TAO 2010 Q3

Download FY 09/10 Quarter 3 - Progress Report - PDF

FY 09/10 Quarter 3 - Demographics

The Telecare and Orange (TAO) program is a Full Service Partnership (FSP) adult program designed to help awaken individual's hopes and dreams for a better quality of life. As Graph A illustrates, the TAO program primarily serves the Adult population (Ages 26-59) in Orange County. However, based on the clients' individual needs we may enroll members who meet the Transitional Age Youth (16-25) age criteria as long as they are 18 years of age or members who meet the Older Adult age criteria (60+).

As Graph B illustrates our current enrollment features a higher number of female members to male members. As part of TAO's commitment to a recovery culture, TAO strives to give our members a welcoming feeling from the minute they walk into the program. TAO is designed to use a multidisciplinary team, which includes a psychiatrist, a nurse, a Masters prepared Team Lead and Personal Service Coordinators with experience in both drug and alcohol and mental health to provide services regardless of gender.

Graph C illustrates how the TAO program provides services to a wide variety of cultures, ethnicities, and reflects outstanding racial diversity. The program is designed to provide culturally competent services to adults with serious mental illness. One of the ways to ensure this is through trainings in cultural competency and the promoting of a recovery culture through out the program.

The staff at TAO have the capability to provide cultural competent services in several languages so that the program is able to meet the cultural and linguistic needs of the members. Currently TAO can provide services in Orange County's four threshold languages: English, Spanish, Vietnamese, and Farsi. In addition, TAO staff can also provide services in Korean and Chinese.

Graph D illustrates member's living arrangements. One of the areas of focus at TAO is the reduction of member's homeless days. Our clients living situation gets addressed immediately as new members are enrolled into the program. In order to help restore our member's dignity, self worth, and self respect TAO features a full-time Housing Specialist on staff to ensure that progression is made to resolve our members living situation needs from day one. In some cases our specialist addresses this from the first initial contact with any potential new members.

The Housing Specialist also works diligently with our existing members to solve any housing issues that may arise. The 20 members that are categorized as "Other" represent members that are missing, incarcerated, hospitalized, or homeless. This number reflects a reduction of seven members the previous analyzed month of December 2009. For the month of March 2010, TAO had 519 homeless days out of a total 6,756 member days or around 8%.

As Graph E illustrates, there were 70 incarcerated days out of a possible 6,756 member days in the month of March 2010, which is roughly 1%. Due in part to the "whatever it takes" approach in the services that are provided by the staff at TAO, 98% of our members did not spend any days incarcerated during this period. The decrease of incarcerated days and incarceration episodes is one of the goals we strive for at TAO. The Personal Service Coordinators at TAO provide support and education in the form of intensive case management which includes 24 hour a day, 7 days a week availability. This is to ensure that our members know that we can be reached in times of need any day of the week regardless of the day and time.

As Graph F illustrates, for the month of March 2010 out of a possible 6,756 member days, TAO had 239 hospitalized days or approximately 3.5%, this total reflects a decrease of three hospitalized days from the previous analyzed month of December 2009. To help increase our member's resiliency in their recovery journey the TAO program provides medication support and education.

Medication is part of some, but not all, members' recovery. TAO features psychiatrists and nurses on staff that provide support and knowledge to our members when medication issues arise. The psychiatrists and nurses are an integral part of our program; TAO strives to reduce the number of our members' psychiatric hospitalizations through adequate medical care and the connections that are developed with our Personal Service Coordinators' engagement.

Graph G illustrates the number of currently enrolled members engaged in employment activities. The total number of 37 members engaged in employment activities represents a 5% increase in relation to the total number of enrolled members from the previous analyzed month of December 2009. The TAO program features a full-time Employment Specialist on staff to provide assistance, education, and support to our members.

Our consumer designed and operated Wellness Recovery Center features computers with internet access, printing capabilities, and employment groups headed by our employment specialist that can be accessed by members that choose employment as one of the goals in their recovery journey. The Personal Service Coordinators at TAO work along side the Employment Specialist to help interested members become engaged in gainful employment activities.

Graph H illustrates the number of members currently engaged in Educational activities. The 20 members engaged in educational activities represents a 1% increase in relation to the total number of enrolled members from the previous analyzed month of December 2009. The TAO program also provides help with linkage to vocational and educational services and support to those members that choose education as a part of their journey to recovery.

Education plays a vital part in awakening some of our members' hopes and dreams for the future, as well as being a meaningful activity in their lives. The Personal Service Coordinators and the Educational/Vocational Specialist work with those members interested in becoming engaged in educational activities to accomplish this goal.

Graph I illustrates how the TAO program provides services to members with a wide spectrum of mental illness diagnoses. The psychiatrists that are on staff at TAO diagnose and treat each member with medication or counseling when needed and according to each individual's needs and diagnosis. Personal Service Coordinators engage members to empower them to be able to deal with the rigors of living with a mental illness.

TAO staff's commitment to the recovery process allows for an improvement in member's quality of life. About 90% of services are provided outside of the office so that TAO can engage members out in the community instead of a clinical setting.

Graph J illustrates the number of members with a dual diagnosis. At TAO there are a higher number of Dually Diagnosed members compared to members that only have a Severe Mental Illness diagnosis. The TAO program was designed to be capable of providing services to consumers that were dually diagnosed with both a severe mental illness and chronic substance abuse. In addition to the Personal Service Coordinators on staff, TAO also features a full-time Substance Abuse Specialist that is able to provide services and supports to dually diagnosed members so that they learn how to make choices that lead to self control and self responsibility.

The Substance Abuse Specialist facilitates substance abuse group sessions for members so that education and knowledge can be provided to those with a chronic substance abuse diagnosis. Our Wellness Recovery Center also provides dual recovery services that may help in relapse prevention. All clinical staff at TAO are trained in being able to recognize and work with dual diagnosed members.