Thursday, August 14, 2014

New Report: California Mental Health Services Act Fails Seriously Mentally Ill

California Mental Health Services Act Oversight Commissioners (MHSOAC) just issued a press release saying Prevention and Early Intervention (PEI) programs (20% of total MHSA Funds) are working. 
http://www.mhsoac.ca.gov/MHSOAC_Publications/docs/PressReleases/2014/PR_Programs-Work_080514.pdf

However, they didn't even study adults with serious mental illness.

They only studied "youth, young adults and the elderly " In fact, the youth being studied were not those with mental illness, but those "Displaying Emotional Disturbance as a Result of Trauma". The elderly population studied had 'depression'. Depression is not a serious mental illness, Severe Major Depression is, although it is clear that depression can become severe major and using MHSA funds to prevent that would be allowable. I am unable to analyze the data to see if thats what they did. Here are links to the 3 studies

More bothersome to me is that in May MHSOAC  got the results of a study of Community Support Services (CSS) Programs (Roughly 80% of MHSA funds). That study shows the CSS program is NOT working. MHSA did not put out a press release on that. I just discovered the report. The report measured School Attendance, Employment, Homelessness/Housing, and Arrests. It found:

Attendance (only measured for youth)
 "Results indicate that among child FSP consumers, in each FY a majority did not report changes in attendance ratings from intake (PAF) to most recent valid quarterly assessment (3M)..... Among TAY FSP consumers, the largest proportion of participants reported no change in attendance ratings from intake (PAF) to most recent assessment (3M) in each FY. "

Employment 
"Across age groups and years, a majority of FSP consumers did not change employment status. "

Housing
"Across age groups, most FSP consumers did not report changes in housing status. "

Arrest
Across the three most recent years, there appears to have been a general downward trend in the percentage of arrests in every age category. ....(H)owever, it is not clear if this trend is attributable to the effect of services provided or is instead a consequence of proportionally more consumers added in these later years not having prior arrests, making them less likely to be arrested.  
(i.e, they are taking less symptomatic people who are less likely likely to have an arrest record. -dj)




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