Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief, Health System
David Young, Director, Behavioral Health and Recovery Services
Subject: Memorandum of Understanding with Seton Medical Center for 5150 Services
RECOMMENDATION:
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Adopt a resolution designating Seton Medical Center as a facility designated by the County for evaluation and treatment under Welfare and Institutions Code section 5150 et seq. and simultaneously authorizing a Memorandum of Understanding detailing the 5150 process and procedures with the provider for a term of January 2, 2018 through January 3, 2019.
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BACKGROUND:
The Health System's Behavioral Health and Recovery Services Division (BHRS) analyzed inpatient data from 2004 through 2017 to establish the current 5150 inpatient demand for persons 60 years of age and older, identifying a monthly demand of 9 admissions. Of these admissions, typically 50% are admitted to the inpatient psychiatric unit at the San Mateo Medical Center (SMMC) and the other 50% are placed and managed across several Bay Area hospitals. In an effort to find placement solutions that will allow clients to remain close to their families and support network, BHRS approached Seton Medical Center (Seton) about partnering to use Seton's recent addition of 20 licensed acute psychiatric beds serving the population of clients 65 years of age or older.
BHRS assembled a Designated Facility Review Team (consisting of the Medical Director, Assistant Director, and the Quality Manager) to work with Seton staff to establish: the terms of the designation represented in the MOU, training and certification processes to educate staff regarding County involuntary hold policies, and competency regarding patient rights and hearing procedures (led by the Patients' Rights Advocate Francesca Tennenbaum of the Mental Health Association, Alameda Chapter), as well as the recruitment and hiri...
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