WESTCARE CALIFORNIA PROGRAMS




MENTAL HEALTH & WELLNESS

OPTIONS
The goal of WestCare's OPTIONS Program is to provide intensive, short-term treatment that emphasizes the targeted development of skills and support that consumers will need to successfully navigate their environments after discharge to a less structured setting. Consumers choose from a menu of treatment options in a campus like atmosphere with both required and optional elements that are defined on their wellness and recovery plans. There is also ample opportunity for casual socialization and peer networking in a safe and supportive environment for consumers and potential consumers alike. Staff is also available throughout the day to provide individually structured activities and assistance as needed by consumers. The OPTIONS Daily Access Program serves consumers with a broad range of serious psychiatric conditions, including psychotic, mood, personality and anxiety disorders with the goal of optimizing community living skills, improving symptom management and interpersonal effectiveness and offering support toward wellness and recovery. Persons with co-occuring substance abuse disorders also receive specialized services to address the role that substance abuse plays in the management of their psychiatric illness. The focus is on those consumers most at risk of psychiatric hospitalization who are not otherwise linked to mental health resources and are frequent visitors to area emergency departments and inpatient psychiatric units. Services are provided by a multi-disiplinary team consisting of psychiatrists, licensed mental health clinicians, mental health rehabilitation specialists, certified alcohol and drug counselors and licensed nurses. Each individual participates in a uniquely tailored program of individual, group, family and/or case management activities that are developed collaboratively with them and is based on their existing strengths and support systems.




Crisis Psychiatric Response Services (CPRS)
The Crisis Psychiatric Response Services program provides mobile emergency department response services, mental health services, crisis intervention, wellness planning, discharge planning, consumer centered and team based interventions, and service coordination to adults and older adults receiving services from designated hospital emergency departments within Fresno County who are deemed appropriate for an assessment for involuntary psychiatric treatment pursuant to California Welfare and Institutions Code Section 5150. CPRS workers provide crisis intervention services and assessments to individuals who are brought to the emergency departments on involuntary holds initiated by local law enforcement agencies or who are deemed in need of an assessment for involuntary treatment by the emergency department staff. Assessments are conducted on-site at the designated hospital emergency rooms in Fresno County. Licensed mental health clinicians provide crisis evaluation to all consumers who are either placed on a hold by law enforcement or whom the emergency department staff feel there is a cause for them to be placed on an involuntary treatment hold.




The Living Room
The Living Room, a project of WestCare California, is dedicated to encouraging and supporting the well-being and empowerment of persons infected, affected and at risk for HIV/AIDS. The Living Room's many programs focus on improving the quality and availability of HIV-specific services for all residents of Fresno County. The Living Room is a social support center that provides a wide range of direct and indirect services for persons infected, affected and at risk for HIV/AIDS. These services include case management, client advocacy, hot meals, the Drop-in Center, transitional housing, referral for rapid testing and social support groups. The Living Room staff provide supportive networks, fellowship, information, education and referrals to those infected, affected and at risk for HIV/AIDS. All services are confidential. The Living Room advocates client empowerment and well-being through the development of high self-esteem, based on positive attitude, positive support and positive living. The Living Room services are designed to assist clients within the Central Valley to allow them to live healthy and productive lives. In addition, The Living Room collaborates with all providers of HIV/AIDS services in Fresno County, including but not limited to University Medical Center Special Services Department, Central California Legal Services, Fresno County Department of Public Health, Planned Parenthood Mar Monte and Kaiser Medical Center. Such collaborative efforts allow for the provision of more effective services to those in need within the community.




Support and Overnight Stay (SOS) Program
WestCare's Support and Overnight Stay (SOS) Program serves consumers with serious mental health disorders who have been receiving services and are being discharged from a Fresno County local hospital emergency department or designated 5150 facility during the late evening and early morning hours. It is the express goal of this program to provide a safe, supportive environment to spend the night, and to link consumers with needed mental health services, in an effort to reduce frequent and unnecessary psychiatric symptoms which lead to Emergency Department visits. The SOS Program is not a treatment program. It is designed to provide a safe, supportive environment to spend the night, followed by case management, linkage, transportation, and supportive counseling in order to assist consumers with obtaining and continuing in an outpatient mental health program; therefore decreasing crisis recidivism. Consumers who agree to participate in the program are transported from the ED or designated 5150 facility to the SOS facility, where they spend the night and are assisted the next morning with same day linkage to an outpatient mental health program. If the consumer is already linked to a mental health program, case managers contact the program, inform them of the emergency room visit, and make arrangements for the consumer to be seen by his/her mental health team that morning. If a consumer is not already linked to a service provider, case managers review the consumer's history of participation in mental health services and assist him/her with a same day intake appointment with an appropriate provider.

The program works collaboratively with the consumer and mental health treatment provider to ensure the consumer is linked to treatment and peer support resources in a timely manner. Consumers may also be linked to other services, such as housing, food stamps, general assistance, and SSI, where such services are an important contribution to a consumer's mental stability. Consumers are case managed for ninety (90) days to provide support and encouragement, and to trouble shoot barriers and obstacles with program participation until the consumer is actively engaged in their treatment programs.





TREATMENT & REHABILITATION

Women's Long Term Residential
WestCare California's Women's Long-Term Residential Program provides intensive alcohol and other drug abuse treatment services for adult females residing at the Central Valley Campus, located in Fresno, CA. Female residential services are provided in a female-only unit of this expansive facility, and the clinical curriculum is specially designed to better serve the needs of women in treatment. The Women's Long-Term Residential Program allows for a stay in treatment from 31 to 180 days. The Women's Long-Term Residential Program provides gender-specific services to individuals coming to WestCare from several entities, including the California Department of Corrections and Rehabilitation (CDCR) and Federal Probationers. These services include: individual and group counseling; alcohol and drug education classes; relapse prevention; an introduction to community-based support services; optional weekly onsite and community-based 12-Step meetings; family and significant other education/support services; HIV/AIDS education, mental health and counseling services; educational assistance; assistance with childcare and parenting issues; smoking cessation; and community referrals. The focus and intensity of treatment is modified to accommodate the realistic and practical treatment needs of women who are facing difficulty as they begin a process of transition into the community after their residential stay. Domestic violence classes approved by Department of Children/Family Services are offered on campus.




Short-Term Residential
WestCare California provides Short-Term Residential services to both males and females in separate units within the Central Valley Campus. Specialized services and specially designed, gender-specific curriculum meet the unique needs of male and female clients. The Short-Term Residential Program serves the needs of those individuals requiring a short stay in treatment (1 to 30 days). The length of treatment is determined during a participant's initial assessment. Program services provided to the California Department of Corrections and Rehabilitation (CDCR), Division of Adult Parole Operations (DAPO) include housing, substance abuse services and independent living skills to at-risk parolees to assist in their transition and adjustment back into the community. The Residential Service Center will provide a stable residence for both male and female parolee participants while addressing the needs of the residents. These services include: individual and group counseling; vocational skills development activities; alcohol and drug education classes; a relapse prevention curriculum; introduction to community-based support service; optional weekly onsite and community based 12-Step meetings; family and significant other educational/support services; HIV/AIDS education; mental health assessment and counseling. The focus and intensity of treatment in the Short-Term Residential Programs is modified to accommodate the realistic/practical treatment needs of individuals as they begin admitting and embracing their own need for continuing recovery. The process of treatment in both programs is one of discovery and sets a firm foundation that allows participants to empower themselves and become responsible for their own recovery.




Day Reporting Center
WestCare California's Fresno Day Reporting Center provides outpatient case management services for adult parolees. The program services the needs of adult parolees who require employment, education, vocational, housing, substance abuse, family reunification, behavioral modification and other assistance while continuing to live in the community. Parolees requiring more intensive, residential substance abuse services may be placed into residential prior to participating in the DRC program. The DRC Program is designed for parolee’s with extensive criminal backgrounds and/or those with high risk to reoffend. WestCare provides these wide-ranging services in partnership with many other community-based service providers and does not provide all of the wrap-around services received by the DRC participants. All services and referrals are designed to increase successful reintegration into the community of at-risk parolees recently discharged from and/or at a high risk of returning to prison or committing further criminal offenses. The program services include individual and group counseling, alcohol and drug education classes, case management services, client advocacy, anger management, domestic violence education and domestic violence treatment, HIV/AIDS education, parenting and family reintegration, male and female gender specific services, violence and sexual abuse support services, and other referral services.




Clean & Sober Living
WestCare's Clean and Sober Living Environment Program is for clients with alcohol or substance abuse problems who either lack a safe, substance-free environment to reside in within the community and/or are at risk of becoming homeless. Clients are expected to be actively engaged in a treatment program and remain alcohol and substance free while residing in WestCare's Clean and Sober Living Environment Program. Residents are expected to cook and clean within their own units and participate in the general upkeep of the property. WestCare services provided include a sober living environment augmented by an extensive array of offsite individualized, group and family, rehabilitative, educational, vocational, recreational, and case management activities. Sober Living residents participate in outpatient services and/or self-help programs while in residence. Most residents participate in WestCare’s outpatient programs where a clinical assessment of each participant’s needs is utilized to develop a comprehensive and individualized treatment plan in order to support the resident’s recovery needs.




Adolescent Outpatient
WestCare provides services to adolescents referred by the community through the Adolescent Outpatient Drug-Free Program (AODF). Staff provides intensive outpatient treatment to substance-abusing adolescents residing in Fresno and Kings Counties. WestCare promotes youth achievement by referring adolescents to our established partnerships with local organizations, school systems and law enforcement agencies. Services provided to Fresno and Kings County through WestCare's AODF Program include individual and group counseling for adolescents, as well as optional individual counseling for parents of adolescent clients. Through individual counseling, WestCare counselors focus on the unique needs of each adolescent. Participants receive group and individual counseling services, with treatment duration varying based on their individual need. Group counseling services are available Monday through Friday. In Kings County, WestCare's Y-Max Program provides intensive services at our Hanford office, as well as satellite services at two local high schools in Reef Sunset Unified in Avenal and Corcoran Unified. Services in Fresno County are located at the Violet Heintz Education Academy (VHEA) and high school satellite sites in Clovis Unified, Fresno Unified and Caruthers Unified School Districts. Services include home-based treatment and continuing care services to adolescents and their caregivers. Programs use evidence-based curriculum for increased impact.




Adult Outpatient
WestCare California's Adult Outpatient Program provides alcohol and other drug abuse outpatient treatment services for adults who reside within Fresno County and surrounding areas of the San Joaquin Valley. The Outpatient Program serves the needs of adults who require substance abuse treatment while working and living in the community, but who do not require the more intensive services provided in a residential program. The WestCare Adult Outpatient Program services include: individual and group counseling; alcohol and drug education classes; a relapse-prevention curriculum; an introduction to community-based support services; orientation to community-based, self-help meetings; family and significant other education/ support services; HIV/AIDS education and counseling services; educational and vocational rehabilitation assistance; and community referrals. At minimum, clients in the outpatient program are required to participate in not less than one group session per week. A determination of the intensity of treatment needed is made at initial assessment and is modified to accommodate the realistic/practical treatment needs of clients as they progress within the program.




Adult Drug Court
WestCare's newly funded Adult Drug Court program aims to put offenders with behavioral disorders on a recovery trajectory instead of going further into the criminal justice system. The key is to bypass incarceration for those who have committed non-violent drug offenses or who are identified as mentally-ill offenders. Problem factors such as violence, family issues, co-occurring disorders and past trauma are all taken into account when crafting each client’s plan of treatment.




Bakersfield Men's Long Term Residential
WestCare California's Men's Long-Term Residential Program provides intensive alcohol and other drug abuse treatment services for adult males residing at the WestCare Central Valley Campus. Men's Long-Term Residential services are provided in a male-only unit, and the clinical curriculum is designed to better serve the needs of men. The Men's Long-Term Residential Program allows for a stay in treatment from 31 to 180 days. Program services include specialized alcohol and drug curricula for criminal justice participants. Services in the Men's Long-Term Residential Program include: individual and group counseling; vocational skills development activities, including emphasis on technical skills; alcohol and drug education classes; relapse prevention; introduction to community-based support services; optional weekly onsite and community-based 12-Step meetings; family and significant other educational/support services; and HIV/AIDS education, mental health treatment and counseling. The focus and intensity of treatment is modified to accommodate the realistic/practical treatment needs of males as they begin admitting and embracing their own need for continuing recovery. The process of treatment in this program is one of discovery and sets a firm foundation to allow men to empower themselves and become responsible for their own recovery.




Bakersfield Adult Outpatient
WestCare California's Adult Outpatient Program provides alcohol and other drug abuse outpatient treatment services for adults who reside within Bakersfield and surrounding areas of Kern County. The outpatient program serves the needs of adults who require substance abuse treatment while working and living in the community, but do not require the more intensive services provided in a residential program. Outpatient program services include: individual and group counseling; alcohol and drug education classes; a relapse prevention curriculum; an introduction to community-based support services, orientation to community-based, self-help meetings, family and significant other education/support services; HIV/AIDS education and counseling services; educational and vocational rehabilitation assistance; and community referrals. At minimum, clients in the outpatient program are required to participate in not less than one group session per week. A determination of the intensity of treatment needed is made at initial assessment and is modified to accommodate the realistic/practical treatment needs of clients as they progress within the program. In addition, our outpatient services include a Family First program designed for developing attachment and bonding between parents and children.




Men's Long Term Residential
WestCare California's Men's Long-Term Residential Program provides intensive alcohol and other drug abuse treatment services for adult males residing at the WestCare Central Valley Campus. Men's Long-Term Residential services are provided in a male-only unit, and the clinical curriculum is designed to better serve the needs of men. The Men's Long-Term Residential Program allows for a stay in treatment from 31 to 180 days. Program services include specialized alcohol and drug curricula for criminal justice participants through contracts with the California Department of Corrections and Rehabilitation, California Division of Juvenile Justice and Federal Probation. Services in the Men's Long-Term Residential Program include: individual and group counseling; vocational skills development activities, including emphasis on technical skills; alcohol and drug education classes; relapse prevention; introduction to community-based support services; optional weekly onsite and community-based 12-Step meetings; family and significant other educational/support services; and HIV/AIDS education, mental health treatment and counseling. The focus and intensity of treatment is modified to accommodate the realistic/practical treatment needs of males as they begin admitting and embracing their own need for continuing recovery. The process of treatment in this program is one of discovery and sets a firm foundation to allow men to empower themselves and become responsible for their own recovery.




RMSC
WestCare California's Residential Multi-Service Center (RMSC) Program provides housing, substance abuse services and independent living skills for parolees who are at risk of becoming or are homeless. Services are for both adult male and female parolees residing at the Central Valley Campus, located in Fresno, CA. On site, residents receive individual and group counseling, as well as vocational, life skills, stress management and relapse prevention classes. The RMSC Casework team provides individual case assessments and development of services/treatment plans to assist parolees in their transition and adjustment back in to the community. The program has 5 phases that begins with a 30-day orientation period and concludes with the final phase of aftercare (60 to 90 days as designed by the casework team). The RMSC program provides lodging, meals, individual counseling, group counseling, substance abuse counseling, life skills, parenting skills, money management employment readiness & development, literacy, medical services, transition to independent living and aftercare services. The length of stay for parolee participants will be up to one hundred eighty (180) days. On a case by case basis, some parolee participants may have an extension to one year with prior written approval from the RMSC Parole Agent Liaison.




SASCA
WestCare's Substance Abuse Services Coordinating Agency (SASCA) Program provides intensive case management services for substance-abusing parolees through placement, referral and coordination services to community-based treatment services after they are released from substance abuse programs housed within California's penal institutions. WestCare staff provides these services to parolees released within Parole Region I, which includes 33 counties throughout the State of California. Working directly with in-prison programs, community-based programs and parole units throughout the state of California, WestCare staff ensures the exceptional services, lowering the recidivism rate among parolees. WestCare, as the SASCA, provides services to the California Department of Corrections and Rehabilitation, Office of Offender Services through subcontracting with 41 community-based providers. These providers offer 97 different modalities within Region I including residential, outpatient and sober living, including services for women with children, and special services for dually diagnosed and sex offenders on a case-by-case basis. Services are available to adult male and female parolees and adult male and female civil addict parolees. Program services offered at community-based treatment programs contracted with WestCare include: individual and group counseling, vocational skills training, alcohol and drug education classes, relapse prevention, family and significant other educational/support services, HIV/AIDS prevention and education, and community referrals. Participants may receive 180 days of case management services and residential aftercare.





FAMILY SOLUTIONS

M'Ella Program
WestCare California's M'ella (Courageous Daughter) Program is a substance-abuse program devoted to the treatment of pregnant and parenting adult women and their children ages 0-5 years who are referred by agencies throughout Fresno County. This specialized program is designed to provide women and their children with unique services that allow for the maintenance of a drug-free lifestyle and promote attachment. We emphasize family unification and apply a holistic approach to treatment that more effectively meets the needs of women as they develop and strengthen strategies to maintain their newly found substance-free lifestyle, while caring for and nurturing their children. While in treatment, children are assessed and treated for developmental, social and emotional problems. The M'ella Program provides gender-specific services, including individual, group and family counseling services. WestCare's has an onsite therapeutic daycare and provides assessment and referral services for occupational, speech and rehabilitative therapy for mothers and children. This program also provides coping skills training that includes anger management, domestic violence prevention, mental health assessment and treatment, life skills, money management, smoking cessation, stress management and parenting groups. These groups are designed to allow women to transition into the community with the ability to care for themselves and their children successfully without returning to a substance-abusing lifestyle. Women and their children are provided with transportation services to doctor's appointments and are provided with onsite appointments with a public health nurse. The M'ella program is a six-month residential program and is specifically designed and structured for women and their children. A determination of the intensity of treatment needed is made at initial assessment and is modified to accommodate the realistic/practical treatment needs of clients as they progress within the program and as women develop skills necessary to appropriately care for their children.




Papa Natal
WestCare's Papa Natal Program (pronounced like Perinatal) is a sixty-day residential substance abuse treatment program devoted to men and their children ages 0-5 years who refer themselves or are referred from an outside agency in Fresno County. This specialized program is designed to provide men and their children with unique services that allow for the maintenance of a drug-free lifestyle and promote attachment. The Papa Natal curriculum can be of great assistance to fathers involved in programs within the Department of Social Services such as CalWORKs. We emphasize family unification and apply a holistic approach to treatment that more effectively meets the needs of men as they develop and strengthen their strategies to maintain a newly-found substance-free lifestyle, while caring for and nurturing their families. While in treatment, children are assessed and treated for developmental, social and emotional difficulties. Fathers are taught how to cope in challenging environments at work and at home to model positive behaviors for their children. The Papa Natal program provides services that include: individual, group and family counseling service. WestCare has an on-site therapeutic daycare and provides assessment and referral services for occupational, speech, and rehabilitation therapy for fathers and children. This program also provides a coping skill training that includes anger management, domestic violence prevention, mental health assessment and treatment, life skills, money management, smoking cessation, stress management and parenting groups. These groups are designed to allow men to transition into the community with the ability to care for themselves and their children successfully without returning to a substance-abusing lifestyle. Men and their children are provided with transportation services to doctors appointments and are provided with on-site appointments with the Public Health Nurse. The Papa Natal program is a sixty-day residential program and is specifically designed and structured for men and their children. A determination of the intensity of treatment needed is made at the initial assessment and is modified to accommodate the realistic/practical treatment needs of clients as they progress within the program and develop the skills necessary to appropriately care for their families.





VETERAN'S SERVICES

San Joaquin Valley Veterans
San Joaquin Valley Veterans (SJVV) is a unique project of WestCare California that works with Fresno County, the State of California and the local area Veterans Administration to close the gaps in services that the area currently offers to transitioning veterans. It serves as a single, non-intimidating location where a veteran can meet with veteran service representatives from a variety of agencies. San Joaquin Valley Veterans provides local veterans with case management, counseling services, veteran advocacy, housing assistance, computer lab, workshops, and referrals to other veteran services, including benefits, employment, transitional living, mental health, substance abuse treatment, transportation assistance, and food and clothing assistance. The office of SJVV also provides space for veterans to meet with service representatives, provides a drop-in area, and also provides space for veterans to assemble and hold support groups, meetings, etc. SJVV works with all veterans (including members of the reserve and national guard). SJVV also serves those who received dishonorable discharges and anyone who served a day or more in our armed forces. SJVV is a place where veterans are treated with honor and dignity and are empowered to change their lives one simple step at a time. Services are not limited to veterans, as SJVV also works to assist the families of our veterans.




ESG (Emergency Solutions Grant)
The Emergency Solutions Grant, funded by the City and County of Fresno, is utilized by SJVV a project of WestCare California, Inc. and designed to assist veterans and veterans with families in quickly regaining stability in permanent housing after experiencing homelessness or a housing crisis. This grant allows a case manager to provide homeless prevention and rapid re-housing services to veterans or veterans with families.





EDUCATION & PREVENTION

Education & Prevention
WestCare California utilizes a variety of community, grassroots and innovative outreach efforts to increase community education on a variety of health, recovery and social issues. Our goal is to provide education to the communities we serve in order to empower them to prevent drug use, reduce harmful behaviors, and learn more about preventable health concerns. The various prevention efforts are designed to meet the needs of the targeted populations in a trauma-informed, culturally competent manner. WestCare California's Education & Prevention Services include HIV/AIDS prevention in Fresno County. This includes street and community outreach and evidence-based group and individual interventions focusing on prevention. WestCare California's Education & Prevention services also include focus on the harmful effects of drugs and alcohol. Drug and alcohol prevention is conducted at various community events, schools and health fairs. Services are also conducted through speaker presentations and presentations at health fairs and other community events. WestCare uses innovative approaches to prevention that include online outreach through its own social network pages, local chat rooms, myspace.com pages, YouTube.com, etc. WestCare also conducts successful social marketing campaigns that include a variety of media, development of public services announcements (PSA), commercials, billboards and other advertisements focused on prevention. Finally, WestCare works with local media to help promote prevention with a series of PSAs, regular appearances on local television programs, radio talk shows and print media. Some prevention efforts have focused on African Americans, Hmong, Latinos and Spanish speakers, and LGBT communities. WestCare is an active member of the Fresno County Housing Authority, Clovis Drug Prevention Council, Kings Partnership for Prevention, The Community Partners for Recovery, The Fresno HIV/AIDS Community Planning Working Council and Babies First SART Leadership Team.