With the help of the Humboldt County Department of Health and Human Services (DHHS) Children’s Behavioral Health Division, Fortuna-based pediatrician Evan Buxbaum received a $5.1 million grant from the Investment in Mental Health Wellness Grant Program for Children to create the county’s first crisis stabilization and residential treatment center for youth.

โ€œOurย children had been experiencing mental health crises even before COVID,
but the events of the past year have made issues around adolescent
mental health significantly worse,โ€ Buxbaum said, adding that there are no residential in-patient care centers locally, meaning youth who have a mental health crisisย get placed on a psychiatric hold in a local emergency room while they
wait for a residential treatment center or psychiatric hospital bed to open
up out of the county.

The crisis stabilization and residential treatment center will be owned and operated by a local nonprofit medical group created by Buxbaum and staffed byย a pediatrician, nurse practitioners, pediatric adolescent-trained counselors, social workers and case managers, asย well as full support staff.

Buxbaum’s organization is in the process ofย purchasing a local facility that would provide rooms for nine residential beds,ย three stabilization beds and include a Childrenโ€™s Crisis Residential Programย to meet the needs of individuals ages 7 to 21 years old experiencingย moderate to severe mental health crises.

The release states that instead of relying on excessive medication, the facility will follow trauma-informed, evidence-based residential care programs and practices like counseling, somatic experience, mindfulness, healthy coping mechanisms and the integration of family and community into the healing journey.

โ€œWe feel extraordinarily fortunate to be able to bring this service to Humboldt
County and look forward to working with our young people in need, their
families, the service providers already doing amazing work in our community
and County Behavioral Health to create something extraordinary,โ€
Buxbaum said.

DHHS Behavioral Health Officials all agree that the new facility will be a great benefit to the community and especially local youth in crises.

โ€œThis facility will provide a treatment option in-between outpatient services
and inpatient hospitalization,โ€ Jeremy Nilsen, deputy director for DHHSโ€™s Childrenโ€™s Behavioral Health Division, said. โ€œIt will offer intensive services to
youth and their families locally and can be an alternative to out-of-county
hospitalization.โ€

Read the full press release below.

May 7, 2021

Multimillion-dollar grant to assist local youth in crisis

Thanks in part to a $5.1 million grant from the Investment in Mental Health Wellness Grant Program for Children, Humboldt County will soon have a residential facility for children and youth experiencing mental health crises.

Fortuna-based Pediatrician Dr. Evan Buxbaum said he regularly sees children in his practice who are experiencing depression and anxiety. โ€œOur children had been experiencing mental health crises even before COVID, but the events of the past year have made issues around adolescent mental health significantly worse.โ€ Dr. Buxbaum added that when children in Humboldt County become suicidal or experience a mental health crisis, there is often no place to send them for care locally, so they get placed on a psychiatric hold in a local emergency room while they wait for a residential treatment center or psychiatric hospital bed to open up out of county. This year, that wait has extended to days or sometimes weeks due to a severe shortage of youth residential beds in the state.

Recognizing there had to be a better way, Dr. Buxbaum started searching for ways to bring a crisis residential treatment facility to the county and approached Humboldt County Department of Health & Human Services (DHHS) Childrenโ€™s Behavioral Health Division to apply for money to create a crisis stabilization and residential treatment center in Humboldt.

Jeremy Nilsen, deputy director for DHHSโ€™s Childrenโ€™s Behavioral Health Division, said a facility such as this will greatly benefit the countyโ€™s youth. โ€œThis facility will provide a treatment option in-between outpatient services and inpatient hospitalization,โ€ he said. โ€œIt will offer intensive services to youth and their families locally and can be an alternative to out-of-county hospitalization.โ€

DHHS Director Connie Beck said receiving these funds is a game changer.ย โ€œThis grant will provide a local facility with services for youth that will helpย reduce the number who are unfortunately sent out of the area forย treatment and will allow them to stay connected to their community.โ€

The facility will be owned and run by a local nonprofit medical group createdย by Dr. Buxbaum and staffed by a pediatrician, nurse practitioners, pediatricand adolescent-trained counselors, social workers and case managers, asย well as a full support staff. Psychiatric oversight will take place viaย telepsychiatry, and the facility will provide participants with a full array ofย Behavioral Health supports. The organization will be a service provider thatย DHHS contracts with.

โ€œYouth being served at the facility will get intensive help to stabilize them during a time of crisis,โ€ Nilsen said. โ€œThe facility will offer a variety of services such as therapy and medication support, and staff will work with families to quickly set up longer-term services and supports needed to maintain stability.โ€

Dr. Buxbaum said the facility will be modeled after other โ€œtrauma-informed,ย evidence-basedโ€ residential care programs for youth in a mental health crisis.ย โ€œThese facilities focus on counseling, somatic experience, mindfulness,ย healthy coping mechanisms and the integration of family and community intoย the healing journey and rely less on excessive medication.โ€

Currently, Dr. Buxbaum said his organization is in the process of
purchasing a facility that would provide rooms for nine residential beds,ย three stabilization beds and include a Childrenโ€™s Crisis Residential Programย to meet the needs of individuals from 7 to 21 years old experiencingย moderate to severe mental health crises.

โ€œWe feel extraordinarily fortunate to be able to bring this service to Humboldtย County and look forward to working with our young people in need, theirย families, the service providers already doing amazing work in our communityย and County Behavioral Health to create something extraordinary,โ€ Dr.ย Buxbaum said.

DHHS Behavioral Health Director Emi Botzler-Rodgers agrees, โ€œA childrenโ€™sย crisis residential treatment program is an incredible opportunity for ourย community to support our youth. It will allow us to keep them local andย connected to family and community supports. It is also wonderful to be ableย to partner with Dr. Buxbaumโ€™s group. It allows us to bring together expertiseย and resources in a way that maximizes the potential for a really amazing and successful program.โ€

Nilsen said he is looking forward to the positive impact this will have in theย community, โ€œSimply put, this is a great opportunity for our county and ourย countyโ€™s youth.โ€

Iridian Casarez was a staff writer at the North Coast Journal from 2019-2023.

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