Orange County will pilot the PADs project in several areas within the Health Care Agency: Adult Correctional Health Services (ACHS), Program for Community Assertive Treatment (PACT) and Crisis Stabilization Units (CSU). Additional programs may be added in later phases of the projects.
Orange County hopes to engage various community stakeholders throughout the duration of the PADs Innovation Project. Partner agencies like first responders, law enforcement and local hospitals will be invited to participate in trainings to increase awareness about the use of PADs and support implementation efforts. In addition, Orange County currently has approximately 200 Peer Specialists (i.e., Mental Health Workers) across its Mental Health and Recovery Services programs. The County will leverage its existing Peer workforce to help develop a PADs template that can better support individuals experiencing a mental health crisis.
The PADs project aligns with the goals and objectives of Orange County’s Integrated Services 2025 Vision and FY2020-23 MHSA Strategic Priorities. The process of developing a PAD can help people clarify their preferences for treatment and plan for a future mental health crisis, serving as a powerful tool to increase a person’s quality of care within the mental health and justice-involved settings. Furthermore, the ability to access and share PADs across providers and systems will allow providers and first responders to provide personalized, responsive, and coordinated care.
Orange County recognizes the importance of supporting youth under age 18, and although this age group is not a target population for this project, Orange County plans to facilitate preliminary discussions with its transitional age youth PACT program to explore the feasibility of implementing PADs with youth, particularly discussions around legal, clinical, and ethical implications. These learnings will be shared with the participating counties in this project to support any future work with the target population.