HEALTHMAN_By Keith Torkelson MS_UCD Educated Pathology: Mental Health Association Orange County (MHA-OC) – Housing Advisory Board - Housing Resource Evaluation

Shared Roommate - 3 Occasions (1997, 2007, 2008)

Borrow Material From Respite Report

Metadata

02_Move_Plan_Phase-IB_14121908_Respite V2018

Blogger Title

Mental Health Association Orange County (MHA-OC) – Housing Advisory Board - Housing Resource Evaluation – Keith Torkelson (2018)

Google Plus Information

MHSA Innovation Component Minute – V2018.01 - MHA-OC Room & Board Update Report by Keith Edward Torkelson, MS – Infrastructure Needs Repair (2018) – MHSA Housing Suite

Dedication

We dedicate this report to one of our most significant helpers our oldest sister Lanaii. Episodically she has worked tirelessly to help us out.

Inspiration for Round 2 Phone Calls – Ted & Gloria & Rochester

We also share the house with Ted Francis. He quit smoking about one year ago. This morning May 3, 2018 @10am we heard him make a terrible dry smoker cough. He does this quite a bit. Other than being a report about Housing Resources it also addresses the issue of COPD. COPD effects quality of housing more importantly the quality of one’s “Bed”. We would also like to thank Gloria Shanks for her inspiration to continue our efforts for ferreting about Board & Care Operations in “TheOC”. Gloria owns and operates three (3) R&Bs in North Orange County. She provides for more that fifteen “Beds”. Gloria works tirelessly providing for the needs of her clients. Gloria and her husband Mel should get a Senatorial Award. We saw Senator Correa give out a few and we believe the Shank’s deserve a reward long overdue for their contribution to the community. We are inspired every night with Rochester Cannon’s (AKA Basalt) major effort to prevent us from getting a good night sleep. He says: “I cannot control my coughing”. We say then go to the doctor and not lie that everything is all right.

Photographs – Compare 2 Wounded Vets

Wheelchair Guy V Basalt (Rochester)

Veteran Out in The Community

Veteran - Bedridden

Died June 27, 2021 @ Home

Contents

Title Page

Summary Information

Dedication

Contents

Resource First Method (RFM) – MHA Room & Board List (2006.01)

Resource First Method (RFM) – MHA Room & Board List (2006.02)

How we obtained the list?

Abstract – Executive Summary

Type of Bed

Define Independent Living

Score Level Of Independence

2012 Issue & Errors We Made

Table - Placement History (1982-2005)

Table - Placement History (2006-Present)

Three Unique Lists (Multiple Duplicate Entries)

Sample of Work Done – MHA (2006) List

Infrastructure in Dis-repair

Associated Studies

Achieving Aloneness

20180423-M: MHAOC Housing Update – New Rep

MHA Contact Timeline Page 1 of 1

MHA Promise

My Role – Housing Advisor Specialist

FYI - HOUSING Resource Guide (76 pages)

Independent Living (IL) – IL Assessment

Vignette – The Kneeing Story

Takeaways and Lessons Learned

Appendix - MHA 2006 – Call Logs (10 Pages)

Resource First Method (RFM) – MHA Room & Board List (2006.01)

Community Partner – Resource

Figure – As of March 26, 2018 “mha” Housing Specialist

How we obtained the list?

This is the short version of how we obtain the MHA-R&B List. In February 2007 while working to get released from Westminster Therapeutic Residential Center (WTRC) our Social Worker gave us the list. Her name was Diana Shipley. She basically implied that since you have become so healthy you could place yourself. That was a rather scary affair because we had no knowledge or experience with Room & Board Living in Orange County. We placed ourselves in Lisa’s House, owned by David Nowe in Irvine California that is now closed due to the Housing Crisis.

Out of Business Status (OBS)

It is hard to tell if the providers’ phone numbers have changed or if they are actually out of business. We are going to get to us our address list and do some site visits.

Community Partners

Mental Health Association Orange County (MHA-OC)

Orange County Health Care Agency (OCHCA)

MHSA-OC Providers

Brand New Day

Julie Paulino – Julie’s Houses

Gloria Shanks – Shank’s Guest Homes

Social Security Administration

US Department of Health & Human Services

Chapman Campus

Westminster Therapeutic Residential Center (WTRC)

Google

Supports Homeless People in Orange County

Community Partner - Supports Blogger

Photo Feature – Julie’s House – Julie’s Room and Board

Julie’s House is number 10 of 37 on the list. We were fortunate to collect some photographs of Julie’s House AKA Julie’s Room and Board. While with Julie help her out with Sales and Marketing. As Julie was fond of saying “our house is the best house” and “you all are going to live here forever aren’t you?”

Julie's Hillview Estates

Julie's Entry

Hall to 3 Bedrooms and Full Bathroom

Julie's Kitchen Area

Up to Eight People Cooked Individually

At Time Eight People Shared the One Refrigerator

Minimal Food Theft

The Good Old TV with Cable

Note the White Tile Work was Mopped Each Day

Due to Code Enforcement Violation

The Pool Was Filled In

We got Operated the Bobcat Tractor

Plenty of Parking for Her Accounts

The Owner of the Little Car is MIA (2007)

I thought we kept our area or Cubette Nicer

Kitchen Could Support Individual Coffee Pots

One the Side

Laundry Facilities

Each Client Had an Assigned Day

You Could Swap PRN

Hillview Anaheim - Looks at Little Gloomier in Person

Dashcam

Having Awesome Facilities and Making Them Work

Are Two Different Things

The Consumer on the Floor Actually Pays for the Bed Behind Him

We Never Asked Him: Why do you sleep and lay on the floor so much?

Abstract – Executive Summary

At the core of this report on Room & Boards resources in North Orange County California are the results from some 35-phone calls we placed referencing the Mental Health Association (MHA-OC, 2006) Room & Board phone number list. When we first used the list in 2007 the majority of the numbers connected. That is not so as of today (May 3, 2018). We reached only about three (3) live people. About 10 numbers requested that we leave a message. Because leaving is the start of the sales process we did not leave one since we hadn’t scripted a really good on our yet. We avoided calling what we call our aces-in-the-hole: Julie Paulino, Gloria Shanks or Brian Nazareno (Christopher Nazareno’s relative). Brian is associated with operating West Glen Manor. Christopher AKA Matt is associated with operating Chapman Board & Care. If we needed to place ourselves in one day we would have to pick Julie Paulino. We haven’t been able to get much family help about a Julie House placement because our oldest sister and our primary family support person does not seem to like Julie’s as an option. We lived successfully at Julie’s from 2008-2011. When we parted with Julie in 2012 she said that Romer her husband liked us and says we can always return. In 2014 when we were in moving mode again we checked with Julie in person and she said if she were to take us back she would put us in her house (Empire) as compared to the self-managing house on Hillview.

Conference Call with Kline

20180502-W:

We emailed a draft of this report to our older sister and principal family supporter so that for the first time she had some numbers available to call. We also included the results of our calling spree at the end so she would know numbers that do not connect (broken numbers) anymore.

Next Steps – Context of Room & Board Operations (Orange County California)

For our Room & Board Final Research Report we plan to take it up a notch. We are hoping to find an updated list in the OCHCA material Online. For their proposed Housing Suite it is very likely that they will need to collect the most up-to-date information on the various types of housing including Room & Boards. We know the HCA supports a list of Board & Cares online. We can’t live at Chapman Board and Care because it is way to close to a major thoroughfare. Mixing panic, due to lack of sleep, with cars going 45 MPH and the nighttime – for us elevates our risk factors for becoming road kill off the chart.

Risk Factors – Reality

We had a friend that late last year (2017) that was a Brand New Day member. We know he was anxious and very likely inappropriately served. He took care of it by jumping off the freeway overpass to his DEATH. In our early reports (2012-2014) we called Brand New Day the Graduate By DEATH program (GBDP). We plan to continue surfing the OCHCA and MHSA (Orange County) Online materials for ideas – numbers – fixes – and patches. We really don’t expect to find any tangible Solutions yet. Our insurer is Brand New Day (BND). We don’t go there that often. We make a showing primarily for our absolutely critical monthly lab-work. We have pursued our Housing Interests with our BND Reps in the past. They have been of little help with meeting our Unmet Housing Needs. We are going to try to collect a few numbers by word of mouth from BND as well as Wellness Center (MHSA) members who are our friends.

Further Investigation – Fixes & Patching

One last thing we are going to investigate is Motel Vouchers. We hear they exist while nobody in our network has hooked us up with one. In conclusion, we failed to place ourselves; we decreased our Material Mass that increases our MoveAbility (MSG, 2018) and MoveReadiness (MSG, 2018). Tonight we are back to negotiating with our primary belligerent for getting a good nights sleep. If we have to we are lucky enough to have developed the option to move out of the room and sleep on the floor. Well we followed through with our negotiation. In reality we delivered a diatribe or a forceful and bitter verbal attack against both him and his behavior. We made clear rather than call “911” when we Panic he might be proactive when he won’t let us sleep and just come over and break our neck. The result was a Patch for one night. As we say here at MSG – One night at a time. I know we mention it elsewhere. Our belligerent is a retired combat veteran. He was trained to kill people as a solution. It is very likely he carried our mission. It other words he killed people. It is really hard to impress people who kill people. Also, we dislocated one of our cervical vertebras. From lived experience if you ask someone to break your neck trust him or her not to do a partial job!

Housing Advisory Board – Information Technology

In our prior Accountability MHSA Innovations Newsletter we introduce our idea for the OCHCA to support a Housing Advisory Board of some sort. OCHCA introduced the concept of an Online Housing Suite last year (2017). To make the product as high end as possible we fell they need on-going Consumer Input. Near the top of list of software elements is to collect Consumer Satisfaction information. Here we try to demonstrate that we would make a “Great” Room & Board Specialist. Did we say “Great” when we mean “Awesome” Our favorite name for the advisory group is Housing Advisory Board Information Technology or HABIT.

[INSERT LINK TO AMIN-0013]

Accountability the MHSA Innovations Newsletter (AMIN-0013, 2018)

Newsletter - Focus Housing - 2018 April

Accountability the MHSA Innovations Newsletter (AMIN-0013) - The “HomeeGee Housing Issue” - BY4 Keith Edward (2018). Accountability the MHSA Innovations Newsletter (AMIN-0013) - The “HomeeGee Housing Issue” - BY4 Keith Edward (2018).

“They Shoot Horses Don’t They?

There are alternatives to getting housing right. Years ago we introduced our Tork Reconstruction Company (TRC) notion about Managed Passing. As a Veterinary Paraprofessional we were asked to hold dogs and cats for what we call a Graceful DEATH or Euthanasia. Looking back at our friend Gravity Mark that made himself gravity road-kill we thought it would have a loving thing to do to put him down the week before he died. Our notions and concepts such as Managed Passing tend to be liberal. If we get more than 100 readers per paper we consider it a success. So here is our link to a college level paper we wrote on Managed Passing. It really “Sucks” having to go to the hospital to get help and hopefully a secure good “Bed”. You can lose so much during a stay in the hospital.

Keith Torkelson - Euthanasia and End of Life

20180504: Page Views = 414 Date Chartered = 11/7/12

Managed Passing Report 2012

Table - Type of Bed & Resource

Extracts form MHAOC Housing Resource Guide

-
Themes	Page In Guide	Applies Here
-
Affordable Housing	7	X
Housing Resources	11	X
Long-term/Independent Living	12	X
Shared Housing Program	13	X
Single Room Occupancy (SRO) Facilities	14
Roommate Referral	14
Rental Assistance Programs	14
Shelters and Transitional Living	17	X
Residential Recovery/Detox Programs	28
Hospice, Skilled Nursing Facilities and Assisted Living	34
Adult Day Centers	40
Residential Services for the Mentally Ill	42
Homeless Resources Quick Reference Guide	45
-

Table – Housing Resources – Mental Health Association Orange County – Last Reviewed: 20180504-F:

More on Specialists

The three areas we here at MSG are most familiar with are: Principal on apartment lease, Room & Boards, and renting a shared room. We were surprised to find at least one Room and Board (Sally’s House) that leased individual rooms for the cost that others rented shared rooms. We have a liberal idea for an Accountability and Transparency Specialist (A&TS) to address those that died (DTYs) due to housing issues. For example our friend Dug who Died Too Young (DTY) began his downward spiral after he could not find a “Bed” that worked for him anymore. We caught up with him after four (4) or so moves. We actually visited him at all four houses. Last time we saw him alive: We told him you look pretty good. He had lost a lot of weight. Then he died. What triggered things for Dug was a foreclosure/eviction notice that scared him into perpetual disequilibrium [SPELLED]. He could never gain back the stability that he had when we shared a room together.

Indicators of MoveReadiness and MoveAbility

You heard it here first! Two modules we would like to see built into the OCHCA Housing Suite are MoveReadiness (MSG, 2018) and MoveAbility (MSG, 2018). We here at MSG researched a bit and our still not completely certain what Independent Living Is. We are working on some assessment to yield a Level Of Independence Score (LOIS). Hey! That is one of the first Acronyms we created that spells out someone moniker. To prevent people from crashing and burning while at the same building confidence might be a priority package. We also suggest evaluating for Indicators Of Wellness (IOWs).

Acronyms – Housing and Moving

	-
Acronym	Meaning
	-
ADL	As indicated by Activities of Daily Living
AMB	As Measured By
IL	Independent Living
ILA	Independent Living Assessment
IOWs	Indicators Of Wellness
SOI	Score Level Of Independence
	-

Metadata

Assess_ADLs_17030304_Develop V2018

FYI - What is your personal definition of Independent Living? - Dr., Ratzka Adolf (1992).

https://www.independentliving.org/toolsforpower/tools11.html

“Independent living is a dynamic process, it can never be static. A person's physical, emotional and social environment and subsequent needs are continually changing and evolving. The struggle for Independent Living and personal determination is something each disabled person must approach in their own way.”

FYI - What is an independent living facility?

“Independent senior living communities (also known as retirement communities, senior living communities or independent retirement communities) are housing designed for seniors 55 and older.”

Held Back – Pre-Sell

We are going to hold back our special topic discussions

Special Topic – Medication Management & Housing

Special Topic – Heaven Likes Nice People (AMB)

Special Topic – Applying Scout America Virtues

Table - Katz Index of Independence in Activities of Daily Living (Katz-6)

-
		Self	Me On Basalt	Me On Basalt	Self
	Activities Daily	20170303-F	2015 Retro	20170303-F	20180414-SA
	-
1	Bathing	1.0	0.5	NID	1.0
2	Dressing	1.0	1.0	NID	1.0
3	Toileting	1.0	1.0	NID	1.0
4	Transferring	1.0	1.0	NID	1.0
5	Continence	1.0	1.0	NID	1.0
6	Feeding	1.0	0.5	NID	1.0
	-
		6.0/6 100%	5.0/6 83%		6.0/6 100%
-

Matrix – Activities of Daily Living (ADL) – Last Reviewed: 20180504-F:

Basalt the Belligerent – AKA – Wounded Warrior

In our early studies we called our inspiring roommate Basalt because we wanted to process our problems without causing harm. Basalt is actually Rochester Cannon. He is serviced by with Veterans services. He is a poster child for inappropriate services and supports. For this paper we are transitioning about anonymity. On this day May 3, 2018 (TH) Basalt reports to us that he cannot control his coughing in the middle of the night. We said it might be wise to go to the doctor. He has been coughing-snorting-hacking on and off in the middle of the night at least since March of 2017. We it comes to the Katz Index it indicates Rochester still has some control over his faculties. At night after he wakes us up keeping us up long enough for us to realize it is a night without sleep we ask him to discuss his health problems with the owner and live in landlady. He says” “I don’t want to bother her”. We talk to him about the impact that discord has on our landlady. He doesn’t care. We asked him if he even liked our landlady and he won’t speak. For Rochester silence more often than not means a “No” answer. When he does speak he Yes if he can avoid services. Buy definition he is mute. He also has mastered Learned Helplessness. One of our alternatives at night is to go downstairs and sleep on the floor. Loosely this qualifies us for a Homeless Stamp using the criteria for not a typical place a normal person would sleep.

Bedridden Wounded Combat Veteran

"After Midnight We Gonna Let It All Hang Out"

Shared Roommate Wakes Us Up @ Midnight

Wounded Warrior – BASALT – Presented by Keith Edward Torkelson (2017)

Wounded Warrior Report 2017

Mar 30, 2017 - With MSG Abstract – Executive Summary This report is about a Wounded Warrior who is lost but not forgotten. The subjects of this report are ciphered as: DAG and BASALT. BASALT is the wounded Army Veteran. You've visited this page many times. Last visit: 5/3/18

Table - Lawton – Brody - Instrumental Activities of Daily Living Scale (IADL) (Lawton-8)

-
		Self	Me On Basalt	Me On Basalt	Self
	Activities - Instrumental	20170303-F	2015 Retro	20170303-F	20180414-SA
	-
1	Ability to Use Telephone	1.0	0.5	NID	1.0
2	Shopping	1.0	0.0	NID	1.0
3	Food Preparation	0.5	0.0	NID	0.5
4	Housekeeping	1.0	0.0	NID	1.0
5	Laundry	1.0	0.0	NID	1.0
6	Mode of Transportation	1.0	0.0	NID	1.0
7	Responsibility for Own Medications	1.0	0.0	NID	1.0
8	Ability to Handle Finances	0.5	0.5	NID	0.5
	-
		7.0/8 83%	1.0/8 13%		7.0/8 83%
-

Matrix – Activities of Daily Living (ADL) – Last Reviewed: 20180504-F - NID = No Improvement Demonstrated

Daily Activity – Getting a Good Night Sleep

Possibly the most important Activity of Daily Living (ADL) is Being able to get and good night sleep and letting other in your house get a good night sleep. For us the effectiveness and predictability of our primary medication depends on getting a good night sleep.

Context Westminster Therapeutic Residential Center (WTRC-IMD)

Sometimes we question our preferences such as getting a good night sleep. If Basalt were residing at WTRC the night crew would get all over his case if they walked by and heard him coughing as loud as he does. They might even ask us his roommates: If his coughing were bothering us in here? Another thing they would do is not let him lay in bed during the day like does. It makes little sense to offer the lay in bed during the day reward to someone who is having problems at night. If he were at Chapman Board and Care they we easily swap him. There are more swap choices at Chapman Board and Care than we have available to us at the present time. Where Rochester lives now it is designed to help him with the things he can’t control or do for himself. If it were easy to move with a guarantee for an excellent fit for us our numbers including those for Activities of Daily Living (ADLs) indicate that it may be prudent to move ahead. It is just really hard to actualize an excellent fit. This report is a sample of us moving onward.

FYI - Shared Room Living – Pretty Tense @ Times

Woman, 49, Admits To Murdering Roommate In Garden Grove (2014)

http://losangeles.cbslocal.com/2014/02/21/police-investigating-homicide-in-garden-grove/

Feb 21, 2014 - Fire officials responded to a “female in cardiac arrest” around 11:05 a.m. Friday at Chapman Board and Care, located at 10811 Chapman Avenue. Police later determined the death was suspicious…She was booked on suspicion of murder and is being held at the Orange County jail.

[INSERT PERPS PHOTO]

Sleep and Judgment

We know from lived experience if we do not make restful sleep a priority lack thereof impairs our judgment. Next four us will come panic that further impairs of judgment. We believe without sleep there can be no recovery.

Sleep - Photo Indicates She Like Good Sleep

FYI - The Torkel Saga 2059: Chapman Board & Care – Chapman Board and Care – Chapman Campus – Consumer Review – 2012 Allegation of Battery (2017)

Chapman Campus Report 2017

This is a formative report for Fall Quarter 2017. To the point: MSG's principal, i.e. the highest authority with MSG, Keith E Torkelson, had his nosed broken (2012) while staying temporally at the Chapman Board and Care Campus in Garden Grove, California.

2012 Issue & Errors We Made

1) We did not provide our primary helper, our oldest sister Lanaii, the MHA (2006) list in advance. We did this because with our new knowledge and health network (MHSA) we mistakenly believed we would not need substantial family support for 2012. 2) We did not catch up with the MHA Housing Specialist, Christina our housing specialist, before she moved forward and away from the MHA. We kept putting meeting with her because Moving for us is a very challenging subject and endeavor.

Action Plans – Action Items & What’s Next?

Processing and Sharing Our Findings

Here we include Scans of the 2006 Mental Health Association Room & Board List (MHA-R&B). We also include in the Appendix our call logs applying the 2006 MHA List. Next we here at MSG intend to compare three different Room & Board Lists (Rent a shared room): MHA 2006, Ken 2008, and Dug 2009. It looks like a promising next step to apply the Ken 2008 List. On the periphery now we will keep advocating about our Public Health supported Housing Advisory notion. We almost forgot the usual Consumer Stipend is a $20 food card.

Don’t Fire Us – Give Us A Raise

I know that we speak for other Consumer Engaged in the MHSA related: We want a raise. We use the MHSA Steering Committee as an example. We wish make the average between the highest paid person in the room and our $20 Stipend. We will consider removing the high-end outlier because we had always hoped Donald Bren and his friends such as George Argyros (80, of Newport Beach) would show at a MHSA Steering Committee Meeting (SCM) to see how their money is being spent. Since Bren is into Real Estate we figure he would be a valuable member on our proposed Housing Advisory Board (HABIT). We heard rumor last month (April) that channels at a high echelon wish to let the MHSA Consumer Action Advisory Committee (CAAC) go.

FYI - How Orange County's wealthiest people made $5 billion in a year. (2017)

https://www.ocregister.com/2017/10/18/how-orange-countys-wealthiest-people-added-5-billion-in-a-year/

Table - Placement History (1982-2005)

Using Word of Mouth and The Phone Book

-
Timeframe	Facility	Placer	Note & Status
-
1985	Piňion	Lawrence	1985 – 1989 about 10 roommates All succeeded in their undergraduate and post undergraduate work
1989	Oxford Park	Self	Success
1991	Wake Forest	Self	Problematic
1996	Royal Garden	Self	Phone Book - USDA job fell through
1997	Avalon #246	Geno	Principle on lease - Subletting
2000	Avalon #287	Self	Moved because 246 was overdue for a makeover
2004	Eden Manor	Worker	Los Angeles County Too much out of place
2005.01	Chapman	Family	Knew it was a trap expedited moving
2005.02	Pasadena	Self	Move in with MSO Too many stressors

Table – A History in Placement (1982-2005) – Last Reviewed 20180504-F:

Table - Placement History (2006-Present)

Applying The MHA List – Experience with Room & Boards


Timeframe	Facility	Placer	Note & Status

2007	Nowe’s “Lisa”	Self	House was sold
2009.01	Lyn	Self	Poor fit hormonal problems in Coed House
2009.02	Julie	Self	Husband says we “could always return”
2012.01	Chapman	Family	Catastrophic troubles
2012.02	Shank	Brand New Day	Without Clozapine I was unexpected to make it
2014.01	Arsi	Self	Aborted in the paperwork phase Too much tension
2014.02	Shank	Self	Told her we would stay Her health appeared to improve
-

Table – A History in Placement (2006-Present) – Last Reviewed 20180504-F:

Table - From - Three Unique Lists (Multiple Duplicate Entries)

	-
##	Resource	Status	# Entries	Calls Made
	-
1A	MHA (2006) List - Here	Here	37	28
1B	Consumer Hand (2008) MHA Transcribed	Ditto of MHA 2006 List	37 [DITTO]
2	The Ken List (2008)	Processing	38 - FLA	36
3	The Dug List (2009)	Processing	72 - PLA
4	The Vera List (MHA - 2018)	She says it is in the works
5	Christina List (MHA – 2017)	Not Available Possibly lost

	Round 1 Total =			64

Table – Work Done Using Lists on Hand – Last Reviewed - 20180504-F: FLA=Full List of Addresses: PLA=Partial List of Addresses

Table – Work Pending – Room & Boards (North Orange County)


##	Resource	Status	Calls Made	# Entries

6	OCHCA List	A Next Step May not exist
7	MHSA-OC List	A Next Step May not exist
8	Word of Mouth List	A Next Step
9	Combined Call Outcome List	A whole lot of work		No more than 100

			64

Table – Find a Bed List(s) Resource Development – Room & Board – Last Reviewed: 20180504-F:

How is it? No calls to:

While attacking the resources on the MHA (2006) List and a word of mouth referral we avoided calling: The Shanks, Julies, Lyns (Lynn’s), and Brian (Referral). We intend to share all of our Lists and Room & Board findings with our R&B Housing Suite Development Final Report

Sample of Work Done – MHA (2006) List

Actual Findings Included in Appendix

Infrastructure in Dis-repair

Basically over ten (10) years rather than improving the Room & Board resources strong evidences indicate they are in disrepair. We found less than fifteen (15) percent of the providers on the MHA-2006 list are easy to access. We contacted Pam Presnell in MHAOC Corporate and she is not certain who could really satisfy our needs both personal and professional. Victoria Vera is still too new to her job in MHA Housing to understand what and why we are requesting an updated list. Victoria if she makes it in the job might best be invited to sit on our proposed Housing Advisory Board. We have observed that turnover rather it be moving up, over or away is incredible in Health & Human Services. Burnout is real for those who are supposed to have it together (providers). We gave her a heads up that the county may be helping her out soon with their “Awesome” Housing Suite as it was proposed last year (2017).

List - Associated Studies

-
Study		Note
-
1-Day Emergency Placement		Still to highly dependent on hospitalization
72 Hour Placement Experiment (72PE)
Accountability MHSA Innovations Newsletter (AMIN)		Complete and published
Aftermath of MHSA Technological Needs
County Housing Advisory Board - Formation		Advocacy is hard business
Housing Issues - Early Warning
Innovation Component Minute (ICM)		This report
MoveNow (MSG, 2018) Approach
Other Lists (Resources)
Respite
Room & Board Specialist
Technology and Housing Suites
Wounded Warrior		Once again if it wasn’t for this guy we would be working on something else
-

Table of Associated Studies – Last Updated – 20180504-F – Most Likely ALL will not need to be published.

Practical - Achieving Aloneness - Work Stopped - Outcomes

After finishing our calls we achieved “Aloneness”

We checked in Motel 6 (Westminster North) on Tuesday April 17^th 2018 for a reserved say of six (6) nights. By Friday April 20^th at 5pm we had finished our work and achieved Aloneness. A few contributing factors to our aloneness was that this was the first time we spent three nights alone at Motel 6 without our Most Significant Other Joan. Another was: If we wished to hang out Friday night with anyone we had no one to call. The most important factor that made us feel alone was that what we had done making 64 (plus calls) we believe none of our family or friends could or would have helped us out. It is a lot of work being on the phone for a total time exceeding one hour dealing with 64 different outcomes. We achieved the desired rest with our Sleep Value Score (SVS) = 5.0 for each night (TU-F). 5.0 is the best on our Scale of 0.0 to 5.0. We will address the Respite value in a subsequent paper.

Metadata

02_Move_Plan_Phase-IB_14121908_Respite V2018

Summary of Helpfulness (Usefulness)

-
Agency & Individuals	20180503-TH	QSM
-
Brand New Day (BND) Programs	No Help	0.00
Brian N	Looking for Referral Info	0.50
Current Landlords	Helpful	1.00
Darlene	Not with agency anymore	0.00
Derek Chumley (BND)	Referred us to Jeff	0.75
Gloria Shanks		1.00
Family	Helpful	1.00
Jeff Gibbs (BND)	Historically useless	0.00
Julie Paulino	Retained	0.50
MHA-Christina	Historically Helpful	0.00
MHA-Pam	Referred us to Veronica	0.00
MHA-Veronica	No Help	0.25
MHSA-OC	No Help	0.00
OCHCA	No Help	0.25
Rimal B Bera MD (BND)	Validated our concerns	0.25
Rochester Cannon	The belligerent Moderately Helpful	0.50
Self	Good Orderly Progress	1.00
Thing Greater Than Us	SLEEP	1.00
Mr. Take Away	Motivation	1.00
-
Network Help Value Score = (NHVS-Housing)	72 Hour Placement	9/19 = 47.4%

Table – Summary of Resources Helpfulness – Last Reviewed: 20180503-TH: QSM = Quick Score Method.

One Day to Pick

If we had to pick the psych ward to get some sleep or a bed in the community we would pick a bed in the community. We would pick either Julie’s House or Lynn’s House. Yet the best pick is to hold our ground here where we are and continue improving our MoveReadiness (MSG, 2018).

[INSERT IMAGE FOR LEAVING STUFF BEHIND]

In Our 2004 Moved we Gave Up 90% of our Personal Library

Prior We Maintained 3-4 Book Cases

Many of our Books we Applied when We were a Student Teacher

20180423-M: MHAOC Housing Update – New Rep

On Monday April 23, 2018 about 3pm we met with the new Housing Rep at the Mental Health Association (MHAOC) Homeless Service Center in Santa Ana California. Our old contact Christina had moved on. Taking her place is Victoria Vera. Again, the new Housing Rep for the MHA is Victoria. Victoria reports that Carmen supervises her. Victoria says it is Carmen’s policy not to release the MHA Room and Board List. She also said that she is updating the list she has probably by inheritance. Victoria reports “Carmen says I can only give out three (3) numbers at a time”. From experience (2007, 2008, 2012) we know that it is statistically unfeasible to connect with a “Bed” in only three (3) calls. We told Victoria that we would go through channels before contacting Carmen. Basically, we were unprepared for a no answer about our request for a more effective list.

Metadata

MHA – Housing Specialist Shared From

AMIN-0013_MHSA_CSS_Housing_17100901_Report V2018

Data & Information Sharing

If the OCHCA MHSA had a Housing Advisory Board we would prepare to share our findings at a (monthly) meeting. We are not even go into the fact that the Housing Suite Builders did not solicit this information and how challenged these public health people for entertaining unsolicited material. In our last report we proposed a Housing Advisory Board (HAB). Next we want to be a contributing member, and now here we propose that we would make a great Room & Board Specialist. As MSG Procedure (V.2018) we will share this report Online via one or more of our Blogs.

Table - MHA Contact Timeline Page 1 of 1 (Moderate Granularity)

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Time Stamp	Action & Name (Vera)	Note	Result(s) & Impressions
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20180326-M	In Person Victoria	First Mtg	P/U Card Victoria replaces Christina

20180419-TH	Self	Process List (MHA-2006)	35 of 37 numbers called – Outcome discouraging
20180420-F	Call 1 and 2 Victoria	714-668-1530 x 227	Request updated R&B List
20180420-F	Call 3 Victoria		Out of Office
20180420-F	Pam Presnall	Call	Call dropped
20180420-F	@215pm Email Pam Presnall	Email Pam Presnall	End effort for weekend Failed Placement Readiness within 72 Hours
20180422-SUN	Self	Seek updated MHA List
20180428-SAT	Self - Initialize	Respite Report

20180423-M	Phone Tag Victoria	Victoria Vera	714-668-1530
20180423-M	Visit In Person Victoria	Victoria	See Notes about meeting Identifies Carmen as supervisor
20180423-M	Carman		Troublesome policy 3 Numbers at a Time
20180501-TU	Share with Lanaii	Email
20180502-W	Keith and Lanaii	Discuss Draft and Findings	She was not really impressed
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Table – Doubles as a Structured Temporal Reconciliation (STR, MSG 2012-2018) – Last Reviewed: 20180504-F:

MHA Promise

Our Emerging Role – Housing Advisor Specialist

Once again we find evidence that a Housing Advisory Board would be useful to assess current resources and contribute need features to the OCHCA (MHSA) Housing Suite software.

FYI - HOUSING Resource Guide (76 pages)

http://santa-ana.org/cda/documents/2016HousingResourceGuide.pdf

Mental Health Association Multi-Service Center

714/668-1530 > Fax: 714/668-1531

PO Box 718 Santa Ana, CA 92701

“The Options Center is a drop-in center open 365 days a year for psychiatrically disabled homeless adults in Orange County. The Housing Specialist in this program assists clients to develop a budget, explore housing options, such as room and board, room rentals, shared housing

and apartments, and provides follow-up support. Program is designed to help consumers who are homeless, or at risk of becoming homeless to move into permanent and stable housing. Must be over 18, have a diagnosis of mental illness, be capable of living independently, and have a source of income to cover expenses. There is no charge for services. To receive services a referral must be made by phone or fax to the Housing Specialist. A housing search can take a few weeks to a few months. Not an emergency shelter. Contact person is Pam Presnall at 714/547-7559 or presnall@mhaoc.org.”

https://mhaoc.org/?page_id=65

Pamela Reed Presnall

Director of Development and Community Education

presnall@mhaoc.org

Vignette – The Kneeing Story (Kline) – Shared Room & Sleep

Back some twenty years ago our oldest sister shared a bed with her husband. At some point he was having sleep apnea problems that kept her awake. Before he was issued a CPAP, CPACK, CPAK or CPAC Machine she would knee him in the back to change his breathing cycle. She also had a method for guaranteeing a full night sleep by moving to a guest room. She did this sleep away one day per week on Sunday. She felt that she needed the best night sleep before the workweek.

Motivation for Finding New Bed

The reason we are motivated to look into Room & Boards at this time is that one of the roommates we share a room has been waking us up in the middle of the night by making COPD noises. Rochester Cannon is his name and he has been and is being served by the VA yet they cannot help him because he lies: Saying nothing is wrong or he is OK. He used to be a smoker. He says he can’t help himself. We have tried several fixes. We asked him if he likes Gloria the Landlord because this disharmony stresses her out. Rochester says nothing which more often that not implies no. We had the urge to poke him with a stick last night. Yet making contact can be construed as “Battery”. We have yet to solve his sleeping problem. Even on the best nights if we are awakened it takes an hour to get back to sleep. In addition we may have to take our PRN nighttime medication. On May 2 (Wednesday) 2018 at Midnight he woke us up. This time we realized that it would take an hour to get back to sleep. We have an option to move out of the room and sleep on the floor. Now we are going to prepare to talk with him for up to an hour when he wakes us up. We still have not developed any new “Bed” alternatives. This Housing thing sure is “a complex issue (Director Mary Hale, 2017)”.

Takeaways - Lessons Learned – Planned Next Steps

After this study we have improved our MoveReadiness (MSG 2018). Our move options are still limited to a Psych Ward Placement (PWP). The turnaround time promised by the Mental Health Association is too slow as measured for a Early Intervention. Before our Final R&B (rent a shared room) Report we are going to collect phone numbers by word of mouth, use our R&B address list to visit a few sites around Santa Ana, and call and/or meet face-to-face with Victoria to collect up three (3) numbers at a time. Our work will focus on Santa Ana. The primary product will be a log of phone numbers that actually reach R&B Providers. We are considering sharing a few select and in scope excerpts with our current Landlady and Friend.
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