What is the problem that needs to be addressed? Please describe how it is related to mental health.
The South Planning Area (SPA) for Continuums of Care lacks the desire for building housing and hospitals. Although evidence suggests that children of parents making $160,000 or more annually are at greater risk for depression, anxiety, eating disorders, psychosomatic illnesses, stealing and substance abuse (https://www.psychologytoday.com/us/articles/201311/the-problem-rich-kids https://www.nytimes.com/2015/01/10/business/growing-up-on-easy-street-has-its-own-dangers.html https://www.cnn.com/2016/01/08/health/affluenza-parenting-challenges-wealthy-households/index.html https://www.apa.org/research/action/speaking-of-psychology/affluence https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1948879/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950124/). Anecdotal evidence suggests that the mental health outcomes for children of wealthy parents are worse than other socioeconomic demographics. A valid hypothesis is that South Orange County residents “exile” their mental health cases to the Central Planning Area (CPA) and North Planning Area (NPA) – both for housing and mental healthcare.
Why is this a concern for Orange County? What can Orange County and other counties learn from this project?
Orange County is currently under litigation and the South Planning Area is reluctant to build housing and previously has made the choice to not build hospitals/healthcare within their jurisdiction.
What is currently being done to resolve this problem in our county and throughout the United States? If applicable: Is it working; why or why not?
Wealthy jurisdictions, as cited above by “The Problem with Rich Kids” body of research, tend to reject investments in resources for mental health and low-income housing. Yet, these same jurisdictions are likely exiling their members to other places. Venice, CA residents are suing to prevent such resources in their community (https://la.curbed.com/2019/4/16/18410698/venice-homeless-shelter-lawsuit-fundraising). Yet, Venice has no inpatient psychiatric ward.
What is new or different about this project idea? Please describe how this differs from what is already being done (Question 6). Please list any research that was done on this topic.
Respecting the local desires for resource allocation is important for maintaining civility. NPA and CPA have made choices to invest in healthcare/housing infrastructure across the socioeconomic spectrum. SPA has made choices to invest in other goods and services. SPA can bring the money, NPA and SPA can bring the infrastructure.
What is the project idea? Please describe how this project will operate.
Implement a “user fee” billed to South Planning Area jurisdictions for use of North Planning Area and Central Planning Area resources, including hospitals, shelters, sober living homes, and other similar resources. Anyone utilizing resources in the NPA and CPA, but can show evidence of previous SPA residency would qualify for quantifying the user fee. SPA residents utilizing hospitals in NPA and CPA can also be billed the user fee since they are utilizing resources outside of their jurisdiction, disproportionately placing a burden on NPA and CPA resources. The user fee can provide an incentive for SPA jurisdictions to implement their own resources and reward NPA and CPA for their disproportionate investment in resources.
http://ochmis.org/documents/10YrPlan.pdf https://www.ocps.org/education-resources/resources-for-the-public/hospitals-and-county-services/ https://www.zillow.com/orange-county-ca/home-values/ http://www.city-data.com/nbmaps/neigh-Orange-California.html