Brand New Day HMO: May 2021

Feature Image(s)

OCHCA Consumer Computer – Kiosks In Clinics
MHSA = Mental Health Services Act
Sample MHSA Technological Needs Project “Buster” Helped Deliver
OCHCA – MHSA – Technological Needs Component Funded

Title

MSG’s Digital Appointment centered about Brand New Day HMO spring 2021 Build for Keith “Buster” Torkelson MS

MSGBase File:

13_Righting_Tech_MSG_Digital_Appointment_21041404_Build

Blog(s)

Brand New Day HMO

Integrated Interests

We pen and publish our Digital Appointments for numerous reasons. One: That is what ProSumers do! Keith “Buster” Torkelson is a consumer of Behavioral Health Services and the principal with Mentalation Solutions Group (MSG). He is also what we call a pro-active consumer or a ProSumer. Next: We apply our digital appointment for promoting some of our other interests. Blogger powered by Google has helped both Buster and MSG get vocal and remain vocal on behalf or our stakeholders. Voice, literacy and sharing have proven their therapuetic value for MSGS’s principal Keith “Buster” Torkelson MS. Buster has not been in the hosptial since he began Blogging. Our digial appointments offer us a vehicle to Promote other MSG interests such our BedBusters Housing Fix Bundler. Here in this report as well as the shared version online we futher our investigations into the Rent A Share Room (RASR) market and marketplace. We do this because it helps Buster with self-stigma while in the process of guarded disclosure. We also do it because Buster has some great experiences to share about BedKeeping for the disadvantaged in our communities.

Housing the Disadvantaged

Due to the fact that so many of Buster’s family and friends are successful they really do not comprehend the RASR environment. All five of his living siblings are married and home owners. In the last 20 years none of them have lived alone or rented a share room where they sleep with in the same room with another they do not love. With Buster we her at MSG have been watching a videos on You Tube. In particular the videos feature museum curator Ryan S. describing life on a Battleship. Buster’s dad saw combat from 1943-1945 on the Battleship BB45 USS Colorado. Recently Ryan addressed the topic of berthing. Aparently a berth is “a fixed bed or bunk on a ship, train, or other means of trasport”. He get to the topic “Berthing”. Those young sailors and marines sure knew was living in a shared room was all about. It is hard to persude those with little lived experience in a RASR that it isn’t all that abnormal. For support with delivering GreatBeds to Behavioral Health Consumers (BHCs) we will be asking $1,000,000.00 per year to deliver on BedBusters Bundle. BedBusters is a fix oriented solution addressing the unmet needs for the disadvantaged including the homeless.

Summary of Ask for Help – Problem Solving

This report goes in tandem with our monthy face-to-face (F2F) with Buster’s new an improved Brand New Day (BND) helper. BND is Buster’s carrier for his health insurance. His helper identifies for his title and role as a Behavioral Health Care Manager (BHCM). Their next meeting should be May 11 (TU), 2021. At Buster’s last meeting in April 2021 Buster asked his new BHCM for help with a few things. The first obtaining mandated doctor’s approval for his Over-the-counter (OTC) smoking cessation materials to be paid for (subsidized) by BND. Another issue that Buster asked for help solving is getting paid his BND (subsidized) Reward for completing his Annual Wellness Visit (AWV). This task pays $50.00. We only get this once per year. As is usual the case we spend it on printer cartridges. We have an outstanding reward from 2020 for Buster’s Colonoscopy. This pays $25.00. We decided to abandon efforts for re-numeration and classify these monies as unrecoverable.

Housing Resources - Site Visits - BedBusters (Beta)

In conjunction with our ongoing major effort that we have designated as the Mentalation Solutions Group (MSG) BedBusters Housing Fix Bundle we are making time to fine tune the product. BedBusters is designed to help fix housing problems for the disadvantaged including the homeless. On behalf of stakeholders such as: The Health Care Agency, Brand New Day, Bed Owners, families of consumers, etc. we are reworking some of the extant resources. We concentrate our efforts about a market share with housing market Buster knows all too well. We call this the Rent A Shared Room (RASR) market. RASR is an alternate classification for Room & Board (R&B) living. R&B is outdated, stigmatizing and in many case incorrect. Some define room and board as “lodging and food, typically forming part of someone's wages or included in some other agreement”. Consumers doing work around the property or for the (RASR) operation rarely get re-numeration such as a cut in rent or actual payment. Our R&B (RASR) resource lists go back as far as 2006. They are out of date. In order to update some 75-100 records we have made and remain impelled and at times are driven to make phone calls. If the phone number on a resource list is not in order we need to make site visits. This takes a lot of time and what we find is often disappointing. In this report we include a sample Housing Directory update. Ten years ago the homeowner (bed-owner) charged around $500.00 per month for a shared room. Now she wants $775.00. This doesn’t include food. We find very few consumers living with Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) having enjoyed a $275.00 increase per month over the last ten years. We find a substantial disparity with affordability here.

20210428-W: PAD Related Engagement Summary – Time Spent

Psychiatric Advance Directives (PADs) are rather new to us here at Mentalation Solutions Group (MSG) including Buster. Buster has worked and delivered his Advanced Health Care Directive (AHCD). His health insurer Brand New Day (BND) has his 2012 AHCD on file. On April 1, 2021 Buster was invited to attend an information/training session on PADs. Mentalation Solutions Group (MSG) believes that advanced planning can have a significant impact on both physical and mental health. In this report we discuss some of Buster’s progress with PADs in general and his personal PAD. Since April 1, 2021 Buster has attended three (3) PAD related engagements. Based on the OCHCA PAD sales and execution timeline we will come in with Buster’s PAD far before his OCHCA contemporaries will manage their first PADs. In addition will do it on a PAD per unit cost basis our PAD for Buster will cost less money than an OCHCA driven PAD.

Summary Stigma

Due to the fact that the Orange County Health Care Agency (OCHCA) is now investing about Stigma Reduction/Elimination work, we here at Mentalation Solutions Group (MSG) are making a bit of time to follow and possibly contribute to their Stigma related efforts. Over the years Buster has done pretty well addressing his self-stigma and stigma related concerns. Later in this digital appointment report we list some of MSG’s Stigma related objectives. Our goal is to be able to help others in need. As objective #2 we promise to develop our Stigma Impact Tool (SIT). Right now our current version is SIT-Beta-20. During April 2021 we scored Buster. His Stigma Impact Score (SIS) is 60%. With our SIT higher scores are less favorable.

Summary – Interests & Promotions Held Over (Spring 2021)

As is usual, when we begin a quarter we get to decide what efforts to: Carry-over, abandon or kill, and what we will do new. In this report we summarize our interests for spring quarter 2021. Each quarter we make effort to review our hardcopy and e-version of Keith “Buster” Torkelson’s MS CV or Curriculum vitae. Since 2012 we have published at least two versions. Back in 2012 we were Doing Business As (DBA) Tork Reconstruction Company (TRC). Since 2014 we identify as Mentalation Solutions Group (MSG). One of Keith “Buster” Torkelson’s CVs is in a traditional format whereas another is a CV in pictures. We need to go back and label the pictures. Buster published his Objective Record–driven Virtual CV back on Jan 6, 2012. We checked the number of page views on Apr 17, 2021. This CV has enjoyed 859 page views. This makes us around Mentalation Solutions Group (MSG) happy for him. If only one in 100 would offer him a job it would mean he garnered eight (8) job offers. In practice Buster really never got turned down for a job he applied for. Sometimes he landed jobs that he didn’t even apply for. Kathleen Murray his OCHCA supervisor at one time turned him down when he wanted to be trained as a SuperUser for the OCHCA’s Electronic Health Record system.

SPS-G8 = Social Pathology Specialist Grade 8

Over the years Buster has earned or been awarded many titles and roles. Even as a kid some called him “The Little Professor”. It is too late for him to go back to school and earn a PhD. He earned Master’s degree out of the University of California at Davis in Pathology. His cohort was five persons strong. The other four were post-docs. Buster was the chair doctor Dungworth’s ace-in-the-hole pathologist. At one time Doctor D told Buster’s mom in person that Buster is both “eclectic” and “esoteric”. On and off we here at Mentalation Solutions Group (MSG) tapped Buster’s knowledge of Pathology in various jobs and in several projects. We are trying to get someone in the proper position to value his lived experience in Sociology. We around MSG are secure in our belief that Buster has earned his: SPS-G8 = Social Pathology Specialist Grade 8. Last time he was graded in industry was back in 1996 by the US Department of Agriculture. He graduated a GS-5. Not great yet pretty good for one (1) year of service.

Corona Vaccine Status (4/2/21 & 4/29/21 @ Rite Aid – Moderna)

Let’s jump in Loki’s Time Machine (LTM) back to January 2020 powered by the Tesseract which in turn was charged by the Space Stone. We are back to January 2020. With respect to pulmonary health Buster’s biggest concern was smoking and how to avoid needing annual antibiotics for respiratory infections. Indeed in February (2020) he found it necessary to leverage Brand New Day’s (BND’s) telehealth benefit Teladoc to get a regimen of antibiotics. Then along comes the emergence of Corona (COVID-19). Buster and his associates in and out of the home initiate precautionary adjustments to stay the effects of Corona (COVID-19). Buster as well as many he came in close physical proximity (space sharing) stepped hygiene up many notches. Then Wow! It occurred to us here at MSG that our measures may help mitigate Buster’s annual lung infections. It did! For the first time in a while during a cold season (November – March 2020/21) Buster did not need antibiotics. He is now over a Corona Hump and met a milestone having had both his COVID-19 Vaccines out of the way. We have our documentation ready in case BND and/or CCCHC needs it. If so this would be an example of a Health Information Transfer (HIT).

CCCHC Solicited PCP Evaluations

Doctor Comparative Score Summary

Central City Community Health Center (CCCHC) is Buster’s clinic. To best of our ability we here around Mentalation Solutions Group (MSG) believe the Brand New day Buster’s insurance for health contracts with CCCHC. Near the end of last year and again beginning this year CCCHC formally asked Buster to rate one of their doctors. The doctor in question is Buster’s Primary Care Physician. Buster has been rating is PCP for many years now. Whenever we do a rating we try to find something or someone of comparative value. We selected Buster’s CCCHC related Behavioral Health Doctor (BHD). In the 2020 rating we gave Buster’s PCP 65.1% for Overall Practice Proficiency (OOP). His BHD earned himself an OOP of 59.7%. One of our favorite control values is CMS’s Annual health insurance plan Stars Score. For 2020 CMS awarded BND 3.5 Stars out of 5.0 being best. For 2020 we give Buster’s PCP 3.3 Star Equivalents and his BHD 3.0 Star Equivalents. For the 2021 evaluation both had improved a bit. PCP OOP = 79.2% = 4.0 SEs & BHD OOP = 68.8% = 3.4 SEs. We used our own assessment tool derived from CCCHC’s tool for scoring both. We would appreciate it CCCHC sent us back their analysis of their version so we could confirm our findings.

Summary of Time Spent and Due Diligence

With Brand New Day HMO (BND) Buster gets a whole bunch of health care. We call any provider serving Buster in the name of BND: An in Network practitioner. Apparently, BND contracts with Central City Community Health Center (CCCHC). CCCHC has an association with Buster’s Primary Care Physician (PCP). Since CCCHC formally asked Buster to Rate his PCP we decide to briefly address two closely and intertwined related features of practice: Time Spent and Due Diligence. Here is our ranking: Primary Care Physician = Behavioral Health Doctor <<< Ophthalmologist < Dentist. Buster’s BHD also associates with CCCHC. We feel that Buster’s BHD should step it up using our BND Network Dentist as a model for professional practicing.

Matrix – Characterizing Bullies and Bullying

We feel that situational awareness is import for Buster’s helpers. Situational awareness is one of the driving forces behind our Digital Appointment Product (MSG-DAP). Next to non-habit forming medications’ that support SLEEP, we feel the bed and where the bed is very high ranking with consumer health and welfare. In this report we here at MSG decided to include a little material about roommates and housemates that Bully. Interrupting people in their SLEEP may be a case of Bullying. Today is May 2, 2021 and Buster is very happy that his Rent A Shared Room (RASR) Roommate has let him get in 3 nights in a row of uninterrupted rejuvenating SLEEP. We have both reports addressing out SleepAbility product in the works and already published. Using a search engine of your choice execute a search for: “keith torkelson sleepability”. We just did and came up with about five (5) on target hits.

Assignment – Brand New Day Ongoing - Quality of Life Assignments

Back in 2012 when Buster signed on with Brand New Day (BND) the some odd twenty (2) page intake package included a 15 item Quality of Life (QOL-15) assessment. Buster on and off enjoys taking assessments especially those yielding numerical results. From 2012-2014 Keith “Buster” Torkelson would meet with his BND helper Oswaldo Escalante. Oswaldo was a Substance Use Disorder specialist. On average they met up two times per month. About once every three (3) months Buster would have his latest QOL scores ready to discuss. Since the moment both Buster and Oswaldo graduated apart none of Buster’s new BND helpers leverage their QOL assessment. Yet, Buster being the pro-active consumer, ProSumer (MSG), he is still periodically runs his BND QOL-15. Since 2012 his BND QOL-15 scores range from: 13%-92%. They also fluctuate up and down. One of the domains that impact Buster’s QOL is SLEEP and his daily SleepAbility (MSG product). QOL is so important to Buster and the rest of us around MSG that we dedicate considerable time each weekend just to work on it. Saturday is QOL as related to technology and Sunday is QOL evaluation and development.

Meaningful Compensation - Circa Winter Quarter 2017

The last time Buster decided to pull him up at the bootstraps and target working paid full-time was 2011. He fancied himself as an External Quality Review Officer (EQRO). He had built an association with Dr. Horner in OCHCA Quality Assurance. He probably could have obtained a nice in-house letter of recommendation from his supervisor Kathleen Murray. He went back to school to re-adjust to the daily intensity of working under the rules set by others. The college he chose was Cypress College in California. The Board of Governor’s Fee Waiver covered all of his tuition. He completed two Health & Human Services course both with an “A” grade. Yet, problems at home had become very scary. His SLEEP and rest were impaired. And in January of 2012 began a series of losses. Additively we rate these 2012 losses as: Catastrophic. He was fortunate to have Kathleen and her (MHSA) Technology Advisory Committee (TAC) to come back to. Buster’s association with the OCHCA peaked during winter quarter of 2017. Dr. Horner and others gifted him with a free ride to the annual California Institute for Behavioral Health Solutions Conference. We here at Mentalation Solutions Group (MSG) are for the long-term grateful for them and their generosity. This is definitely a great example of Meaningful Compensation (MC) in the face of serious disability. We include a record of this gift later in this report. See Figure later on >

Financial Record – OCHCA Travel Request - $759.00 Subsidy

https://www.cibhs.org/button/emergency-services-dial-911-or-click-here-other-resources

20210429-TU: Blogger Stats for Brand New Day HMO Blog

Around here at Mentalation Solutions Group (MSG) one of favorite things to do is run that stats on our various Blogs. Buster started a few of them as a product of his Tork Reconstruction Company (TRC) efforts. Now MSG owns all of his Blogs. For Blogging we use Google’s free platform Blogger. For the most part Blogger is a good utility. Currently when we publish anything associated with Buster’s insurer Brand New Day (BND) we do so with our dedicated BND Blog: Brand New Day HMO. We are pleasantly surprised with our BND HMO number of “Viewers”. We chartered it back on May 27, 2017. Since that time as of April 29, 2021 Blogger indicates we have enjoyed 17,034 Viewers. Many of them include viewer hits identified as Russian. In a given weekly cycle sometime our Russian viewers exceed our American (USA) viewers.

Table – Protective Values (PV)

Now in the face of Corona (COVID-19) people are a bit more informed about risks and risk management. Some of the masks on the market consider their Protective Values (PV). Here we deal with the PV of person in Buster’s Health & Human Services Network. On April 26 (M), 2021 we went back and scored Buster’s Network. We captured and calculated our Network Protection Since Onset Score (NP-SOS). Buster’s health related network earned a NP-SOS of 48.1%. In 2012 Buster again faced an episode of Catastrophic Losses. His OCHCA network was not very helpful. Again the ones that stepped up to the plate were his family member’s. Many disabled people do not have family to help them out. We feel it is important to deliver supports in the community that really address consumer unmet needs. The gaps are very clear with respect to housing and bed quality.

Onset 19880923-F: Hand Notes

Even before the summer of 1988, Buster was considered by some in his UC Davis cohort to be an “Unusual” person. In the spring he received his letter of acceptance into UC Davis’ School of Veterinary Medicine (Class of 1992). Yet, on September 23 (F), 1988 his Behavioral Health challenges began to emerge in an ever progressive and debilitating manner. On that Friday not only did become very ill it was in front of his classmates. For Buster this was stigmatizing because “Unusual” became “Different”. He knew something was going very wrong which impelled him to immediately take hand notes in time series form. We include a scan of these notes later on. You can see the chaos in his mind from the deteriorated quality of his writing. One day we are going scan and capture some of the changes over time about how he handwrites.

Summary Persons’ of Interest

Back in 2009 Keith “Buster” Torkelson MS familiarized himself with the Orange County Health Care Agency (OCHCA). He was initiated with some of their works when they paid for him to train as a Mental Health Worker Paraprofessional. He completed the 160 hour training second in his class. Up until 2012 Buster grew his OCHCA network. In 2012 his OCHCA network number of persons peaked. Buster is now focused on applying his lived experiences with consumer housing to help resolve housing issues for the disadvantaged including the homeless. In delivering our BedBusters Project Idea and product he will continue to build his relationships with about a half dozen OCHCA Persons of Interest (POIs).

[INSERT PHOTO OF CENTER OF EXCELLENCE GROUP]

Outline Of Topics Not In the Agenda Included
[Agenda for May meeting with Brand New Day helper]

Helper Alignment – Face-to-face (Agenda)
Stigma Impact Tool (SIT) MSG SIT Beta 20-Item Summary
MD Corner - Dr. Bera Designated Role Development
Objective Record Driven Virtual Curriculum vitae (CV) - 2013
What 859 Means?
20210417-SAT: On Measurement
Summary – Interests & Promotions Held Over
MSG Team
20210417-SAT: Social Science and Business
20210417-SAT: Science and Health
Target Audience
Corona Vaccine Status (4/2/21 & 4/29/21 @ Rite Aid – Moderna)
Comparative COPD & Pneumonia Season Outcome
CCCHC Doctor Review Assignments (x2)
Practitioner Measurement
Table - Doctor Comparative Score Summary
Health Information Transfer (HIT) Ophthalmology (3/22/2021)
Share Readership – Blog Performance Update
Summary & Lessons Learned – In Brand New Day Network
Digital Appointment & Sleep Update
Quality of Life and Satisfaction Summary
Recovery Technology - Public Health Update – Technological Needs
Record - Gift from OCHCA for Volunteer Work
2018 an End to Mary – Protective Value
OCHCA MHSA Steering Committee Meeting (SCM)
20210429-TU: Blogger Stats for Brand New Day HMO Blog
Samples of Work Done
Protective Value of Networking
Partial Structured Temporal Reconciliation (STR)
Table – Protective Values
Vet School Post-Admit Criteria
Figure – UC Davis Vet Med Record (1988) – Onset of Illness
Figure – Hand Notes Capturing onset of Illness
Volunteer Work Network
MSG Version 2021 - Executive Organizational Structure
Topic – MHSA Innovations and Housing
Consumer Computing and Help@Hand
Figure – Excerpt from Innovations Advisory work 2012
Brand New Day Centered Next Steps - Follow up on Requests (Plus)
Promotions

Helper Alignment – Face-to-face (Agenda)

Agenda For 20210511-TU: Meet with Howard T

Met for 5 minutes F2F Hi and Bye
Brand New Day Assignments
·         Subsidies
o   Health Foods Benefit - Effective
o   OTC Help with smoking and vitamins (Mojica Approvals Needed)
·         Rewards – Annual Wellness Visit (AWV) - $50 Outstanding as of 4/6/21
·         Medication Management Lesson [PENDING]
·         Wider Circle (For Buster not worth the time)
Health Care Agency Assignments
·         Housing Innovations Plan – Directory Update
·         Psychiatric Advance Directives (PADs) Workshops by 3 (Firsts 4/1/21)
o   Outcomes and Progress
·         Stigma Promotion & Assessment
·         Digital Appointment (Work Done V Pending)
MD Corner - Dr. Rimal B Bera Designated Role Development
·         Bera - Housing Advocate
o   Problem to solve - ADHD
·         PCP
o   Corona status (4/2/21 & 4/29/21 @ Rite Aid – Moderna) – Status complete
o   Comparative COPD & Pneumonia Season Outcome
o   CCCHC Assignments targeting Chester D Mojica (PCP)
o   Health Information Transfer (HIT) Ophthalmology (3/22/2021)

·         Share Readership – Blog Performance Update
o   BND HMO V AnimaCules
Pick up his assignment(s) for me
Last Update: 20210430-F:

BND Assignment dated

February 16, 2021 (By mail)
Evaluate and Mature BND OTC Benefit
Nature of Benefit = BND Over-the-Counter Benefits 2021
Lessons Learned

· Make order(s) over phone rather than by mail

· Phone techs are really nice and helpful

· Some items require PCP recommendation(s)

o Asked our BHCM for help solving problem (4/13/21)

· Ask for help for coordinated effort

‡ Indicates

“Dual-purpose items are medicines and products that can be used for either a medical condition or for general health and wellbeing. In order to purchase these items under you plan, your personal physician must recommend them to you for a specific diagnosed condition. Please speak to you physician before ordering these items”

Online > www.bndhmo.com.otc

Next Steps

Need to ask for help with Spring Quarter 2021 Orders (‡)

-

Item

Product

Quant

Unit Price

Total

-

1369‡

Nicotine Patch, Step 1

01

$35.00

$35.00

1281‡

Nicotine Lozenges

01

$42.00

$42.00

-

Associated with:

09_BND_Benefits_Cards_Accounts_21010602_Combined
Reference – Catalogue of OTC Products

Brand New Day Assignment Dated: April 11, 2021

BND Rewards Assignment 2021 (Just an annoyance: Not a crisis)

Continue to Assess the Rewards Program
Reconcile 2020 Outstanding (Gave up on our $25 Reward for Colonoscopy done 6/4/20)
Ask for help if necessary
Asked our BHCM for helping us solving problem with our AWV Reward (4/13/21)
Track monies in the Rewards Account
Log Reward worthy events
Reference Medical Records if necessary (Included below)
Avoid complaint/grievance route (How we did when pushed through our AWV Reward in 2020)
Appeal to corporate: Connie Snyder – How we used to do it
Outcome elicited a response letter from BND corporate

2020 AWV Reward finally delivered

Scanned AWV Related Appointment Card Dated:

Summary – As of: 20210427-TU:

Money not on account: Outstanding Reward for Annual Wellness Visit (AWV) = $50.00
09_BND_2021_Rewards_Incentives_Card_21010601_Account

Finding a Voice: Title – On The Air
Quote – Peter Gabriel 1978

Built in the belly of junk by the river, my cabin stands
Every night I'm back at the shack
I'm sure no one else is there
I'm putting the aerial up, so I can go out on the air
Every morning I'm out at dawn with the dwarfs and tramps
For a silent communion lit from above by the sodium lamps
Everyone I meet on the street
Acts as if I wasn't there
But they're all going to know who I am, 'cause I can go out on the air

Wider Circle Assignment – Summer 2019
Brand New Day Wider Circle Benefit
Wider Circle: “Connecting Neighbors for Better Health”

https://www.widercircle.com/

20210412-M: Not recommended for those not isolated

First Occurrence

The first occurrence of Wider Circle (WC) in our database is August 28, 2019. We were referred to Wider Circle by Keith “Buster” Torkelson’s insurer Brand New Day (BND). We were initiated over lunch at a restaurant paid for by Wider Circle. Afterwards things went downhill and Buster ended his partnership and contributions to WC. During lunch the WC Rep provided a Self-care Checklist. We began transforming the checklist and lost interest with WC in about one month. The checklist did come in handy. Yet, none of their groups and ventures has appeal for Buster.

Wider Circle Assignment (Began 2019 Closed 2021)
Evaluate Brand New Day’s Wider Circle Association and Benefit
Share Findings

Wider Circle Value Assessment (WCVA)

Basically Buster’s WC association had some personal value. Buster’s helpers never ask about what goes on with WC. WC has no value to either Buster’s Primary Care Physician (PCP) or his Behavioral Health Doctor (BHD). We transformed Wider Circle’s Self-care Assessment in order to determine the value of this resource. We calculated the percentages of new strategies. Out of 22 items approximately 2 were new to us. A few items although we considered them in the past we needed reminding.

WC Promise: “New programs & services available to provide critical support and social connectedness to seniors and other vulnerable populations in isolation.” It would appear that Buster is not in “isolation”. We don’t recommend WC for vulnerable populations that are not in isolation. Buster still gets one or more calls and or messages from WC each month. They have been coming in as “TOLL FREE CALL”. We have discovered: It is not the number of people you associate with it is the quality of the few. We have no associates with Wider Circle.

20210429-TH: Wider Circle still calling Buster after he indicated he was no longer interested.

Wider Circle Self-care Assessment - Self-care Checklist: This item was OK. There is a chance the WC is still charging BND for our membership.

Housing Innovations Plan – Nature of Assignment & Effort

Here we address updating efforts with about updating a Housing Centered Community Resource Directory. Below are some notes from a Mentalation Solutions Group site visit to a Rent A Shared Room (RASR) housing facility.

Site Visit Header Info (Beta)

Method	Site Visit
Date of Visit and/or Transaction	20210328-SU
Person(s) Executing	Keith “Buster” Torkelson MS
Facility Name	Lynn’s Inn \| City = Irvine
Address	4191 Williwaw Dr. 92620
List(s)	MHA 2006 List
Expected # of Records needing updating	75-150
Status	1 or more beds open

2021 Visit Lynn’s in Irvine

$ Deposit required
Was (2007) $500 per month for shared room with no food
$775 (2021) per month for shared room
$900 for couple sharing room for $450 each per month
949-522-1345 = Updated phone number
Has no internet
Landlord lives on site & Lived Experience - Compare with 2007
Lynn asked about smoking: Lynn is cautious due to Corona
Lynn remembered Buster because he helped her set up her antenna digital TV
Lynn reports she is not vaccinated yet
Outcome – Lynn wants Buster to move back

Previous (2007) – Lived Experience – Lived with Lynn roughly six months
Good SLEEP at night
Tenants manage own medication
2-female shared room: 3-male shared room: Co-ed issues
Computer in room ok
Cook own food: No Stove cooking: Microwave cooking only
Fairly Peaceful little drama
Lynn lives in the living room
No Bicycles: No help with transportation: Tenant cars permitted
No door to shower/bathroom (men only)
No TV in room
Smoking off grounds: She permitted some alcohol
Very Little room in freezer & refrigerator
Wash own clothes
This is a BedBusters’ Effort!

April 1, 2021 OCHCA Assignment

Attend and process information
Share findings
Theme: Psychiatric Advance Directives (PADs) Workshop (First 4/1/21)

Associated with:

LS_AHCDirective_PAD Worksheet V2021 Working

Number of meetings we have attended as of April 30, 2021 (F) – Three (3)

OCHCA Training (Information Session)

As of 20210428-W: Buster has attending 3 meetings that addressed the OCHCA PAD movement and Innovation Project

Taking the Bait

While in the process of getting put back on the OCHCA MHSA Steering Committee Meeting’s (SCM) distribution of materials Buster reached out to his long time friend and OCHCA employee Karla Perez. Rather than send him SCM materials she sent materials for an Psychiatric Advanced Directive (PAD) information session. Since Buster processes an activates rapidly we call the information session for him a training. For those in attendance it was to sort out the OCHCA MHSA PAD centered Innovation Plan. For Buster the assignment is to understand and deliver his Beta PAD ASAP. As with many of Buster’s meetings the PAD Training was instrumented via Zoom. During the meeting Buster took notes. For the OCHCA their PAD movement is in the development stage rather than the delivery stage. Yet, Buster is a product-driven type guy so he went online to track down a PAD form so he could get started.

Resource Gathering

We here at Mentalation Solutions Group (MSG) found on behalf of Buster a good PAD form out of and legal in the state of North Carolina (NC). PADs’ differ from Wellness Recovery Action Plans (WRAPs) in that the former is legal document. We finally tracked down a California PAD yet we find it is not as user friendly as the North Carolina form. For now Buster will continue using our transformation of the NC Form. Buster intends to ask his Brand New Day ((BND) helper during their next Face-to-face for a California PAD form in both hard and digital formats. Each time Buster meets with his BND helper we will give a PAD update until we complete Buster’s and get it put in some of the right place(s). The company facititating the OCHCA PAD movement is called Concepts Forward Consulting (CFC). We plan to submit some of our PAD work to our designated CFC Rep. During our training the instructers indicated that pushing their PAD notions through with private health care agencies will be harder that with public health entities.

Standardization

It looks like in may take Orange County who hopes to fund their PAD movement locally more than a year to select their standard and legally valid PAD format. The PAD has to be valid in the state where the consumer resides. In the meantime, we here at Mentalation Solutions Group (MSG) have been digging around online to find some materials to set us and Buster in motion. We have learned a few lessons thus far. One is we recommend two formats may for driving consumers and any others in need working their PADs. The first format might be temporary and open-ended. Consumers can copy anything they feel is important for their individualized care and treatment from other sources such as: Casenotes, medical records, journalling and/or their Wellness Recovery Action Plan (WRAP) if they have one. The second format will be the actual legal document.

Existing Records such as WRAPs

Years ago at the local annual Meeting Of the Minds (MOMs) conference Buster was lucky to meet up with Mary E Copeland Wellness Recovery Action Plan (WRAP) people. He discussed how big his latest version of his WRAP had grown. He said the process had not delivered substantial results. MEC’s people said scrap it and start again. Buster has found that WRAPs are not taken seriously about the in-patient setting. It appears WRAPs are best used as an intermediary on the way to PADs. We find many benefits in the PAD process yet like WRAPs they are likely to be overlooked in either the in-patient or in the county jail settings. Paper copies may best be kept with the consumer, consumer’s family, care-givers, etc. When something comes up as conflicting between treatment and PAD it will probably have to be the consumer that points in out. We have here another experiment using live subjects.

PAD Legal

PADs may offer people determination in an ever indeterminant world. We recommend that 25%-33% of the PADs by word count address housing issues and concerns. For the amount of money “The OC” wishes to invest in their PAD movement we see legal fees. The state of California is going to have to decide on one and is often the case more standard and approved PAD format/formats. If they can’t find one they like then of course they will need to retain a legal staff to push a legally valid form through as hopefully one-fits-all standard. In the meantime we here at Mentalation Solutions Group (MSG) are all over it. Buster has already started his temporary PAD (tPAD) in *.doc format, he has shared the PAD notion with his Brand New Day helper, and has tracked down a codified version that appears to be valid in the State of California. We here at MSG believe that PADs are so important that Buster’s insurer Brand New Day (BND) should design and deliver 1 if not 2 dedicated PAD Groups per week.

20210428-W: PAD Related Engagement Summary – Time Spent

Averaged abut 30 minutes each occassion


Time Stamp	DOW	Nature	Detail

20210401	TH	OCHCA INN 10-1130	Meeting #1 Via Zoom
20210415	TH	OCHCA INN 10-1130	Meeting #2 Via Zoom
20210419	M	OCHCA SCM 1-4	Teck for consumers update
20210428	W	BHAB 9-1045	Meeting #3 Via Zoom

Last Update: 20210428-W:

Time Spent – PADs - Adequate

Since April 1^st, 2021 (TH) Buster has collected up enough PAD information to plot his PAD related direction. Rather than wait a near inderminate amount of time he’s going to complete the rough draft of his PAD. Then he is going to try to sell it to a few stakeholders: Rimal B Bera MD, Clayton Lon Chau MD PhD, his new and improved Brand New Day (BND) helper, and two of his family members. He might also promote PADs at the MHSA funded Wellness Center West (Garden Grove). He already has the knowledge base to teach a Mentalation Solutions Group 50 minute PowerPoint mediated lesson: “Fast Tracking your individualized Psychiatric Advanced Directive (PAD). He will publish his standalone PAD well in advance of milestones set by the county and their current team of PAD promoters.

Associated with:

08_Planning_Advance_PAD_14121301_Notes V2021

April 1, 2021 – OCHCA Assignment - Psychiatric Advanced Directives (PADs)

Origin Karla Perez (OCHCA)
Attend Zoom Informational Meeting
Take Notes
Address Own Psychiatric Advanced Directives
Share Findings and Lessons Learned with:

Family
Insurer
Helpers PRN
Behavioral Health Doctor

Next Steps

Track down California Version
References
Karla’s Invitation Email
Associated with OCHCA’s Karla & MHSA Innovations

OC Stigma Free - Promotion - Stigma Free Website

https://www.stigmafreeoc.com/

The Assignment:

Look into and aquire working knowledge of OC Stigma Free
Share findings with stakeholders
Promote OC Stigma Free
Address and overcome self-stigma
Take the Pledge – Take Action

About the Stigma Free Orange County, CA Movement

“Stigma Free OC is a county-wide movement which aims to clear the stigma associated with mental illness and addiction. Stigma can make it difficult to see people for who they really are beyond the conditions they are living with. The campaign is dedicated to raising awareness of these illnesses by creating an environment where people are seen and supported in their efforts to achieve wellness and recovery.”

Take the Pledge

https://www.stigmafreeoc.com/pledge/

PAD Portion Addressing Suicide and Last Wishes

We have reviewed several Psychiatric Advanced Directives (PADs) forms. They don’t appear to include sections on suicidality, last wishes, or housing needs. We suggest including sections addressing integral concerns and problems for the Serious and Mentally Ill population such as: In case of suicide, in case of suicide attempt, this is what I want near the end, this is the kind of SLEEP I need, and these are my housing needs. They need to address LPS conservatorship and representative payees. We know many a consumer that doesn’t trust their representative payees. We suggest: A while a student section, in case of harm to self, and help with stigma.

Funding

At this time it would be and unnecessary distraction to delve too deeply into Stigma and Stigma Free OC (SFOC) funding. Briefly: CalMHSA meaning California Mental Health Services Authority is a Joint Power Authority (JPA). Years ago CalMHSA was delegated Mental Health Services Act (MHSA) Prevention & Early Intervention (PEI) monies to manage three areas of Behavioral Health at a regional level. In the case of Orange County we opted to have CalMHSA deliver in three PEI components: Suicide, School Behavioral Health and Stigma Reduction/Elimination. It makes sense to connect Stigma Free OC with CalMHSA for (SFOC) funding. With CalMHSA and proof of concept in these three areas we here at Mentalation Solutions Group (MSG) have yet to be impressed.

FYI - California Mental Health Services Authority | Homepage

https://www.calmhsa.org/

“At CalMHSA, we pioneer cutting-edge research and programs to educate and support Californians in stopping the stigma around mental health…”

FYI - For more Information

CalMHSA Prevention and Early Intervention Statewide Projects

Abbreviated Summary & Key Activities Report

file:///D:/0%200%20Inc%20Work%202021/Web-Ready-PEI-Statewide-Projects-Summary-12-14-111%20CALMHSA.pdf

-
CalMHSA (PEI)	Expectation	Note since CalMHSA
-
Suicide	Only 2 suicided of knowns every 10 years	All committed Suicide Tim – Matt – Mark - Devin – Ethan No suicide workbook
School Behavioral Health	No killings on campuses	No Campus Safety workbook
Stigma Reduction/Elimination	Track stigma via assessment(s)	No stigma workbook
-

Last Reviewed: 20210503-M:

Dying Too Young (DTY) – On CalMHSA’s Watch

We are not going to go off on Busters’ lived-experience with individuals Dying Too Young (DTY). CalMHSA was to substantially remedy the suicidal persons in California. When Buster grew up in SoCal and later matured in Davis California there were only 1-2 people he knew that executed suicide per decade. Examples: His neighbor as a kid and his mother’s brother’s wife. Since CalMHSA has been working on suicide solutions Buster knows at least four people in less than a decade whose deaths were confirmed as suicides. Tim C shot himself in the heard, Matt hung himself, and Mark jumped off an overpass into oncoming traffic. Another was Devin P. With Devin we are uncertain the nature of his suicide. Some say it was overdose related. It is not as if Buster is hanging with a greater fraction of high risk people than he did: 1962-2010. Another friend’s son, Ethan B committed suicide yet Buster only acquainted with his father.

Stigma Reduction - Action Plan

What will you do to combat stigma in your professional and/or personal life?

Goal: Help others with their stigma issues without undue harm to Buster
Objective #1
Release Medical Records PRN = Guarded Disclosure
Objective #2
Further develop MSG’s Stigma Impact Scale (SIT-Beta-20)
Objective #3
Share via our Blog(s) while continuing with guarded Transparency. Begin developing our stigma reduction material stating with a Digital Appointment Tool (DAT). Deliver Stigma Reduction Lesson Plan.

Professional V Personal – Stigma - Disclosure

We here at Mentalation Solutions Group (MSG) define Triple Occuring Diagnoses as a state of being where Behavioral Health concerns, Substance Use concerns, and Legal concerns greatly impact the consumer on a near daily basis. On behalf of Buster MSG openly share stigmatizing information centered about Buster’s Triple Occuring Diagnoses with friends and family. Yet professionally and with people we work Buster is muc more guarded. As side effect of our Digital Appointment is Buster get to work through things that he is not proud of.

Stigma Impact Tool (SIT) MSG SIT Beta 20-Item Summary

Calculated retroactively for a stigmatizing period

Date of Calculation 20210423-F:

For Keith “Buster” Torkelson

-
Area	CALC SUM/Items	1988-89 Onset Retro
-
Stigma Cycle Impact Score	6.00/10	60.0%
Stigma Affect & Behavior Impact Score	6.00/10	60.0%

Combined Stigma Impact Score =	12.00/20	60.0%
-

Last Reviewed: 20210423-F: Higher score are less favorable

Assessment to be published at a later time

Stigma - Date of Onset

The date of onset for both symptoms and stigma for Buster is: 19880925-F

Begin Off Agenda

MD Corner - Dr. Bera Designated Role Development

Associated with:

06_Bios_Roles_16102202_Fall 2021

Objective Record Driven Virtual Curriculum vitae (CV) - 2013

https://ktork46.blogspot.com/2013/01/keith-torkelson-curriculum-vitae.html

20210417-SAT: CV Notes

We were updating Keith “Buster” Torkelson MS’s Curriculum Vitae (CV) in the process of including a link to our 2021 version with this build of our Digital Appointment Build (MSG-DAB). We performed a Google Search with the query “keith torkelson cv”. We pinged a few hits. Next we reviewed what we came up with. It looks like his 2013 CV Build is the most appropriate as well and complete. On Saturday April 17, 2021 we reworked it a bit addressing formatting annoyances. This 2013 version of Busters’ CV includes some of his computing skills and experience.

TRCBase Reference:

ComputingSkillsExperience2007031401_Blog

In: Career folder as Skills and Experience Computing

Post Stats


Requirement	Specification

Author	Keith Edward Torkelson MS
Nature	Objective Record-driven
Name	Keith Edward Torkelson Curriculum vitae CV
Date Published	Jan 6, 2013
Date of Stat Check	April 17, 2021
Number of Post Views	859

Last Reviewed: 20210503-M:

20210417-SAT: Figure – Blogger Stats

What 859 Means?

-
Requirement	Spec	Note
-
Blog Type	Free Blogger
Date Initialized	Jan 6, 2013
Has it been updated or added to?	Yes	We more often than not we don’t update or delete our published work
Date of Stat check	20210417-SAT
Post Theme	Buster’s Bios & CV	Virtual Curriculum vitae First CV ever was circa 1988 for UC Davis grad school in Pathology
Blog Name	AnimaCules
Total Page Views for Blog	82,636	Hope to pass 100,000 by the end of 2023
Total Page Views for Post	859
Blog Owner	MSG & Buster	Powered by Google
Pertinent CALC	=859/82636*100 = 1.04%	Percentage of total post viewers
Percentage Total Views	1.04%
Total Number of posts	107	AnimaCules
Number of comments	19	We don’t field the comments Some inspirational though
Comments responded to	01
Non-US Countries that like our posts	Russia
-

Last Reviewed: 20210428-W:

20210428-W: World Viewer Map for AnimaCules

Figure – World Map of Blog Viewers

20210416-F-M: Areas of Interest – Includes BedBusters Effort

Basically Keith “Buster” Torkelson MS practices pathology. Yet, rather than work up biological and medical samples he processes written assessments to capture the pathology. On average Buster evaluates one assessment tool per day. In due course Buster analyzes assessments including calculating and delivering quantitative values. Buster deposits assessments and his findings in our Mentalation Solutions Group (MSG) database (MSGBase). Other than his Master of Science (MS) degree out of UC Davis Buster is a matured “Para” health worker specialist. Buster promotes accountability and transparency in his role about External Quality Review (EQR). Buster performs most of his work pro-bono.

20210417-SAT: On Measurement

Buster continues to find that measurement remains out of alignment within the field of Health and Human Services (HHS). He is hoping for some august convergence in metrics along a manner with what Australia has accomplished. Based upon Buster’s learning at health technology conferences the US is still more than a decade behind Australia when it comes to assessment standardization in Behavioral Health. Some other areas that interest for Buster are: Teaching workshops for adults, speaking in the community, sharing on his Blogs, helping with events, supporting about the office, “sprucing” up projects, and delivering on special projects. As of April 16, 2021 Buster is currently working on a Medication Management Lecture Series for teaching groups at his insurer Brand New Day HMO. Finally, Buster is focused part time this spring quarter on fixes to deliver excellent housing for the disabled including the homeless. We here at Mentalation Solutions Group (MSG) call our housing project BedBusters. I am Avey C Asus. I am a voice at MSG. I am a proud part of MSG. I could use a raise though:0)

20210416-F: Formal Quests for spring 2021

Keith “Buster” Torkelson MS’s schedule for spring quarter 2021 is as follows. Make record, measure, and improve the quality of his Health Related Engagements (MSG-HREs). HRE is another Mentalation Solutions Group (MSG) product. For spring quarter we here at MSG as well as Buster have planned: Succession in his support structure including medical and family, housing graduation, addressing HHS Ethics as prescribed by Gary Zager at Cypress College, continue profiling work that includes profiling his Behavioral Health Doctor Dr. Rimal B Bera, leveraging Buster’s considerable lived experience acquired from advisory work about the OCHCA MHSA Technology Advisory Committee. His technology work included: Appraisal of Patient Portals and Personal Health Records (PHRs). We hope to better apply the material from his PHRs for generating his Psychiatric Advanced Directive (PAD). We are considering reviving his newsletter Accountability. To spring quest that we could use help with are: Get our Blog viewership numbers up across are our Blogs; Perform site visits with Rent A Shared Room environments. And last and the most important sell our BedBusters housing fix project idea. What follow is a table addressing some more of our spring 2021 quests.

[SEE TABLE FOR OTHER WORK]

Associated with:
BND_HRA_Risk_6.2.0_17123001_Applied V2021
(First Published 20210112-TU)
Associated with: MSG Base >
07_MSG_Interests_Promotions_21011201_Notes
Summary – Interests, Quests & Promotions Held Over (Spring 2021)

-
Element	Nature	Update
-
BedBusters 2021 Bundle	Promo - here	Continue
Brand New Day	Promo	Implied
Directors Cut	Interest
External Quality Review (EQR)	Interest	Develop skills
Health Related Engagements (HREs)	Promo	MSG Product
Healthy Food Benefit	Interest	Use
Homes for Dying Old Men (DOMs)	Interest	Share
One Medicine – One Health	Interest
Phlebotomy 2021	Interest	Lesson Plan
ProSumption	Promo	Develop Product
Rent A Shared Room	Interest	Leverage lived experiences
Shanks Truck Stop (STS)	Promo
SleepAbility	Interest	Develop Product
Structured Temporal Reconciliation (STR)	Promo	Develop Product
Telemedicine - Teladoc	Promo	Appreciate
Telemedicine – Alliance	Interest	Kill Effort
World Wafers (S-SWWs)	Promo here
-

Last Reviewed: 20210501-SAT:

20210416-F: Skills or Talents

I Avey C. Asus find Keith E Torkelson, MS aka Buster rather skilled at presentation yet nowadays he rarely speaks in public. Part of this has been due to Corona (COVID-19). Buster is a writer with dozens of publications under his belt. As of today, May 16, 2021 (F), we here at Mentalation Solutions Group (MSG) estimate that Buster more than 5000 pages in virtual print. In his capacity he out publishes both his Primary Care Physician (PCP) and Behavioral Health Doctor (BHD) combined. With our work here at MSG we have improved the digital presence of both his current PCP and BHD. Buster qualifies as a desktop publisher and enjoys adding his own art and graphics to his as well as MSG’s Blog postings. Buster’s hardware and software computer skills are too numerous to count (TNTC). You can find them on his virtual CV.

Objective Record Driven Virtual Curriculum vitae (CV) - 2013

https://ktork46.blogspot.com/2013/01/keith-torkelson-curriculum-vitae.html

MSG Cross Training

Unfortunately, Buster he is only literate in English. Yet, literacy appears to be one of Buster’s Protective Factors (PFs). Buster understands and speaks a bit of Spanish just enough to partner with Latinas. One might say Buster is also experienced resolving conflicts such as family issues including divides. He has re-united several families. Unfortunately he has not re-united his own family. Buster has a history in education and enjoys presenting, instructing and teaching. He believes that Behavioral Health Innovation (BHI) is still falling short in cross-applying (innovating) promising practices from California’s Public K-12 system. Buster is an informal apprentice blacksmith. Around Mentalation Solutions Group (MSG) we call him a MetalMan. Last, he enjoys and is handy repairing things including computers. We cross train around here so we can cover for others around here in some areas (PRN). I am Avey C. Asus (ACA) and I read.

[INSERT Graphic of MSG PARTNERS]

Newest Member on the MSG Team

Moved to:

MSGBase >

15_Delivered_CV_Published_VandE_Blogged_21041701_Register

MSG Team

-
Member	Note
-
Lled Buzzard	Developmentally disabled Suicide-survivor
EMe	Our Thinker
Keith “Buster” Torkelson MS	Lead, CFO, Project Specialist & Other Things requiring precise hand movement
Avey C Asus (ACA)	Compliance Specialist Team Spirit Officer Third Person Reader
-

Last Reviewed: 20210416-F:

20210416-F: Satisfaction

Around here at Mentalation Solutions Group (MSG) each Friday is Satisfaction Day. Keith “Buster” Torkelson MS has been at Blogging since 2012. Checking Buster’s Google-powered Blogger viewership STATs is one of our favorite activities for Satisfaction Friday. We estimate that MSG and Buster have more than 5000 pages in virtual print. Some of these virtual pages (entries) constitute part of our Digital Preservation Effort or DPE. We have two plans for later. 1) Eat ice-cream for lunch and the other go out together after work tonight. We have no idea what EMe is thinking because he decided to sleep in this morning. He may show up for ice-cream. (ACA)

20210417-SAT: Availability

Keith’s AKA Buster’s availability away from the home office and at our Deep Space 226 facility is limited. Even in the face of Corona (COVID-19-Plus) Keith will get out for: Health Related Engagements (HREs), conferences, committee meetings, and site visitations. Many tasks cannot be completed using Zoom and the like. Before Corona Keith performed more site visits than he does today. Gradually more sites are opening up again. Through his site visitations we collect “Intel” or Intelligence in Health & Human Services including photographs we use in papers and presentations.

20210417-SAT: Roles (Bios) – The Para

Keith does better as a para-worker than in partnership. He has dozens of partnerships to maintain. Very few persons in his personal and professional networks are producer by our standards.

Aside 20210417-SAT: Three of Buster’s Specialties
PWS-II-GS5 = Para-Worker Specialist II Grade 5
SPS-G8 = Social Pathology Specialist Grade 8
External Quality Review Officer – Grade 1
20210417-SAT: Social Science and Business
Keith “Buster” Torkelson MS – Lived Experience

-
Para…	Example (Worked with or for)
-
Consumer - Social	Public and private health services
CPA	Controller for Flex Foot Prepared business taxes for CPA
Desktop Publisher	MSG
Event Manager	Be-Aware Job Fairs
Family Support Specialist	Neutral in the Family Fishing Net
Legal PRN	Family Estate Negotiations
Manager-IT	Specialist Telephonic Telescan Server System
Negotiator	Example: Rent A Shared Room dealings
Peer Support Specialist	Brand New Day
Supervisor	Presenter [TOO NUMEROUS TO LIST]
Project Specialist	Various including a telephony project BedBusters
Report Writer	Self-driven incorporating Lived Experience and Assessment
Small Business Owner	2 Incidences about Telephonics
Special Ed Teacher	Capistrano Unified School District (CUSD)
Student	UCSD – Orange Coast College – UCD – Saddleback – CSUF – Santa Ana - Cypress
Teacher	Student Teacher & Substitute Teacher
Tutor	CUSD – Avid Program
-

Last Reviewed: 20210416-F:

20210417-SAT: Science and Health

Keith “Buster” Torkelson MS – Lived Experience

-
Para…	Example (Worked with or for)
-
Advisor (OCHCA)	Technology – Consumer Action – Innovations Housing is pending
Clinical Lab Technician	Hospital Pathologist Central Laboratory (HPCL)
Consumer - Clinical	Public and private health services
Eternal Quality Reviewer	Mentalation Solutions Group’s Christmas Report Card (CRC)
Housing Advocate	Title assigned by BHD Rimal B Bera MD
Public Health Veterinarian	Inspector USDA Pathology in populations
Lab Associate IV	Nicolas Turkey Breeding Farms Vet Med Lab
Medical Doctor	Various [STAYED]
Mental Health Worker	OCHCA BHS Center of Excellence (COE)
Pathologist	UC Davis
Professional Mental Health Worker	Volunteer for OCHCA
Veterinarian	Total of > 2000 Hours Individual cases and work with populations
-

Last Reviewed: 20210417-SAT:

Target Audience

Obviously, a primary target audience for this our Digital Appointment is those instrumental about Buster’s Health – Education – Welfare (HEW). Public Health raves about coordinated care. To actually sustain coordination as a consumer migrates through their system would require a “Stellar” care-coordinator. After firing Buster’s last care-coordinator we here at Mentalation Solutions Group (MSG) are giving our New and Improved (N&I) one a shot. We definitely know he is new while assuming he will perform on behalf of Buster “Stellar”. More or less this report targets Buster’s N&I care-coordinator. His N&I care-coordinator calls himself a Behavioral Health Care Manager (BHCM). In last month’s face-to-face (F2F) meeting Buster asked for help on a few things. We know as of today, April 28, 2021, that one hasn’t been accomplished. For our next F2F with Buster’s N&I resources we are without fanfare just list what we asked for in one simple Memo. For the remainder of our target audience we will address sections as needed (PRN). Even though Buster’s Behavioral Health Doctor (BHD) indicates that Buster is acting as if a Housing Advocate his BHD doesn’t have the time to gather knowledge including situational awareness about Buster’s ongoing housing interests, pursuits, and concerns. Repeatedly in Buster’s health history Anxiety and Sleep Disorders ebb and flow. At times they put him in the hospital. His current BHD is resting on the laurels and the experiments of doctors’ past. For Buster’s current BHD, we truly can’t say that on Buster’s behalf that he has achieved something. Buster just turned 63 and now he very likely is suffering symptoms of ADHD. Buster knows several people who were treated for ADHD and they indicated that in the long-term medication is not a viable solution. The last thing Buster needs is a stimulant.

Role of Buster’s Behavioral Health Doctor

Buster’s appointment with his Behavioral Health Doctor (BHD) lasts on average less than 10 minutes. The frequency used to be every 3 months yet his doctor favors every 4 months. Buster’s BHD really can’t find or make time to listen to Buster. Therefore Buster and hasn’t addressed his ADHD concerns. It would be too much work for his BND. Around here we get to prioritize and prune distilling out Buster needs that pertain to his BHD in a given appointment.

On-line - More on Audiences

Now we feel it is important for Buster to keep his BHD apprised of the Psychiatric Advanced Directives (PADs) movement and portions of this report dealing with PADs. Yet, even if Buster submitted a draft version of his PAD his BHD doesn’t have the capacity, time, or skills to review it properly. There are several elements of this report directed at Buster’s Primary Care Physician (PCP). Most importantly is Buster’s Corona (COVID-19) vaccination status. As of today May 3, 2021 buster has completed both shots at Rite Aid with Moderna tow part Vaccine. There are parts of this report that Buster’s PCP might best share with his clinical and clerical team at Central City Community Health Clinic (CCCHC). Vaccine status is one of them. Back in 2012 when Buster signed on with current insurer Brand New Day (BND) they demonstrated a high level of coordination and collocation. We used to just share our report materials with BND corporate via the grievance process. Yes, indeed corporate could benefit by reading this report. Late last year we secured evidence that a person or persons around BHD had read one or more of our reports that we posted on our Brand New Day HMO blog. This makes Buster happy!

Family Involvement

A few parts of this report are directed at Buster’s family. Examples would be: Corona vaccine status, blog stats, PADs, Quality of Life, Protective Value, and anything related to Advanced Planning. We hope that by summer of 2021 we can go without masks for family get-togethers. We have some advanced planning to do.

Loyal Viewers

Last but not least this report is directed to our loyal Brand New Day HMO Readers (Viewers). Thank you! Each and every one of you inspire both Mentalation Solutions Group (MSG) and Buster with are moves ahead. (ACA)

Corona Vaccine Status (4/2/21 & 4/29/21 @ Rite Aid – Moderna)

Corona - Assignment from multiple angles

Weigh Pros and Cons

Inform yourself and decide [IF NO Stop Here]

Arrange to get Corona Vaccine

Criteria Met = High-risk Congregate Residential Settings

Get a Corona Vaccine > If necessary arrange for a second dose

Cancel any other vaccine appointment

We did with Central City

Evaluate Process

Ready for Health Information Transfer (HIT)

COVID-19 Vaccination Record Card (CDC)

Track adverse reactions – Nothing remarkable

On Behalf of:

PCP, CDC, National Infectious Disease (NIH), CCCHC, BND

The cohort we live with, Community at Large, Family, Face-to-face Helpers

Figure – Medical Record – COVID-19 Vaccination Record Card
Consumer = Keith “Buster” Torkelson
Health Information Transfer > PCP = Chester D Mojica & Brand New Day

Dates of Service: 4/2/21 (F) & 4/29/21 (TH)

Second Dose was Scheduled for: 4/30/21 (F)

Comparative COPD & Pneumonia Season Outcome

Associated with:

MSGBase > 11_Health_COPD_OTCs_20050901_Notes V2021

Assignment Dated: February 16, 2021 (By mail)

Evaluate and Mature BND Over-the-counter (OTC) Benefit

Nature of Benefit = BND OTC 2021

Lessons Learned

· Make order(s) over phone rather than by mail

· Phone techs are really nice and helpful

· Some items in the OTC Catalogue require PCP recommendation(s)

o Ask for help for coordinated effort (20210413-TU Asked BND Helper)

‡ In catalogue indicates…

Online > BND-OTC www.bndhmo.com.otc

Next Steps

Need to ask for help with Spring Quarter 2021 Orders (‡)

-
Item	Product	Quant	Unit Price	Total
-
1369‡	Nicotine Patch, Step 1	01	$35.00	$35.00
1281‡	Nicotine Lozenges	01	$42.00	$42.00
-

Associated with:

09_BND_Benefits_Cards_Accounts_21010602_Combined

Reference – Catalogue of OTC Products

CCCHC Doctor Review Assignments (x2)

Associated With:

09_BND_CCCHC_CDM_Mojica_21040301_Assessment

EQR_CCCHC_Mojica_Bera_Comparative_PEM_21041503_Scores

2021 Omar Moreno’s Assignment (Identifies as Chief Executive Officer)

Central City Community Health Center (CCCHC)

Assignment = Central City Community Health Center would like your feedback!

Central City Community Health Center > noreply@patients.pgsurveying.com

To: ktork46@yahoo.com

Tue, Mar 30 at 5:13 PM (2021) for 20210209-TU Visit

Dear Keith,

“You recently received care from Central City Community Health Center, and your feedback would be greatly appreciated. Please take a few minutes to answer a brief survey and share your thoughts about your recent experience with CHESTER MOJICA. Your input will help us to understand what we do well and what we can do better. If you have received this email regarding a child's appointment, please complete the survey on his or her behalf. To ensure confidentiality, this survey is administered by an independent third-party, Press Ganey Associates, Inc. Your participation will help us to improve the quality of care that we provide to you, your family, friends, and neighbors.”

Click here to begin your survey.

CCCHC Survey (2021)

https://esurvey.pressganey.com/ValidationPage.aspx

[STAYED FOR]

Future endeavor addressing what Brand New Day does well and what they could do better

2021 Duplicate Assignment

Omar Moreno’s Assignment (Identifies as Chief Executive Officer)

Omar Moreno’s Feedback Assignment (2^nd in 6 months)

Central City Community Health Center (CCCHC)

Tue, Mar 30 at 5:13 PM (2021)

Second Assignment in Fiscal Year 2020/21

Dear Keith Torkelson, or parent or guardian of:

“Our mission at Central City Community Health Center is to provide our patients with the highest quality health care that we can. To accomplish this, we need to know what we are doing right and what needs improvement. We depend on our patients and their families to keep us informed. By sharing your thoughts and feelings about your health care experience on 2/9/2021 with CHESTER MOJICA, you can help make our care better for future patients and their families. Please take a few minutes to complete the following Patient Satisfaction Survey [PSS]. Feel free to express your opinions. Your response is confidential”.

Thank you, and please accept our best wishes for your good health.

Sincerely,

Omar Moreno - CEO

Aside

Clinician and Group Experience Survey

Patient Experience Measures (PEMs) from the CAHPS® Clinician & Group Surveys

Nature - Patient Experience Measures

PSS – Patient Satisfaction Survey

Associated with: 06_EQR_CCCHC_CRC_Stars_20121701_Results

2020 The Assignment

Omar Moreno’s Assignment (Identifies as Chief Executive Officer)

Nature - Online Feedback Regarding Clinician Dr. Chester D Mojica

Three-month Window of Service

Status Complete and Submitted

Regards Central City’s Chief Executive Officer Assignment

Date of Solicitation: Mon, Dec 14 at 5:42 PM (2020)

Dear Keith,

“You recently received care from Central City Community Health Center, and your feedback would be greatly appreciated. Please take a few minutes to answer a brief survey and share your thoughts about your recent experience with CHESTER MOJICA. Your input will help us to understand what we do well and what we can do better. If you have received this email regarding a child's appointment, please complete the survey on his or her behalf.”

Thank you for your feedback.

Sincerely,

Omar Moreno - CEO

Regards: Clinician and Group Experience Survey

Associated with:

EQR_CCCHC_Mojica_Bera_Comparative_PEM_21041503_Scores

Practitioner Measurement

Let us just call everything in Behavioral Health the BH System. Some key agencies in The BH System are Centers for Medicare & Medicaid Services (CMS), Medicare, Centers for Disease Control (CDC), and more locally the Orange County Health Care Agency (OCHCA) and Los Angeles Department of Mental Health (LACDMH). We bet that in the near future LACDMH is going to phase out the MH for the more proper Behavioral Health (BH). “The BH System” promotes and collects up data left and right. One of the most straight forward and elegant reports is the annual CMS Stars Scoring for health insurance carriers. Buster’s insurer Brand New Day for 2021 was award 3.5 CMS Stars out of 5.0 being best. BND contracts with Central City Community Health Center (CCCHC) who appears to employ his Primary Care Physician (PCP). Last year near the end CCCHC asks Buster via Email to rate their employee, Buster’s PCP, using their online assessment utility. Buster followed through and submitted a pretty good review. We are waiting for feedback from Omar CCCHC’s CEO for our effort(s).

Patient Experience Measures (PEMs)

During this last winter quarter CCCHC (Central City) asked Buster a second time to review his PCP. Again, Buster followed through because he is what we around here at Mentalation Solutions Group (MSG) refer to as ProSumer (MSG) that is ProSuming (MSG). For the life of us we thought we had vetted the Central City questions elsewhere. Central City indicated that we were taking a Patient Experience Survey (PES). So queried our databases for Patient Experience Survey or PES and found a few hits. For us and in our databases PES means Personal Empowerment Scale (PES). Yet still we knew we had seen the Central City line of questioning elsewhere. We performed an old-school Window XP query. We found Patient Experience Measures (PEMs). The surveying that CCCHC performs as Patient Experience Survey is a misnomer for Patient Experience Survey.

Lesson Learned

If a governing or control agency gives you an assessment do not rename it!

Example Central City’s Patient Experience Survey instead of the standard Patient Experience Measure(s)

-
Item	Comment	Note
-
Assignment	Rate PCP Chester Mojica Using Online Assessment Tool	Using Online Assessment Tool
Origin	Central City Community Health Center	CEO Omar
For Years	2020 & 21
Status	Both Completed and Submitted	No feedback
Compensation	None x 2	Brand New Day going rate is $10.00 per assessment submitted
Feedback	None	No scoring returned
-

Last Reviewed: 20210503-M:

PEMs = Patient Experience Measures V Stars

How the Centers for Medicare & Medicaid Services (CMS) derive their Annual Stars Scores (ASS) still eludes us. We do know that it is fairly complicated. They contract with data processors just to address the incredible amount of information they receive each year. CMS’s method appears to consider Health Outcome Surveys (HOSs) and Patient Experience Measures from the CAHPS® Clinician & Group Surveys. CAHPS means: Consumer Assessment of Healthcare Providers and System (CAHPS). We have yet to find a CMS Stars Rating Formula (SRF). Since the scores from the survey we submit are not provided back to us we at present use our methodologies in order to capture the patient experience. Our Annual Christmas Report Card is one means for us to share our patient experience findings. Brand New Day (BND) for 2021 was awarded by CMS a Stars Score of 3.5. Most of their performers, contractor, etc. deliver 3.5 Star Performance. Yet we have discovered high performers even some near 5.0 Stars. This indicates that there are low performers around 1.0 Stars. One of our sources indicates that BND is a non-profit and non-profit have trouble getting good workers and contractors.

Table - Doctor Comparative Score Summary


Description	CDM	RBB	Note

2020 Overall Practice Proficiency Score =	65.1%	59.7%	About par with the overall agency score
MSG-CCCHC Star Equivalent =	3.3	3.0	We use our Vitals Plus tool
Objective 2020 CMS Stars Score =	3.5	3.5	Brand New Day HMO Health Plan
-

Date Scored: 20201217-TH: Scorer: Keith “Buster” Torkelson MS


Description	CDM	RBB	Note

2021 Overall Practice Proficiency Score =	79.2%	68.8%	Improvements over 2020
MSG-CCCHC Star Equivalent =	4.0	3.4	Scoring better than BND
Objective 2020 CMS Stars Score =	3.5	3.5	Brand New Day HMO Health Plan
-

Date Scored: 20210412-M: Scorer: Keith “Buster” Torkelson MS

CDM = Chester D Mojica (PCP)

RBB = Rimal B Bera (BHD)

Rated by consumer = Keith “Buster” Torkelson MS

The Assignment

Online Feedback Regarding Clinician Dr. Chester D Mojica

Three-month Window of Service

Status Complete and Submitted

Regards Central City’s Chief Executive Officer Assignment

Mon, Dec 14 at 5:42 PM (2020)

Dear Keith,

You recently received care from Central City Community Health Center, and your feedback would be greatly appreciated. Please take a few minutes to answer a brief survey and share your thoughts about your recent experience with CHESTER MOJICA. Your input will help us to understand what we do well and what we can do better. If you have received this email regarding a child's appointment, please complete the survey on his or her behalf.

Date of Solicitation

Mon, Dec 14 at 5:42 PM (2020)

Thank you for your feedback.

Sincerely,

Omar Moreno - Chief Executive Officer

Regards: Clinician and Group Experience Survey

HITs and HIEs

It has been quite some time since the OCHCA BHS went live with their first build of the Cerner Electronic Health Record. In the process of “Going Live” they apparently had satisfied adequate Meaningful Use Criteria (MUC). Some of the elements with Meaningful Use were (are) Health Information Transfers (HITs) and Health Information Exchanges (HIEs). As of 2021 we find that the Brand New Day Network (BND-N) is still challenged about having the right digital information in the right place at the right time. We were asked to perform a HIT by Buster’s Brand New Day contracted Ophthalmology office. We picked this Medical Record to share because it isn’t too revealing. At this time this record fits our “Guarded Disclosure” criteria. Buster’s Ophthalmology office is one of the most important providers for Buster in the BND Network. They always earn Star Equivalent (SE) score of 4.5 or better. The down side it that a 4.5 for an in network office predicts for an office operating at only 2.0 SEs.

Health Information Transfer (HIT) Ophthalmology (3/22/2021)

Records & Health Information Transfer

Addressing Stigma – Guarded Disclosure

Filed with Hardcopy BND Records

We consulted with another doctor working with the National Institute of Health (NIH) about the Assessment of “Patient has type II pre-diabetes…”. She asked us for our A1c and concluded that Keith “Buster” Torkelson was not pre-diabetic. Unfortunatety this is a Medical Record Error (MEE) that may stick for quite some time is not hundreds of years.

Aside - Associated with:

Share Readership – Blog Performance Update

BND HMO V AnimaCules

About Comments

When Buster first outlined his initial Blogging strategy he determined that we did not wish to field comments. So we wrote and published so as not to generate feedback. Relatively speaking to only have less than 100 comments since 2012 he and we have been successful. We hope that by 2023 our AnimaCules Blog will pass the 100,000 viewer mark and our Brand New Day HMO Blog will exceed 25,000 viewers. In a different time and life Buster would enroll and complete some Online Social Media and Marketing courses. We hope to stumble upon a means to garner some followers. Until then we are satisfied with what we do!

Summary & Lessons Learned – In Brand New Day Network

2020-2021 - Time Spent – Due Diligence

Behavioral Health Doctors V Psychiatrist

Unfortunately psychiatrists have worked their way into a stigma hole. Many people still feel uncomfortable indicating that they retain a psychiatrist. There are other areas in Behavioral Health that are climbing out a stigma hole. For example the state mandated Mental Health Boards (MHBs) are reorganizing into Behavioral Health Advisory Boards (BHABs). Years ago Doctor Arnold P Deutsch (APD) predicted that psychiatrist would work their way out of effectiveness. ADP indicated that the Primary Care Physicians (PCPs) could spend time prescribing psychotropic medications.

Minimal Billing

When Buster saw APD it was on a cash basis for a therapeutic hour (50 minutes). Buster and APD made good use of the time spent. With Buster’s new and improved BHD he is lucky to get 10 minutes. At one appointment Buster told his BHD that it is sad about time spent and how his BHD runs his “practice”. Buster is billed for Medication Management. His current BHD really isn’t adept at Medication Management. Actually he has made some mistakes. More often than not his staff covers them up for him. Considering Buster doesn’t get invoices such as those APD or even Kaiser Permanente provided he can’t tell the level of Office Visit his BND is billing. This is a lack of Transparency and Accountability. We just found some indication that the minimal billing in psychiatry for an office visit in 30 minutes.

Summary of Time Spent and Due Diligence

-
Practitioner	Time Spent (AVG)	Theme	Note
-
PCP	15 Min	Annual Wellness Visit	We ran his ProQOL Needs to resolve burnout issues
BHD	10 Min	Medication Management	Practice expansion needed Learning materials needed
Dentist	1 Hr. or more	Cosmetic Crowns	Didn’t credit us enough for failed work
Ophthalmologist	½ Hr.	Eye exam for detection of pathology/pathologies	First doctor retires New doc Taban is good
-

Last Reviewed: 20210427-TU:

Billing Records – Dental Standard

[INSERT DENTAL WORKORDER AND INVOICE]

Work Orders in Behavioral Health

Promising and Best Practices

Aside - Associated with:

03_Medical_Billing_Doctors_BHD_21050105_Notes

Psychiatrist Performance & Key Performance Indicators [Much HELD BACK]

We will return to performance since Buster finds performance and performance earned values (PEVs) interesting. What he applies to himself he often applies to others. Buster is hoping that what his generation learned can be leveraged into Better Outcomes for kids growing up now such as his great nephew and niece in Redondo. Psychiatrist metrics is some pretty complex business. We here at Mentalation Solutions Group (MSG) have several formats that we use to evaluate doctors. Two of our FAVs are our Vitals Plus method and our Boy Scouts of America Virtues Assessment (BSA-VA). We just had Buster’s oldest sister rate him using the BSA-VA tool. She scored over nearly the same as Buster scored himself at the beginning of spring quarter 2021. This is part of our reality testing efforts. Dr. Deutsch introduced Buster to Reality Testing back in the late 1980s. You can search “keith torkelson doctor on call” to see some of our work that includes Dr. Deutsch. We just did and pinged five of our related papers using Google to search the web (WWW).

Associated with:

EQR_Psychiatrist_Metrics_Performance_Measures_21042107_Notes

Assessment about Doctoring & Practice

-
Nature	Example
-
Boss evaluates doctor	CCCHC solicited Buster evaluate one of their doctors
Consumer evaluates doctor	Formally and informally
Accountability Cost/Benefit	Nearly absent from the record
Courts evaluate doctor	Malpractice
Co-worker evaluates doctor	They give ratings with no evidence
Doctor asks consumer to evaluate them	Example Buster’s Ophthalmologist and Dermatologist
Doctor evaluates self	Not demonstrated very often
EQRO evaluates doctor	That is us here at MSG alright
Family evaluates doctor	Underutilized
Feds evaluate doctor	Too much to consider here
Larger body evaluates doctor	Example CCCHC with their doctors
Online grading system solicits evaluating doctor	Examples are Yelp, Vitals, WebMD and Healthgrades
State evaluates doctor	Usually a go between
Students evaluate doctor	Of course we evaluate our professor doctors at the end of the quarter
-

Last Reviewed: 20210503-M: Etc. – There is much more

Digital Appointment & Sleep Update – Sleep Bullies

MSG SleepAbility Development

20190826-M: Table - Types of Bullies & Examples

20210501-SAT: For our SleepAbility installment for this our current Digital Appointment Build (DAB) when choose to address Bullying in the Rent A Share Room (RASR) environment. Bullying can be addressed with Housemate & Roommate Matching. Below are some features that can and will influence SLEEP and SleepAbility. The notions below come from Keith “Buster” Torkelson lived experience in a RASR environment. SLEEP is in the service domain for both Buster’s Primary Care Physician (PCP) and his Behavioral Health Doctor (BHD). In reality both only offer help tangentially. Too much Bullying in a given day generates fatigue and worry. If it happens in the middle of the night it may directly impair SLEEP. Buster has shared a room all in the list than follows except: Wayne, Richard and Ted. Hot of the presses!. A couple of days a Wayne and Richard had conflict of a plug receptacle in their shared room. There was a push and shove. The outcome was that Wayne punched Richard good in the face. This is important and timely because Wayne is a repeat offender. Now we have cause to share a photo of Wayne, Carl, and Reggie the kid. We have more evidence that Wayne has anger issues and is an overt Bully. Wayne on top at over 250 pounds breaks Jessie’s nose. Jessie weighed in that day at about 150 pounds.

Matrix – Characterizing Bullies and Bullying

Situational Awareness about Renting A Shared Room (RASR)

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Type (…Bullies)	Description	Example(s)
-
1-Sleep	Interfere with any stage of sleep	Rochester C & William & Mike O
Body Fluid	Use body fluids to taint common foods and beverages	Ted F
Boundary	Touching – stalking - punching	John S & Wayne
Bunk	Transfer inappropriate vibrations through the shared bunk bed	William & Mike O
Drama	Often over the top angry – dissatisfied - frustrated	Ted F
Drug	Only bully while intoxicated	Mikel R & John T
Congestion	Coughing etc. day and or night Impairs PEACE of mind, concentration and sleep	Rochester C & Mike O & Ted F & John T
House	Bullying in common areas	Ted F
Mood	Over the top with anger	Ted F
Over-the-top	Assault and/or battery	Wayne x 2
Predator	Wrench your life behind your back	Ted F
Privacy	Intentionally interrupts your private time	Ted F
Remote	Doesn’t wait turn for TV remote	Richard
Rent A Shared Room	Any of the others that apply within the room	Rochester C & William & Mike O
Security	Theft and property damage	Ted F
Sound	Not using headphones when appropriate
Space	Has options yet invades your space	Ted F
-

Last Reviewed: 20210503-M: Bully Typing

Quality of Life and Satisfaction Summary

On behalf of Keith “Buster” Torkelson we here at Mentalation Solutions Group (MSG) began collecting Brand New Day (BND) centered Quality of Life (QOL) stats starting back in 2012. We used the assessment tool provided by BND for its’ consumers in the intake pack. MSG finds it easier to impair your QOL than to build it. For Buster and many others QOL ebbs and flows. Applying the BND tool in time series from 2012 to the present Buster achieved a low of 13% (2013) and a high of 92% (2018). Our last run with the BND QOL assessment tool yielded for 20210131 (Sunday Real Time) a BND QOL score of 85.6%. Most people might say this is good enough and Buster should be satisfied. For the most part Buster is Satisfied with his overall QOL for 2021 thus far. Yet that 15% or so of loss is in a priority area: Peace, comfort, SLEEP, and SleepAbility about his current bed (GoodBed). Corona also has reduced Buster’s QOL as measured by (AMB) BND’s QOL instrument. The following tables summarize data about capturing in Buster’s time series using with BND’s QOL survey.

[STAYED - Roommate and Corona impact on QOL]

Brand New Day Quality of Life Assessment - Header

-
Aspect	Note
-
Consumer	Keith Torkelson
Consumer Credential(s)	M.Sci. \| MS Pathology BS \| Avian Sciences
Assessment	Quality of Life BND QOL 15 Item
Prescriber	Brand New Day
Items	15
Nature	Screener
Author	Brand New Day – Unknown They may have stolen it
Transformation	Matured
Prior QOL Publication(s)	20180811-SAT
Program	Brand New Day Graduate By DEATH Program
Note	Early Buster attracted the attention of BND Corporate when it came to this assessment
Results	No tangible feedback to 2020 or 2021
Share	Here and with our Christmas Report Card (CRC-2021)
Key Dates	Too Numerous
Associated File	Assess_BND_QOL_18080701_Results
-

Last Reviewed: 20210501-SAT:
Assignment – Brand New Day Ongoing - Quality of Life Assignments
Associated with:
Assess_BND_QOL_18080903_Results II V2021
A Product of Torkelson Pathology

Matrix – Brand New Day Version (15 Item)
Quality Of Life Assessment Results – Longitudinal (2011-2014)
Subject = TheDAG for MSG (2011-2014)
DAG AKA Keith E Torkelson, MS AKA Keith “Buster” Torkelson
15 out of 15 Items Scored for All

-
I#	Date	% NLZD	Comment
-
1	2011 – Retro	64%	Fall quarter attended Cypress College earned 2 “As” over 8.0 units Completed PE Class

2	2012-RT	57%	Peak for the year
3	2012-RT	20%	Trough for the year Homeless for 1 month Suffered Catastrophic Losses
4	20120906-TH	56%	BL-Baseline as far as BND is concerned
-
5	20130506-M	13%
6	20130602-SU	21%
7	20140106-M	43%
8	20140402-W	60%
9	20140630-M	26%	BND Helper Turnover – Lost investment
-

Matrix - Quality Of Life Assessment Results – Longitudinal Time Series
Last Update: 20140630-M: High Enough Resolution Measures for Quality of Life (QOL-15)
Last Reviewed: 20210501-SAT: NLZD = Normalized: RT = Real Time

Matrix – Brand New Day Version (15 Item)
Quality Of Life Assessment Results – Longitudinal (2011-2014)
Subject = TheDAG for MSG (2015-2016)
Subject = Keith E Torkelson, MS AKA Keith “Buster” Torkelson
15 out of 15 Items Scored for All

-
I#	Date	% NLZD	Comment
-
10	20150623-TU-RT	71%	Prep for Helper #4 – Jeff Gibbs
11	20151219-SA-RT	62%
12	2015 Yearly AVG - Retro	62%
13	2015 Yearly AVG - Calculated	67%
-
14	20160309-W-RT	66%	Baseline - Submitted with new service plan Another Baseline for Eye Crisis
15	20160612-SU-RT	70%
-

Matrix - Quality Of Life Assessment Results – Longitudinal Time Series
Last Update: 20160612-SUN: High Enough Resolution Measures for Quality of Life (QOL-15)
Last Reviewed: 20210501-SAT: NLZD = Normalized: RT = Real Time

Matrix – Brand New Day Version

Matrix - Quality Of Life Assessment Results – Longitudinal (2017-2018)
For Consumer Keith Torkelson, MS (2017-2021)

-
I#	Date	% NLZD	Comment
-
16	201706-1^st Half of June Retro	79%	Before retina issue Baseline for Eye Crisis B4
17	20170627-TU-RT	Marker	Date of detached retina diagnosis Blind in Left Eye
18	20170702-SU-RT	52%	Retina Crisis Significant Impact of detached retina – Blind in left eye
19	20170818-F-RT	87%	Used with COPD baseline report
-
20	20180704-W-RT	92%	Baseline for Bera Ongoing with Mojica
21	20180729-SU-RT	84%	Smoking and sleeping related issues
22	20181027-SA-RT	87.8%	4.4 Star Equivalent Life

	2019 & 2020 Dark
23	20210131-SU-RT	85.6%	Roommate, SLEEP and Corona impact

Matrix - Quality Of Life Assessment Results – Longitudinal Time Series
Last Update: 20210131-SAT:
High Enough Resolution Measures for Quality of Life (QOL-15)
Last Reviewed: 20210501-SAT: NLZD = Normalized: RT = Real Time

Recovery Technology - Public Health Update – Technological Needs

20210419-M: OCHCA MHSA SCM 1pm – 4pm
Steering Committee Meeting (SCM) Update

Following or Associated With or Worked For

When Buster signed on with the Orange County Health Care Agency (OCHCA) back in 2009 Mark Refowitz was the Deputy Director of Behavioral Health Services (BHS). Since Buster was a formal volunteer rather than an on the clock employee he got to pick his bosses. The following were his bosses from high frequency dealings to low: Kathleen Murray, Dr. Horner, Dr. Clayton Chau, Kate Pavich, Mark Refowitz and Dr. Dorman. At one point Buster would also consider Mark Refowitz a friend. Eventually Mark moved up to OCHCA Director and Buster didn’t see him much in public anymore. Mark was succeeded by Mary Hale MS. From the beginning Mary was an antagonist for Buster. When is it that an antagonist can be your friend? ANS: When they are correct and/or teach you an important lesson.

Attitude of Gratitude

Dr. Jeff Nagel appears to have succeeded Mary as HCA BHS Director (HCA Deputy Director) in 2018. Yet, Buster had been learning from Dr. Nagel well before 2018. For Mary, Buster, and Dr. Nagel: Two key events would be: Somewhere around Thursday, September 18, 2014 Buster attended an OCHCA MHSA Innovations Component Training in Santa Ana. Dr. Nagel was one of the teachers. And, it would appear that around March of 2018 Mary was asked to step aside over the unsolved homeless issues in the OC. As we said: Dr. Nagel stepped into the BHS Director slot. At that time Buster had been following him for about four (4) years. During winter quarter of 2017 four OCHCA executives approved to send Buster to the 17^th Annual National Behavioral Health Management Conf & Expo. The reward was for $759.00. The approval was since by three person with whom Buster acquainted: Horner, Refowitz, and Nagel. Since Dr. Horner and Mark Refowitz have retired Buster can only sustain his gratitude through Dr. Nagel. We have been tailoring our BedBusters product as if we were going to get an opportunity to sell it in person to Dr. Nagel.

Record - Gift from OCHCA for Volunteer Work

Figure – Financial Record – OCHCA Travel Request - $759.00 Subsidy

2018 an End to Mary – Protective Value

One time OCHCA BHS Director (HCA Deputy Director) Mary Hale is an antagonist with Buster. As compared to her contemporaries such as Dr. Chau and Dr. Dorman Buster found her hard to communicate with. Yet, Mary taught Buster that “Housing is a complex issue”. There are much more enjoyable pursuits in Public Health than Housing. An example would be consumer computing and technology for recovery. Yet, for many housing still remains an unmet need. Somewhere around Thursday September 18, 2014 Buster met Dr. Jeff Nagel. Dr. Nagel is user friendly. From 2008 till 2012 Buster built his OCHCA network. However, in times of crisis Buster found little Protective Value (PV) in his OCHCA network. He did find PV with some of the processes they taught him such as psychosocial assessment and treatment planning. He also found PV encouraging resilience to return to his OCHCA commitments ASAP. Last Monday (4/19/21) Buster attended the Zoom SCM slot from 1p-4p. At one point they discussed how to improve Marketing about OCHCA BHS Programs. We here at Mentalation Solutions Group (MSG) are in the same boat of how to achieve increased readership/viewership about our Blogs.

Mary Hale

Network Meltdown

After being in the OCHCA BHS distribution for more than three years Buster was dropped from the distributions. From 2009 till 2012 he was in the distribution for MHSA Steering Committee Meeting (SCM) materials. About the time the county ended the MHSA related Consumer Action Advisory Committee (CAAC) the SCM materials stopped coming via e-mail. FAQ – Are in person meetings unnecessary? Think about it. Much of what we here at Mentalation Solution Group (MSG) are doing this spring quarter is to submit our really cool and happening county-wide house fix bundle. We call it BedBusters. Our preferred route for funding is securing OCHCA MHSA Innovations monies. Last Monday’s SCM participants spent just over two hours brainstorming. At 3 O'clock they addressed Innovations (INN) budgeting. Good news is we finally know the current INN projects. Bad news is they have gone bigger with fewer. Compared to some of the current multi-million dollar projects and budgets our housing fixed would come in as a small project. We think the change to fewer projects per cycle has to do with the Mental Health Services Oversight and Accountability Commission (MHSOAC) turning down to many of the OCHCA plans. We don’t plan to put in much effort in network building except when it comes to delivering BedBusters.

[HELD BACK Out of Scope]
06_AMIN-0010_Business_15110804_Procurement V2021

Associated with:
01_Assess_MHSA_SCM_Value_17110602_Tool V2021

OCHCA MHSA Steering Committee Meeting (SCM)

Last Monday April 19, 2021 Buster attended the mostly monthly Mental Health Service Act (MHSA) Steering Committee Meeting using the Zoom formula. Presenters, members, and persons in the community discussed: Improving [consumer] technology skills. The MHSA in Orange County is preparing to step up their investment in consumer technology both hardware and software (Help@Hand we think). Buster didn’t share yet what follows are some of Buster’s thoughts with regards to initializing and or upgrading consumer technology. Buster is very fortunate to live in a house were Broadband Wi-Fi is included in the rent. In his Rent A Shared Room (RASR) household there are eight (8) individuals other than Buster that could have access to the internet. Only one, Buster’s roommate uses the internet. Buster using his internet time educates himself. Whereas Buster mostly uses his point of access for productive endeavors his roommate uses it for what he calls watching TV. TV is app mediated services such as Pluto and Tubi. We feel that if consumers are offered free internet it would be prudent to guide them into a performance and productivity approach. We here at Mentalation Solutions Group promote Life-long-learning when offered the chance.

Brand New Day Computing

Once again, Buster signed on with his health insurer Brand New Day (BND) back in the summer of 2012. At that time BND had some resources that have long since been taken away. We guess they were unnecessary. Three of the resources that the members’ thought helped them were the free consumer phone, the consumer computers (x2), and free internet. Due to Corona BND has also removed work surfaces and access to care-coordinators in their offices. We guess these also were unnecessary. Buster made use of the computer resources in creating his BND driven Personal Service Plans (PSPs). Now in 2021, BND has no internet assessable for its’ consumers. Like this is way old-school huh.

Action Items
Publish this report on our dedicated Brand New Day Blog.
Check our BND-HMO Viewership for inspiration and encouragement

20210429-TU: Blogger Stats for Brand New Day HMO Blog

-
Requirement	2021 0429 (TH)	Note
-
Followers	0	We really do not know how to get Followers
Posts	40
Comments	26	In general we don’t respond to Comments
All Time	17034	As of April 29 2021
Today	9
Yesterday	3
This Month	274	May 2021 - Readers in Russia seem to be learning something in our Blog
Last Month	258	April 2021
-

Last Reviewed: 20210503-M:

Figure – Google – Free Blogger Stats for Brand New Day HMO Blog

Samples of Work Done
MHSA Technological Needs and Advisory Committee
TRCBase & MSGBase Query “*.ppt” for PowerPoints
Buster’s First OCHCA BHS Related Assignment

Buster graduated 2^nd in his class from the MHSA funded Workforce & Education Training (WET) Consumer Training Program at the end of spring quarter 2009. During the summer 2009 he interviewed at the MHSA Center of Excellence (COE) for a job working with the MHSA Innovations Advisory Committee (IAC). Kate Pavich the boss said: “The IAC is still a work in progress yet in the meantime we would like you to participate in Technological Needs as the consumer Rep with the MHSA Technology Advisory Committee (TAC). Buster’s first assignment from Kate was become a member of the Santa Ana MHSA CSS funded Wellness Center and bring back an evaluation for us here on the TAC. Buster selected the Horses Heal Program. The foundation of his evaluation was a brief consumer satisfaction survey. Our records in TRCBase indicate that he was ready to present to the TAC on December 15, 2009.

Wellness Center PowerPoint

Action Item

Return to Wellness Center Central (Orange) and observe its’ leadership post-Patti and post-Corona operations. Patti was the Wellness Center (Santa Ana-Orange) founding director. She retired and many report that has died.

Disparity/Disproportionality

On June 2, 2011 Buster was ready to present on disparity and disproportionality. During 2011 Buster performed a good deal of work as a Technology Advisor. His primary projects centered for consumers of Behavioral Health Services (BHSs) such as Computing resources in our community, personal health records, patient portals, delivering kiosk consumer computing to the HCA-BHS clinics, consumer resilience, consumer empowerment, and solving consumer/family digital needs. At the end of 2011 the Santa Ana Wellness Center was readying to move to their permanent location in Orange. Some Wellness Center employees were apprehensive about the Move. Aside: Moving can be very difficult if not impossible for some. Working with his friend and Wellness Center employee, Denise C, Buster collected up the Intel including inside photographs of the new facility and then co-presented to Wellness Center staff. Patty the Wellness Center director at the time indicated that his presentation was helpful for her and her staff.

Action Item

For documentation and digital preservation purposes we might convert some of our PowerPoints to PDF and publish them on one or more of our Blogs. Continue work with disparities in housing the disadvantaged including the homeless in Orange County and elsewhere.

FYI - Last Show - April 18, 2011 For: Technology Advisory Committee

File: IT Discovery 2011

Action Item:

Apply Buster’s Technology experience to our BedBuster Bundle Housing Fix Project.

Empowerment for Consumers & Families using MHSA Computers

Action Items:

Continue work on Empowerment and our Personal Empowerment Scale (PES). Try to empower Buster’s Rent A Shared Room (RASR) roommate to tackle health concerns such as Substance Use, sleep disorder, and chronically created harmful noises such as coughing.

Associated with:

Systems_QIP_PES_Refs_10120803 V2021

“Community Computers”

Focus: Wellness Center (MHSA Supported) & Public Libraries (In “The OC”)

Action Item

Resume work inside Garden Grove Main Library. We have already tested their extended range Wi-Fi from parking lot finding that it works well.

The Wellness Center Capital Facilities Update
Concept by: Denise Cuellar - Tech Assistance: Keith Torkelson (Member #205)
January 3, 2012

[PDF CONVERTER TEST for PowerPoints – New skill development]

Action Items

Renew membership with re-emerging post-Corona MHSA funded Wellness Cernter West. Take their revised Corona-driven program for a test drive. We want Karaoke to come back. Buster has his own personal microphone.

Protective Value of Networking - Partial Structured Temporal Reconciliation (MSG-STR)

For Inspiration Purposes

When consumers are facing losses on a catastrophic scale they need people to step in and help. At Cypress College in Crisis Intervention class Mr. Zager the teacher taught us when a person or group exceeds their capacity to cope they may need an intervention. We here at Mentalation Solutions Group feel at the core of the intervention is providing GreatBeds (MSG) that facilitate: Resilience, healing, recovery and setting things right. They need a home in which they are guaranteed routine, regular and rejuvenating SLEEP. People in their network mattering most are those associated with stopping the fall and in person help deliver this allusive GreatBed. Now, we will not detail what makes up an effective Crisis Resolution Network (CRN). After-the-fact Buster’s HCA network was not very, if not at all, helpful for him in times of crisis circa 2012. For Buster his crisis had escalated far enough that he had high chance for accidental DEATH. Below we score some network features. One may notice that we offered no 1.00 = 5 Stars = 100% for any network area. It was Buster’s family involvement that helped the most. We give Buster’s family a Protective Value (PV) and intervention score of 90%.

Action Item - 2012 STR Pending

Motivation – Family has mistaken beliefs about Buster’s adherence to psychotropic medications. This is annoying and disappointing. When we get the time we will reprocess the incidents in question. Since first receiving psychotropic medications back in 1989 Buster has never had a day without them in his system. In 2012 there was a Clozapine gap were a prescriber decide to take Buster off Clozapine cold turkey as substitute is with Invega injectable. Without much ado Buster has been back on Clozapine since fall quarter of 2012. This is just one “Experiment” on a live human gone terribly wrong!

Table – Protective Values (PV)

-
Network	Nature	Note	PV 2020 0426 (M) Retro
-
At Onset 1988 Onset 19880923-F	UCD Vet Med Cohort (+/- n=120)	Suffered VAERS [See Record] Risk factor performance driven chronic sleep deficit	0.00
After Onset		Sleep and Anxiety disorders Plus a variety of diagnoses
1989-1991	Work & School	Resilient	0.50
1999-2005	Small Business Owner Team	Monies used to solve health concerns	0.75
Pre-MHSA 2005-2008	SPMI Helpers	Major complications	0.75
MHSA	WET-CTP	Fell through when program money stopped	0.25
MHSA	TAC	After crash 2012 Had something to come back to	0.50
MHSA	IAC & CAAC	Help discern protections	0.25
MHSA	Ancillary	Good memories	0.75
Non-MHSA	BND & BNDNet	Trend gradually less	0.50
If Mary Hale MS Could…	SuperNet	Helped us with more concentration with housing	0.25
Operations Pursuit	SelectNet	See OCHCA BHS Hierarchy	0.50
Deputy Director Pursuit	Key BHS	See OCHCA BHS Hierarchy	0.50
HousingNet	BedBusters	Very challenging	0.75
-
		20210426-M: CALC	=6.25/13
		Network Protections Since Onset =	48.1%
-

Last Reviewed: 20210426-M: PV = Protective Value

Vet School Post-Admit Criteria

Back during the summer of 1988 Keith “Buster” Torkelson was on top of his game. He was wrapping up the coursework and research for his Master’s work at UC Davis. During spring quarter he had received his letter from UCD Vet Med he was accepted in the class of 1992 for professional work. During the summer he found replacements to rent two of the rooms in his 3 bedroom apartment. One of the roommates, Jon Whitney, would have declared Buster rather healthy. Buster was still putting in long hours though. Some might say he was hypo-manic yet it was hard to differentiate from just plain old excitement. The acceptance letter outlined the next steps for all students. On September 21^st, 1988 (19880921-W) the class of 1992 was indicated to show up in alphabetical order for some tuning up at the student health center. Since Buster is a “T” his group of 4 had their appointments in the 10am slot. It was an exciting moment because Buster got to meet some of the students he would associate with for the next four years. One of the treatments that day can be associated with some a series of life changing events. Without Informed Consent including a list of adverse reactions to watch Buster paid $172.50 for Injections and Immunization – Rabies Series (x3). This not a Rabies Treatment after exposure rather it is Rabies Prevention and Prophylaxis. The first night and second night were unremarkable. At some point Buster began a hand written timeline which now can be used for our Structured Temporal Reconciliation (STR).

Self-Stigma Onset

Approximately 48 hours after the first dose of Rabies (prophylactic) Vaccine Buster experienced onset of symptoms. We have discussed this elsewhere so we will jump to the onset of self-stigma. On Friday September 23^rd was orientation day for the UC Davis School of Veterinary Medicine Class of 1992. Buster showed on time in the right place. Our notes indicate that whole class was to first buy our books and syllabi. Next, we boarded buses and went to have our photos taken. After photos, we were treated to a tour of the Vet Med Live Animal Research Facility. Just after we got of the buses Buster felt sick with headache, photo sensitivity, and noise intolerance. . In addition, he was most likely nauseated. After touring one house of animals he felt he needed to lie down. He was told he could cut the tour and orientation and go home and rest up for the start of classes next week. This was when self-stigma in the context of Vet School for Buster set in. He felt different and this would persist until his final medical leave from Vet School in 1993. Buster asked around and only one other of his classmate reported problematic symptoms after their Rabies Vaccine. Buster will always be different than his classmates and friends that completed Veterinary School. We call this phenomena and incidence for him acts of “The Big Fat Foot” and “Mr. Take Away”.

.Medical Record: 19880923-F: Onset of Self-stigma

Figure – UC Davis Vet Med Record (1988) – Onset of Illness

Figure – 19880925-F: Medical Record: Cowell Student Health Center
Student Outpatient Charge Record - Consumer – Keith Edward Torkelson BS

Figure – Hand Notes Capturing onset of “Buster’s” Illness

Figure – Medical Record by Keith “Buster” Torkelson BS

The diagram captures Buster’s post vaccine impressions. Note onset of headaches that persisted for years. In hindsight this event was worthy of investigation as a potential Vaccine Adverse Event (VAE). Dr. Hansen the Dean of Student Services said in conversation that Buster’s (Keith’s) Rabies Antibody Titer after one dose indicated that he was having an amnestic response. For one of Buster’s Rabies reports we asked the Student Health Center for Medical Records 1988-1989. They had been destroyed and now are lost to TIME.

Volunteer Work Network

Periodically the Health Care Agency (HCA) shares and or publishes an agency organizational chart (hierarchy). Buster picked one up around 2013 at the annual Meeting of the Minds (MOMs) Conference. The 2013 version outlined characters in the HCA that delivered Behavioral Health Services (BHS). From 2009-2012 Buster was formal volunteer for the HCA BHS division. Buster associated and worked with/for about 5 of them. His total number of direct associates about the HCA BHS was more than 100 individuals. Buster became very ill 2012. We here at Mentalation Solutions Group (MSG) call this a period of catastrophic loss. When Buster resumed work about the community much of his OCHCA BHS related network were unavailable. As a consequence of losing so many network players we are working to rebuild around fewer stakeholders. As Buster often told Joan Z. his Most Significant Other Ever (MSOE) “Less can be more”. Below is a table of associates about the HCA that Buster is hoping to further develop the partnerships. The networking context is and will be: Housing fixes for the disadvantaged including the homeless.

Related to:
06_Volunteer_OCHCA_Lived_Experience_21042202_Notes

OCHCA – BHS Hierarchy – Persons of Interest (POIs) & Characters

For inspiration purposes we move tangentially to Keith “Buster” Torkelson’s work with and work done for the OCHCA. [TOO numerous to count the majority of WORK DONE is HELD BACK]

Current POI Chart - Related to:

06_OCHCA_Tetrad_20121301_Notes V2021

MSG Version 2021 – OCHCA Executive Organizational Structure
Persons of Interest – Those who Buster is likely to engage with in the near future

	-
Inception	Person	Role
	-
2007	Andrew Inglis	HCA BHS Top Psychiatrist
2009	Clayton Lon Chau	HCA Director
2015	Jeffery “Jeff” Nagel	HCA BHS Director
2021	Sharon Ishikawa	HCA MHSA Coordinator

Last Reviewed: 20210429-TH:

BHS = Behavioral Health Services
HCA = Health Care Agency
MHSA = Mental Health Services Act
County = Orange County California
Persons & Areas of Interest – Includes Email Addresses

Shared with:

13_Righting_Tech_MSG_Digital_Appointment_21041404_Build

After publishing this Report we here at MSG will resume addressing Buster’s Housing Concerns both individual and population

-
Character	Role	Note
-
Sharon Ishikawa	MHSA Coordinator	Phone: (714) 834-6023 Phone: (714) 834-3104 Email: sishikawa@ochca.com
Jeff Nagel	BHS Director	jnagel@ochca.com
Flor Yousefian Tehrani	Innovation Projects	E.g. Continuum of Care for Veterans and Military Connected Families Innovations Manager
Clayton Lon Chau	HCA Director	cchau@ochca.com #claytonchau
Andrew Inglis	HCA BHS Director	ainglis@ochca.com
Lou Correa	Congressmen	Ca46.press@mail.house.gov
Lala Truong	Lou Correa Caseworker	lalatruong@mail.house.gov
Donald Bren	Rich person timing out	949-720-3400 Call 949.720.2636 / Email sstarkey@irvinecompany.com 86 years (May 11, 1932)
Karla Perez	In Network	Kperez@ochca.com (714) 834-5481
Richard Krzyzanowski		Client and Family Leadership Committee (CFLC) - MHSOAC
-

Last Reviewed: 20200429-TH:
2020 - 2021 A Contact Trail (thread)
Topic – MHSA Innovations and Housing Project Idea
Context MSG’s BedBusters Housing Fix

-
Entity	Note	Detail
-
Sharon Ishikawa	Asked for help with our MHSA Innovation Project Idea submission	No response
Jeff Nagel PhD	Market target for BedBusters	Satisfied with response
Flor Yousefian Tehrani	Asked for help with our MHSA Innovation Project Idea submission	No response
Clayton Lon Chau MD PhD	Market target for BedBusters	No response
Andrew Inglis MD	Market target for BedBusters	No response
Lala Truong	Congressman Lou Correa’s worker for Housing Advisory Board element	Investment Loss
Karla Perez	Requested multiple items	Partially satisfied
OC LINKS	Could not understand what we were asking for	Not satisfied
Howard Trazo BHCM	Brand New Helper Behavioral Health Care Manager Began orienting about our Housing Advocacy work	Gradually catching on
-

Last Reviewed: 20210501-SAT:

Associated with:
SCR_OCHCA_BHS_MHSA_Sharon_Ishikawa_21042103_Notes

Referral

Mentalation Solutions Group (MSG) began selling our Housing Solutions Idea (HIS) back in the summer of 2018. At that time our idea was called Housing Advisory Board (HAB). We met in person with Dr. Nagel to present HAB for him. Then Corona hits and our usual and customary was deemed unnecessary. Our HAB would have been organized and funded as is the Mental Health Services Act (MHSA) the Steering Committee Meeting. By fall of 2020 we had incorporated our HAB notion into a larger series of fixes: The BedBusters Bundle (MSG). We decided a good route to deliver BedBusters would be via MHSA Innovations Component monies. As we were getting ready to submit we encountered some unexpected hurdles. The MHSA INN submission protocol has changed. Thus, for spring quarter 2021 rather than moving through to the planning phase we are moving retrograde back to submission. We need to figure out who, when and how to submit. We have attempted to figure things out via the dedicated MHSA INN website. We have made several phone calls including a few to the OCHCA BHS referral line OC LINKS. We made several phone calls to both the MHSA or MHSA INN offices. No-one picks up! Next Step: Action Item: Contact the OCHCA MHSA Innovations Coordinator Sharon Ishikawa. And so our quest to sell and submit our BedBusters Housing Fix Bundle continues.

Email to Sharon – OCHCA MHSA Coordinator

Action Item – This action item is in a context of OCHCA MHSA Innovations. Persist with emailing and making telephone call to MHSA & BHS related administrators and assistants a couple more shots. Below is the draft of an email to the OCHCA MHSA coordinator.

Digital Action Item: Email Sharon - 20210419-M: Greetings Sharon Ishikawa

Keith “Buster” Torkelson” has just attended the 1p-4p interval associated with the OCHCA MHSA Steering Committee Meeting (SCM). Buster is Mentalation Solutions Group’s (MSG’s) principle. This email is concerns MHSA funded housing fixes funded with MHSA INN monies. We call our potential solution BedBusters. From the SCM we collected information on current implementation of MHSA Innovations projects update. We are at a loss of how to submit our BedBusters INN project idea. It could be funded as a Prevention and Early Intervention (PEI) program. Since the last time we submitted an idea the process has substantially changed. We’ve attempted several times to connect with an HCA resource to get us on track In due course: During the Zoom SCM Meeting stakeholders commented on BHS Technological Needs. Keith “Buster” Torkelson MS worked on Kathleen Murray’s Team (KMT) for about four (4) years. During that time the team with MSG worked several projects. We were the OCHCA BHS MHSA Technology Advisory Committee or TAC. Projects we the TAC team worked on and closed were: HCA BHS’s Electronic Health Record, Personal Health Records, Tele-psychiatry, E.H.R. Meaningful Use, and Consumer and Family computing with a concentration delivering HCA BHS Clinics Kiosk workstations for clients. Mark Refowitz was actually vested in the Kiosk project. In a TAC meeting he said: “I know you will get this right”.

Consumer Computing and Help@Hand

The Technology Advisory Committee (TAC) disbanded in the middle of Consumer Computing. Buster was the consumer liaison between the community and the Kathleen’s TAC. Kathleen wore many hats yet she identified most as the IRIS Liaison. Kathleen has now retired. The county as well and the community will miss her and her talent. During the 2012 cycle of Innovation Project Ideas (IPIs) a consumer/family technology fix idea was brought up to vet by the Innovations Advisory Committee (IAC). Unfortunately it was not selected to move forward into the planning stages. FYI - Abandoned MHSA INN project see figure below. The project title was: Access to Mobile/Cellular/Internet devices in improving Quality of Life (QOL). At the time was considered a “Good Idea”. We here at Mentalation Solutions Group (MSG) are in the process of submitting a technology-driven housing fix bundle. Again, we call it BedBusters. FYI - About OCHCA Innovations funded Help@Hand we have a few recommendations.

Project of Interest – OCHCA BHS MHSA Innovations

Help@Hand (formally MH Technology Suite) Started 2018

Suggestions and Recommendations

Committee: Bring back the Technology Advisory Committee (TAC) under Susan W. to discuss and deliver on all MHSA Tech fixes and solutions

Network: Put Keith “Buster” Torkelson back in the SCM material distribution

Coordination: Include PAD capture in Help@Hand versus the proposed standalone silo

Coordination: PADs via Help@Hand will kill two birds with rock

Disparity: Deliver county-wide free Wi-Fi to negate disparity and discrimination

Emergent Gap: SCM distributions. We already asked Karla yet she put Keith AKA Buster in the BHAB distribution rather than the SCM

Help@Hand Products: Examples are Psychiatric Advance Directives (PADs) and PHRs

Marketing: Improve marketing Help@Hand to the private programs such as Brand New Day

Meeting: Bring back in person MHSA Steering Committee Meetings

Mission: It might be a promising practice that Help@Hands has a role in housing

Product Orientation: Pick the technology-driven products that you wish for BHS consumers to deliver using Help@Hand

Keep the OCHCA MHSA Steering Committee Meeting site up to date

https://www.ochealthinfo.com/about-hca/behavioral-health-services/bh-services/mental-health-services-act-mhsa-administration-0

As of May 4, 2021 the last update was for January 2021

Figure – Excerpt from Innovations Advisory work 2012

Innovation Project Idea Vetting Outcomes & Process

A total of 22 Innovation Project Ideas were “vetted” in the 2012 cycle. Project 14 was designed to building a consumer technology infrastructure that would enable all consumers the resource and opportunity for equal enagement with more complex technology solutions such as Psychiatric Advanced Directives (PADs).

[INSERT IMAGE OF SHARON AT ZOOM MEETING]

Brand New Day (BND) - Housing

20210413-TU: Help place a BND client Second Try

Buster’s new and improved Brand New Day (BND) helper has offered Buster two chances to place a BND consumer and client into a Rent A Shared Room (RASR) environment. Even with Buster’s fairly extensive RASR housing resources he was unable to land the last client in a GoodBed (MSG). Buster made phone calls and site visits just to discover the RASR options are in more disarray than ever. Two of the bed owners indicated that Corona has caused them to alter their services and products (bed and house).

Brand New Day Centered Next Steps - Follow up on Requests (Plus)

Problems to Solve

-
Issue	Asked for Help	Note
-
2021 Annual Wellness Visit Reward ($50.00) outstanding	Yes	Last year it took too much time and effort
Computers for clients	Not yet	They used to have 2 yet they took them away
Free Wi-Fi for clients	Not yet	Part of a bigger puzzle
Over-the-counter (OTC) supplies and medications	Yes	Doctor approval required for certain supplies and medications
Plan to coordinate ourselves if need be	SoSo	In 2020 our BND helper was only helpful once – He had more than 12 chances to help
Promote consumer computing and technology	Not yet	Big time resurgence in Technology for Recovery
Report to corporate if necessary	Not yet	How we used to do it now we lean more towards Blogging our concerns
Sit down meeting space for workers and their clients (cases)	Not yet	Used to meet in helpers office in the back
Situational Awareness	SoSo	With regards to public Behavioral Health workings (OCHCA – BHS & MHSA)
Update helper about PADs	No	Get BND on board and in the lead with executing PADs
Work space for clients	Not yet	Consumer tables and desks taken away
-

Last Reviewed: 20210504-TU:

List of Promotions

One Health Initiative
BND Consumer-driven Newsletter
World Wafers
OC Stigma Free

Promotion - One Health – World Wafers is our One Health Mission and Contribution

Promoting - One Health
Reapplied 20210423-F:
20201227-SUN: One Health Initiative - One World One Medicine One Health

http://www.onehealthinitiative.com/

Mission Statement – One Health

“Recognizing that human health (including mental health via the human-animal bond phenomenon), animal health, and ecosystem health are inextricably linked, One Health seeks to promote, improve, and defend the health and well-being of all species by enhancing cooperation and collaboration between physicians, veterinarians, other scientific health and environmental professionals and by promoting strengths in leadership and management to achieve these goals.”

Reapplied 20210423-F:
20201227-SUN: MSG’s Contribution

Mentalation Solutions Groups (MSG’s) position for 2021

Keep monitoring One Health’s progress and publish a standalone report for the purpose of gaining One Health’s attention. Catch up with conference lessons: Consortium of Universities for Global Health (CUGH) 12^th Annual Conference: Addressing Critical Gaps in Global Health and Development. March 12, 2021 – March 14, 2021. Apply principles locally in our efforts to close “critical gaps” about housing the disadvantaged including the homeless. We feel that housing, rest, and sleep social and medical determinants for Health. People should have the right to sleep in a health-promoting environment. If “Buster” were back in Davis California he would visit upon some of the One Health-ers.

Consumer-driven Newsletter Promotion Revisited

Assignment – MSG in House – Newsletter

Back in 2014 Buster and Tork Reconstruction Company (TRC) were publishing their Accountability Newsletter. It made sense that they could help Buster’s insurer Brand New Day create a quarterly consumer driven newsletter. Unlike BND existing newsletter, Buster’s newsletter featured real people and promoted assessment. He got a bit of help from his BND helpers yet when it came time for approval to distribute BND dropped the ball. Buster and TRC called the newsletter “Better Than Ever, Incredible Health”. Since they had done most of the work Buster decided to share it in one of his Blogs.

Assignment - Design and Deliver a Consumer-driven Newsletter

2015 – AnimaCules Blog – Work Done

http://ktork46.blogspot.com/2015/01/brand-new-day-profile-incredible-health.html#!/2015/01/brand-new-day-profile-incredible-health.html

Incredible Health Post Stats

2015 – “Better than ever, incredible health”

After not getting approval to sustain our Brand New Day (BND) centered consumer-driven periodic newsletter we wrapped up our effort by posting a rendition on “Buster’s” AnimaCules Blog. We called it: Brand New Day Profile - "Incredible Health" - For MSG By TheDAG by Keith E Torkelson MS. We published on Jan 16, 2015. As of April 24, 2021 Blogger tallies for this post 286 Page Views. Our posts that bracket our BND Newsletter Post enjoy more interest (See List of Stats below)

Figure – Mentalation Solutions Group (MSG) Blogging – Viewership Stats

AnimaCules Blog (2014 and 2015)

Selections of Work Done

AnimaCules Blog: 20210426-M: FYI
Triple xxx TheDAG - Digital Appointment - Development
Keith E Torkelson MS Published • Feb 9, 2015

https://ktork46.blogspot.com/2015/02/triple-xxx-dag-digital-appointment.html

20210424-SAT: Page Views = 988
Note: We did the Triple X approach to capture more readers.
Brand New Day Profile - "Incredible Health" - For MSG By TheDAG
Keith E Torkelson MS Published • Jan 16, 2015

https://ktork46.blogspot.com/2015/01/brand-new-day-profile-incredible-health.html

20210424-SAT: Page Views = 286
MHSA Innovations Outcome Measures Manual Round 01 by MSG
Keith E Torkelson MS Published • Oct 9, 2014

https://ktork46.blogspot.com/2014/10/mhsa-innovations-outcome-measures.html

20210424-SAT: Page Views = 473
20210501Compare Brand New Day HMO Blog with AnimaCules
AnimaCules - Last Month (April 2021) – Views = 138
Brand New Day MHO - Last Month (April 2021) – Views = 286

World Wafers & Food Insecurity - Circa 2021 Stats

World Population Figures [REMOVED]

20210423-F: Qualify Assignment - First Question

Is Keith “Buster” Torkelson MS: Routinely Hungry or Malnourished? For all practical purposes he is not overtly hungry or malnourished. Yet, Buster has some unmet specific appetites such as steak and eggs once a week. He is a bit malnourished in that if he had more food money he would probably heathier foods. During this first year of Corona (COVID-19) Buster has been asked several times for donations to feed America’s hungry. He also has been asked for handouts by homeless people for what they say is purchasing food. Even though we promote World Wafers to starving peoples in other countries World Wafers applies to us at home as well. One of our mantras in the Mentalation Solutions Group (MSG) World Wafer Division (WWD): “Feed a hungry planet”. The hungry numbers indicates that the US is doing pretty well. Tell that to a hungry person! Make note that epidemics/pandemics go hand in hand with famine and war. We promote World Wafers to help divert the fallout in other high risk areas such as regional or global disease and war. This is still the assignment to satisfy Dr. Calvin Schwabe’s request of his students back in the late 1980s. Dr. Schwabe taught the graduate course: World Food Problem. One of his requests was: “Think global, act local”. Eventually we will publish our World Wafer notions in a standalone report.

20210423-F [INSERT TRANSCRIPT in Context]

E&P MED = Epidemiology & Preventative Medicine
E&P MED 242 World Food Problem taught by Calvin Schwabe

20210423-F: FYI Hunger & Poverty in America - Food Research & Action Center

https://frac.org/hunger-poverty-america

“One in ten (10.5 percent) of households in the U.S. experience food insecurity. Households in rural areas are experiencing considerably deeper struggles with hunger compared to those in metro areas, with higher rates of food insecurity overall (12.1 percent compared to 10.3 percent).”

OC Stigma Free

20210423-F: Promotion with Digital

https://www.stigmafreeoc.com/

“See the person and the true condition?”

A person who gave us voice

Gutenberg

Decmber 21, 2017

Buster's last day working as an OCHCA BHS Technology Advisory

Hope to get back working with Dr. Nagel

Promoting MSG's Magnus EMe

Brand New Day HMO

sksgle Anime addressing wearing Masks

Another Google Query Centered about Keith "Buster" Torkeson

On the bottom left he is Outreaching to a homeless veteran

Brand New Day Patient Portal (Cerecons)

Lesson Learned Error Prone

See Note Quantity 5000

Google hits "keith torkelson cv"

Big futures in Microtics

New person to the MSG Team

Lled is a suicide survivor

Buster intervened pulling him out of it

Note to Brand New Day

This is how consumer programs look for the OCHCA BHS MHSA

Buster presented that day :0)

Kathleen Murray

Overall Buster's Main Boss with the HCA

Theme Technological Needs

Here she taking Dr. Horners's place in QA

Her husband Bill or Mr. Murray gifted Buster and HP Labtop

This was a good month for Buster's Participation with The County

Total Value $60

MHSA Subsidy

For Consumers Participating - Value $20.00

2021 OCHCA Related Zoom Meeting

Steve seems to have Tardive D.

Buster's original Center of Excellence Team

Sharon I. and HCA Friends

Looks like a ground breaking

Andrew Inglis MD

Circa 2021 OCHCA BHS Top Psych

Buster has lived experience with him

Buster wants to turn him into a Behavioral Health Doctor specializing in Houing issues

Consumer Artwork featured in the OCHCA Annual Calendar

And a print on the wall of the Center of Excellence

Published in Recovery Connections Newsletter

Title "I Am"

Transparency and Accountability - Invoicing

Keith "Buster" Torkelson

Back at it after Medical Leave

Sharon I captured in Zoom Meeting

Fond Memories at the PH Training Center

MSG Outreach Work

Documenting the Before - Spring Quarter 2021

OCHCA Associates

Did the most work for Dr. David Horner (Quality Improvement)

Winter Quarter 1985

Buster's onset of SLEEP problems

Simple Lesson (Sample)

Buster teaching at the Wellness Center West

The Competition

Buster does independent Outreach work for the Homeless

OCHCA - BHS 2013 Hierarchy

Buster worked with those with stars

Lesson Learned with Dr. Deutsch

At one point Busterwanted his brain biopsied

Fond memories at OCHCA Main

Address: 405 W 5th St, Santa Ana, CA 92701

Fond Memories @ The Clinic

Tuesday, May 4, 2021

MSG’s Digital Appointment centered about Brand New Day HMO spring 2021 Build for Keith “Buster” Torkelson MS

Need to ask for help with Spring Quarter 2021 Orders (‡) - Item Product Quant Unit Price Total - 1369‡ Nicotine Patch, Step 1 01 $35.00 $35.00 1281‡ Nicotine Lozenges 01 $42.00 $42.00 - Associated with:

Finding a Voice: Title – On The AirQuote – Peter Gabriel 1978

Need to ask for help with Spring Quarter 2021 Orders (‡)

-

Item

Product

Quant

Unit Price

Total

-

1369‡

Nicotine Patch, Step 1

01

$35.00

$35.00

1281‡

Nicotine Lozenges

01

$42.00

$42.00

-

Associated with:

Finding a Voice: Title – On The Air
Quote – Peter Gabriel 1978