Holzmann: Costa Mesa Mental Health Campus Key to Solving OC Homelessness

Fairview Developmental Center was opened in 1959 to care for individuals with developmental disabilities. The initial bed capacity was for over 2,600 residents. At its peak in the 1960’s it housed over 2,700 people on a campus of over 750 acres. In 1979, most of that land was turned over to the City of Costa Mesa and a 36 hole golf course and housing were built.

Today, the Center covers 114 acres* with over 50 buildings including residential, medical treatment, an auditorium, training centers, offices and administration. There are now approximately 235 residents.

California’s developmental centers have been drawing down since the 1970’s. In May of 2015 Governor Brown proposed that Fairview be closed by 2021 and the residents placed in group homes.

But we have a much greater crisis at hand; the lack of mental health care and homeless care.

Orange County is in the midst of a mental health care crisis. Since 1995 we have lost over 65% of our acute mental health care beds. We have gone from over 1,200 beds to approximately 450 beds while the county population has grown by 35%. Orange County ranks last in California’s urban counties in beds per capita, and yet we live in one of the wealthiest places on earth. We are heading in the wrong direction. Our law enforcement has become the front line in mental health crisis while our emergency rooms are overwhelmed. These are the most expensive forms of treatment and do nothing to improve outcomes in the individual.

Half of the population will experience a mental health crisis in their lifetimes. This includes depression, anxiety and a range of other disorders. 6% of our population has an incapacitating mental illness that affects themselves or their loved ones. In Orange County that means 192,000 people. Most of those living with mental illness live at home and could benefit from recovery support services.

But mental illnesses in crisis are serious medical illnesses just like heart disease or cancer or diabetes. And when there is a crisis individuals need treatment and support immediately.

This often doesn’t happen for mental health emergencies. Because of the shortage of beds, patients often wait for 24-36 hours in the emergency room, sometimes under restraint, and then must be transported to a mental health care facility. Some hospitals have dedicated psychiatric units. Many do not.

Treatment itself is triage. Because there are not enough beds and because of cost pressures, diagnosis is swift. Medication is dispensed and the patient is released as quickly as possible, often to the streets or an unprepared family. The individual is at their weakest point and yet they are sent home with a prescription(s) and told to make an appointment with a psychiatrist. This often doesn’t happen. And so the revolving door is set in motion. And every time a crisis happens, the odds against recovery increase.

Many of our homeless have mental illness. Our jails and prisons are our largest and most expensive mental health warehouses. The sad fact is that treatment is scarce in jail and so the revolving door continues to spin.

We have to do better. In what other form of health care would we tolerate doing the same thing over and over again and expecting a different outcome? We have a tremendous opportunity sitting in front of us.

Fairview has a combination of facilities to house a game changing mental health center. It has residences. It has treatment centers. It has the administrative and therapeutic facilities to support psychiatrists, therapists, counselors, case workers, services, and training.

It doesn’t have to be big to make a difference. What it does have to do is to offer whole person, wraparound care from evaluation to treatment to recovery. By also incorporating a residence for low risk offenders with mental illnesses we can get people off the streets and on up on their feet.

There are many stakeholders. Our hospitals and mental health care facilities, our first responders, our doctors and nurses, our churches, our communities, our government and most important, our families all play important parts in caring for the most vulnerable members of our society. We need to do better.

When our psychiatric hospitals were closed in the 1960’s and 70’s we were promised community based mental health care. That promise has yet to be kept. It is the dirty secret of our current crisis.

We can reduce the cost of care, reduce the stress on our safety net, and improve outcomes for individuals in crisis. We can offer hope and a hand up. We can save lives. The people of Orange County can lead the way towards more compassionate, more effective solutions in mental health care and all of the issues related to this medical condition that has caused so much pain and heartbreak in our community.

Matt Holzmann, Chair – Government Relations, National Alliance on Mental Illness – Orange County Affiliate

Opinions expressed in editorials belong to the authors and not Voice of OC.

Voice of OC is interested in hearing different perspectives and voices. If you want to weigh in on this issue or others please contact Voice of OC Involvement Editor Theresa Sears at TSears@voiceofoc.org

  • Valkyrie Joos

    So, Let me get this straight. They closed down the mandated hospitalizations in the 60’s and 70″s and have been sitting on an area the size of central park while we are in a housing crisis for those same people we tossed out in the first place? Who are the crazies? First, no one should, unless absolutely a matter of endangerment, be forced to live in any particular location or be subject to any particular treatment. I will get back to that because we do that now in this county. Second, there are lots of people who worked very hard, paid taxes and had late on-set of things like PTSD. A MH diagnosis does not mean your brain goes running off spilling out of your head! The sansim in this county is sinful, truly. I finally after months of loss, children being put in then hospital, family abuse and betrayal enough said, I don’t do victim or poor me. So, I went to a local hospital and I was treated like an animal. I was put into an anxiety attack, I was placed on some involuntary-voluntary “hold” which I know darn well what the criteria is because I used to issue 5150 holds. I was unable to return to my car to obtain my belongings, also a big no-no on the list of patients rights. I was coerced and assaulted when forced to have an I.V. that I didn’t need and separated from other patients for “observation.”

    Incredible! It hurts me because, I was a mental health case manger in this county! My people got better, within the limitations of a diagnoses continuum and I would never place someone in fear. My co-worker said I was the best he had seen in his seven years there…….I am literally sick to my stomach that this is how someone who worked so hard for many years is treated.

    The land should be used for co-operative ownership! Give people some darn pride and stop sucking every last possible nickel to get gotten on the backs of the TRUE last minority!

  • I am curious, what ever happened to the mega millions of dollars from the mental health taxes on the super wealthy? Or was that a hallucination I had?

    • LFOldTimer

      Probably got diverted over to the police and fire pensions.

  • CherieE1

    Yes, we have to do better. Well said. Now, let’s take the actions to implement.

  • Paul Lucas

    Better act fast before they zone that spot for McMansions.