Turning Point Community Programs (TPCP)

Tpcp currently operates eight youth/tay Programs in both sacramento and yolo county. Below are highlights from some of these programs.flexible integrated treatment (fit) program, formerly known as focus, has been in operation since 1999 and works with youth who are experiencing emotional and behavioral difficulties. The therapist/treatment team members, partner with youth and their families in addressing their stated needs utilizing a family-focused, strength-based approach. Fit is able to increase or decrease clinical supports depending on the level of need the youth has at any given time. The program provides individual, family, and group therapy, skills training, advocacy, case management, and psychiatric supports. The program also incorporates specific evidence-based practices as treatment modalities.in the 22/23 fiscal year the flexible integrated treatment (fit) program served a total of 437 unduplicated clients were served. Comparing the 210 clients with both an initial and re-evaluation/discharge child and adolescent /needs and strengths assessments (cans), there was a decrease in the total actionable items in 7 (77.8%) of the 9 areas within the child behavioral/emotional needs domain (i.e., psychosis, depression, anxiety, anger control, etc.). Further, there was a decrease in the total actionable items in all 11 (100%) areas of the life domain functioning domain (i.e., developmental/intellectual, decision-making, school behavior, etc.). Of the 465 unique individuals served, 95.7% accrued zero psychiatric hospitalizations. Lastly, 30.0% of discharges was due to the client having successfully completed services.therapeutic behavioral services (tbs) is an intensive, one-to-one short-term outpatient mental health treatment service that has been in operation since 2002. Tbs is designed for children and youth with serious emotional problems who are experiencing a stressful transition or life crisis and needing specialized support services. Tbs services utilize an individualized approach building on youth and family strengths to create a behavior plan the family is able to maintain after services have ended. This plan is developed from a detailed functional behavioral assessment which includes environmental strategies, development of skills and new behaviors, positive supports, and reactive strategies. Services are provided until the individual's behaviors have been resolved or reduced to an acceptable level, no longer placing them at risk. In the 22/23 fiscal year, the kaiser tbs program served a total of 142 unduplicated clients. Between those 142 clients, the average length of service (in minutes) per client was approximately 3,367. Further, at discharge, 84.8% of clients served knew ways to keep calm (in comparison to 64.0% at intake), 85.6% could tell when they begin to feel upset/overwhelmed (compared to 71.7% at intake), and 83.7% felt they knew what to do should they become upset/overwhelmed (compared to 54.7% at intake). Additionally, kaiser tbs received a youth satisfaction rate of 90% while caregivers gave a rating of 93.7%.in the 22/23 fiscal year, 64 unduplicated clients were served through the sacramento tbs program. At the time of discharge, 81.0% of participants felt that they knew ways to keep themselves calm, 88.6% felt that they could tell when they begin to come upset/overwhelmed, and 81.9% felt that they knew how to help themselves should they become upset or overwhelmed. Additionally, sacramento tbs received a youth satisfaction rate of 91.4% while caregivers gave a rating of 87.8%.in the 22/23 fiscal year, 31 unduplicated clients were served through the yolo tbs program. At discharge, 87.7% of clients served knew ways to keep calm (in comparison to 58.5% at intake), 83.1% could tell when they begin to feel upset/overwhelmed (compared to 75.4% at intake), and 80.0% felt they knew what to do should they become upset/overwhelmed (compared to 63.1% at intake). Additionally, yolo tbs received a youth satisfaction rate of 84.6% while caregivers gave a rating of 94.7%.

Since november of 2017, tpcp, in partnership with sacramento county, has been operating the first mental health urgent care clinic (mhucc) in sacramento county. The mental health urgent care clinic (mhucc) is a walk-in clinic for individuals with an urgent mental health need. The mhucc is a client-centered program that focuses on providing immediate relief to individuals and families in distress. The program intends to avert psychiatric emergency room visits and involuntary hospitalizations. The goal of mhucc is to foster recovery for individuals and families through the promotion of hope and wellness. The clinic provides quiet rooms as a place for individuals and families to safely and comfortably address their crisis and distress, including specific rooms designed to meet the needs of children, adolescents, and adults. As a walk-in clinic, the mhucc welcomes anyone experiencing mental health distress regardless of age and ability to pay. Individuals experiencing non-psychiatric emergencies are encouraged to visit their local emergency room or call 911.in the 22/23 fy, a total of 5,557 referrals were made to the mhucc. 4,966 of those referrals were accepted and served. 3,066 referrals were self-referrals while 427 were made by friends/family, 253 were from emergency departments, 254 were made by the primary care physician, 140 came from school settings, 93 were from law enforcement, and 4 came directly from jails. Within the reporting period the mhucc provided 781 triage services, 1,675 peer services, 4,392 clinical services, 3,833 nursing services, and 2,560 prescriber services.

In fy 22/23, crp viking served a total of 169 unduplicated individuals. Of the 165 discharges that occurred within the reporting period, 50.9% were discharged due to having successfully met their goals. Crp viking also received an overall satisfaction rate of 95.1%. The rio linda crp served 150 unduplicated individuals and had an overall satisfaction rate of 86.9%. In the 22/23 fiscal year, a total of 154 unduplicated individuals were served at the henrietta crp. Those 154 clients were supported through linkages made to various outpatient services such as self-help groups, housing resources, financial resources, aod supports, and food and clothing services. Of the 153 discharges that occurred within the reporting period, 64.3% were discharged due to having successfully met their goals. Lastly, the program received an overall satisfaction score of 93.3%.

Turning Point Community Programs (tpcp) provides integrated cost effective mental health services combined with employment and housing services to promote recovery, independence and selfsufficiency. Program successes are measured in the reduction of hospital, incarceration, and homeless days as well as the decreased use of emergency rooms and crisis services. Prgrams success is also measured through consumer satisfaction surveys. People move beyond their diagnoses, recover, and contribute to the Community. Tpcp serves over 16,000 clients with psychiatric disabilities in ten northern California counties: sacramento, stanislaus, yolo, Nevada, placer, butte, merced, san joaquin, sonoma, and solano. Clients with mental illness served include the homeless, adults, families including children and young adults/transition aged youth (tay).tpcp also provides unique services through its transitional support services (tss) Programs located within sacramento, solano, sonoma, and butte county. Tss Programs provide Community support services to adults challenged with co-occurring psychiatric disorders and developmental disabilities. The type and intensity of services provided will be based on the minimum level of intervention necessary to maintain the health/safety of the individual and to support progress toward their identified goals. Tss is designed to minimize dependency and to effect the most rapid "normalization and Community integration possible. The central aspect of the tss program is member choice. Before an individual is offered tss membership, they will be helped to understand the tss philosophy. Tss will honor each person's expressed goals.in the 22/23 fiscal year, the tss south site located in sacramento served 81 unduplicated individuals. Of the 81 individuals served, 95.1% accrued zero psychiatric hospital days; 92.6% accrued zero homeless days, 98.8% accrued zero jail days, and 90.1% accrued zero emergency interventions. The program also received an overall satisfaction rate of 94.5%. The tss north site, also located in sacramento, served 82 unduplicated individuals. Of the 82 individuals served, 90.2% accrued zero psychiatric hospital days; 87.8% accrued zero homeless days, 95.1% accrued zero jail days, and 88.9% accrued zero emergency interventions. The program also received an overall satisfaction rate of 94.0%.turning Point also operates tss Programs in solano, sonoma, and butte county. Tss chico, located in butte county, also operates a housing program that offers a two-pronged approach in supporting the housing needs of adults in butte county. The first service offered is a permanent supportive housing program (pshp) for adults with both a developmental disability and a psychiatric disorder. Pshp clients are provided transitional support services (tss-chico) wrap-around services to support them in obtaining and maintaining permanent housing. The second service offered is the availability of two crisis beds (cb) for individuals in need of safe, supportive, temporary short-term housing.in fy 22/23, the chico housing program served a total of 9 unduplicted individuals, 7 through permanent supportive housing and 2 through its crisis beds. Of those served through permanent supportive housing, 87.5% accrued zero emergency interventions, 87.5% accrued zero homeless days, 100% accrued zero psychiatric hospital days, and 87.5% accrued zero jail days.turning Point Community Programs operates a full service partnership (fsp) integrated services agencies (isa) in sacramento. Isa services generally include the provision of psychosocial rehabilitation and recovery services for adults with psychiatric disabilities and extended histories of long-term hospitalization. The goal is to help individuals "take charge of their lives" through informed decision-making along with psychiatric, rehabilitative and psychosocial support. Services are based on the individual's long-term goals and desired results. The isa served a total of 273 unduplicated individuals within the 22/23 fiscal year. In that reporting period, of the 269 individuals served, 74.0% did not accrue psychiatric hospital days, 95.2% did not accrue incarceration days, 92.3% did not accrue homeless days, and 75.1% did not accrue emergency interventions. The program received an overall satisfaction rate of 78.5%.in sacramento county, tpcp's pathways to success after homelessness provides comprehensive, integrated mental health services including housing for 350+ children and their families, transition aged youth, adults, and older adults. Pathways provides permanent supportive housing and mental health services for those with psychiatric disabilities and long-term or cyclical homelessness. Staff uses a harm-reduction "whatever it takes" approach to support members in meeting their desired goals. Families with children are offered culturally diverse supportive services so they can stay together and be part of the Community. All eligible groups will maintain housing; children will attend school or quality day care as appropriate; transition age youth and adults will be supported to improve their quality of life through employment, education, volunteerism, and an improved social support system; and older adults will be actively engaged in ways that enhance their independence and decrease isolation. Pathways is one of the first major prop. 63 mental health services act funded Programs to be launched in sacramento county. In the 22/23 fiscal year, pathways served a total of 336 unduplicated individuals. In that time period, of the 336 individuals served, 83.0% did not accrue psychiatric hospital days, 89.6% did not accrue incarceration days, 70.0% did not accrue homeless days, and 85.1% did not accrue emergency interventions. Additionally, the program received an overall satisfaction rate of 80.8%.in fy 22/23, Turning Point added three Community outreach recovery empowerment (core) Programs, all within sacramento county. Core address the needs of adults, 18 years and older, living with serious mental illness who may be at risk of or experiencing psychiatric hospitalization or homelessness, struggling with a co-occurring substance use disorder, or engaged in the criminal justice system. The core program consists of two components: 1) an outpatient mental health clinic, and 2) a peer run Community wellness center (cwc). The core outpatient program provides community-based, flexible, recovery-oriented, strength based behavioral health services and housing supports that are trauma and culturally informed. The peer run Community wellness centers provide access to Community resources, groups and wellness activities to the surrounding Community and is available to any Community member age 18 and older. The activities of the cwc's are informed by the communities they serve. The cwc's offer an entry Point to more formal services for Community members who qualify for those services.between september 2022 and june 2023, the cores, combined, served 1,452 unduplicated individuals through the outpatient component and 591 unduplicated clients through the wellness centers. Within the wellness center, 491 clients were supported with Community linkages, 488 had support developing personal plans, and 314 received general client support. Through outpatient, 1089 clients had assessments completed and 986 received case manageament services.