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Telecare and Orange (TAO) Demographics
FY 09/10 Quarter 2 - Demographics
As Graph A illustrates, the Telecare and Orange (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 age criteria as long as they are 18 years of age (Ages 18-25) or members who meet the Older Adult age criteria (Age 60+).
As Graph B illustrates there are a slightly higher number of female members currently enrolled at TAO. The TAO program 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 welcoming services regardless of gender.
As 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. The staff at TAO has the capability to provide these services in several languages to better serve the needs of our 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 TAO's member living arrangements. One of the areas of focus at TAO is the reduction of member homeless days. As part of TAO's "whatever it takes" approach in addressing this area we have a full- time Housing Specialist on staff that works to address housing needs from day one, or 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 27 members that are categorized as "Other" represent members that are missing, incarcerated, hospitalized, or homeless. This number reflects a reduction of seven members from September 2009. For the month of December 2009, TAO had 547 homeless days out of a total 6,798 member days.
As Graph E illustrates, there were 84 incarcerated days out of a possible 6,798 member days in the month of December 2009, which is roughly 1%. Due in part to the "whatever it takes approach" in the services that are provided by the staff at TAO, 97% of our members did not spend any days incarcerated during this period. The decrease of incarcerated days and episodes is one of the goals at TAO. Some of the support in this area that our Personal Service Coordinators provide are, intensive case management and 24 hours a day, 7 days a week availability. This is so our members know that we can be reached at any time of the day in times of need.
As Graph F illustrates, for the month of December 2009 out of a possible 6,798 member days, TAO had 242 member hospitalized days or approximately 3.5%. This total reflects a decrease of 94 hospitalized days September 2009. The TAO program provides medication support and education to the members as medication is a 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 TAO program features a full-time Employment Specialist on staff to provide assistance and support to the members who choose employment as one of their goals on their journey to recovery. Our Employment Specialist works with those members to link them with vocational services in addition to facilitating and participating in employment groups. Our consumer designed and operated Wellness Recovery Center at TAO features computers with internet access and printing capabilities that can be used as tools by members when looking for employment. 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 Education activities. 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 restoring some of our members' hopes and aspirations 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.
As Graph I illustrates 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 according to each individual diagnosis. Our Personal Service Coordinators engage our members to empower them to deal with the rigors of daily life after being diagnosed with a mental illness to improve each individual's quality of life. About 90% of our services are provided outside of the office so that we may engage our members out in the community instead of a clinical setting.
Graph J illustrates the number of members with a dual diagnosis. There are a slightly higher number of Dually Diagnosed members at TAO. 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 our dually diagnosed members. The Substance Abuse Specialist facilitates substance abuse group sessions for members and also participates in some of the other group sessions that are available in the program. These groups educate and provide knowledge to those with a chronic substance abuse diagnosis. Our Wellness Recovery Center also provides dual recovery services that can help in relapse prevention. All clinical staff at TAO are trained in recognizing and working with members with dual diagnoses.