Tracking The Tragedies-Sacramento County

SMI/SUDs FACTS-Family and Consumer True Stories

Tracking the Tragedies: 1.27.24

Christine Hopper, b. 4.8.1989

Diagnosis: Schizoaffective Disorder, PTSD (rape), ADHD, Anxiety, Epilepsy, Exercise induced Asthma, Somatoform Disorder, Substance Use Disorder -poly substance user: marijuana, alcohol, bath salts, abuse of Adderall, frequent Meth, other (onset age 20)

Insurance: Kaiser Medi-Cal level with SSI; Kaiser private prior to SSI medical

Symptoms: disorganized thinking, delusions, audio & visual & olfactory hallucinations, mood swings, paranoia, agitation, depression to point of suicidal ideation with 2 attempts and self-mutilation with cutting and burning, memory loss, PNES(psychogenic-non-epileptic seizures), risky & impulsive behaviors, lack of focus, inability to do daily functioning, cognitive loss, avolition. Symptoms reduce when no substance use, but are still present even after 12 months of abstinence.

# Crisis Calls to 911 / 988: approx. 32 calls to 911 from 2010-2022. No calls to 988 asit wasn’t operational until 2023/ many led to ER transport in Sac Co and SLO County

Hospitalizations: dates, reasons, # 5150 w length of stays: 2008-2021: Woodland

Dignity (Yolo Co) 5150 &; 5250 for 14 day grave disability/ Adventist Health Vallejo (Solano Co)5150 &; 5250 for 14 days / St Josephs, Stockton (San Joaquin Co) grave disability 4 days/ Sierra Vista (Sac Co) 5150 & 5250 for 5 different stays range 2 -14 days / Heritage Oaks 5150 5 days (Sac Co)

#LPS Conservatorships: temp or perm NONE: 5150 &; 5250 only

Participation in community-based programs: 2020 Telecare ICT, IntensiveCommunity Treatment / 2023 to present FIST-FSP, Felony Incompetent to Stand Trial-

Full Service Partnership with Telecare Empower *Participation in voluntary Residential Treatment: 2 stays at Willow House Suicide prevention home 5-7 days / 2 stays at National Co-occurring SMI &; SUD treatments 5-7 days as step down from psychiatric hospitals.

Arrests, incarcerations:

November 2018 DUI, released, went to court several times, covid-shut down courts, dropped out of treatment lost housing lost phone, 5150 &; 5250, lost possession of her car.

April 2021 charged with Assault with a Deadly Weapon with intent to do bodily harm +resisting arrest = incarcerated 20 days due to refusal to be arraigned, jail sent her out for psych evaluation but jail orders did not accompany her so ER called asking why she was there; then moved her to Kaiser ER where she just walked away. Court allowed pre-trial diversion at that point, but she only went to 3 court appearances before she was convinced that she was free to leave and fled to another county.

August 2021 bench warrant for skip court—homeless in SLO county 6 months multiple interactions with Law Enforcement in that county, citations for intoxication and public nuisance—took 6 months for the bench warrant to become active statewide.

April 2022 arrested in San Luis Obispo County-bench warrant (state wide alert)

April 2022 -Jan 2023 Incarceration Sacramento County Jail for 9 months Declared IST(incompetent to stand trial) due to extreme poor health upon arrival (dangerously underweight, massive areas of impetigo, florid psychosis, paranoia, delusions, disorganized thinking) after 6 months on waitlist for Napa State Hospital she was offered FIST (felony incompetent to stand trial) diversion with FSP (full service partnership) and supported housing in a Sacramento community setting. As of this documentation, she is in jail for 2 nd time for not following FIST-FSP guidelines and missing court—her voluntary participation levels have dropped in this unstructured setting, missed psych appointments and reducing meds without supervision, isolating and not getting along with roommates, refusing contact with her natural support systems as well as her FSP workers, and self-medicating with meth, marijuana (polysubstance user).?

On 1.29.24 the mental health diversion court will be deciding if a higher level of care is appropriate.

Homelessness and Housing History

2010-2018 predominantly lived with family with only a few weeks of attempt to live with roommates or boyfriends (prior to this she was in college housing; home for breaks).2019-2020 living in car, psych hospital step down to housing through ICT (intensive community treatment) Telecare 4 residences in 12 months due to not get along with roommates and not pay rent (SSI 2014-2018 with Rep Payee, 2018-2021 own Rep payee and convinced Covid relief meant no rent due). 2021-2022 living unhoused in

Sac Co &; Yolo &; SLO Counties. 2022-2023 housed in jail. 2023-2024 housed in FIST-FSP supported housing: 2 locations due to not get along with roommates, and 14 days in jail for not following rules of FIST-FSP. Currently in jail.

Medications, Drug Use/Overdoses: Abilify, Invega, Invega LAI, Seroquel, Zyprexa, Adderall, Straterra, Welbutrin, Prozac, Bupropion, Tegretol, Onfi, Klonopin, Gabapentin, Albuterol, Oxycodone for pain after much dental work, numerous antibiotics and allergy medications.?

Substance Use favorites: Alcohol, marijuana, meth. OD Adderall 2013; OD Meth etc 2020

Why Christine can’t wait to 2026 for a Full Continuum of Treatment/care for SMI /SUD:

Christine has tried for over 15 years to achieve lasting stability and remission ofSMI/SUD. Hospitalizations jumpstarted her recovery processes many times, but she needed better step-down care and more support services each time she experienced psychosis, and these were not offered until she was homeless and in degrading health conditions. She tried just as hard or harder than others with SMI/SUD and she deserved help before becoming jailed. She needs full continuum of Treatment NOW to prevent further Trauma and Tragedy. She is currently struggling to participate in the highest level of care available in a community setting. Her FSP workers, her Public Defender and the DA all agree she needs a higher level of care, but there is a negative culture projected onto anyone needing any care other than what can be given in community settings. She needs to be accepted and valued for where she is, and protected and receiving treatment in a secured setting until such time as she is healed enough to return to community. Without this higher care, she will be at risk of recidivism into the worst possible settings of streets or jail. Writing these medical history summaries multiple times over 15 years is hard, yet watching her suffer unmanaged symptoms and repeated victimization is harder! She is polite and kind, loving and has a great sense of humor, with a smile that lights up a room, when she’s getting the safety and treatment she deserves.

1.18.24 one year later: self-medicating, 6 days later back in jail for non-compliance with FIST-FSP requirements