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Care Philosophy 
We strive to ensure quality mental health services for our community by combining clinical, administrative and educational expertise with commitment to our patients and their families.

Practice Locations 
Los Angeles County Department of Mental Health  See map
550 South Vermont Avenue
Los Angeles, California  90020
(213) 738 - 4603
(213) 386 - 1297  (FAX)
RShaner@dmh.co.la.ca.us


Specialties 
Psychiatric and General Mental Health Services:
Clinical, administrative, teaching, and informational resources for psychiatric and general mental health needs

Patient Education Resources

A Listing of Patient Education Links
Communication / AAP
Let's Talk Facts About Teen Suicide / APA
Patterns of Alcohol Abuse / AAP
Divorce — Helping Children Adjust / AAP
Let's Talk Facts About Phobia / APA
Eating Disorders / AAP
Let's Talk Facts About Substance Abuse and Addiction / APA
Cocaine / AAP
Let's Talk Facts About Anxiety Disorders / APA
Understanding Alzheimer Disease / NIH
Drugs and Pregnancy / ACOG
Discipline / AAP
Alcohol and Women / ACOG
Depression / ACOG
Mental Health Community Connection: Access to info on mental illness and resources /  WebLink

Access Improvement Strategies
A Toolkit to Improve Access to Services /  Revised 10-03

Administrative Information for Clinicians
Algorithm for DMH Services Introduction /  Indigent Care Taskforce
Initial Screening Algorithm /  Indigent Care Taskforce
4 Visit Algorithm /  Indigent Care Taskforce
120 Day Algorithm /  Indigent Care Taskforce
Review of Priority Population  /  Office of the Medical Director
Parameters For Responding To Difficult Requests /  From Constituents/Clients Posted 4-28-05
Integrating DMH Clinic Services with Jail MH Treatment /  WebLink

Clinical Risks Management
Preventing & Coping with Adverse Outcomes /  A Guide for Managers - Revised 6-06
Clinical Incident Reporting - Contract Agencies /  A Quick Reference Guide - Revised 3-06
Clinical Incident Reporting - County Programs /  A Quick Reference Guide - Revised 6-06
Clinical Incident Report Rev. 11-07 /  Added DMH webpage and NPs
Summary of Reporting Requirements-Revised 1-01 /  Office of the Medical Director

Employment Opportunities-Join The Team!
Join the Team: Job Opportunities for Psychiatrists /  Office of the Medical Director
Experienced Psychiatric RN Opportunities /  For RNs and Psychiatric Mental Health NPs
Los Angeles County Department of Human Resources Information /  WebLink

Hospital and Attending Staff Issues
LPS Privileging Guidelines /  Posted 10-28-04
Letter re Rev. 4th ED. LPS Designation Guidelines /  Posted 10-15-07
LPS Guidelines, 4th ED., revised October 2007 /  Posted 10-29-07
LPS Testimony Procedures in Superior Court 95 /  Office of the Medical Director

Indigent Medication Program
Assisting Clients in Applying for PAPs /  DMH Policy 103.6
Indigent Medications Program (IMP) Description /  9-22-04
Ziprasidone Application /  Updated 2-07
Risperidone and CONSTA Application /  Updated 2-07
IMP Overview 2006 /  Posted 2-14-07
Zyprexa Application /  Updated 2-22-07
PAP FAQs as of 3-16-07 /  Indigent Medication Program
PAP Application Schedules-All meds /  Indigent Medication Program
IMP Program Description /  Posted 3-23-07
Abilify Application /  Posted 3-23-07
EffexorXR Application /  Posted 3-23-07

Integrated Treatment Setting
Frequently Asked Questions /  COD Module Implementation 8-10-04
Integrating RX for Co-Occurring Disorders in MH  /  Presented at the 2004 NAMI Convention
A Link to DMH Integrated TX Co-Occurring Disorders Forms. Scroll down to clinical forms. /  WebLink
9 Point COD TX Module in MH Clinics /  Posted 6-29-04

LAC DMH An Introduction To Practice Parameters
1.0 Introduction to LAC DMH Practice Parameters /  Office of the Medical Director- Revised 7-25-02

LAC DMH Parameters for Clinical Assessment
2.7 Co-Occurring MH-Cognitive Impairment Assess. /  Posted 6-29-09
2.8 Co-occurring MH-Cognitive Impairment TX /  Posted 06-29-09
2.1 Assess/Mgmt Clients at Risk for Suicide /  Revised 11/2002
2.2 Intital Psych Assessment of Older Adults /  Office of the Medical Director
2.3 LAC-DMH Psych Svcs in Emergency Settings /  Office of the Medical Director
2.4 The Use of Telepsychiatry /  Office of the Medical Director
2.5 Assess/Mgmt Clients at Risk -Danger to Others /  Office of the Medical Director
2.6 - Discharge Planning For Older Adults /  Parameters posted -05-20-03

LAC DMH Parameters for Clinical Programs
4.1 LAC DMH Outpatient Clinic Environment /  Office of the Medical Director
4.2 Staff Auth to Initiate Involuntary Detention /  Office of the Medical Director
4.3 Treatment Non-Compliance in OP Settings /  Office of the Medical Director
4.4 The Use Of Psychosocial Rehab Interventions /  Office of the Medical Director
4.5 Prog for TX of Co-Occurring Substance Abuse /  Office of the Medical Director
4.6 Psychiatric TX of Individuals in IMDs /  Office of the Medical Director
4.7 Clinical Supervision /  Revised 12-4-02
4.8 Delivery of Culturally Competent Clin. Svcs /  Posted 12-12-02
4.10 Parameters for Wellness Centers /  Posted 12-16-05
4.11 Parameters for Healthy Living Programs /  Revised January 2008
4.12 Service Relationships in a Recovery-Based MHS /  Posted 07-26-06
4.13 Parameters for DMH Peer Advocates /  Posted 11-07-06
4.9 Parameters for Referrals to Self-Help Groups  /  Appendix revised 11-08

LAC DMH Parameters for Medication Use
Standards for Prescribing and Managing Medications /  Office of the Medical Director
3.1 Intro to the Use of Psychoactive Medications /  Revised January 2005
3.2 Use of Andepressant Medications /  Revised January 2008
3.3 Use of Antipsychotic Medications /  Revised 1-7-08 (See Attachment 1, #5.)
3.4 Use of Anxiolytic Medications /  Revised January 2008
3.5 Use of Mood-Stabilizing Medications /  Revised January 2008
3.6 Use of Psychoactive Drugs in Dual Diagnosis  /  Revised January 2008
3.7 Parameters for General Health Monitoring /  Posted July 2005

LAC DMH Parameters for Psychotherapies
5.1 The Use of Psychodynamic Psychotherapy /  Office of the Medical Director
5.2 The Use of Cognitive-Behavioral Therapy /  Office of the Medical Director
5.3 The Use of Interpersonal Psychotherapy /  Office of the Medical Director
5.4 The Use of Supportive Psychotherapy /  Office of the Medical Director
5.5 The Use of Psychother with Child/Adol/Families /  Office of the Medical Director
5.6 The Use of Family Therapy-Adult Children /  Office of the Medical Director

Listing of Best Practices from Clinical Groups
Grief and Mourning /  DMH/ICAN
A link to the Assessment for ages 0-5 /  WebLink
Survey re Psychotropic Guidelines Child-Adol /  Posted 01-04-08
The OA Geriatric Field Screening Protocol  /  Posted 01-05-09
The Nsg Older Adult Assessment Form /  Posted 01-05-09
Psychotropic Guidelines for Children/Adol /  Revised December 2008
Hoarding Fact Sheet /  DMH Countywide Older Adult Programs

Medicare Part D Information
An Introduction: General Information /  Posted 12-14-05
Clinical Staff PowerPoint Presentation /  Posted 12-14-05
Principles & Frequently Asked Questions /  Posted 12-14-05
Tool for Planning (Over 65) /  Posted 12-14-05
Medicare Part D COEI Advisor /  Posted 01-05-2006

Meetings and CME
Training on COD in Children and Adolescents /  For DMH Psychiatrists on April 11th or 30th
Trauma & Co-Occurring Disorders-Working with Youth /  Training will be held in June and July
UCLA Department of Psychiatry /  WebLink

Pharmacy
Epocrates Online
');">Epocrates drug search
 /  WebLink
6-8-07 PATS Edit Doc. 1-Memo /  Pharmacy Bureau
6-8-07 PATS Edit Doc. 2-Description  /  Pharmacy Bureau
6-8-07 PATS Edit Doc. 3-FAQ /  Pharmacy Bureau
6-8-07 PATS Edit Doc. 4-FAX List  /  Pharmacy Bureau
6-8-07 PATS Edit Doc. 5-TAR, 21-Day Switch /  Pharmacy Bureau
6-8-07 PATS Edit Doc. 6-TAR, Ongoing /  Pharmacy Bureau
DMH Formulary /  May 2009

Psychiatric/Mental Health Nurse Practitioner Info
Clinic Readiness To Hire A PMHNP /  Revised 7-28-05
PMHNP Development Project /  Updated 3-27-08
PMHNP Development Program FAQs /  Posted 03-25-09
Psychiatric MH NP Information Rev. 4-23-08 /  Posted 3-35-09

Psychological Evaluation & Reports
Referring Children for Neuropsych Evaluation /  Bureau of Standards, Practices, and Conduct
Standard of Care for Clinical Evaluation /  Bureau of Standards, Practices, and Conduct

Resources: Clinical Information Links
Dementia: Research Directions / APA
Dementia: Definition and Natural History / APA
Dementia: Factors Modifying Treatment Decisions / APA
Dementia: Specific Therapies / APA
National Bioethics Advisory Commission /  WebLink
Knowledge Exchange Network (SAMHSA) /  WebLink
National Health Service: Great Britain /  WebLink
National Institute on Drug Abuse /  WebLink

Resources: Evidence-Based MH Research Links
The Trip Database- A database for evidence-based research for psychiatry /  WebLink
PubMed Clinical Queries-A free database for evidence-based research for psychiatry /  WebLink

Resources: Governmental
Los Angeles County Department of Mental Health /  WebLink
California Department of Mental Health /  WebLink
California Legislative Bills /  WebLink
California Law /  WebLink
California Code of Regulations /  WebLink
Medical Board of California /  WebLink

Resources: MH Organizations
California Mental Health Directors Association /  WebLink
American Psychiatric Association /  WebLink
California Psychiatric Association /  WebLink
Southern California Psychiatric Association /  WebLink
American Psychiatric Nurses Association /  WebLink
 
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Announcements
Welcome to the website for the Office of the Medical Director (OMD). We hope that you will find this site to be a handy source of information about important clinical news, projects and activities taking place within the OMD.
Parameters 2.7 Assessment of Co-occurring Mental Health and Cognitive Impairment and 2.8 Treatment of Co-occurring Mental Health and Cognitive Impairment have been posted in the "Parameters for Clinical Assessment" section of the webpage.
The DMH Formulary as of May 2009 has been posted in the Pharmacy section.
Experienced Psychiatric RNs and Psychiatric Mental Health Nurse Practitioners are encouraged to review the "Employment Opportunities" section of the webpage.
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