2023 Behavioral Health Care Symposium Resources


Kimpton Sawyer Hotel
500 J Street
Sacramento, CA 95814

8:45 – 9:45 a.m. | Registration and Continental Breakfast 

9:45 – 10:00 a.m. | Opening Comments 

Kirsten Barlow, Vice President of Policy, California Hospital Association 

10:00 – 10:30 a.m.  | Keynote | The Honorable Susan Talamantes Eggman (D-Stockton), Chair of the Senate Committee on Health

CHA is honored to have the Assistant Majority Leader representing Senate District 05, Dr. Susan Talamantes Eggman, Chair of the Senate Health Committee and a leader on behavioral health in our state legislature, as a keynote speaker for the 2023 Behavioral Health Care Symposium. The author of both Senate Bill (SB) 43 (which significantly updates California’s conservatorship laws) and SB 526 (legislation modernizing the Mental Health Service Act), and the joint author of SB 1338 (which created CARE Court), Senator Eggman will share her vision and priorities for behavioral health in California.

10:30 – 10:45 a.m. | Break

10:45 – 11:00 a.m. | Introduction and Welcome 

Carmela Coyle, Chief Executive Officer, California Hospital Association 

11:00 a.m. – 12 noon | Keynote | Sacramento Mayor Darrell Steinberg

City of Sacramento Mayor Darrell Steinberg will welcome attendees to this year’s Sacramento location of the Behavioral Health Care Symposium! As current mayor of Sacramento, former president of the state Senate, author of California’s Mental Health Services Act, and founder of the Steinberg Institute, Darrell Steinberg has been a relentless advocate for mental health care. Mayor Steinberg will discuss the current state of mental health care in California and new opportunities it has to interrupt the harsh cycle of homelessness, crisis, and hospital emergency room visits.

12:00 noon – 1:15 p.m. | Lunch 

1:15 p.m. – 2:15 p.m. | Have We Decriminalized Mental Illness?  

Kate Warburton, MD, Medical Director, Deputy Director of Clinical Operations, California Department of State Hospitals; Judge Larry Brown, Esq, Sacramento Superior Court

Over the past several decades, California has tried through criminal justice reforms, collaborative courts and diversion programs, and the Stepping Up initiative to reduce the connection between living with a severe mental illness and coming into contact with the justice system. And yet, from 2009 to 2019, the proportion of incarcerated people in California jails with a psychological disorder who are actively receiving mental health services rose 63%. Dr. Warburton and Judge Brown will describe the mental illness decriminalization landscape in California and how we got here, informed by their unique state hospital and courtroom points of view.

2:15 p.m. – 2:45 p.m. | Break and Vendor Visits 

2:45 – 3:45 p.m. | What Keeps Hospital Leaders Up at Night? (Part 1)    

Paul Rains, RN, MSN, System Regional Vice President Behavioral Health, Common Spirit Health; Joseph Sandoval, Director, Scrivner Center, Mental Health 7 Addiction Services, El Camino Health; Christiana Paul, Vice President of the Patient Care Continuum, Sharp Mesa Vista Behavioral Health Hospital 

We spend one third of our lives sleeping, but the demands of playing a leadership role at work are known to “keep you up at night.” In this session, leaders from three dissimilar hospital settings will share their most pressing concerns and day-to-day realities delivery of inpatient psychiatric care to children, adolescents, and adults in acute distress.

3:45 – 4:45 p.m. | General Session | Building Behavioral Health Capacity & Workforce

Stephanie Welch, Deputy Director of Behavioral Health, California Health and Human Services   

Since 2019, California has embarked on investments and policy reforms to re-envision the behavioral health system. This presentation will provide an update on the implementation of several key initiatives, with a specific focus on the crisis care continuum, services for the most vulnerable, and strategies to tackle complex infrastructure challenges, both physical and human capital.

4:45 – 5:00 p.m. | Pass Through  

5:00 – 6:00 p.m. | ReceptionRevival, 3rd floor in the hotel

7:30 – 8:30 a.m. | Continental Breakfast 

8:30 – 8:45 a.m. | Opening Comments 

Kirsten Barlow, Vice President, Policy, California Hospital Association  

8:45 – 9:45 a.m.  | Keynote | It’s OK not to be OK: A Talk About Mental Health in the Workplace

Bobbin and Patrick Mulvaney, Proprietors, Mulvaney’s B&L

Bobbin and Patrick Mulvaney are the owners of the hugely popular farm-to-form Sacramento restaurant, Mulvaney’s B&L. In 2019, they founded “I Got Your Back” to address issues associated with mental illness and addiction across Sacramento-area kitchens, restaurants, and hospitality businesses. The Mulvaney’s will share their inspiring story, which will make anyone leading a team wonder how they too could create a safer environment of acceptance for employees to talk about and get help for their struggles with mental health or substance use issues.

9:45 – 10:45 a.m. | California’s Political Landscape for Behavioral Health

Kathryn Austin Scott, Senior Vice President, The California Hospital Association; Leah Barros, Legislative Advocate & CEO, Leah Barros, LLC

Nationwide, American voters of all parties continue to show strong support for elected officials to improve access and affordability for behavioral health care. The popularity of these issues among California’s electeds has never been higher, as seen by the growing number of bills and state and local ballot initiatives to support behavioral health. This session will describe California’s current political landscape for tackling behavioral health care needs in our state.  

10:45 – 11:15 a.m. | Break and Vendor Visits 

11:15 a.m. – 12:15 p.m. | What Keeps County Behavioral Health Leaders Up at Night? (Part 2)

Ryan Quist, Behavioral Health Director, Department of Health Services, Sacramento County; Michelle Doty-Cabrera, Executive Director, County Behavioral Health Directors Association; Phebe Bell, MSW, Director of Behavioral Health, Nevada County; Karleen Jakowski, LMFT, Assistant HHSA Director, Mental Health Director, Yolo County Health and Human Services Agency

On Day 1 of this Symposium, we featured what kept hospital leaders up at night in the delivery of inpatient behavioral health care. During this session, three leaders from small, medium, and large counties will unveil their most pressing concerns and day-to-day realities as administrators of California’s $10 billion public behavioral health care system.

12:15 p.m. – 1:00 p.m. | Lunch  

1:00 – 2:00 p.m. | Improving Behavioral Health Care Transitions

Paul Rains, RN, MSN, System Regional Vice President Behavioral Health, Common Spirit Health; Julianne Sims, LCSW, Assistant Director Clinical Services, Behavioral Health and Recovery Services, County of Merced; Suresh Bangara, MD, Psychiatrist and Mental Health Innovator; Maranda Hall, Chief Nurse Executive Officer, Common Spirit Health  

This session tells the story of how one health system’s persistence to introduce and implement a solution to providing better crisis care in emergency rooms has led to an innovative partnership. With buy-in from county and hospital leaders, a highly specialized behavioral health evaluation tool is leading to better patient care and more effective transitions from the hospital emergency room.

2:00 – 2:30 p.m. | Break and Vendor Raffle 

2:30 – 3:45 p.m. | Updates on New Statutes, LPS and EMTALA  

Linda Garrett, Esq, Partner, Garrett Law LLP; Alicia Macklin, Esq, Partner, Hooper Lundy & Bookman, PC; Mike Phillips, Esq, Senior Director, Patient Advocacy and Housing Services, Jewish Family Service 

In recent years, California’s legislature has made some sweeping changes to statutes on involuntary holds and treatment. Presenters will give an overview of several of these new laws and highlight both the hope and the practical challenges they bring to the health care system.

  • BHIN 23-055 (Oct. 9, 2023) [Initiation of 72-hour detentions under Welfare and Institutions (W&I) Code section 5150; expansion of certification review hearings; rights of a detained person; summary of Assembly Bill (AB) 2275.]
  • BHIN 23-015 (April 6, 2023) [New process for quarterly reporting of involuntary treatment, and conservatorships to replace the following paper forms: DHCS 1008, 1009, and 1010.]
  • BHIN 23-067 (Nov. 20, 2023) [Welfare and Institutions Code (W&I) Section 5402: Changes to County Data Reporting Pursuant to the Lanterman-Petris-Short (LPS) Act.]
  • CARE Act Forms and Information: Find Your Court Forms – forms_and_rules (ca.gov) (search “CARE”)

3:45 – 4:00 p.m. | Closing Remarks  
Kirsten Barlow, Vice President of Policy, California Hospital Association 

Phebe Bell, MSW 
Director of Behavioral Health 
Nevada County 
As the Director of Behavioral Health for Nevada County, Ms. Bell oversees specialty mental health services for children and adults, a comprehensive crisis system, and substance use disorder services. She is the Past President of the California Behavioral Health Director’s Association.

Judge Larry Brown 
Sacramento Superior Court Judge 
Appointed by Governor Schwarzenegger in January 2010, Judge Brown serves as the Supervising Collaborative Court Judge for the Sacramento Superior Court.  In that role, he presides over four mental health treatment courts, Assisted Outpatient Treatment, and several other problem-solving courts. He also serves as Chair of the Judicial Council of California’s Collaborative Justice Courts Advisory Committee.  

Linda Garrett, Esq. 
Garrett Law, LLP 
Linda Garrett has been providing risk management services to public entity healthcare facilities and providers for over 30 years. She currently works with over 50 California public health, behavioral health, school-based wellness, and correctional healthcare programs. She trains providers and administrative staff on a variety of medical/legal topics including consent, mandated reporting, involuntary mental health treatment, and federal and state medical confidentiality laws. 

Tristen Ivy 
Chief Executive Officer 
Santa Rosa Behavioral Healthcare Hospital 
Tristan Ivy is the Chief Executive Officer of Santa Rosa Behavioral Healthcare Hospital. She has been with Signature Healthcare since 2015 and has worked in the healthcare setting since 1993.  Ms. Ivy has an extensive background in healthcare management, strategic planning, and financial oversight with a focus on quality improvement and patient safety working in private Physician practices, Long-term Acute Care Hospitals and Behavioral Health Hospitals. 

Alicia Macklin, Esq. 
Hooper, Lundy & Bookman PC 
Ms. Macklin is a trusted advisor to a range of inpatient and outpatient behavioral health care providers, along with hospitals and health systems.  She has counseled many of California’s hospitals on unsettled areas of law, with an emphasis on compliance with the Emergency Medical Treatment and Labor Act (EMTALA).  Her work with behavioral health providers includes advising on licensing and accreditation, Medicare and Medi-Cal reimbursement, federal and state privacy and confidentiality requirements, and operational issues.  She also helps California providers navigate voluntary and involuntary treatment under the Lanterman-Petris-Short Act (LPS Act). 

Patrick Mulvaney
Proprietor and Chef
Mulvaney’s B&L

Bobbin Mulvaney
Proprietor and Marketing Director
Mulvaney’s B&L

The sudden rash of suicides and overdoses in the restaurant industry that hit Sacramento in late 2018 and early 2019 inspired Bobbin and Patrick Mulvaney to create “I Got Your Back” (IGYB) as a resource for their employees.
IGYB is a promise to work together to support peers and reduce the stigma that surrounds mental health and related issues. It was created for hospitality workers to help them identify warning signs associated with a person in crisis while in the workplace.
IGYB creates a safe environment of acceptance to talk about personal crisis, provide access to resources for those struggling, and help lay out a plan to get started.

Christiana Paul, MA, LMFT 
Vice President of the Patient Care Continuum 
Sharp Mesa Vista Behavioral Health Hospital 
In her role, Ms. Paul collaborates with Sharp Metropolitan Medical Campus leadership, medical staff, and outlying health care facilities to facilitate and enhance the patient experience, patient management, and throughput.  This includes hospital operations, oversight of inpatient and outpatient clinical programming, and hospital facilities.

Mike Phillips, Esq. 
Senior Director of Patient Advocacy and Housing Services 
Jewish Family Service of San Diego 
In his role as Senior Director at JFS, he provides instruction and training for the behavioral health community, including providing information on due process rights for individuals receiving behavioral health treatment throughout San Diego County. He is currently consulting at the state level on behavioral health reform, including participation in the statewide Behavioral Health Action Coalition, and provides both local and statewide law enforcement training on behavioral health issues.

Ryan Quist, Ph.D. 
Behavioral Health Director 
Department of Health Services, Sacramento County 
Dr. Quists’ work in Behavioral Health started in Riverside County Behavioral Health where he worked in various roles dedicating more than 20 years to County Behavioral Health. 

In Sacramento County, his focus is on mental health and substance use services for the homeless and criminal justice populations, and bolstering the crisis continuum of care to prevent psychiatric hospitalizations. For children’s services, he is dedicated to promoting field-based and school-based services and collaborating to support the foster youth and probation populations. 

Paul Rains, RN, MSN 
System Senior Vice Presidents Behavioral Health 
Common Spirit Health 
President, St. Joseph’s Behavioral Health Center, Stockton, California 
Mr. Rain’s experience spans numerous care and treatment settings including residential substance use disorder, acute inpatient, long-term adolescent, correctional, and outpatient. Paul serves on the Centers for Behavioral Health Advisory Board, the Behavioral Health Action Coalition and numerous other workgroups and committees that address a wide variety of mental health issues.

Stephanie Welch 
Deputy Secretary of Behavioral Health 
California Health and Human Services Agency 
Committed professional with 20 years of professional experience in mental health policy analysis and advocacy, program development, management and evaluation, and public and community relations at state and local levels.

We would like to thank our corporate sponsors for their support of the
2023 Behavioral Health Care Symposium.

Platinum Sponsor:

Expertise in the field of mental and behavioral healthcare design is not gained overnight. It demands a combination of hands-on practice and curiosity. It demands solutions shaped with empathy crafted in a creative spirit and backed by evidence. For more than 30 years, CannonDesign’s dedicated mental and behavioral practice has embodied this expertise. Merging rigor and research with imagination and intuition, we’ve helped institutions forge new pathways toward mental wellbeing, replacing barriers to healing with hope.

Gold Sponsor:

Janssen Pharmaceutics Companies of Johnson & Johnson
We believe challenging something is the best way to change it. That’s why, in over 150 countries, we bring together the most creative minds and cutting-edge technology to help treat, cure, stop, and prevent some of the most complex diseases of our time. To view more about our company & products please visit: https://www.janssen.com/products/Neuroscience

St. Joseph Behavioral Health Center
St. Joseph’s Behavioral Health Center is a licensed, not-for-profit facility providing comprehensive services to the Stockton community since 1974. St. Joseph’s Behavioral Health features inpatient and outpatient facilities offering a variety of services for adults and adolescents. Our specially trained staff of board-certified psychiatrists, physicians, and licensed professionals are committed to providing compassionate, quality care, and creating an atmosphere that fosters communication, trust, and personal growth.

Silver Sponsors:

Accurate Lock & Hardware
Accurate Lock & Hardware offers an extensive range of ligature resistant and ADA-compliant products that positively contribute to healing environments.  Accurate’s team of experts are dedicated to developing unique solutions for specific challenges including retrofit scenarios, custom openings, and safety compliance.  Designed with patient care and staff safety in mind, all Accurate products are made entirely in the USA, which allows the ability to quickly adjust, adapt and produce the best solutions to meet the ever-changing needs of the healthcare industry.  Simply put, your challenge is Accurate’s challenge.

Alkermes is a fully integrated biopharmaceutical company that focuses on developing medicines for psychiatric and neurological disorders.

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Traditional Utilization Review workflow hampers efficiency resulting in insurance denials that prevent patients from receiving the care they need and are entitled to. To improve BH facility sustainability, reduce staff burnout, and improve care, UR processes must efficiently and effectively gather, interpret, and rank patient medical evidence to ensure 100% preparedness for insurance calls. Success results in improved UR performance, increased patient LOS, decreased insurance denial rates, and improved staff retention. For the institution, this means improved operating margins.

California Victim Compensation Board
The Victim Compensation Board is a state agency of the U.S. state of California that oversees the provision of compensation to victims of violent crime and the collection of restitution from criminal offenders.

Hikma Specialty
At Hikma Specialty USA Inc., we create high-quality medicines and help make them available to and affordable for the people who need them. Our customers and partners know they can depend on us to deliver innovative solutions that meet today’s healthcare needs. We develop, manufacture and market branded and non-branded generic pharmaceutical medicines from two state-of-the-art manufacturing facilities in the US. Brand products from Hikma focus on helping lessen the overall healthcare burden for both patients and the US healthcare system. By extending our reach into the brand space with lower priced medicines, we demonstrate our commitment to affordable healthcare for everyone.

Hooper, Lundy & Bookman
Since its inception in 1987, Hooper, Lundy & Bookman’s primary focus has been to guide, support and defend health care providers and suppliers in our shared mission to create and maintain a viable and effective health care system. Without that, people, especially the most vulnerable among us, face significant challenges in accessing the quality health care necessary to keep our communities healthy, safe and thriving. We are passionate about helping our clients to fulfill this mutual goal of serving all populations.

As the largest law firm in the U.S. dedicated exclusively to representing health care clients, and with clients in all 50 states and two U.S. territories, we represent some of the largest and most respected providers and suppliers from coast to coast.

Indivior, Inc.
Indivior is a global pharmaceutical company working to help change patients’ lives by pioneering life-transforming treatment for substance use disorders and other serious mental illnesses.

InvisAlert Solutions – ObservSMART
A proximity-based patient safety solution designed for behavioral health, substance recovery, residential and detox settings. Improving quality of care by advancing accountability, workflow and communication with proactive alerts and supervisory tools. Ensures and documents compliance, reducing risk and costs related to sentinel and non-sentinel events. ObservSMART provides a robust suite of reports. Operate independently or EHR integration.

MCG Health Video
MCG Health, part of the Hearst Health network, uses innovative technology to provide evidence-based guidance within hospital workflows, giving care providers confidence in their work. MCG solutions are used by nearly 2,800 hospitals and the majority of U.S. health plans.

New Start Recovery Solutions
New Start Recovery Solutions provides personalized access to trauma-informed, evidence-based dual diagnosis treatment. Residential treatment includes medically managed detox, individual counseling, group counseling, and individualized medical protocol (when needed). Recovery Happens Counseling Services provides quality IOP Intensive Outpatient programs and PHP Partial Hospitalization Programs for adolescents and adults in all stages of alcohol and substance use, from experimentation to addiction.

Oxehealth is a global leader in vision-based patient monitoring – helping behavioral health providers deliver safer, higher-quality and more efficient inpatient care. Oxehealth services half of NHS England’s behavioral health providers and is now transforming care in the US and Europe. Oxevision is the only patient monitor designed for behavioral health. The system, which incorporates an FDA-cleared medical device and a digital rounding tool, enables staff to work proactively and with maximum productivity.

Healthcare advanced analytics and reporting that’s affordable and easy to use.  As technology partner for the Hospital Quality Institute (HQI), SpeedTrack provides next generation solutions specifically designed for today’s reporting needs including disparity and equity, behavior health, addiction and homelessness, community needs, and much more.

Whitehall MFG
Whitehall® plumbing products and accessories are specifically developed with the healthcare industry in mind. Our BestCare® product line is an extensive array of ligature-resistant products and accessories developed for increased safety in behavioral healthcare environments. Whitehall products are developed with consideration for universal design principles, ADA compatibility, and bariatric suitability.

For additional assistance contact CHA’s Education Department at education@calhospital.org.