Mental Health & Wellness at Hoag - Presented to the Tsao Family

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Mental Health & Wellness at Hoag

Presented to the Tsao Family

Building Better Mental Health, Together

Hoag is more than a health care institution: it is a community of compassionate individuals dedicated to fighting disease and improving health. Across Hoag, this dedication takes shape in our collaborative, comprehensive approach to care—an approach that encompasses patients’ mental health and well-being, not only annual checkups and acute intervention.

As mental health conditions continue to rise in Orange County and around the United States, Hoag recognizes the importance of supporting each individual uniquely, and at every stage of life. Hoag is dedicated to taking action across every specialty area, which is unique relative to other institutions. The goal: increased access to compassionate mental health resources and crisis prevention.

From the Pickup Family Neurosciences Institute to the Women’s Health Institute, Hoag Family Cancer Institute and more, Hoag is providing integrated mental health services, support programs, and screening for better outcomes, higher quality of life and an enhanced patient experience.

But we can’t do it alone. As a private, not-for-profit organization that depends on philanthropy to do our work, Hoag wouldn’t be where it is today without the generosity of donors like you. As we look to Hoag’s future as a national destination for world-class care, we’re reflecting on the growth of the past and the philanthropic partners who have transformed what Hoag can accomplish.

At the Fudge Family Birthing Suites, the Tsao Family Garden and your ongoing support have played a pivotal role in helping Hoag revolutionize maternity care to offer women holistic birthing options not often available in a hospital setting. In its new location within the Women’s Health Pavilion on Irvine’s expanded campus, the Tsao Family Garden will reach even more women and families on their unique health journeys.

Now, to address the increasing challenges associated with mental health and continue delivering specialized, coordinated care, Hoag is once again turning to passionate philanthropic partners like you to lead the way. Together, we can bolster Hoag’s mental health services and further transform patient care.

What follows is a philanthropic proposal that reflects your legacy at Hoag and builds on your passionate commitment to mental health and wellness. The following opportunities are an expression of what Hoag has always known and acted on: healing is a holistic process that demands a skilled, personalized approach.

We would be honored for you to continue to walk with us in reimagining the mental health care landscape. Thank you for your ongoing faith in Hoag and all you do to support linking patients and families in need with the best resources for better health today and in the future.

A comprehensive overview of philanthropic opportunities and gift amounts is enclosed at the end of this proposal.

“Your family’s dedication to community well-being is inspiring. We are grateful that you share Hoag’s passion and partner with us to expand essential care to serve more people in need, especially in our efforts to address the growing mental health concerns in today’s complex world. As Hoag grows, we turn to visionaries like you to help shape our course. Thank you for sharing your family’s legacy of generosity and selflessness with Hoag.”

OPPORTUNITIES
06-08
19 Funding Opportunities 18 Resilience and Vitality 10-11
12 Specialized
13-14
15 Patient and
Safety 16 Cancer Survivorship
Table of Contents START OF LIFE EARLY YEARS ALL LIFE STAGES LATER YEARS FUNDING
02-04 Women’s Mental Health: Through Pregnancy, Postpartum and Beyond
Teen and Young Adult Programs
Community Access
Psychiatric Care
Addiction Support
Hospital

START OF LIFE.

01 Mental Health &
Wellness at Hoag

Women’s Mental Health: Through Pregnancy, Postpartum and Beyond

Maternal Mental Health Program, Women’s Health Institute

With nearly 8,000 babies born at Hoag every year, Hoag is the second busiest maternal hospital in California. As Orange County’s population of women and expecting mothers grows and diversifies, Hoag’s Women’s Health Institute is responding with in-house and on-site services that consider every aspect of prenatal, pregnancy and postpartum care.

Mood and anxiety disorders among pregnant and postpartum women warrant highly specialized care and treatment:

• Postpartum depression

• Perinatal obsessive-compulsive disorder

• Post-traumatic stress disorder

• Bipolar disorder

• Postpartum psychosis

These diagnoses affect not just one patient but two. While most general psychiatrists are not versed in perinatal mental health, reproductive psychiatrists are specifically trained to care for the perinatal patient to ensure the best outcome for her and her baby. With an extensive waitlist of over 50 patients, Hoag is focusing on four core principles—screening for maternal depression, connecting patients to support services, early intervention and community education—to leave no woman experiencing mental health issues during the perinatal period untreated.

02 Mental Health & Wellness at Hoag

Maternal Mental Health Program Impact 1,563 378

new patients served since the program’s inception

new patients seen on average per year

Specialized team members

Four new hires in 2022

Sarah Kauffman, MD Reproductive Psychiatrist

Elizabeth Whitham, MD Reproductive Psychiatrist (joined in 2022)

Sandy Yokoyama, LMFT Therapist

Emily Densmore, LCSW Therapist

Nicole Young, LCSW Therapist (joined in 2022)

Meghan Steele, NP Psychiatric Nurse Practitioner (joined in 2022)

Angela Mains, LCSW Lead Therapist Melissa Romo, LMFT Therapist (joined in 2022)

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Expanding Care

Mainstreaming mental health care for women normalizes accessing the right resources at the right time to prevent crises. By supporting the expansion of Hoag’s Maternal Mental Health Program, you would be helping Hoag provide services beyond pregnancy and postpartum care to include women’s mental health and emotional wellness at every phase of life.

Expansion of the program would include:

• Full-Time Reproductive Psychiatrist

• Licensed Marriage and Family Therapist

• Licensed Social Worker

• Wellness Consultant

• Grief Counsellors

• Sexual Health Psychologist

• Added Services Through the Hoag for Her Center for Wellness

Services Currently Funded by Philanthropy

Group psychotherapy with a licensed marriage and family therapist

Medication safety evaluations

Mental health management during pregnancy and postpartum with a reproductive psychiatrist

“For us, quality of care is reflected not only in measurable outcomes but also by patient well-being.”
Dr. Allyson Brooks
Ginny Ueberroth Executive Medical Director Endowed Chair, Women’s Health Institute
04 Mental Health & Wellness at Hoag

EARLY YEARS.

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Mental Health & Wellness at Hoag

Teen and Young Adult Program

ASPIRE

Hoag provides an innovative, focused answer to the growing need for mental health care for children and adolescents with the After School Program: Intervention and Resiliency Education (ASPIRE). This group-based program is designed for middle and high school students between the ages of 13 and 17 who are experiencing mental health challenges, including depression, anxiety, trauma and grief. Its goals are to assist adolescents in achieving emotional wellness and reduce the risk of unhealthy behaviors. In an intimate group setting of participants, per Medicare treatment standards, ASPIRE is unique in providing focused care to each person and their needs.

Teen Mental Health Concerns Addressed

Just like physical health, the sooner a mental health or emotional concern is identified and addressed, the better the outcome. Concerns may include: • Depression • Anxiety • ADHD • Mood dysregulation • Oppositional defiance
• Self-injurious behaviors • Grief and loss • Trauma • OCD 06 Mental Health & Wellness at Hoag

Expanding Care

In fall 2022, ASPIRE launched the Young Adults Mental Health Program for those ages 18 to 26. It aims to provide critical support as teens transition from adolescence to adulthood – one of the most crucial stages of life that can have a lasting impact on an individual’s long-term happiness and well-being. ASPIRE and the Young Adults Mental Health Program create a comprehensive approach to providing mental health support for those between ages 13 and 26.

The team has a vision to expand its resources to those in Irvine and south Orange County by growing its team. By building a partnership with the Irvine Unified School District, Hoag can provide support for the current age cohort, between 13 and 17, and do preventive work for those younger.

Team Expansion: Recruiting additional therapists, outreach coordinators and administrative staff would increase access to Hoag’s services in more areas.

Scholarships: Philanthropy supports family scholarships to ensure those who need ASPIRE can access it.

– Dr. Sina Safahieh, Program Director, ASPIRE

“The resources we offer through ASPIRE provide teens and their families effective tools and resiliency training to overcome current mental health concerns, navigate future life stressors and thrive.”
07 Mental Health & Wellness at Hoag
08
Mental Health & Wellness at Hoag

ALL LIFE STAGES.

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Mental Health & Wellness at
Hoag

Community Access

Mental Health Center

–Melinda Hoag Smith Center for Healthy Living

Under Hoag’s Department of Community Health, the Mental Health Center is the only mental health center at a community benefit hospital that provides services free of charge — in English, Spanish and Farsi — to low income, uninsured or underinsured communities. Clinical social workers provide an array of care options that may include individual or family therapy, group counseling, educational workshops and referrals to other health providers, if needed. These comprehensive mental health services are offered with supplementary services such as rental assistance, legal aid, food distribution and more.

The Center provides care focused on areas including:

• Depression

• Anxiety

• Couple’s counseling

• Relationship struggles

• Grief and loss

• Parenting support

• Trauma

• Child and adolescent struggles

• Self esteem

• Everyday stress and coping

• Life transitions

• Mental health conditions related to pregnancy and postpartum

• Addiction

• Resiliency for older adults in aging

• Support for family and caregivers of people with mental health conditions

“Many families that we serve are experiencing challenging circumstances that often have major impacts on their mental health. Our goal is to not only help with needs like food and employment but also to strengthen their mental states and uplift their well-being.”

– Michaell Silva Rose, DrPH, LCSW Director of the Community Health Department and Community Benefit Program

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Community Access (continued)

Expanding Care

As the demand for mental health services increases, so does the Center’s need for more personnel. Immediate personnel needs include:

Case Manager: Case managers are often the first point of contact for a person in need. Philanthropic support funded the first case manager at the Melinda Hoag Smith Center for Healthy Living. She immediately went to work connecting her clients to the resources they needed. But so many more are waiting for that same attention. There is an immediate need for bilingual case managers, who would help the center meet the rising demand. Bilingual case managers, speaking Spanish and/or Vietnamese, would facilitate greater inroads into vulnerable and underserved communities.

Licensed Clinical Social Worker: In addition to a case manager, adding a licensed clinical social worker who can communicate in Vietnamese would make a drastic impact on the ability to care for more people. Having staff that can communicate in multiple languages opens doors to more people in need.

11 Mental Health & Wellness at Hoag

Specialized Psychiatric Care

Psychiatry Consult and Liaison Service

The Hoag psychiatry consultation-liaison service is comprised of five specialized psychiatrists who have expertise in the diagnosis and treatment of psychiatric disorders in complex, medically ill patients. This team supports the various medical subspecialty teams throughout the hospital with on-site consultation, evaluation and assistance with behavioral management.

The team has increased value in the continuum of hospital-based care by:

• Focusing on decreasing re-admissions because of untreated neurobehavioral health disorders

• Reducing hospital and emergency room lengths of stay

• Lowering the costs associated with emergency department visits

Expanding Care

With the support of philanthropy, the Hoag psychiatry consultation-liaison service can continue to enhance the level of care by sustaining the psychiatry staff and adding a psychiatric social worker to the team.

Psychiatrists: A team of psychiatrists dedicate a portion of their time to the service, providing expert consultation to patients. Philanthropic support would provide funding for additional psychiatrists to help meet increasing needs.

Psychiatric Social Worker: Psychiatric social work is a specialized type of medical social work that involves supporting, providing therapy to and coordinating the care of people who are severely mentally ill and who require hospitalization or other types of intensive psychiatric help. Adding this role to the team would mean more support for more individuals living with mental illness.

– Dr. Kambria Hittelman, Executive Director, Pickup Family Neurosciences Institute and Director of Neurobehavioral Health

“The people we see need intensive help, and their care is sometimes a long journey. We want to offer support, guidance and resources during challenging situations.”
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Addiction Support

SolMar Recovery – Hoag Addiction Treatment Centers

Addiction is a brain disease that has major impacts on mental health. Hoag Addiction Treatment Centers (HATC) provides the most comprehensive, vertically integrated continuum of care available. Hoag provides evidence-based treatment that guides those struggling with addiction for an effective recovery process that provides not only clinical care but also psychiatrists, therapists and counseling staff.

Innovative and Multidisciplinary Programming

• Licensed and credentialed clinicians, including addiction-trained internists and psychiatrists

• Master-level therapists

• Individualized treatment plans involving medical and counseling staff

• Individual and group therapy

• Dialectical and cognitive behavioral therapy

• Blend of 12-step recovery and other evidence-based treatment modalities

• Mindfulness meditation and stress management groups

• Psychoeducation on relapse prevention, triggers and cravings

– Dr. Steven Ey, Chief of Service, Hoag Addiction Treatment Centers

“Addiction impacts every part of a person’s life. Our goal is to get people physically healthier, but also mentally healthier so they can become stronger and lead more active and productive lives.”
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Expanding Care

SolMar Recovery is a unique program that is licensed as a residential treatment facility, feels and functions like a residential program and is physically co-located with an acute care hospital. This program receives some philanthropic funding to support scholarships for clients in need of treatment. It is a major goal to expand the multidisciplinary team by adding:

Therapist: Additional therapists would grow the capacity of the outpatient clinic and expand into the evening intensive outpatient program.

Psychiatrist: A new psychiatrist would lead and create a formal medication-assisted treatment program.

Nurse Practitioner: A nurse practitioner would mean more clinician support to manage patients.

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Mental Health & Wellness at Hoag

Patient and Hospital Safety

Crisis Intervention Team

Hoag has created a dedicated Crisis Intervention Team of specialists who are trained to respond to crises in the hospital and help patients and care providers by deescalating situations and identifying psychiatric or substance abuse cases. Through collaborative partnerships and training, this team improves communication, identifies mental health resources for those in crisis and ensures safety.

Expanding Care

This team relies on the expertise of four specialized nurse practitioners, a supervisor and support from a psychiatrist. With philanthropic support, this team can continue to provide fast responses to those people experiencing challenging situations.

Nurse Practitioners: Nurse practitioners provide high quality advanced nursing care. They play a role in a patient’s treatment and give them more education about their diagnosis.

Supervisor: Leadership is essential to coordinate a multifaceted team and a supervisor provides that direction and guidance.

– Dr. Matthew Reed, Medical Director, Psychiatric Services for Pain and Addiction

“People in crisis need a special kind of care, especially when it comes to their mental health needs. Having a skilled team to respond to these situations means safety for the person in crisis and hospital staff.”
15 Mental Health & Wellness at Hoag

Cancer Survivorship

Resilience and Wellness, Hoag Family Cancer Institute

Each year, Hoag treats over 4,500 new cancer patients, making it the top patient-preferred cancer program in Orange County. Robust support services for patients and families at the Hoag Family Cancer Institute currently include access to licensed therapists and social workers, chaplains, support groups and more. These resources ensure that patients with cancer receive emotional support during and after treatment to process the impact of a cancer diagnosis on their life and the lives of their loved ones.

Counseling: Licensed clinical social workers provide four to six complimentary sessions to alleviate the stress brought on by a cancer diagnosis.

Support Groups: Led by nurse navigators or licensed social workers, support groups provide peer-to-peer mentorship and mental health support for patients battling similar diagnoses. There are currently 15 active support groups at Hoag for patients with diagnoses such as bladder cancer, brain tumors, gastrointestinal cancer, gynecologic cancer, breast cancer and pancreatic cancer. A bereavement support group serves as an opportunity for healing following a cancer-related death, and the Grief Recovery Method series is offered to patients’ families to help with the pain and emotional loss of a loved one.

Healing Art Classes: From workshop series that include Art for the Soul, Free-Form Writing, HealthRHYTHMS Drum Circle and more, the Hoag Family Cancer Institute’s popular Expressive Arts Program gives patients a vital source of socialization and comfort in the midst of their cancer journey. Many attest to the cathartic nature of the classes and the joy and creativity they spark in the face of mental hardship.

Brighter Image Program: To help patients improve self-esteem and self-image while living with hair loss and skin changes due to cancer treatments, Hoag provides access to licensed esthetician Karey York through the Brighter Image Program. More than just free wigs, the program gives male and female patients alike a return to some sense of normalcy.

Wellness Services: Additional support services available to patients include oncology massage, oncology dietitian support and reiki for patients undergoing active treatment for cancer, which can include surgery, chemotherapy and radiation.

Expanding Care

The Patty & George Hoag Cancer Center in Newport Beach is completing a two-year renovation scheduled to open in March 2023. With the addition of a new patient pavilion in Irvine, scheduled for completion in 2025, the Hoag Family Cancer Institute will have two new state-of-the-art facilities to deliver high-quality, integrated cancer resilience and wellness services. Philanthropic support would fund the enhancements to cancer care below, allowing Hoag to better meet individualized patient needs.

One-to-one therapy, including two visits with a psychiatrist and access to a psychologist for longer-term counseling.

Expansion of integrative services for spiritual support, mindfulness, acupuncture, oncology massage and related wellness programs.

16 Mental Health & Wellness at Hoag

LATER YEARS.

17
Mental Health & Wellness at Hoag

Resilience and Vitality

Center for Integrative Brain Health

Hoag is working to develop the Center for Integrative Brain Health within the Pickup Family Neurosciences Institute. This Center will ensure that Hoag continues the continuum of care all the way to advanced life care. It will empower primary care physicians and non-neuro specialists with the expertise, processes and tools to integrate care for cognitive and mental health challenges so commonly associated with chronic and acute medical conditions. Creating this Center will also deliver a unique feature: essential support for caregivers of older patients. Focusing on a patient’s support system shows Hoag’s commitment to integrating every aspect of a person’s life into their care plan.

Expanding Care

Thanks to philanthropic support, Dr. Aaron Ritter was recently recruited to Hoag to lead this Center. Dr. Ritter has been named the Larkin Family Endowed Chair in Integrative Brain Health, further showing the dedication Hoag has for building this space. Staffing this Center with a comprehensive team is going to rely heavily on philanthropic support.

› Center Team Infrastructure:

• Nurse Navigator

• Front-of-House Position

• Licensed Vocational Nurse

• Social Worker

The integrative model of this center will help identify signs of cognitive decline as early as possible, allowing treatment and optimizing the maintenance of a person’s long-term quality of life. This Center aims to respond to the challenges that arise when a person’s age advances. In Orange County, much of the population are living in their golden years, and Hoag is aiming for people to enjoy vitality in that stage of life.

– Dr. Aaron Ritter, Larkin Family Endowed Chair in Integrative Brain Health, Director, Memory & Cognitive Disorders Program

“I hope to use my skills and knowledge to continue driving Hoag forward in advancing care for those living with memory and cognitive impairment.”
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Funding Opportunities

Institute/ Program Need

START OF LIFE

Maternal Mental Health Program, Women’s Health Institute: pages 02-04

Philanthropic Need Description

$5 million

Funding will enable Hoag to provide services beyond pregnancy and postpartum care to include women’s mental health and emotional wellness at every phase of life through additional staff and services, including:

• Full-Time Psychiatrist

• Licensed Marriage and Family Therapist

• Licensed Social Worker

• Wellness Consultant

• Grief Counsellors

• Sexual Health Psychologist

• Added services through the Hoag for Her Center for Wellness

EARLY YEARS

ASPIRE

Young Adults Mental Health Program: pages 06-08

$4.5 million

Funding will support:

• Recruitment of essential staff including additional therapists, outreach coordinators and administrative staff to increase access to Hoag’s services in more areas

• Additional family scholarships to ensure those who need ASPIRE can access it

ALL

LIFE STAGES

Mental Health Center, Melinda Hoag Smith Center for Healthy Living: pages 10-11

$3 million

Funding will provide essential support staff, including:

• Case managers, who are often the first point of contact for a person in need. There is an immediate need for additional case managers to meet rising demand

• A licensed clinical social worker who can communicate in Vietnamese, which would make a drastic impact on the ability to care for more people

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at
Wellness
Hoag

Institute/

Program Need Philanthropic Need Description

ALL LIFE STAGES (continued)

Psychiatry Consult and Liaison Service, Specialized Psychiatric Care: page 12

SolMar Recovery, Hoag Addiction Treatment Centers: pages 13-14

$4 million

Funding to support addition of psychiatrists and psychiatric social workers to provide support for more individuals living with mental illness

$2.25 million

Funding will provide expanded staffing, including additional therapists to grow the capacity of the outpatient clinic and expand into the evening intensive outpatient program, a new psychiatrist to lead and create a formal medication-assisted treatment program and a nurse practitioner to provide clinician support to manage patients

Patient and Hospital Safety: page 15

Cancer Survivorship, Hoag Family Cancer Institute: page 16

$2.5 million

Funding will support expanded staffing including nurse practitioners to provide high quality advanced nursing care

$5 million

Funding would support expansion of care to include:

• One-to-one therapy, including two visits with a psychiatrist and access to a psychologist for long-term counseling

• Integrative services for spiritual support, mindfulness, acupuncture, oncology massage and more

LATER YEARS

Center for Integrative Brain Health, Pickup Family Neurosciences Institute: page 18

$5 million This Center will ensure that Hoag continues the continuum of care all the way to advanced life care, including essential support for caregivers of older patients

Funding would support Center team infrastructure, including the following positions:

• Nurse Navigator

• Front-of-House Position

• Licensed Vocational Nurse

• Social Worker

NOTE: Philanthropically funded positions require a three-year commitment to ensure continuity of services.

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at
Health & Wellness
Hoag

“There is a skyrocketing mental health crisis in the US, with a lack of capacity fueling desperately needed support for health system resources to meet our community’s needs. Hoag and the Pickup Family Neurosciences Institute have been rapidly developing programs addressing a broad spectrum of mental health disorders for people of all ages, including perinatal help for women, resources for teens, adults and the senior population. The demand has exploded due to the impacts of the COVID-19 pandemic, economic uncertainty and an increase in substance abuse.

Philanthropic support will be indispensable to ensuring we can expand these programs to enhance our inpatient and outpatient mental wellness needs.”

– Dr. Michael Brant-Zawadzki, FACR Ron & Sandi Simon Executive Medical Director Endowed Chair, Pickup Family Neurosciences Institute, Senior Physician Executive, Hoag

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Hoag

In Gratitude

Empowered by your vision and ongoing generosity, Hoag is prioritizing integrated mental health and wellness services for a more comprehensive patient experience that considers the whole person — mind, body and spirit. We would be honored to partner with you to advance mental health and wellness care and build programs that align with your philanthropic passions to reach more people in need.

Thank you for your thoughtful consideration.

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For more information, please contact Angelina Morano, executive director of development, Hoag Irvine, Hoag Hospital Foundation, at 949-764-7221 or Angelina.Morano@hoag.org www.hoaghospitalfoundation.org

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