A Full Service Partnership (FSP) is designed to provide intensive, community-based outpatient services to a county’s most vulnerable individuals, and the OC Health Care Agency has established eligibility criteria to ensure that the FSPs reach Orange County residents who are experiencing disparities in access to behavioral health care. Thus, the target population includes individuals of all ages who are living with a SED or SMI; unserved or underserved; and are homeless, at risk of homelessness, involved in the criminal justice system, frequent users of inpatient psychiatric treatment, culturally or linguistically isolated, and/or have complex medical needs.
The Adult Full Service Partnership (FSP) programs provide intensive outpatient services to adults living with a serious mental illness who are unserved or underserved, and may be homeless or at risk of homelessness, involved in the criminal justice system and/or are frequent users of inpatient psychiatric treatment. Services include outreach and engagement, intensive case management, psychiatric services, vocational and educational support, peer support, transportation, housing, benefit acquisition, counseling and therapy, integration and linkage with primary care, 24/7 crisis response, crisis intervention, and co-occurring substance use disorder services.
Utilizing the Assertive Community Treatment (ACT) model for service delivery, the Adult FSP programs provide culturally-competent, comprehensive and community-based services, using a multi-disciplinary team approach and doing "whatever it takes". Services are individualized, strength-based, and client-centered. The FSPs are committed to the success of their members and work collaboratively with members to provide services and supports that promote health, recovery and wellness.
Orange County Health Care Agency (HCA) has various FSPs to target specific populations
Program for Assertive Community Treatment (PACT)
PACT is the County-operated version of a Full Service Partnership program. Like the FSPs, it utilizes the evidence-based Assertive Community Treatment model to provide comprehensive, “whatever it takes”, field-based outpatient services to persons ages 14 and older who are living with serious emotional disturbance (SED) or serious mental illness (SMI). Individuals enrolled in the PACT may also have a co-occurring substance use disorder, experience social, cultural and/or linguistic isolation, and have had difficulty engaging with more traditional outpatient mental health services. The main difference from an FSP is that the PACT specifically targets individuals who have had two or more hospitalizations and/or incarcerations due to their mental illness in the past year. The PACT accepts referrals from County-operated and, in the case of children, County-contracted outpatient clinics. The PACT staffing is separated into teams that provide age and developmentally targeted services (Children/youth ages 14-21, TAY ages 18-25, adults ages 26-59, older adults ages 60 and older). Youth ages 18-21 are served by the Child/Youth team or the TAY team based on their level of caregiver involvement and developmental age.
Telecare and Orange (TAO)
Serves adults with serious mental illness who are unserved/underserved; homeless or at risk of homelessness; at risk of institutionalization/hospitalization; not successful in traditional mental health services; may have co-occurring mental illness and substance use. Referrals can come from different sources including the general community.
Opportunity Knocks (OK)
This program serves adults with serious mental illness who have a recent history of incarceration and/or are experiencing recidivism in the criminal justice system, and may be homeless or at risk of homelessness. Referrals can come from different sources including the general community, jails, Probation, etc.
Striving Towards Enhanced Partnerships (STEPS) program serves two populations:
Adults with serious mental illness who are returning to the community from long-term care facilities such as IMDs and MHRCs and/or are on LPS Conservatorship. Referrals come from long-term care facilities or the general community.
Adults with serious mental illness who are participating in the Assisted Intervention (AI) Court. Referrals come from the AI Court through the Public Defender's Office or Judges.
"Whatever It Takes" (WIT)
This program serves adults with serious mental illness who are participating in the WIT Court. Services are delivered in collaboration with Orange County Superior Court, Probation Department, Public Defender, and District Attorney. Referrals come from the WIT Court through the Public Defender's Office or Judges.
Assisted Outpatient Treatment (AOT)
This program serves adults with serious mental illness who meet specific AOT criteria including continuing to fail to engage in mental health treatment resulting in at least two hospitalizations or incarcerations within the last 36 months, or one or more serious acts of violence toward self or others within the last 48 months. The program serves individuals who are court-ordered to participate in AOT and individuals who meet criteria and are willing to participate voluntarily. Referrals come from HCA's AOT Assessment and Linkage Team. For more information about AOT and referrals to AOT FSP program, please visit the AOT page at http://www.ochealthinfo.com/bhs/about/aoabh/aot