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EMMA GIRARD, PSY.D. PRESCHOOL 0-5 PROGRAMS [email protected] 3RD BIENNIAL UNIVERSITY OF IOWA PCIT TUNE-UP Mobile Clinics & PCIT: Meeting Clients in the Field Girard, E. (2016) Mobile Clinics & PCIT PEI MOBILE SERVICES

Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

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Page 1: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

E M M A G I R A R D , P S Y . D . P R E S C H O O L 0 - 5 P R O G R A M S

E I G I R A R D @ R C M H D . O R G 3 R D B I E N N I A L U N I V E R S I T Y O F I O W A P C I T T U N E - U P

Mobile Clinics & PCIT: Meeting Clients in the Field

Girard, E. (2016) Mobile Clinics & PCIT

PEI MOBILE SERVICES

Page 2: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Mobile Clinic in Action

Girard, E. (2016) Mobile Clinics & PCIT

http://www.triplep.net/glo-en/see-and-hear/watch-videos/the-triple-p-system-explained/?video_id=42

Page 3: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Partnerships

Girard, E. (2016) Mobile Clinics & PCIT

Presenter
Presentation Notes
300-400 DECA screens completed per month Since 2002 over 25,000 children screened
Page 4: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Importance of Data

Girard, E. (2016) Mobile Clinics & PCIT

Page 5: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Funding Sources Because You Have Data

Girard, E. (2016) Mobile Clinics & PCIT

Page 6: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Preschool 0-5 Programs 13 years old

Over Time Develop Reputation of Results New Funding Sources Become Available First 5 Prop 10 in California, 1998, tobacco tax 50¢/ pack cigarettes Creation of services to children ages 0-5 years

Mental Health Services Act (MHSA) Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI)

Desire to Reach Isolated Communities Birth of the Mobile Clinics, aka: “The Bus” Services Began with Families October 2011

Girard, E. (2016) Mobile Clinics & PCIT

Page 7: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Riverside County Demographics

Population: 2 million & counting 4th most populated county in California 7,208 square miles (18,670 km2): > states of Connecticut, Delaware &

Rhode Island 15 PCIT Room locations – 12 Mobile Site locations

Girard, E. (2016) Mobile Clinics & PCIT

Page 8: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Purpose of a Mobile Clinic

Girard, E. (2016) Mobile Clinics & PCIT

Riverside is a huge county, limited clinics Families wanting services couldn’t reach us 3 hour bus ride for 1 hour session

Role of outreach, prevention & early intervention Provide Treatments Parent-Child Interaction Therapy Triple P- Positive Parenting Program Incredible Years – Dinosaur School Trauma-Focused Cognitive Behavioral Therapy

Disaster Response Vehicles

Page 9: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Why the Triple P Stay Positive Image

Girard, E. (2016) Mobile Clinics & PCIT

Presenter
Presentation Notes
Pictures are worth a thousand words Specifically designed with outreach in mind School Open House NAMI Walks Disaster Relief Want families to feel welcomed, understood Normalize seeking help REDUCE STIGMA Screaming child = that’s where we need to go…
Page 10: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Cost How Much?

1 Mobile Clinic= $280,000 USD Play room, Observation room, Family area, Bathroom Camera, Mic and DVD recording equipment Double tv monitors, 3 a/c units

Additional Ongoing Expenses: Diesel Fueling and DEF additive Storage Facility/Parking Repairs/Maintenance

See youtube for a virtual tour at: http://www.youtube.com/watch?v=NZTNpHGjiUA&feature=player_embedded&noredirect=1

Girard, E. (2016) Mobile Clinics & PCIT

Page 11: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

IT Must Haves

Girard, E. (2016) Mobile Clinics & PCIT

Need for Wi-Fi on unit or air card to get online Access to electronic medical records Laptops to document notes Scanner/printer/fax device Copies of id/medical cards Print forms necessary for treatment Fax for ROI, CPS reports, etc

Page 12: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Where Did You Get Them?

Girard, E. (2016) Mobile Clinics & PCIT

Universal Specialty Vehicles, Inc. 19052 Harvill Ave Perris, CA 92507 Phone: 951-943-7747 www.USV1.com

Page 13: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Welcome Families NAMI Walk

Reducing Stigma

Girard, E. (2016) Mobile Clinics & PCIT

Page 14: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

3 Pop-Out Rooms Outside Monitor

Girard, E. (2016) Mobile Clinics & PCIT

Tour “The Bus”

Page 15: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Family Meeting Area Documentation Time

Girard, E. (2016) Mobile Clinics & PCIT

Enter Front Door

Page 16: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

TV wired to Play Room Master Controls & Kitchen

Girard, E. (2016) Mobile Clinics & PCIT

Inside “The Bus”

Page 17: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Hallway Bathroom

Girard, E. (2016) Mobile Clinics & PCIT

Inside “The Bus”

Page 18: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Coaching Work in Progress

Girard, E. (2016) Mobile Clinics & PCIT

Observation Room

Page 19: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Thru Mirror Dutch Door Play Room

Girard, E. (2016) Mobile Clinics & PCIT

View of Play Room

Page 20: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Making it Inviting… What to Play Next?

Play Room

Girard, E. (2016) Mobile Clinics & PCIT

Page 21: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Stairs Can Be Covered Claim Your Parking Space

Girard, E. (2016) Mobile Clinics & PCIT

Tasks Prior to Session

Page 22: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Oil Checks, etc Victory at the Dump

Girard, E. (2016) Mobile Clinics & PCIT

Mobile Clinic Maintenance

Page 23: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Fueling Up & Overflow? Parking End of Day

Girard, E. (2016) Mobile Clinics & PCIT

Mobile Clinic Extra Duties

Page 24: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Mobile Clinic VIP Guest

Girard, E. (2016) Mobile Clinics & PCIT

Ready at the Wheel

Page 25: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

How to Make it Happen?

Girard, E. (2016) Mobile Clinics & PCIT

Building The Mobile Clinic Is Easy Finding The Right Staff, Lots Of Extra Duties! Unit Must Be Self Contained, Wi-Fi, Toilet, Fridge Public Relations Is Essential Takes time to get contracts, even for FREE services Finding where to park, not always simple Build referral process with collaborating partners

Page 26: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Who’s the RV Expert?

Girard, E. (2016) Mobile Clinics & PCIT

Who will teach staff how to drive? What to do with tanks that hold water and “grey

matter” & need emptying? There’s a generator for all power, who services it

when it fails? Do you have contracts to wash, clean, get oil changes

for vehicle?

Page 27: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Award Recipient

Girard, E. (2016) Mobile Clinics & PCIT

Harvard Kennedy School Ash Center for Democratic Governance and Innovations 2014 Bright Idea Award

California State Association of Counties (CSAC) 2013 Challenge Award PEI Mental Health Mobile Services Populations of 700,001 and Above

GO RIVERSIDE COUNTY!

“Bright Ideas is an initiative that recognizes creative and promising government programs and partnerships. The initiative is offered through the Innovations in Government Program, a program of the Ash Center for Democratic Governance and Innovations at Harvard Kennedy School.” For more information please visit: http://innovationsaward.harvard.edu/BrightIdeas.cfm

Page 28: Mobile Clinics & PCIT: Meeting Clients in the Field · Prop 63 in California, 2004, 1% Millionaire’s Tax Creation of Prevention & Early Intervention (PEI) Desire to Reach Isolated

Bye For Now…

Anytime You’re In Riverside California Stop By! (This is false advertising…we’re not by a beach)

(951) 358-6895

Girard, E. (2016) Mobile Clinics & PCIT

PEI MOBILE SERVICES