New 24/7 Mental Health Urgent Care Funded by Riverside University Health Services Opening in Palm Springs Announced November 23rd

“Huge Opportunity to meet Community’s Overall Behavioral Healthcare Needs,” According to Riverside County Chief of Staff Michelle DeArmond

Left to right, RI International CEO, David Covington, Palm Springs Mayor, Robert Moon, Michelle DeArmond, Chief of Staff for Riverside Co. Board Supervisor John J. Benoit, Steve Steinberg, director of RUHS Behavioral Health.

Left to right, RI International CEO, David Covington, Palm Springs Mayor, Robert Moon, Michelle DeArmond, Chief of Staff for Riverside Co. Board Supervisor John J. Benoit, Steve Steinberg, director of RUHS Behavioral Health.

Palm Springs, CA, November 23, 2016 — County officials and Palm Springs Mayor Robert Moon today announced the grand opening of RI’s 24-hour mental health urgent care facility, in Palm Springs, California, located at 2500 N. Palm Canyon Dr.

“This is a huge opportunity for us to take one more piece of the overall behavioral health need, and give people access to these services for our community as a whole,” said Michelle DeArmond, Chief of Staff for Riverside Co. Board Supervisor John J. Benoit. DeArmond added that the facility provides more community services, in a more targeted and cost-effective way. “This is one opportunity where people who are in crisis, but don’t necessarily need to take up law enforcement time or use a hospital bed, can go in and receive support from people who are specialized in dealing specifically with mental health crisis.”

24-7 Mental Health Urgent Care Facility, located at 2500 N. Palm Canyon Drive, Suite A-4, Palm Springs, CA.

24-7 Mental Health Urgent Care Facility, located at 2500 N. Palm Canyon Drive, Suite A-4, Palm Springs, CA.

“Our goal is to provide timely support before a situation becomes so volatile that people are involuntarily held in hospital emergency rooms,” said Steve Steinberg, director of Riverside University Health System (RUHS) Behavioral Health. “We are providing an environment and a level of services that engage people in their recovery.”

“One of the reasons our crisis services are rapidly expanding is because we’ve developed what we call the living room approach,” said RI International CEO and President David Covington. “The Palm Springs facility is our fourth added this year, bringing our total to 14 crisis facilities in five states across the U.S.,” said Covington.  “We marry clinical excellence with peer support, and work to make our facilities feel more like a comfortable living room or resort, rather than an institution. Our staff is not separated from guests by Plexiglas. We do this to help lessen stigma and provide healing spaces, welcoming environments conducive to de-escalation and recovery,” added Covington.

The 24/7 Mental Health Urgent Care is for adults voluntarily seeking assistance.  Services include assessments, medication management and psychiatric support. During their stay, guests will participate in the development of individualized care plans that include recovery education, peer-to-peer support, mental health services, nutritional counseling and coordination and referral to community-based services.

The facility is funded by Riverside County through RUHS and operated by RI International.

ABOUT RI INTERNATIONAL: Headquartered in Phoenix, RI International is one of the nation’s leading crisis services mental health providers. Founded as a non-profit in 1990, the Company is in Delaware, Arizona, California, North Carolina, Washington State and New Zealand, has been accredited by Joint Commission since 1992 and has certified more than 7,000 peers around the world since 2000.

RI Purchase of Partners in Recovery to Ensure Financial Stability, Enhance Quality of Care

two figuresLast week, RI International announced that it is now the sole member of Partners in Recovery, LLC, an Arizona-based behavioral services provider. Partners in Recovery is a joint venture formed in 2010 by RI International, Jewish Family and Children’s Services and Marc Community Resources, Inc. Partners in Recovery was formed to provide a recovery-oriented alternative to traditional case management and medical management services.

RI International is proud of the accomplishments made by Partners in Recovery over the past six years to serve thousands of Valley residents as part of the broader mental health network in Arizona. It has been one of many providers in our state that have stabilized and improved the mental health industry in Maricopa County and helped integrate it more effectively in the healthcare industry.

However, over the course of the past few months, ongoing discussions among the entity members of Partners in Recovery revealed concerns about the long-term fiscal health of the organization. Subsequent discussion resulted in RI International exercising a buy election in the organization’s documents that allows it to purchase the other entity members’ interests. Such provisions are common in the business structure of Limited Liability Companies in a wide spectrum of industries. As a result, in late October, RI International acted to become the sole owner of Partners in Recovery.

RI International took this step in order to ensure the financial stability of Partners in Recovery, as well as to prevent any potential service disruptions that might take place due to financial issues. Additionally, RI International wants to build upon the level of care already provided by Partners in Recovery to better support consumers and families in years to come.

So what does this mean for the Valley mental health community?

In the short term, for both consumers and employees, it should be business as usual at Partners in Recovery while any remaining legal and transactional issues are finalized. No significant staffing changes are planned at this time, and consumer care will not be changed nor interrupted.

In the long term, RI International will use its extensive experience and resources to enhance the level of care provided by Partners in Recovery. Specifically:

  • Partners in Recovery serves more than 6,000 individuals with serious mental illness by providing case management and medical support. It also has co-located routine primary care in six locations that span from Wickenburg and Peoria to Mesa and Chandler. These clinical management services are a core component of service, but require multiple adjunct services delivered by other agencies in order to fully support each individual and their unique needs.

partners in recovery campuses

By contrast, RI International delivers a broad array of supportive services — including sub-acute crisis inpatient care; 23-hour crisis stabilization; crisis respite; residential, individual and group counseling; peer supports and education; supportive housing and supportive employment — at sites in Peoria, central Phoenix and the East Valley. RI International, as sole owner of Partners in Recovery, can provide a full array of comprehensive and integrated care more efficiently than ever before.

So instead of the current piecemeal approach to serving individuals and families, these services will be better aligned through increased integration between RI International and Partners in Recovery. This opportunity has simply been missed previously, even when it was readily achievable.

  • RI International will infuse its extensive expertise in crisis care, suicide prevention, peer support and education and other related areas of expertise into Partners in Recovery’s course of care. It’s important to note that these are RI International’s core competencies, and while Partners in Recovery provided such services in concert with the other organizations involved, these areas are where RI International excels.
  • RI International’s expertise also extends to areas such as technology, compliance and quality assurance, and cost savings and efficiencies — areas that will lower costs while improving the overall customer experience for those in our care. This will include RI International and Partners in Recovery partnering together in discussions with the Mercy Maricopa Integrated Care health plan on how they can better support their population management/pay-for-value initiatives.

RI International appreciates the support from Jewish Family & Children’s Services and Marc Community Resources, Inc. in helping build Partners in Recovery and ensure it has a positive impact on thousands of consumers.

But the bottom line is, RI International’s sole ownership will lead to a more financially stable organization that enhances the quality of care it provides for Maricopa County residents well into the future.

Press Releases Pertaining to Partners in Recovery

  • 10-28-2016 – RI International Becomes Sole Member of Partners in Recovery (PIR) Behavioral Health Services (Read more here)
  • 11-01-2016 – Status Update: JFCS and Marc Center Communicate They Contest Matter of Partners in Recovery (PIR) Ownership (Read more here)

Is Mental Health Working for Hispanics?

hands“This is not working for me,” the man muttered in my direction as he stormed out of the large banquet room. It was November 19, 2012, and the mood at the Goldwater Institute annual dinner was somber after Mitt Romney’s clock had been cleaned by President Obama just days earlier.

Today, I’m the CEO and President of a non-partisan, not for profit 501c3 Community Mental Health Center, RI International, but at the time I was an executive with a publically traded, for profit health plan. Several of our leadership were in attendance for the event, which was sponsored by the organization named after Arizona-based Barry Goldwater and which describes itself as a “watchdog for conservative ideals.”

Governor of Oklahoma Mary Fallin was the first keynote, and she explained to the audience that every single elected congressional official in her reddest of states was a Republican. She asked what the party should learn from the loss to Obama, and concluded… nothing. We should double-down on our values and keep up the good fight, she encouraged the audience.

Next up was Fox News conservative pundit Tucker Carlson. He echoed Fallin’s conclusion… nothing to learn.

Then, he paused. “Well, maybe one thing,” he added. “Maybe we should make sure Hispanics don’t think we hate them.” Carlson was clearly trying to add some humor to the subject of changing US demographics and their impact on presidential elections, but the man who protested by walking out was not humored.

There have been discussions for many years about changing demographics. Four years ago, Carlson targeted political leadership and challenged them it was vital that they pay attention to this key demographic and bring Latino voters into the fold. No more talk. Time for action. He described the significant growth in the Hispanic population, which reached 57 million in 2015, or approximately 17% of our country’s total.

But, what about behavioral healthcare?

Have we done any better in bringing Latinos into the fold?

Is mental health working for Hispanics? Or, are we the ones walking out on the demographic realities?

changing demographics in US population

Changing demographics in US population

When community mental health was launched in the 1960s, Hispanics made up a mere 4% of the population. Today, Hispanics comprise more than 30% of individuals residing in Arizona, California, New Mexico and Texas. Other key states include Colorado, Florida, Georgia, Illinois, Nevada, New Jersey and New York.

And, the shift continues. In many western states, the majority of children in Kindergarten through 6th grade are Hispanic.

Historically, a discussion of race and ethnicity has prompted behavioral health leaders to point to our efforts to strengthen “cultural competency.” Check mark. We’ve done our part, right?

My boss at Magellan Health used to say that simply was not enough. When I worked for Richard Clarke, he always insisted that our behavioral health leadership team also use the words “race and equity.” He came out of an education background where the culture was strongly focused on active ownership, and not simply passive acknowledgement.

Richard formed a regular breakfast think tank group, in collaboration with local community and behavioral health leaders focused on change. The meetings included leaders of organizations that had specialized in meeting the needs of Latinos with mental health needs and whose client base was more than 50% non-white. Chicanos Por La Causa, Ebony House, Native American Connections, People of Color Network and Valle del Sol.

We borrowed from the educational/institutional model in our discussions:

  • Confront individual bias and racism
  • Transform institutional policies and practices
  • Accelerate systemic change

But, two questions were key then, and it seems they are still the appropriate ones now.

First, dis-aggregate your data by race/ethnicity.

Match up the racial/ethnic background of the individuals for whom you are funded to deliver care and cross-walk those penetration rates to the actual percentages in the population. If you find strong mismatches, start a tough discussion of why.

We found our system was serving many Latinos, but not nearly as many as the Arizona population data would suggest existed within our covered lives.

One of the key actions that resulted was outreaching and engaging the community promotoras, lay Hispanic community members who have received specialized training to provide basic health education to others in the community. We learned promotoras were not professional healthcare workers, generally women and extremely effective in sharing and connecting individuals who needed services.

Second, review the composition of your top leadership.

Several years ago, when I was serving on the Board of Directors for the National Council for Behavioral Health, the trade association for community mental health centers, we engaged an external firm to help develop a strategic plan.

The board reflected the composition of the leadership of the nation’s nearly 2,500 non-profit CMHCs, which meant that the majority were white males, and there were only one or two people of color. The suggestion: Focus on racial and ethnic diversity within leadership activities, developing collaborative relationships with organizations that represent diverse ethnic members.

The answers to the above questions are pretty similar across the majority of mental health, both at the plan and retail levels. Whether state authorities, health plans or provider organizations, we haven’t delivered the kind of care that connects with Hispanics in the same way as the rest of the population. The service penetration data says we must do better.

And, we’ve not recruited and hired the executive leadership to help us make the breakthroughs necessary.

Third, evaluate your cultural delivery and sensitivity.

It’s common for anyone to want to say, “My family member does not have any mental health problems,” but this may occur more frequently with the cultural stigma among the Hispanic community.

Do we more closely align with Carlson’s plea to engage and include, and ask how our services are working for Hispanics? Or… do we more closely align with the frustrations of the individual who walked out because change was too frustrating?

Maybe instead of an annual dinner, it’s time for a regular behavioral health race and equity think tank breakfast in your community.