’s BedBusters Portfolio Update
The current build of BedBusters soon
to become OCBeds has three core elements:
Housing Advisory Board (HAB), Housing Work Group (HWG), and Housing Help
Line (HHL). One of the tasks for our HWG
is to perform Site visits beginning with the Rent a Shared Room (RASR)
environment. RASRs have been erroneously
called Room & Boards. On May 11 (TU)
2021 Buster visited upon Julies RASR operation (Julie’s House AKA Julie’s
Paradise) in Anaheim. Buster has
lived-experience leasing at Julie’s from 2009-2012. In 2012 Buster Suffered Catastrophic Loss
(SCL). In the process he moved away from
Julie’s. He left on good terms. On the day of the site visit Buster met with,
Romer Paulino, Julie’s husband and Buster’s good friend. What makes Romer Buster’s friend is that when
he asked Romer to help Romer provided move transportation for Buster. During the Site Visit (SV) Romer indicated he
wants Buster to come back. Now we can
finally add the potential GoodBed at Julie’s back to Buster’s Bed Portfolio
(BBP). Next we are going to look into a
Transitional Bed (Transitional Housing) for Buster from the county inventory. The last thing we want is to have Buster fall
prematurely too hard that he needs a bed back at Westminster Therapeutic
Residential Center (WTRC Circa 2006-2007) again for his Transitional Housing.
HAB Approach
Our first approach to solve unmet
needs about Housing the disadvantaged in Orange County centered about our
Housing Advisory Board (HAB) approach.
The first incidence of HAB in our database (MSGBase) was on July 26,
2018. Keith “Buster” Torkelson MS had
served on both the MHSA Technological Advisory Committee (TAC) and the
Innovations Advisory Committee (IAC). So
naturally it occurred to us here at Mentalation Solutions Group (MSG) to pursue
the advisory committee approach. Yet,
the HAB approach was not addressing Buster’s immediate Housing needs. Or was our HAB approach helping the consumers
with who Buster dealt/deals with on a regular basis. Since 2018 Buster has encountered more than
thirty (30) short-term and long-term Homeless people. MSG has photo-documented many of our “out on
the streets” transactions. While still
charting our work as a HAB effort we began developing a formal OCHCA-driven
MHSA Innovations Project Idea (IPI).
Setting Things RIGHT with BedBusters- ASLEEPPromise
We here at Mentalation Solutions
Group (MSG) have decided to call our over-arching housing-driven product OCBeds. After this report we will use BedBusters and
OCBeds interchangeably. So our
BedBusters Housing Bundle (MSG-BHB) will be found in legacy materials, reports
and publications. OCBeds combines thinking
and integration based on all MHSA Components: CSS, PEI, WET, CF, TN, INN, and
GSD. Our Housing Advisory Board (HAB)
might best be organized with petty-cash as were the MHSA Technological Advisory
Committee (TAC) and Innovations Advisory Committee (IAC). Meetings and meaningful contributions could
be funded as is the monthly OCHCA MHSA Steering Committee Meeting. We here at MSG believe that next to
medication the “Bed” the consumer sleeps in are pillars for setting things
RIGHT. We feel guaranteed SLEEP is
imperative in consumers: Health, education, welfare, recovery, quality of life,
satisfaction, and most important setting things RIGHT. This is one of OCBeds SLEEPPromises (2021).
MHSOAC
A
few Zoom’s ago Sharon Ishikawa of OCHCA Mental Health Services Act (MHSA) fame
was discussing MHSA Innovations (INN) projects and funding. She indicated to target submissions for a couple
years down the line. Initially INN was
done in cycles. More or less a “round”
of projects would kick-off near the same time.
When we here at Mentalation Solutions Group (MSG) were helping the
Mental Health Services Oversight and Accountability Commission (MHSOAC) write
regulations in 2014 we referenced some of the lessons learned from Buster
working with the MHSA Innovations Advisory Committee (IAC). We shared these finding with those that listen
at the MHSOAC. The MHSOAC oversees,
approves and regulates California County’s MHSA INN Projects. To initialize our temporatary MSG DBA TRC/MHSOAC
alliance we took them up on their website request: “Contact us”. They gave Buster an optional assignment as a
stakeholder. The MHSOAC assigment was:
Read and recommend while the MHSOAC finalizes some 2014 regulations. Unfortunately the regulation’s group only
welcome suggestions within their framework.
Our suggestions such as standard project length required would have
required accomodation.
Urgency
“I have fallen and I can’t get up”
As
far as this holdup with submission locally is concerned we feel that there is
something to be learned here and Buster is going to figure it out. We here at Mentalation Solutions Group (MSG) felt
the best way to fund our MHSA Innovation Project Idea is as an Innovation
Project. Our affect with the matter is
changing though. We know BedBusters and
anything related qualify as Prevention & Early Intervention. Yet we really do not know how the Ideas for
PEI Projects (Program) have been and are introduced. We would like to wait on Innvoations yet as
we “speak” people in need of a GoodBed are falling, falling hard, some
catastrophically and some Dying Too Young (DTY). We know: You can only “Get Up” so many
times. Those in need may never get up
this time. They are dying in their
BadBeds and NoBeds.
MHSOAC Review Tools
Immediately
after completing the Consumer Training Program (CTP) Buster interviewed with
the OCHCA Center of Excellence and ends up working as an advisor in
Technological Needs (TN) Projects. It
took until late in 2011 for his MHSA Innovations (INN) gig to open up. For various reasons the Innovations Advisory
Committee (IAC) accomplished less than the Technology Advisory Committee
(TAC). For one, Buster presentented for
about fifteen (15) minutes at every TAC meeting. He was only free to offer brief commentary at
IAC meetings. At one IAC meeting Buster
had a presentation ready on standardizing assessments for Innovations
Projects. He was trying to share what he
learned from the TAC. He didn’t get
added to the IAC agenda. Yet from both
committees he learned some things and in 2014 decided to share the lessons he
learned with the Mental Health Services Oversight and Accountability Commission
(MHSOAC).
MHSOAC Review Tools
The
MHSOAC indicated that Buster DBA Keith might best develop his voice while they
were updating some regulations. The
MHSOAC gave him this snail-paced iterative job of reviewing editting reviewing
again the regulations they had in the works.
In exchange Buster wanted to get the inside scoup on how Orange County could
best prepare for the MHSOAC Innovation Project approval stage. In other words obtain approval on all
Innovations Project Idea (IPI) plans the OCHCA submitted. It takes a good deal of time and effort to
write those plans. Locally, it is
disheartening to have our Innovations (INN) plans turned down by the
MHSOAC. Buster believed that their
review tool/tools should be made available to both the county and Mentalation
Solutions Group (MSG) so we don’t work up plans just to get them denied. Likewise it would be disheartening to submit
our IPI and have the OCHCA turn it down.
At the time Buster believed that the Innovation Advisory Committee could
apply the MHSOAC Review Tools when vetting a round of Innovation project
submissions.
TRCBase >
Partial
History with MHSOAC
Housing Can Be Traumatic – Bed
Portfolio
The currency for Housing trade that
Mentalation Solutions Group (MSG) is addressing here is “The Bed”. Specifically, the Beds for the disadvantaged,
disabled, and the homeless come in that come in many configurations. Here, we specifically address beds in the
Rent a Shared Room (RASR) environment.
We predict a growth in the population of those disabled and
disadvantaged in need. We also predict
an increase in the homeless. This we
find crazing because the lessons learned from Buster’s generation born
1955-1965 if applied properly was supposed to prevent Behavioral Health disability
in the younger populations. In other
words, it is hard to believe in the face of preventive measures that there are
so many new cases. Buster as well as
others have as their pillar for Recovery Bed quality: GreatBeds, GoodBeds, BadBeds,
and NoBeds. The BadBed experience can
haunt a consumer so long it qualifies as traumatic. Buster’s last go-round (episode) in 2012
centered about at least three BadBeds.
The battle scars from 2012 makes it hard for him work on his high-priority
tasks: Bed shopping and building a sound Bed Portfolio. Buster avoids his personal housing work
because it is incredibly uncomfortable.
When he does get out doing the footwork he is alarmed at what he is
discovering. It wasn’t until 2021 that
he found the nerve to re-start his RASR site visits.
Extended about Populations
Buster
distracts from his personal needs and unmet needs by fixing Housing Issues on
the population level. Some of his
populations are the: Shank cohort, Brand New Day cohort, and of course the
homeless in or near Santa Ana.
Mentalation Solutions Group (MSG) knows that he has overextended
time-spent targetting “Populations” such as the disadvanted in the OC needing a
GoodBed. During 2021 April and May
Buster carried out two Rent A Share Room (RASR) site visits. Lynn in Irvine wants Buster back yet she is
asking too much at $775 per month for one bed in a shared room. On May 11, 2021 he finally mustered up the
courage to return to gournd zero. Ground
Zero is Julie’s House were Buster was sleeping at the beginning of 2012. He expected to meet with Julie Paulino of what
Buster calls is Julie’s Paradise.
Instead to his pleasant surprise Julie’s husband and partner in crime Romer
Paulino. Romer was out front of the
Julie’s Anaheim Empire House. They spoke
for fifteen minutes. Romer indicated he
wanted Buster back. When Buster last
paid rent to the Paulino Operation in 2012 the rent was $450 per Month. Romer says that it is $650 now. This is a $200 per month increase in
approximately ten (10) years. Buster’s
SSDI check has not increased $200 per month in the last 10 years. This is an affordable housing issue.
Board & Cares (Traps) – Trapped and Starving
Even
though Social Security Disability Insurance (SSDI) has given the SSDI population
meager increases each year it falls way short in filling the $200 per month
gap. Finally, with these site visits Mentalation
Solutions Group (MSG) is off and running.
We have some odd fourty (40) RASR sites to review. Our resource lists gathered since 2007
includes some Board and Cares (B&C).
B&C’s contradict at least three (3) models: Recovery, psychiatric
rehabilitation, and better outcomes models.
We might visit some B&Cs to update our photo-documentation to
capture what we and others agree are traps.
There are very few individuals living in a B&C that have the
resources to recover and set things RIGHT.
When we talk to consumers that escaped their B&C BadBed they try to
describe their experience. Then we ask
did you feel trapped? They exclaim: Wow!
Yes I was trapped in a miserable living “HxLl”
One of the consumers B&C complaints is: “Not enough food” & “Not
enough meat”.
(**) The Ear of Chau – Personal Problems - Accessibility
There
was time when Buster could write a report asssociated with the Center of
Excellence (COE) and Dr. Clayton Lon Chau took the time to review it with him
in person. Back 2011 we met with Dr.
Chau to discuss three things. First) Buster
had been approved by HCA’s Dr. Dorman to “write assessment tools for the
county”. Second) Buster DBA as Keith
intended to write an Innovations Advisory Committee (IAC) performance
instrument. Third) Are the consumers
going to get a stipends for participation in the IAC. Since the inception of the MHSA the accessibility
to key players has decreased.
FYI
- December 6, 2011 Meeting with Dr. Chau
Engagements
2012
1. Innovations Advisory
2. Product: Draft of instrument encouraged
by Dr. Dorman
3. Discuss: Chances for Stipend
Truth
V Stigma V Guarded Disclosure
We
here at Mentalation Solutions Group (MSG) usually only disclose touchy
information when it could help others.
We have several blogs. Our Blogs
range from mostly liberal to mostly conservative. Some exercise our liberal morality. Our conservative Blog is designed as if
Buster were a “Normie”. It is not for
venting about his defects of character.
Appearently we consider his Chapman Room and Board (CR&B) and Chapman
Board and Care (CB&C) experiences as defective and placed it in one of of
liberal Blogs: The Torkel Saga – Scandinavian Explorer 2059 (TTS-SE2059). Below is an article we rushed out late in
2017 addressing Buster’s Rent a Shared Room (RASR) experiences at CR&B and CB&C. We tend to put Stigmatizing things in our
Liberal Blogs such as (TTS-SE2059).
TRCBase
& MSGBase > Query “stig”
Stigma_Scale_Ref_11051705c V2021
Back
@ Chapman
Wednesday,
December 13, 2017
Chapman
Board & Care – Chapman Campus – Consumer Review
2012
Allegation of Battery - The Torkel Saga 2059
Keith
E Torkelson Reviews Chapman Board and Care - Circa 2012
Target
California Department of Social Services (CDSS)
Post
Intention – Recover Stolen Property
We
posted our complaint about treatment at the “Chapman Campus” in 2012 on our
Blog back in 2017. We refrained sending
our complaint directly to the local office of the California Department of
Social Services (CDSS) because we wanted to test the functionality of their Case
Finding. Buster had his nose broken
while living at the Chapman Campus. We
describe the situation in our 2017 publication.
Even years later we still want Buster’s stolen property back.
Housing
and Learned Helplessness
Depending
on the Rent a Shared Room (RASR) environment consumers we group as Dying Old
Men (DOMs) learn to be helpless. These
DOMs more often than not suffer Behavioral Health symptoms. Progressively their Activities of Daily
Living (ADL) scores decrease. It is one
thing when the DOMs deteriorate learining helplessness and a whole other issue
when Transistional Aged Youth and Young Adults learn helplessness. Below is Mikel R. Mikel is in or near his forties (40s). Buster shared a RASR room with him for about
one year. Mikel was up and down about
his bed 24 hours a day. Mikel had some
remarkable symptoms going on. The photo captures
Mikel laughing inappropriately. Buster
found he was suffering something like psuedo-bulbar affect. In the middle of the night one night Buster
discovered and documented Mikel smoking “Spice”. This behavior contributed to the final straw. Mikel was relocated to a Bed out of the house. In an upcoming report on SLEEP and
SleepAbility we will discuss SLEEP as an indicator and pillar of health.
Site of Interest - Paulino’s Paradise
Presenting Problem – Vulnerable
Consumers in Need
Buster has a weak Bed Portfolio
yet we here at Mentalation Solutions Group (MSG) have been improving it. The resources we have for Renting a Shared
Room (RASR) are out of date with some going back to 2006. His portfolio is stronger than any in his
Shank or Brand New Day cohorts. When
they move it is by stumbling into a new bed of uncertain quality. Some are taken advantaged of especially with unaffordability. Others go away in an ambulance get
hospitalized then never return to their bed of origin. Some “fall” out of their BadBed and die
before they get a GoodBed. Others walk
away into homelessness. The community
has too few good resources and too little intelligence about the Rent a Shared
Room (RASR) marketplace. Buster has
limited resources to update RASR housing resources on his own. That is why MSG proposes the Housing Work
Group (HWG). After the HWG inventories
the RASR beds they can start work on Bed Quality Measurement (BQM). As it stands right now person in need of a
GoodBed: Face daily uncertainty, are nearly always at risk of going
homelessness, and experience increased risk for accidental injury or premature DEATH.
Transitional Housing
Below
are some photos that demonstrate some of the features about Bed’s, rest and
SLEEP. Buster caught up with one of his
one-time housemates Mark A. Relatively
speaking Mark A is a thriver. One the
right is his RASR at Julie’s Paradise.
He prefered sleeping on the floor.
Here it’s hard to know for sure if he is sleeping or pondering. Mark and Buster attend the same day program
Brand New Day (BND). In the photo on the
left Mark is at BND sleeping or pondering on the floor. It likely this is his transitional or respite
bed for the day. Buster did not rouse
him to find out for sure.
Hard
Move – Volume and Density of Property
Moving
to a bed of uncertainty can be relatively easy or nearly impossible. Buster’s moves have been hard due to the fact
that he has an enormous amount of property.
He rents a storage that doubles as office space in Tustin. The unit is 10x10x10 which equates to 1,000
cubic feet. Inside there is more than
2,000 pounds of paperwork including medical records. He cycles between compression (increasing
density) and decompression efforts.
Right now he is compressing by moving property into the unit. For years, Buster has dreamed for a grand
decompression. He want to move his
material rent-free to the old Tustin Lighter Than Air Station. He would like a 30x30x10 space which equates
to 9,000 cubic feet. He has been looking
into it for over the past 10 years. In
reality he is negotiating we both Clutter Cleaners and Hoarders to dispose of
his property in case he passes away. Historically
his family has handled his material in times of crisis. He has a few Easter Eggs in storage if the
family wishes to take a shot at is before Clutter Cleaners and/or
Hoarders. As a last option his surviving
family members could just let the storage property owner dispose of
things. Dispostion of property is
another aspect in a consumer Bed Portfolio.
Ever
Picture Tells a Story
Before
– During – After
As
we mentioned earlier, 2012 was a year of Catastrophic Losses for Keith “Buster”
Torkelson MS. Below we here at
Mentalation Solutions Group (MSG) include a photo of Buster before 2012. He is attending the Meeting of the Minds
(MOMs-2010) Conference. Next are two
photos taken during 2012. The one on the
left shows Buster’s broken nose. One of
the features of 2012 is that it would appear the Mr. Big Fat Food and Mr. Take
Away was holding Buster accountable for defects of character. Not all consumers get the chance to make substantial
and adequate amends as Buster has with being Accountable.
Priority Change
Query “ochca priorities”
Post Corona related hits
“ochca homeless priorities”
This section will be moved up
front in our pending sales report.
Basically it documents the nature of the homeless and homelessness
effort back in 2009. The presenters
indicated that they would end homelessness in Orange County within ten (10)
years i.e. Ten Years to End Homelessness.
We here at Tork Reconstruction Company (TRC) and Mentalation Solutions
Group waited to see. We were in a manner
preserving our reputation. Last week on
June 18 (F), 2021 a group presented again at the Annual Meeting of the
Minds. It sounded like a replay of ten
years ago. We will address both promises
in general and those about housing in our sales report.
Board of Supervisors On-board
Back in 2019 before the advent of
Corona if you searched for OCHCA priorities you would find they we centered
about resolving homelessness. Now in
2021 if you use the same search criteria most of the material centers about
Corona priorities and the emergence of homelessness issues associated with
Corona. We really can’t see reducing
homelessness unless you place or help consumer secure a GoodBed. The first material we have outlining a
Commission to End Homelessness appears in our database late in 2018. Once again, we remember the 10 Years to End
Homelessness (C2EH) Movement or Initiative.
Ten years has elapsed and we still have homeless in Orange County. Actually we may have more homeless in Orange
County than let’s say in 2010 or ten years ago.
We here at MSG posit: You can’t end homelessness. You can sure make it worse by giving
consumers false hope. What we can do is
give more and more people GoodBeds. What
we have learned from the C2EH is that it might be prudent to include a Board of
Supervisor (BOS) member in with our BedBusters effort.
FYI > Website
Commission to End Homelessness
(C2EH)
Pre-Corona Hit “ochca homeless
priorities”
Rigor We Wonder
Sometimes we wonder if our
reports are too long. In the context of
Homelessness we tracked down a 418 page PDF file. It was associated with the Commission To End
Homelessness Meeting. It was associated
with a: Regular Meeting - Commission to End Homelessness held on Wednesday,
March 20, 2019, 9:00 A.M. The document
implied that the OC Health Care Agency was a partner.
FYI
https://ochealthinfo.com/sites/hca/files/import/data/files/89151.pdf
Homeless Flux & Migration
Today is May 27, 2021. Buster is out in the community using some
free Wi-Fi resources. He comes to the
same corner in Santa Ana nearly every day of the week. Somethings he comes once in the morning and
again in the afternoon. The corner is
frequented by homeless people. Recently let’s
say this week including today the number of homeless is few. He did see a homeless veteran in a
wheelchair. If you didn’t understand “Homeless
Flux” one might think this corner is representative for a reduction of homeless
in the OC. Flux is the process of
flowing about. Obviously some odd 6
usual and frequent flyer homeless have migrated away. We standalone homeless people disappear many
have switched communal mode. If we look
hard enough within a couple of miles of our Wi-Fi corner we will find more in
pairs or small groups. Now today is June
21 (M), 2021. Yesterday we found many of
our frequent fliers have set up a shanty town along the freight spur near the
railroad crossing at Warner near Grand.
Unless we start delivering on GoodBeds that are affordable we will not
come close to resolving homeless issues.
Earlier we shared our prediction that the housing issues for the
disabled including disabled homeless are likely to get worse as they did over
the last ten years.
FAQ – How is it the going homeless can be advantageous?
Housing Advisory and Advocacy – Work Done
First we here at Mentalation
Solutions Group (MSG) began sharing our housing concerns in on non-housing
dedicated Blogs. Somewhere around 2019
we chartered our Housing Advisory Board Orange County Division (HAB-OCD)
Blog. Since we chartered our HAB Blog we
have published at least 14 posts. For
now this is how we work.
MSG’s HAB-OCD Stats
MHSA Innovations since 2010
Submits and Vetting From
Buster participated with Vetting
one round of Innovation Project Idea submissions. The material below is associated with the
vetting process at the time. One thing
we are looking now is the re-emergence of a theme that was turned down. For example it looks like Idea 14 may come
back in a slightly different incarnation.
In fact Buster tried to impress on Kathleen his OCHCA supervisor that
MHSA technology might jump on board to deliver mobile technology including
county-wide free Wi-Fi to consumers.
TRCBase >
Metadata > INN Project Idea Scoring 20121113 Submit V2021
The
Return - Persons Of Interest (POIs) –
The OCHCA Triad
We are nearing the end here. We now focus a bit discussing POIs. One again, we have to pen this as if we are going to share our findings in Face-to-face (F2F) get-togethers. Doctor Nagel (JAN) and Doctor Bera (RBB) are the most aware of what Keith “Buster” Torkelson is up to with respect to Housing. Doctor Nagel and Buster interrupted their conversation when in-person lost much of its’ meaning becoming potentially unnecessary. At the time we were working on the Housing Advisory Board (HAB) element of BedBusters. The last time we talked with JAN Buster had just finished the Housing Help Line (HHL) sell to Congressman Lou Correa. We will address our meeting with Correa and lessons we learned a bit below. In short Congressman Correa seemed impressed enough to asign us a “Worker” yet nothing much came of it. The “Worker” failed to follow-up.
Chau
- OCHCA Triad Member
Buster has three top tier friends with the Orange County Health Care Agency (OCHCA). One, Doctor Clayton Lon Chau knows Buster the best across multiple contexts and venues. As we mentioned we were hoping to seamlessly submit our MHSA Innovations Project Idea (IPI) via the MHSA INN submission route. When given the word we could be ready with it before the end of summer quarter 2021. Yet, Sharon Ishikawa who works for Dr. Chau says slow down.
FYI Query "ochca mhsa innovation"
Profile
- Senator Lou Correa
Buster
has a relatively long history with now Congressman Lou Correa. He first met Lou at one of the MHSA Workforce
Education & Training (WET) funded Consumer Training Program (CTP)
graduations. Later Buster signed on to
help Lou with his re-election campaign for California State Senator. Lou won the election. Next, Lou offered up space in his Santa Ana
Offices (SAOs) for consumers and stateholders to plan Job Fairs. He offered space at the same location free of
charge to hold one or more of our job fairs.
Buster met up with Lou in Orange when Lou was doing some outreach work
to the community. At this meeting Buster
asked Lou if we could meet up and discuss local Housing Concerns and
Solutions. During October 2020 Buster
met with Lou and some of his staff to sell some ideas for resolving housing
issues for the disadvantaged including the homeless. In the photo below Buster on the left is
featured with Congressman Lou Correa at Lou’s Santa Ana Offices. After discussing housing problems and fixes
about Orange County, Lou indicated that not all are worthy of housing
help. He assigned Buster a “Worker”. Yet as we mentioned earlier the worker never
followed up. Still Lou represents a
resource and sell him again we must. We
hope he can find a non-MHSA funding stream.
This will help us for when BedBusters goes national.
Correa
on Housing - Headline “Read All About It Poor Not Worthy”
Congressman
Distracted with Corona while demonstrating little concern for homeless and
other disadvantaged persons and family in his service area! Above was a photo of Keith “Buster” Torkelson
MS meeting with Congressman Lou Correa to discuss housing concerns in Lou’s
service area that includes Santa Ana.
Buster and Lou have a history going back more than ten years. “Read All About It – Poor Not Worthy”. At their meeting Lou shared that not all
disadvantaged need help meeting their unmet needs. In other words he felt that many were not
worthly. The princple in Health &
Human Services that he was eluding to is called The Worthy Poor. Congressman Correa believes that a housing
help line might be abused. With both of
the county funded help lines: OC LINKS and the Warmline, only the Warmline has
indicated some consumer abuse.
[FIND TWO GOOD PHOTOS OF DISTRACTION]
Next Steps
|
- |
|
|
|
|
Action Item |
Note |
|
|
|
- |
|
|
|
|
Get Dr. Chau’s attention |
Via our Housing Advisory Board –
Orange County Division Blog And direct communications |
|
|
|
Remind Dr. Chau |
The principles that he and his
taught us – Including life-long-loyalty |
|
|
|
Start re-directing
communications |
Start in summer quarter |
|
|
|
Use Twitter to sell existing
Posts |
Unfortunately Twitter has caused
problems with our Google driven publication penetration approaches |
|
|
|
Deliver on potential distraction |
Psychiatric Advanced Directives
(PADs) Deadline end of July 2021 |
|
|
|
Present on PADs |
First venue the OCHCA MHSA
funded Wellness Center West |
|
|
|
Improve Buster’s Bed Portfolio |
Right now we give it a D Grade |
|
|
|
Investigate Transitional
Housing |
Will be part of Buster’s Bed
Portfolio |
|
|
|
Continue Shock and Awe campaign |
Particularly sharing Behavioral
Health Medical Records |
|
|
|
Guarded Disclosure |
Still hard to do due to
Self-stigma |
|
|
|
- |
|
|
|
Last Reviewed: 20210621-M:
Promotions
As is more often the case we here
at Mentalation Solution Group (MSG) champions some notions at the end of our
publications. For this our “Submit”
report we promote: MSG’s Free Interactive Housing Advisory Board (FIHAB). FIHAB is different than our Housing Advisory
Board. FIHAB is driven by Facebook. We promoted Stigma Reduction earlier on. MSG and Buster “Take the no stigma
challenge”. We deliver by addressing
personal stigma through guarded disclosure.
Our Psychiatric Advanced Directive for Buster set for July 2021 delivery
is an example of guarded disclosure. We
promote OC LINKS because this keeps us aware of any supplanting issues. And last we promote Psychiatric Advance
Directives (PADs). Even if the county does
not get their Innovation PAD funding we feel the exercise will help us with our
BedBusters efforts.
OCLINKS Basic Information
Want to talk to someone? LiveChat
now available!
https://www.chorusplatform.io/m/oc-links/chat
“The OC Links Information and Referral Line provides telephone and online support for anyone seeking information or linkage to any of the Health Care Agency's Behavioral Health Services. These services include children and adult mental health, alcohol and drug inpatient and outpatient, crisis programs, and prevention and early intervention services. Callers can be potential participants, family members, friends or anyone seeking out resources, or providers seeking information about Behavioral Health programs and services. Trained Navigators provide information, referral, and linkage directly to programs that meet the needs of callers.”
“If you would like to learn more about services available through Behavioral Health Services, please call (855) OC-LINKS between the hours of 8 am - 6 pm to be connected to a Behavioral Health Navigator, or click on the OC Links Chat icon during open chat hours. TDD Number: 714-834-2332.”
Psychiatric Advance Directives
(PADs)
TRCBase >
08_Planning_Advance_PAD_14121301_Notes
V2021
20210613-SUN: Incidences of PADs
We looked back into our TRCBase
and MSGBase databases with the query PAD.
The first incidence of a record was in 2014. Our records indicate that The National Mental
Health Consumers' Self-Help Clearinghouse hosted as webinar on PADs. We here at Mentalation Solutions Group (MSG)
did not participate. On their website
dated 2018 the National Resource Center (NRC) on
Psychiatric Advance Directives (PADs) states: “Psychiatric advance directives
are relatively new legal instruments that may be used to document a competent
person’s specific instructions or preferences regarding future mental health
treatment”. This year 2021 the Orange
County Health Care Agency (OCHCA) is showing their interest in PADs. We here at MSG are in the research phase of
PADs with the intent to have Keith “Buster” Torkelson’s draft PAD finished by
the end of July 2021. Remember since
PADs are legal documents they are a state-by-state endeavor. We have engaged a bit with pre-selling
PADs. We attepted to inform a case
manager and one Behavioral Health Doctor (BHD).
Both think we are talking about Advanced Health Care Directives
(AHCDs). They indicated that they could
not take the time to address a PAD in times of crisis. We feel the most important sections of a PAD are: Medication Management, Housing Needs, and
Daily Activities including health promoting SLEEP.
FYI - State by State Info | NRC PAD
https://www.nrc-pad.org/states/
Images at the end
Family Affair –
Nature of Housing Platform
Buster’s inspiration
for a dedicated Housing Help Line comes from his family
This is where we have fun sharing select images that we find in the
Scope of Housing and Beds and the OCHCA
BeWell and Dr. Clayton Chau roughly 44 minutes
New & Improved Behavioural Health Advisory Board (BHAB)
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