What is the Hollywood 2.0 Pilot Project?
Built upon the MHSA INN project (“T.R.I.E.S.T.E.”) approved in May of 2019, Hollywood 2.0 is a modification of the original plan that took into consideration the context of our fiscal projections and the promise of CalAIM. Hollywood 2.0, just like the pilot, is designed to foster full recovery of individuals in the Hollywood area who are suffering from severe and persistent mental illness (with or without addiction) and, as a result, experiencing chronic homelessness, incarceration and/or hospital overuse.
Just like the original T.R.I.E.S.T.E. proposal, Hollywood 2.0 aims to deploy the same array of services to serve the same population in the same region and achieve the same goals as the original pilot while proposing several modifications that include:
- Optimizing funds through the full federal match (more revenue);
- Avoiding the use of a fiscal/administrative intermediary (less expensive);
- Expediting community planning processes (leverage existing “YourDMH”);
- Actively exploring available resources through philanthropy (one-time dollars); and
- Avoiding unnecessary technological/EMR investments (no longer necessary).
What is the pilot project based on?
This pilot supports the core goals of LACDMH’s Strategic Plan and takes its inspiration from Trieste, Italy, a jurisdiction with a Mental Health system recognized for exemplary practice that embodies the reform we need to drive across California. The Trieste mental health system takes a holistic, human and hospitality-oriented approach to care delivered in the context of inclusive communities that meet needs, emphasize autonomy, foster resource empowerment and believe in the possibility of personal recovery which are also hallmarks of the LACDMH Strategic Plan. Hollywood 2.0 aims to provide our most vulnerable residents with relentless engagement and enhanced access to treatment, both functioning as tools that facilitate connection with people, place and purpose in life.
What will Hollywood 2.0 include?
As part of our plan to expand the current footprint and establish new resources in Hollywood to create service arrays, Hollywood 2.0 will leverage a few key evolving reform efforts, including the Full-Service Partnership (FSP) Redesign, Homeless Outreach Mobile Engagement (HOME) Pilot, Peer Resource Center replication (including clubhouse-type programming) and Alternative Crisis Response (ACR) initiatives.
Hollywood has one of the County’s most concentrated populations of unhoused individuals suffering from profound brain illness(es) and languishing in the streets. Aside from putting in place resources needed to address this crisis, Hollywood 2.0 aims to leverage the significant momentum and buy-in across the Hollywood community. Of particular note, Hollywood 4WRD – a coalition of local neighborhood, business and faith leaders, as well as government and health care providers and law enforcement – is a strong proponent of this effort and has been looking for public-private engagement to solve these community challenges for many years. Because societal reintegration is fundamental to the intention of this model, the sustained support of community stakeholders from the outset is vital. To this end, an important objective of the pilot program is the creation of community-based connections, including easy, welcoming access to both cultural and civic resources (and not just clinical service) to promote opportunities for purpose, including employment.
Hollywood is an ideal setting for the creation of these types of connections and, by nature, also offers a loudspeaker to the broader public regarding the need to transform our current, impersonal and institutional systems into personal and community-based ones.
What services will be offered?
With a laser focus on individuals suffering from profound, chronic mental illness (+/- addictions) living on the street and cycling in and out of jail and the hospital, this pilot is still designed to deliver the full suite of services proposed in the original, previously approved INN plan. Our HOME pilot, which engages disengaged clients, alongside a performance/incentive-based intensive treatment services program (aka team-based, population-accountable FSP) with guaranteed access to housing and treatment beds remain central to Hollywood 2.0. Of note, CalAIM reforms will bolster our capacity to deliver on social determinants that cover costs for this population.
Who will receive care?
The pilot program is designed to provide care for the most vulnerable residents as above, regardless of whether they have had any prior contact with the County’s mental health system. In the pilot area, we estimate that between 3,500 to 4,500 adults will be engaged, some of whom are currently receiving County mental health services.
Will the pilot program provide housing, and what kind?
The pilot program plans to offer a number of housing and residential options from interim and permanent housing to congregate housing, including dedicated Board and Care.
How will the program be measured and evaluated?
Metrics will be established during the planning phase, and performance will be measured from the very start of the project. Each year of the pilot, improved outcomes will be assessed to include reductions in the rates of homelessness, incarceration and hospitalization, as well as employment, relationship and overall client satisfaction. Service provider morale and community wellbeing measures will also be assessed.
Is the Hollywood community welcoming this pilot?
Hollywood community leaders and residents, including clients, have been pushing for new and more robust approaches for years, and many are following this project very carefully. Because community reintegration and inclusion are critical components of this model, the support and involvement of the community as a collective will be essential throughout the pilot period.