MHSA Innovation (INN) Program Overview:
The MHSA Innovations (INN) Plan is the final MHSA plan to be implemented in Los Angeles County. The plan is focused on identifying new practices for the primary goal of learning and increasing the array of creative and effective approaches that can be applied to mental health services for specified populations.
LAC-DMH community stakeholders have identified four (4) models of care that will integrate mental health, physical health and substance abuse services. MHSA Innovation (INN) programs seek to learn which practices increase quality of services, improve consumer outcomes, promote community collaboration and the most cost effective in order to meet the spectrum of needs of individuals who are uninsured/economically disadvantaged, homeless and members of underrepresented ethnic populations. By implementation and evaluation of new and innovative approaches, the time-limited MHSA INN program will contribute to learning and inform future practice.
Integrated Clinic Model (ICM):
The Integrated Clinic Model is designed to improve access to quality culturally competent services for individuals with physical health, mental health and co-occurring substance use diagnoses by integrating care within both mental health and primary care provider sites. ICM programs are staffed with multidisciplinary professional teams and specially trained peer counselors and paraprofessionals. Services provided by ICM programs include: Recovery Oriented Assessments, Mental Health Treatment Services, Co-occurring Substance Abuse Services, Peer Counseling and Self Help, Primary Care Services, Homeless/Housing Services, Care Management, Wellness Activities and Outreach.
Integrated Mobile Health Team Model (IMHT):
The Integrated Mobile Health Team Model is a client-centered, housing-first approach that uses harm reduction strategies across all modalities of mental health, physical health, and substance abuse treatment. The service model is designed to improve and better coordinate the quality of care for individuals with a mental illness and their families, if appropriate, who are homeless or have recently moved into Permanent Supportive Housing (PSH) and have other vulnerabilities. Vulnerabilities include but are not limited to age, years homeless, co-occurring substance abuse disorders and/or physical health conditions. Mental health, physical health and substance abuse services are provided by multi-disciplinary staff working as one team, under one point of supervision, operate under one set of administrative and operational policies and procedures and use an integrated medical record/chart. The program is designed to provide the level of services necessary to support clients to successfully transition from homelessness into PSH and to improve their mental health and co-occurring disorders.
Community-Designed Integrated Service Management Model (ISM):
The Community-Designed Integrated Service Management Model (ISM) envisions a holistic model of care whose components are defined by specific ethnic communities and also promotes collaboration and community based partnerships to integrate health, mental health, and substance abuse services together with other needed non-traditional care to support the recovery of consumers. The five ethnic communities targeted are: African Immigrant / African American, American Indian / Alaska Native, Asian Pacific Islander, Eastern European / Middle Eastern and Latino. The ISM model consists of discrete teams of specially-trained and culturally competent “service integrators” that help clients use the resources of both formal” (i.e., mental health, health, substance abuse, child welfare, and other formal service providers) and nontraditional” (i.e., community defined healers) networks of providers, who use culturally-effective principles and values. The ISM Model services are grounded in ethnic communities with a strong foundation of community-based, non-traditional, and natural support systems such as faith-based organizations.
Innovation Outcome Measures Manual
To access the complete INN Plan, click the link below: http://file.lacounty.gov/dmh/cms1_159416.pdf
For further questions, please contact: Debbie Innes-Gomberg, Ph.D., District Chief, MHSA Implementation and Outcomes Division at DIGomberg@dmh.lacounty.gov or(213) 251-6817.