SEPAC Presentation

1
SEPAC Presentation

• Amil Alzubaidi
• Program Specialist
• Licensed Marriage and Family Therapist
• School Psychologist
• The information contained in this power point
  presentation was taken directly from the various
  web sites.

2
Overview

• Supplemental Security Income (SSI)
• California Medical Assistance Program (Medi-Cal)
• California Children's Services
• Healthy Families
• Indigent Patient Programs
• Riverside County Department of Mental Health
  Services
• 5150
• Catholic Charities
• Central Access Team (CAT)
• AB 2726

3
Supplemental Security Income

• SSI
• Supplemental Security Income (SSI) is a Federal
  income supplement program funded by general tax
  revenues (not Social Security taxes)
• It is designed to help aged, blind, and disabled
  people, who have little or no income and it
  provides cash to meet basic needs for food,
  clothing, and shelter.

4
Supplemental Security Income

• HOW  DOES  THE  SSI  DISABILITY  PROGRAM  WORK  FO
  R CHILDREN?  
• To be eligible for SSI benefits, a child must be
  either blind or disabled.
• A child may be eligible for SSI disability
  benefits beginning as early as the date of birth
  there is no minimum age requirement.
• A child may be eligible for SSI disability
  benefits until attainment of age 18 A child with
  a visual impairment may be eligible for SSI
  blindness benefits if the impairment meets the
  definition of blindness.

5
Supplemental Security Income

• WHAT DOES "DISABLED" MEAN FOR A CHILD?
• An individual under age 18 is "disabled" if he or
  she has a medically determinable physical or
  mental impairment, which
• results in marked and severe functional
  limitations and can be expected to result in
  death or has lasted or can be expected to last
  for a continuous period of not less than
  12 months.

6
Supplemental Security Income

• WHY  IS  INCOME  IMPORTANT  IN  THE  SSI  PROGRAM?
    
• Deemed Income is the part of the income of your
  parent(s) with whom you live, which we use to
  compute your SSI benefit amount.
• Generally, the more income you have, the less
  your SSI benefit will be.
• If your countable income is over the allowable
  limit, you cannot receive SSI benefits.
• Some of your income may not count as income for
  the SSI program.

7
Supplemental Security Income

• HOW  TO  APPLY  FOR  SSI  BENEFITS 
•  
• You can apply for SSI benefits by
• Calling us at 1-800-772-1213 (or TTY
  1-800-325-0778 if you are deaf or hard of
  hearing) and making an appointment to apply for
  SSI benefits. With an appointment, one of our
  representatives will help you apply for benefits.
  You can have an appointment to apply for benefits
  on the telephone or in person at your local
  Social Security office. Having someone else
  call and make the appointment for you or assist
  you with your application for SSI benefits. For
  more information, see our chapter on HOW SOMEONE
  CAN HELP YOU WITH YOUR SSI. Visiting our office
  to apply without making an appointment, but you
  may have to wait awhile.
• You will have to provide information and work
  with us to get documents concerning SSI
  eligibility.
• You will have to file an application.
• We do not have SSI applications online. Most of
  the forms to apply for SSI benefits are not
  designed for selfcompletion. Our claims
  representative interviews you and uses a personal
  computer to complete the forms with information
  you give to us or someone else gives to us on
  your behalf.  

8
Supplemental Security Income

• YOU  HAVE  THE  RIGHT  TO  APPLY  
• Anyone may apply for SSI.          
• There is no charge to apply.        

9

• http//www.ssa.gov/ssi/text-over-ussi.htm

10
California Medical Assistance Program (Medi-Cal)

• Serving California Since 1966
• Medi-Cal is California's Medicaid program. This
  is a public health insurance program which
  provides needed health care services for
  low-income individuals including families with
  children, seniors, persons with disabilities,
  foster care, pregnant women, and low income
  people with specific diseases such as
  tuberculosis, breast cancer or HIV/AIDS. 
  Medi-Cal is financed equally by the State and
  federal government.

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California Medical Assistance Program (Medi-Cal)

• If you are enrolled in one of the following
  programs, you can get Medi-Cal
• SSI/SSP
• CalWorks (AFDC)
• Refugee Assistance
• Foster Care or Adoption Assistance Program
• In-Home Supportive Services (IHSS)
• You can also get Medi-Cal if you are
• 65 or older
• Blind
• Disabled
• Under 21
• Pregnant
• In a skilled nursing or intermediate care home
• On refugee status for a limited time, depending
  how long you have been in the United States
• A parent or caretaker relative or a child under
  21 if The child's parent is deceased or doesn't
  live with the child, orThe child's parent is
  incapacitated, orThe child's parent is under
  employed or unemployed
• Have been screened for breast and/or cervical
  cancer (Breast and Cervical Cancer Treatment
  Program)

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California Medical Assistance Program (Medi-Cal)

• Clinic Services
• Drug and Alcohol
• Inpatient/Outpatient Services
• Long Term Care
• Medical case Management
• Mental Health
• Physician Administered Drugs
• Physician Services
• Podiatry Services
• Allied Health
• Acupuncture (ACU)
• Audiology and
• Hearing Aids (AUD)
• Chiropractic (CHR)
• Durable Medical Equipment (DME)
• Medical Trasportation

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California Medical Assistance Program (Medi-Cal)

• Orthotics and Prosthetics
• Psychological Services (PSY)
• Therapies (THP)
• Occupational
• Physical
• Speech
• Pharmacy Services
• Vision Care Services
•  
• Wheelchairs    
• Wheelchair Repair   
• Hearing Aids    
• Battery for hearing aids and/or pace makers    
• Assisted Living Waiver Pilot Project
• AIDS Medi-Cal Waiver Program
• Developmentally Disabled
• Multipurpose Senior Service Waiver Program (MSSP)
  
• In-Home Operations
• Nursing Facility/Acute Hospital

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California Medical Assistance Program (Medi-Cal)

• http//www.dhcs.ca.gov/services/medi-cal/Documents
  /PDF_Medi-Cal20Applications/English/English20Int
  roduction.pdf

15
California Children's Services

• The CCS program provides diagnostic and treatment
  services, medical case management, and physical
  and occupational therapy services to children
  under age 21 with CCS-eligible medical
  conditions.
• CCS also provides medical therapy services that
  are delivered at public schools.

16
California Children's Services

• http//www.dhcs.ca.gov/formsandpubs/forms/Forms/Ch
  ildMedSvcForms/dhcs4480.pdf

17
Healthy Families

• Who may qualify?
• Children up to their 19th birthday and
• Children in the family without employer-sponsored
  health insurance in the last three months and
• Children living in California and
• Children who are not eligible for or who are not
  enrolled in no-cost Medi-Cal and
• Children who meet citizenship or immigration
  rules and
• Children in families with incomes within the
  Healthy Families Guidelines and
• Children born to mothers enrolled in the Access
  for Infants and Mothers (AIM) Program, who are
  not enrolled in the no-cost full scope Medi-Cal
  Program or employer-sponsored health insurance.

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Healthy Families

• Who can apply?
• Parents, legal guardians, stepparents, foster
  parents, or caretaker relatives may apply for
  insurance for a child living in their home. Only
  the parents income will be considered. If you
  are a legal guardian, step- parent, foster
  parent, or caretaker relative who lives with a
  child, your income will not be used to qualify
  the child for Healthy Families.
• If you are 18 years old, you may apply for your
  own insurance if you meet the income
  requirements.
• If you are a minor, you may apply for your
  children.
• Minors who do not live with parents, legal
  guardians, stepparents, foster parents, or
  caretaker relatives may apply for Healthy
  Families for themselves or their children.

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Healthy Families

• http//www.healthyfamilies.ca.gov/Downloads/Applic
  ations.aspx

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Indigent Patient Programs

• The Partnership for Prescription Assistance helps
  qualifying patients without prescription drug
  coverage get the medicines they need through the
  program that is right for them. Many will get
  their medications free or nearly free.
• The Partnership for Prescription Assistance will
  help you find the program thats right for you,
  free of charge.
• 1-888-477-2669
• Their web site is www.pparx.org

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• CARES Line (Community Access, Referral,
  Evaluation and Support)MediCal beneficiaries
  needing inpatient or outpatient care may call for
  referral to the appropriate services (county
  clinic or any of a network of contract
  providers).9707 Magnolia Ave.Riverside, CA
  92503
• 1-800-706-7500Se Habla Español
• Hours of Operation  Monday - Thursday  730 a.m.
  - 730 p.m

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• Parent Support ServicesParent Support Services
  provide liaison and referral for respite care,
  and parent support networking for clients of the
  Department.  Additional services include a
  resource library, access to donated goods and
  services fund, minority outreach activities, and
  development of information/resources for parents
  plus staff education and training.
• Parent Partners are hired to work with
  professional staff and families to assist in the
  planning and provision of treatment to children
  and families.  This includes but is not limited
  to orientation for families newly entering the
  Mental Health system, parent education, support
  groups, mentoring, advocacy and parent-to-parent
  support.  One Parent Partner works in
  Administration to implement parent/professional
  partnership activities at the policy and program
  development level and to ensure the parent/family
  perspective is incorporated into all policy and
  administrative decisions.
• 9707 Magnolia Ave.Riverside, CA 92503
• [phone]Se Habla Español
• Hours of Operation  Monday - Thursday  800 a.m.
  - 530 p.m.

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• Parent-to-Parent Telephone Support LineThe
  Parent-to-Parent Telephone Support Line is a
  non-crisis line open to parents caregivers in
  Riverside County who are raising a child/youth
  with mental health/emotional and/or behavioral
  challenges. These calls are confidential and
  returned from a parent employed by the Department
  who has experience raising a child with emotional
  challenges.
• [phone](888) 358-3622 Toll Free

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• "Open Doors" Support Groups"Open Doors"
  Community Support Groups are open to Riverside
  County families and caregivers who are raising a
  child/youth with mental health/emotional and/or
  behavioral challenges.  These groups offer
  support and information and are held monthly in
  Riverside and Corona.  For more information call
  the Parent to Parent Telephone Support Line
  .[phone](888) 358-3622 Toll Free

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• Preschool 0 - 5 ProgramThis programs goal is to
  expand current treatment options, and to develop
  new mental health interventions for children ages
  0-5 years old and their families.  They focus on
  providing mental health services in settings
  familiar to families with young children.  Mental
  health screening, evaluations, treatment and
  consultation in center based childcare
  facilities, pediatricians offices, and in other
  natural environments are the primary treatment
  settings for the services of this program.  To
  help develop qualified treatment providers within
  public and private organizations.  Preschool also
  sponsors trainings related to topics about the
  healthy social-emotional development of young
  children that are family centered and
  strength-based.
• 769 Blaine Street, Suite ARiverside, CA 92507
• [phone]Se Habla Español
• Hours of Operation  Monday - Thursday  800 a.m.
  - 530 p.m.

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• Riverside County Regional Medical Center
  Emergency Treatment Services (ETS)Provides
  psychiatric emergency services 24 hours a day for
  all ages including evaluation, crisis
  intervention, and referrals for psychiatric
  hospitalization, as needed for adults, children,
  and adolescents. Access this service directly if
  in the Riverside area or contact the crisis
  number in Mid-County and/or Desert areas .
• ETS is operational 24 hrs a day, 7 days a week.
• 9990 County Farm Road, Suite 4Riverside, CA
  92503
• [phone]Se Habla Español

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5150 (Involuntary psychiatric hold)

• Section 5150 is a section of the (specifically,
  the Lanterman-Petris-Short Act or "LPS") which
  allows a qualified officer or clinician to
  involuntarily confine a person deemed to have a
  mental disorder that makes them a danger to him
  or her self, and/or others and/or gravely
  disabled. A qualified officer, which includes any
  California peace officer, as well as any
  specifically designated county clinician, can
  request the confinement after signing a written
  declaration. When used as a term, 5150
  (pronounced "fifty-one-fifty") can informally
  refer to the person being confined or to the
  declaration itself.

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5150

• DANGER TO SELF
• Evidence of being a danger to self does not have
  to be personally observed by the evaluator and
  may be observations reported to the evaluator by
  a reliable witness. Listed below are specific
  criteria that may determine if a student meets
  5150 criteria for danger to self
• The student has indicated by words or actions an
  intent to commit suicide or inflict bodily harm
  to self.
• The students statements or actions indicate a
  specific plan or means by which to commit suicide
  or inflict harm to self.
• The students plans or means are accessible or
  within his/her ability to carry out.
• The student refuses to accept, or is unwilling or
  unable to obtain, psychiatric evaluation and
  treatment.
• Questions that should be asked to determine if a
  person is a danger to himself/herself
• Does the student intend to kill himself/herself?
  Ask the student or someone involved with
  him/her.
• How does the student intend to kill
  himself/herself? (Look for weapons, pills, or
  evidence of a plan knife in backpack, jumping
  off a ledge, etc.)
• Has the student ever done anything to try to kill
  himself or herself in the past?
• If he/she did attempt to kill himself/herself in
  the past, what did he/she do?

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5150

• DANGER TO OTHERS
• Evidence of being a danger to others does not
  have to be personally observed by the evaluator
  and may be observations reported to the evaluator
  by a reliable witness. Listed below are specific
  criteria that may determine if a student meets
  5150 criteria for danger to others
• A student has indicated by words or actions and
  intent to cause bodily harm to another person.
• The students threats or intentions are specific
  as to the particular person(s) he/she would do
  harm to.
• The student identifies the means by which he/she
  would do harm to another person, and these means
  are within the ability of the individual to carry
  out.
• The student is engaging in or intends to engage
  in acts or behavior of such an irrational,
  impulsive, or reckless nature, such as
  destruction of property that will cause harm to
  someone or misuse of a vehicle as to put others
  directly in danger or harm.
• The student refuses to accept, or is unwilling or
  unable to obtain, psychiatric evaluation and
  treatment.
• Questions that should be asked by an evaluator to
  determine if a student is a danger to others
• Is the student actively or passively engaged in
  violent or dangerous behavior?
• Does the student state he/she is going to carry
  out violent or dangerous behavior?
• Does the student have a plan to follow through
  with this behavior?
• Does the student have the means to follow through
  with this plan?
• Does the student have a background of violence or
  dangerous behavior?
• Has the student acted on plans of violent
  behavior in the past?

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5150

• http//www.dmh.cahwnet.gov/News/Publications/Forms
  /docs/MH302.pdf

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5150

• WELFARE AND INSTITUTIONS CODE SECTION 5150-5157
• http//www.leginfo.ca.gov/cgi-bin/displaycode?sect
  ionwicgroup05001-06000file5150-5157

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• Therapeutic Residential Assessment
  Consultation Team (TRAC)The TRAC Team is a
  program that provides specialized assessment and
  consultation services focused around minors who
  are placed by Riverside County or are at risk of
  placement.  The TRAC Team also coordinates all
  Therapeutic Behavioral Services and focuses on
  all interagency residential issues.
• 9707 Magnolia AveRiverside, CA 92503
• [phone]Se Habla Español
• Hours of Operation  Monday - Thursday  800 a.m.
  - 530 p.m.

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• TBS is a specialty mental health service. This
  service provides additional short-term support to
  children/youth with serious emotional problems
  who are experiencing a stressful transition or
  life crisis. TBS will assist them in their
  transition to a lower level of care, including
  the natural home or avoid moving to a higher
  level of care, including hospital or group home.

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• Who is eligible for TBS?
• 1) Children/youth with full scope MediCal
  benefits, 0-21 years of age with serious
  emotional problems who are experiencing a
  stressful transition or life crisis.
• 2) Children/youth who meet medical necessity and
  are receiving mental health services.
• Children/youth must meet one of these
• requirements to be considered for TBS
• 1) Is living in a group home with a Rate
  Classification Level of 12 or above, or
• 2) Is being considered for these facilities, or
• 3) Has had at least one emergency psychiatric
  hospitalization related to their current
  emotional disturbance within the preceding 24
  months.
• Additional criteria must also be met and can be
  explained in detail by your mental health
  clinician.

35

• Temecula Mental Health41002 County Center Drive,
  Ste. 320Temecula, CA 92591(951) 600-6355
• Hours of Operation  Monday - Thursday  800 a.m.
  - 530 p.m.These programs provide diagnostic
  and referral services to children and
  adolescents.  Ongoing outpatient treatment
  services are then provided as needed. Other
  special treatment services are available. 
  (Family Services Association (FSA) of Riverside,
  under contract, provides outpatient services to
  the Lake Elsinore area. Access is through the
  Perris Clinic).

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Catholic Charities

• DEPARTMENT OF COMMUNITY EMERGENCY
  SERVICESCaseworkers in multiple locations
  provide case management services, emergency food,
  rent and mortgage assistance, utility assistance,
  transportation, information and referral,
  outreach services, advocacy, HIV/AIDS services,
  and other support services for families.
• DEPARTMENT OF CARITAS COUNSELING SERVICESCaritas
  Counseling Services provides professional
  individual, family, group counseling, parent
  education services, family enrichment programs,
  and on-site school counseling at 15 schools
  throughout the two-county area. Professional
  counseling services are provided by licensed
  therapists and supervised pre-licensed
  therapists.
• DEPARTMENT OF REFUGEE IMMIGRATION SERVICESAs a
  BIA (Board of Immigration Appeals) accredited
  agency, staff assists clients with application
  for naturalization, adjustment of status, family
  petition, family unity, work permit, family
  reunification, fiancé visa, self-petition for
  domestic violence victim, registry and
  certificate of citizenship for children. Services
  are provided at multiple locations throughout the
  two-county area.
• DEPARTMENT OF EMMANUEL OUTREACH SERVICESEmmanuel
  Outreach Services trains volunteers to provide a
  range of outreach services in the community.
  Volunteer-based services include support group
  facilitation, home visiting, and food/clothing
  distribution projects in the East Coachella
  Valley. An area of specialization is
  paraprofessional bereavement counseling.

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Catholic Charities

• FAMILY ASSISTANCE PROGRAMS
•  
• San Bernardino(909 880-3625
• Ontario [phone]
• High Desert  [phone] x8454
•  
• Moreno Valley  [phone]
• Riverside  [phone]
• Coachella Valley  [phone]
•  
• COUNSELING PROGRAMS
•  
• San Bernardino [phone]
• Riverside  [phone]
• Coachella Valley  [phone]
• High Desert  [phone]
•  
• CITIZENSHIP IMMIGRATION PROGRAMS
•  

38
Riverside County Department of Mental Health
Central Access Team (CAT)

• This program is the screening and authorization
  unit for Medi-Cal beneficiaries needing inpatient
  or outpatient care. Beneficiaries may call for
  referral to the appropriate services. Licensed
  clinicians determine eligibility, provide crisis
  intervention, as well as linkage to outpatient,
  inpatient, and community resources.
• [phone]

39
AB 2726

• The federal Individuals with Disabilities
  Education Act (IDEA) ensures that children with
  disabilities are entitled to a free, appropriate
  public education in the least restrictive
  environment. Special education pupils who require
  mental health services in any of the 13
  disability categories may receive services from
  county mental health programs. To be eligible to
  receive services, they must have a current
  individualized education plan (IEP) on file. The
  services must align with the childs needs as
  identified in the IEP and are designed so that
  children will benefit from their educational
  programs. They are free to all eligible students
  regardless of family income or resources.

40
AB 2726

• Prior to the LEA submitting a referral to CMH the
  following must be conducted and documented
• Student has an active IEP
• IEP team developed and implemented various
  interventions including
• Behavior Support plan
• Possible change of Placement
• Designated Instructional Services (DIS)
• Counseling (individual or group)
• IEP then reconvenes and determines as a team if
  an AB 2726 referral is warranted.
• Basis of the referral is due to the student
  contending with a chronic mental health condition
  that is impacting the students educational
  performance.
• LEA pursuant to a referral to CMH must implement
  and document tried and exhausted resources that
  the IEP team deemed unsuccessful prior to a
  referral to CMH.

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Resources

• http//mentalhealth.co.riverside.ca.us/opencms/eng
  lish/help/children.html
•  
• http//riverside.networkofcare.org/mh/resource/tax
  _list.cfm?swRF-2000cat8064
•  
• http//www.dhcs.ca.gov/services/medi-cal/Pages/Med
  i-CalEligibility.aspx
•  
• http//riverside.networkofcare.org/veterans/resour
  ce/agencydetail.cfm?pidRiversideCountyDepartmento
  fMentalHealthCentralAccessTeamCAT_866_17_0
•  
• http//www.ccsbriv.org/home.html
•  
• http//mentalhealth.co.riverside.ca.us/opencms/eng
  lish/services/childrens/
•  
•