LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 304.05 Therapeutic Transportation
 
Policy Category:  Clinical
Distribution Level:  Directly Operated and Contractors
Review and Approved by:  Emergency Outreach and Triage Division
 
Approved by Curley L. Bonds, MD, Chief Medical Officer Jul 07, 2023
I.  PURPOSE
 
This policy provides Los Angeles County Department of Mental Health (DMH) Therapeutic Transportation staff with protocols for transporting clients and/or their family members in Los Angeles County DMH Therapeutic Transportation Vehicles.

This policy only applies to use of Therapeutic Transportation Vehicles and supersedes other transportation policies.

Contracted agencies shall develop an internal policy and associated procedures that are consistent with their organizational practices and meet the requirements set forth in this policy.

 
II.  DEFINITIONS
 
Therapeutic Transportation Vehicles: A specially outfitted vehicle, staffed with trained mental health specialists for therapeutic transportation needs. 

Therapeutic Transportation Staff: Specialized trained staff who offer a supportive and expedited response to transportation in a team approach. These staff initiate supportive case management expertise at the first point of contact to begin recovery of mental health.

 
III.  POLICY
 
Therapeutic Transportation may be used to transport a client when they are subject to involuntary treatment or custody under Welfare and Institutions Code Sections 5150, 5585, or 5346 or voluntary treatment.

Therapeutic Transportation Staff may transport clients and/or their family members when staff determines client requires transportation for emergent or non-emergent situations.

Therapeutic Transportation will be used to take clients to a clinic, urgent care center, and/or any other social service agency.

In an emergency situation, Therapeutic Transportation Staff shall determine appropriateness of the client based on evaluation and observation of client’s current behaviors; they shall transport if there is minimal risk determined with transporting the client to the determined destination (e.g. a crisis stabilization unit or emergency department).

Therapeutic Transportation will not be provided when a client appears to be unstable.  Alternatives will be used based upon consultation with supervisor.

In the course of any transport, if a client’s behavior becomes uncontrollable:
  • Staff shall stop the vehicle in a safe area;
  • If a client is on WIC 5150/5585, Therapeutic Transportation Staff shall immediately call 911;
  • If safe, staff will allow the client to leave the vehicle; and,
  • Therapeutic Transportation Staff must immediately contact their supervisor.
Therapeutic Transportation of the client must be direct from point of origin to destination, without any unrelated stops.

Therapeutic Transportation of the client must be consistent with the provisions of DMH’s Illness and Injury Prevention Plan for field safety.

Whenever a client is being transported, the driver must ensure that the requirements of California Vehicle Code are met.

IV.  PROCEDURES
 
V.  AUTHORITIES
 
VI. ATTACHMENTS
 
No attachments are associated this policy.