Brenda GrealishExecutive Officer, CCJBH Office of the Secretary, Kathleen Allison, SecretaryCalifornia Department of Corrections and Rehabilitation (CDCR)

Full Council Meeting

October 29, 2021

** This meeting is being recorded **

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Email: CCJBH@cdcr.ca.gov

Quick Notes:

Agenda:Time: Topic:

2:00 PM Welcome & Introductions, Roll Call

2:05 PM Approval of July Council Meeting Minutes

2:08 PM Approval of Special Council Meeting Minutes

2:10 PM Public Comment

2:15 PM California Department of Health Care Services (DHCS) Presentation

Agenda (continued):

2:45 PMCouncil Question/DiscussionPublic Comment

3:10 PM CCJBH Business Meeting

3:45 PMCouncil Question/DiscussionPublic Comment

3:50 PM Announcements

4:00 PM Adjourn

Step 1: MOTION TO ADOPT OR AMEND

Step 2: SECOND MOTION

Step 3: PUBLIC COMMENT

Step 4: ROLL CALL FOR A VOTE

July Council Meeting Minutes

Step 1: MOTION TO ADOPT OR AMEND

Step 2: SECOND MOTION

Step 3: PUBLIC COMMENT

Step 4: ROLL CALL FOR A VOTE

Special Council Meeting Minutes

Jacey CooperChief Deputy Director, Health Care Programs, DHCS

Susan PhilipDeputy Director, Health Care Delivery Systems, DHCS

Rene MollowDeputy Director, Health Care Benefits and Eligibility, DHCS

Tyler SadwithAssistant Deputy Director,

Mental Health and Substance Use Disorder Services, DHCS

California Department of Health Care Services (DHCS) Presentation

California Advancing and Innovating Medi-Cal (CalAIM) Approach to Supporting Justice-Involved Populations

Presentation to:Council on Criminal Justice and Behavioral Health

October 29, 2:00 – 4:30 PM PT

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Health Needs of the Justice-Involved Population

Medi-Cal’s Commitment to Justice-Involved Populations

CalAIM Initiatives to Support Justice-Involved Populations

Justice-Involved Advisory Group

Discussion Overview

9

10

Health Needs of the Justice-Involved Population

11

Health Needs of the Justice-Involved Population

People who are now, or have spent time, in jails and prisons experience disproportionately higher rates of physical and behavioral health diagnoses and are at higher risk for injury and death as a

result of trauma, violence, overdose, and suicide than people who have never been incarcerated.

Of people incarcerated in state/federal prison, nationally:• 26.3% have high blood pressure/hypertension, compared to

18.1% of the general public • 15% have asthma, compared to 10% of the general public• 65% smoke cigarettes, compared to 21% of the general public1*

• The mortality rate two weeks post-release from prison is 12.7 times the normal rate, driven largely by overdoses2

Source: See PowerPoint notes section for citations. Note: Statistic only includes state prison.

• Over the past decade, the proportion of incarcerated individuals in California jails with an active mental health case rose by 63%5

• California’s correctional health care system drug overdose rate for incarcerated individuals is 3x the national prison rate6

• Among justice-involved individuals, 2 of 3 individuals incarcerated in California have high or moderate need for substance use disorder treatment7

Focus on California

People with behavioral health disorders are overrepresented in the criminal justice system.• 51% of people in prison and 71% of people in jail in the U.S.

have/previously had a mental health problem• 58% of people in state prison and 63% of people in jail in the

U.S. meet the criteria for drug dependence or abuse3

• Overdose deaths are >100x more likely for justice-involved individuals 2-weeks post release than the general population4

Addressing the Needs of the Justice-Involved Population Is Key to Advancing Health Equity

Addressing the unique and considerable health care needs of justice-involved populations—who are disproportionately people of color—will help to improve health

outcomes, deliver care more efficiently, and advance health equity.

In California, and across the US, justice-involved populations are disproportionately people of color.1

In California:

28.5% of incarcerated males are Black, while Black men makeup only 5.6% of the state’s total population

Incarceration rate by race and ethnicity:

– Black men: 4,236 per 100,000

– Latino men: 1,016 per 100,000

– Men of all other races/ethnicities: 314 per 100,000

Serving the justice-involved population is key to CalAIM’s efforts to address health disparities.

Source: 1California’s Prison Population, Public Policy Institute of California, 2017; 2The Impact of Medi-Cal Expansion on Adults Formerly Incarcerated in California State Prisons

At least 80% of justice-involved individuals in California are eligible for Medi-Cal2

Additional Benefits to Providing Pre-Release Medi-Cal Services

Pre-release Medi-Cal services are anticipated to:

Avert inefficient, unnecessaryand costly care, producing costsavings for the State and federalgovernment

Achieve progress in realizing thegoals of the Americans withDisabilities Act by strengtheningcommunity integration forindividuals with mental illnessand other disabilities (Olmstead)

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Medi-Cal’s Commitment to Justice-Involved Populations

CalAIM Initiatives Focused on Improving the Health of Justice-Involved Individuals

CalAIM builds on legislative initiatives already passed and implemented in California that are focused on ensuring continuity of coverage through Medi-Cal pre-release enrollment strategies and

on providing services necessary to support a successful transition into the community.

CalAIM will build on existing requirements through new initiatives that will: Ensure all eligible individuals are enrolled in Medi-Cal prior to release from county jails and juvenile

facilities by 2023*

Engage with individuals who meet clinical criteria (e.g., pregnant, chronic illness, behavioral health diagnosis) in the 90 days prior to re-entry to stabilize their health and assess their health, social, and economic needs in order to prepare for a successful re-entry into the community

Provide “warm handoffs” to health care providers in the community for individuals who require behavioral health and other health care services and to ensure people have necessary equipment, medical supplies and prescriptions upon re-entry.

Offer intensive, community-based care coordination for individuals transitioning to the community, including through the new statewide Enhanced Care Management (ECM) benefit

Provide access to available Community Supports (e.g., housing, food) upon re-entry

Provide capacity building funding for workforce, IT systems, data, and infrastructure to support justice-involved initiatives

Note: *Process is already in place in state prisons.

Current DHCS Initiatives that Support the Behavioral Health Needs of

Incarcerated Individuals

Substance Abuse Prevention & Treatment Block Grant California MAT Re-Entry Incentive Program (AB 1304):

Reduction in parole period for persons released from prison who are on parole and who were enrolled in or successfully completed an SUD program that employs MAT

State Opioid Response Expanding MAT in Criminal Justice Settings Project: 34

county-based teams to expand access to MAT in jails and drug courts

California Department of Corrections and Rehabilitation (CDCR) Training & TA: Implement curriculum for Addiction Medicine Certification, and expand access to MAT in the prison system and train providers

Mental Health Funding Supporting Justice-Involved Populations

Community Mental Health Services Block Grant • Funding to counties for 24-hour crisis intervention, day treatment/partial hospitalization, intensive outpatient treatment,

and psychiatric rehabilitation services, whether they are provided within jail settings or in community settings

• Screening for those in need of state hospital services for psychiatric care

• Competency restoration for individuals with severe mental illness (SMI) so that they can understand charges against them and participate in their own defense

SUD Funding Supporting Justice-Involved Populations

California is currently leveraging multiple federal funding streams to support behavioral health services for incarcerated individuals.

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CalAIM Services for Justice-Involved Population Builds on Current Whole Person Care Pilots

Whole Person Care (WPC) Pilots

In 2016, DHCS launched the Whole Person Care (WPC) Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration. WPC Pilots have tested interventions to coordinate physical, behavioral and social services in a patient-centered manner, including interventions that improve access to housing and supportive services.

17 WPC Pilots – including LA County – are specifically dedicated to serving justice-involved populations reentering the community post-incarceration and have designed programs to directly engage local jails and probation departments.

Examples of services provided to justice-involved populations within WPC pilots: • Conducting physical, mental health,

and substance use assessments;• Connecting individuals to behavioral

health services; • Reconnecting with pre-incarceration

primary care;• Supporting access to needed

prescriptions; • Transferring in-custody medical

records to the client’s community-based provider(s); and

• Following up with the community-based providers to ensure continuity of services.

17

CalAIM Behavioral Health InitiativesIn parallel with the justice-involved initiatives, California is strengthening behavioral health

programs.

Proposed funding rounds: Round 1: Mobile Crisis $150 million and $55 million SAMHSA

(July 2021) Round 2: Planning Grants $8 million (November 2021) Round 3: Launch Ready $585 million (January 2022) Round 4: Children and Youth $460 million (August 2022) Round 5: Addressing Gaps #1 $462 million (October 2022) Round 6: Addressing Gaps #2 $460 million (December 2022)

18

Behavioral Health Continuum Infrastructure

California is making a $2.2B investment in infrastructure by providing competitive grants to qualified entities to construct, acquire, and rehabilitate real estate assets for community-based behavioral

health facilities.

19

CalAIM Initiatives to Support Justice-Involved Populations

20

CalAIM Initiatives to Support Justice-Involved Populations

Enhanced Care Management

Pre-Release Medi-Cal Application

Processes

90 Days Services Pre-Release

Behavioral Health Linkages

Initiatives Include:

Community Supports

Re-entry

CalAIM justice-involved initiatives support justice-involved individuals by providing key services pre-release, enrolling them in Medi-Cal coverage, and connecting them with behavioral health, social services, and other providers that can support their re-entry.

Justice Re-Entry and Transition

Providers

Pre-release application process will help establish to ensure Medi-Cal coverage upon re-entry into the community in order to facilitate access to needed Medi-Cal covered services and care

Pre-Release Medi-Cal Application Processes

Sources: AB-133 Health; Chapter 143; AB-720 Inmates: Health Care Enrollment; ACWDLS 14-26; ACWDLS 14-26E; CalAIM Proposal

California statute mandates all counties implement pre-release application processes in county jails and youth correctional facilities by January 1, 2023. Establishing pre-release

Medi-Cal application processes is part of the State’s vision to enhance the Medi-Cal health care delivery system for justice-involved populations.

Rationale

Service provision in the pre-release period is designed to engage eligible justice-involved populations, prepare them for return to the community and mitigate gaps in services and medications

Approach establishes trusted relationships with care managers/care coordinators to develop a transition plan, coordinate care and support stabilization upon re-entry

Extending Medicaid coverage in jails and prisons would allow for pre-release management of ambulatory care sensitive conditions (e.g., diabetes, heart failure and hypertension), which would reduce post-release acute care utilization

If not managed, a period of incarceration perfectly aligns with the time needed to have a well-controlled condition decompensate (diabetes, HIV, hypertension, epilepsy)

A poorly controlled, but not acutely decompensated condition, requires more significant, hospital-based care

The level of services that will be available during the pre-release period will depend on the length of the stay of the inmate

Providing Services 90-Days Prior to Release

Through its 1115 waiver, California seeks to test its expectation that providing health care services to Medi-Cal-eligible individuals for 90 days prior to release will prevent unnecessary

use of health care services, while also improving health outcomes post-incarceration.

Rationale

The request is closely aligned with the Biden Administration and Congressional priorities.Source: See PowerPoint notes section notes and citations

Objectives of Providing Services Prior to Release

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By bridging relationships between community-based Medi-Cal providers and justice-involved populations prior to release, California seeks to improve the chances these

individuals receive stable and continuous care.

Improve physical and behavioral health outcomes post-release

Reduce the number of justice-involved people released into homelessness through connection to pre-release enhanced care management and Community Supports

Reduce recidivism, emergency department visits, hospitalizations, other avoidable health care services through connection to ongoing community-based physical and behavioral health services

Continue medication treatment for individuals that receive pharmaceutical treatment

Reduce health care costs through continuity of care and services upon release into the community

Pre-Release Services: Eligible Populations

24

Select Medi-Cal-eligible individuals will be eligible for Medi-Cal coverage 90 days pre-release from county jails, state prisons and youth correctional facilities.

Eligibility Criteria for Pre-Release Medi-Cal Services To be considered eligible, incarcerated individuals must:

Be part of a Medicaid Eligible Group, and Meet one of the following health care need criteria:

– Chronic mental illness– SUD– Chronic disease (e.g., hepatitis C, diabetes)– Intellectual or developmental disability– Traumatic brain injury– HIV– Pregnancy

Note: All incarcerated youth are eligible for pre-release services and do not need to demonstrate a health care need

Medi-Cal Eligible Individuals

Adults Parents Youth under 19 Pregnant people Aged/blind/disabled Current and former

foster care youth

Pre-Release Services: Covered Services

DHCS seeks authority to provide limited Medi-Cal services to inmates of prisons, county jails, and youth correctional facilities during the 90 days prior to their release and return

to the community.

In-reach intensive care management/care coordination for eligible inmates In-reach physical and behavioral health clinical consultation services provided

via telehealth or in-person, as needed, via community-based providers Limited laboratory/X-rays Medication Assistance Treatment (MAT) Services provided within jail/prison for post-release:

o 30 days of medications, including up to 30 days of MAT (depending ontiming of follow-up visit), for use post-release into the community*and/or

o Durable medical equipment (DME) for use post-release into thecommunity

Covered Services

Note: *Because medications used for addiction include those that create high risk of overdose or diversion, the quantity of these medications depends on the timing of the arranged follow-up visit, the particular risk for the patient and the clinical judgment of the prescriber.

25

Expenditure Authority for Providing Access and Transforming Health Supports (PATH) Funding

As part of the 1115 Waiver, DHCS is seeking expenditure authority for PATH funding advance coordination and delivery of quality care and improve health outcomes for

justice-involved individuals.

Current State

WPC Pilot

Transition State through PATH

WPC Pilot CalAIM Pre-Release

Services

Future State

CalAIM 90 Days Pre-Release Services and ECM

Post Release

PATH funding will be used to support the transition of WPC Pilot services, capacity andinfrastructure required for ECM, Community Supports and other CALAIM initiatives to transitionto managed care

A key aspect of PATH funding is that it would support capacity building for effective pre-releasecare for justice-involved populations and enable coordination with justice agencies andcounty behavioral health agencies. PATH will be available to county behavioral health, prisons,jails, juvenile facilities, providers, and community-based organizations.

26Note: *ECM go-live will be staged, as described on slide 13.

• Individuals may be linked to the following Medi-Cal deliverysystems:• Specialty Mental Health Services (SMHS)• Drug Medi-Cal (DMC)• Drug Medi-Cal Organized Delivery System (DMC-ODS)• Medi-Cal Managed Care Plan (MCP)• Fee-for-service providers

• DHCS expects counties to implement medical record releaseprocesses that will allow medical records to be shared withcounty behavioral health and Medi-Cal managed careproviders prior to release

27

Re-Entry: Behavioral Health Linkages

DHCS will require jails and county juvenile facilities to refer individuals who receive behavioral health services while incarcerated to the appropriate Medi-Cal coverage and

services to allow for continuation of behavioral health treatment in the community.

• DHCS expects that Managed Care Plans will contract withWPC/HHP providers and community-based organizations thathave experience serving the justice-involved population toprovide ECM and can provide targeted services to meet theirneeds

• ECM will be interdisciplinary, high-touch, person-centered andprovided primarily through in-person interactions with Medi-Calmembers where they live, seek care or prefer to access services

• DHCS’ vision for ECM is to coordinate all care for eligiblemembers, including across the physical and behavioral healthdelivery systems

• Every Medi-Cal managed care member enrolled in ECM will havea dedicated care manager

• ECM will be available to Medi-Cal managed care members whomeet ECM “Population of Focus” definitions, which includespeople who are justice-involved; members may opt out at anytime

Enhanced Care Management (ECM)

ECM is a whole-person approach to comprehensive care management that addresses the clinical and non-clinical needs of high-need, high-cost Medi-Cal managed care members,

including justice-involved individuals.

ECM Populations of Focus

ECM go-live will occur in stages, by Population of Focus.

Populations of Focus Go-Live Timing

1. Individuals and Families Experiencing Homelessness2. Adult High Utilizers3. Adults with Serious Mental Illness (SMI) / Substance Use

Disorder (SUD)4. Adults & Children/Youth Transitioning from Incarceration

(In WPC Pilot counties only, where the services providedin the Pilot are consistent with those described in theECM Contract)

January 2022 (WPC/HH counties); July 2022 (other counties)

4. Adults & Children/Youth Transitioning from Incarceration5. At Risk for Institutionalization and Eligible for LTC5. Nursing Facility Residents Transitioning to the Community

January 2023

7. Children / Youth Populations of Focus July 2023

Note: This timeline is simplified; more detailed timelines can be accessed here.

Key Planning Domains and Program Design Requirements for Justice-Involved Initiative

DHCS will work with stakeholders through a Justice Involved Advisory Group to resolve open policy questions, address operational issues, identify necessary IT systems changes

and financing to support these justice involved initiatives across numerous domains.

Domain 2: 90-Day Pre-release Services Delivery

Domain 1: Pre-Release Eligibility &

Enrollment

1.1Medi-Cal

Application/ Enrollment/ Suspension

1.2 Eligibility

Screening for Pre-Release

Services

2.1Pre-Release

Services Delivery Model

2.2 Provider Network

and Payment

2.3 Prescription

Drug Coverage

2.4Re-Entry Planning

DHCS will engage stakeholders throughout the policy design process across domains –including design of re-entry planning policies.

31

Justice-Involved Advisory Group

32

Advisory Group Key to Justice-Involved Initiatives Design

Sub-Workgroups

Overarching Objective

To solicit stakeholder input on policy and operational design of multiple justice-involved CalAIM initiatives

DHCS will also facilitate two sub-workgroups, including: • Medi-Cal Pre-Release Application Process Workgroup• 90 Days Services Pre-Release and Re-Entry Workgroup

Workgroup Logistics

• When: October 2021 – July 2023• Where: Sacramento (in-person) or virtually• Who: 40 – 50 Advisory Group members

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Discussion

Council Questions/Discussion

Public Comment

CCJBH Business Meeting

2021 Annual Legislative Report

Brenda GrealishExecutive Officer

2021 Annual Legislative Report• August: Recommendations were drafted for the CCJBH 2021

Annual Legislative Report and circulated for Councilmembers toreview and provide feedback.

• September: Recommendations were informed by discussion atthe Diversion/Reentry and Juvenile Justice Workgroups.

• October: Draft CCJBH 2021 Annual Legislative Report wascompleted and circulated with CDCR/CCHCS executives andCouncilmembers for review and feedback by October 27th.

VOTE #1Step 1: COUNCIL MOTION TO ADOPT THE 2021

ANNUAL CCJBH LEGISLATIVE REPORT AND RECOMMENDATIONS

Step 2: SECOND MOTION

Step 3: PUBLIC COMMENT

Step 4: ROLL CALL FOR A VOTE

VOTE #2Step 1: COUNCIL MOTION TO DELEGATE AUTHORITY

TO CCJBH EXECUTIVE OFFICER TO MAKE UPDATES TO THE REPORT IN ORDER TO MEET THE LEGISLATIVE MANDATE.

Step 2: SECOND MOTION

Step 3: PUBLIC COMMENT

Step 4: ROLL CALL FOR A VOTE

Next Steps:• Report to continue routing for approval.• Once approval is received, CCJBH staff will prepare the

report for submission to the Legislature.• Report deadline: December 29, 2021.

Future Council Meetings• AB- 361 Open meetings: state and local agencies:

teleconferences• AB 361 recently signed into law by the Governor. • This bill, until January 31, 2022, would authorize, subject to

specified notice and accessibility requirements, a state body to hold public meetings through teleconferencing and to make public meetings accessible telephonically, or otherwise electronically, to all members of the public seeking to observe and to address the state body.

• CCJBH will continue to meet virtually.

CCJBH Workgroup Updates

Juvenile JusticeUpdate Provided by:

Emily GrichuhinStaff Services Analyst

Council Advisors:Dr. Danitza PantojaChief Mack Jenkins

Juvenile Justice Workgroup• March: The focus of this meeting was on SB 823 and efforts by the Office

of Youth and Community Restoration, Board of State and Community Corrections and Chief Probation Officers of California.

• June: CCJBH hosted a panel discussing the impact of the COVID-19 Public Health Emergency on the Behavioral Health of Children/Youth Involved in the Juvenile Justice System.

• September: CCJBH staff provided an update on the Juvenile Justice Compendium and Toolkit Request for Proposal (RFP) and shared draft legislative report recommendations.

The 2021 Legislative Report Recommendations were informed by these workgroup discussions.

Juvenile Justice Compendium and Toolkit RFP• The RFP will provide a compilation of information that has

been shown to be effective in serving justice involved youth with serious behavioral health needs.

• The work done through the compendium and toolkit will complement and support the efforts of the Office of Youth and Community Restoration and serve as a key resource for SB 823 Juvenile Justice Realignment.

• The RFP posted to https://caleprocure.ca.gov on October 22, 2021 and will be available through November 18, 2021.

Diversion/ReentryUpdate Provided by:

Liz Castillon ViceStaff Services Manager II

Council Advisors:Chief Mack Jenkins

Dr. Tony HobsonJudge Stephen Manley

• March: A presentation from the California Health Facilities Financing Authority with a Community Services Infrastructure Grant Program Update and the SB 369 Veto Message Report.

• June: The Department of State Hospitals (DSH) presented an update on the DSH Diversion Program.

• September: CCJBH staff provided an update on the CSG Justice Center’s Diversion Technical Assistance Services contract and shared draft legislative report recommendations.

The 2021 Legislative Report Recommendations were informed by these workgroup discussions.

Diversion/Reentry Workgroup Update

SB 369 Veto Message Project

Brenda GrealishExecutive Officer

SB 369 Veto Message Project• The Governor’s veto of SB 369 required the California

Department of Corrections and Rehabilitation (CDCR) and the Council on Criminal Justice and Behavioral Health (CCJBH) to “engage with stakeholders, evaluate the barriers of reentry and determine what steps need to be taken to overcome those barriers.”

• To respond to this mandate, the SB 369 Veto Message Report was completed in August 2021.

• The CDCR/CCHCS Transition Team and CCJBH thank stakeholders for their engagement and feedback on drafts of the report. The final report is available on the CCJBH website.

Reducing Homelessness for

People with Behavioral Health Needs Leaving

Jails and Prisons

Liz Castillon Vice Staff Services Manager II

• CCJBH continues to collaborate with key partners to further efforts to study strategies to improve housing outcomes forindividuals in the intersection of criminal justice and behavioralhealth.

• CCJBH is working with the CSG Justice Center to implement the policy recommendations established in CSG’s report, ReducingHomelessness for People with Behavioral Health Needs Leaving Prisons and Jails.

• CCJBH, in partnership with the CSG Justice Center, hosted a Housing Report Launch event on August 18, 2021, and is now working to develop a webinar series on the recommendations.

Housing & Homelessness

• The CSG report recommendations are included in the HCFC Action Plan under “Activities Prioritized for Implementation.”

• HCFC committed to assessing the recommendations to identify priorities for actions to be taken in Fiscal Years (FYs) 2021-22 and 2022-23.

• CCJBH facilitated collaborative partnerships with the department of Housing and Community Development on their COVID-19 Rental Assistance Program (Housing Is Key), linking DAPO, Probation, and Medi-Cal partners in Managed Care and County Behavioral Health to information and resources related to the rental assistance application process.

Housing & Homelessness (Cont’d)

Mental Health Diversion

Liz Castillon ViceStaff Services Manager II

Mental Health DiversionThe Diversion Technical Assistance Services contract awarded to:

• The Council of State Governments (CSG) Justice Center.• The contract term is June 21, 2021, through June 30, 2022.• CSG will:

• Provide subject matter expert specialty consultation services and technical assistance to a minimum of 20 counties to enhance, sustain, and/or expand local capacity to successfully implement mental health diversion.

Mental Health Diversion (con’t)• Participate and facilitate a portion of 12 collaboration

meetings to assess what is working (or not) within local diversion systems and examine impacts of COVID-19 on diversion efforts.

• Prepare a final report reflecting a proposed set of policy recommendations that identify next steps to support best practices statewide.

Medi-Cal Utilization Project

Brenda GrealishExecutive Officer

CDCR-DHCS Medi-Cal Utilization Project • Data analysis on the following metrics has been conducted for

individuals transitioning from incarceration in FY 2017-18:• Medi-Cal Enrollment• Medi-Cal Managed Care Plan Enrollment• Mental Health (Non-Specialty and Specialty) Service Utilization• Substance Use Disorder Treatment Utilization

• Because of reporting lag, the impact of recent initiatives (e.g., Integrated Substance Use Disorder Treatment Program) is not reflected in these findings. Other initiatives (e.g., Drug Medi-Cal Organized Delivery System) may not be reflected.

• Statewide reporting on these metrics has been included in the 2021 CCJBH Annual Legislative Report.

Public Health Meets Public Safety

Jessica Camacho DuranHealth Program Specialist II

Public Health Meets Public Safety (PHMPS)• CCJBH staff continue to meet with CSG on a bi-monthly basis

and quarterly with the LEP Advisory Team to provide project updates.

• Upcoming activities:• November 2021: Focus Groups with Individuals with lived experience

• December 2021: Develop Framework

• March 2022: Complete Data Dashboards

• May 2022: Development of Policy Briefs

• June 2022: Develop Future Strategy

Lived Experience Projects

Jessica Camacho DuranHealth Program Specialist II

Regional Lived Experience Project Updates • Through a competitive process, CCJBH awarded three-year

contracts to support Cal Voices, the Anti-Recidivism Coalition (ARC), the Transitions Clinic Network (TCN), and the LA Regional Reentry Partners (LARRP).

• Each contractor is implementing unique projects that include individuals with lived experience to help reduce justice involvement of individuals with behavioral health needs.

• Year 1 of the project ended on June 30, 2021.

Regional Lived Experience Project Updates• Revision of LEP project work plans was successfully

completed on July 30, 2021.• The LEP contractors participated in the LEP Advisory

Team meeting to discuss upcoming PHMPS focus groups.

• The LEP contractors also participated and assisted with collecting stakeholder feedback for the Senate Bill 369 Veto Message Project.

Regional Lived Experience Project Updates • ARC (Central Region): The policy team participated in

Gratitude Tour to discuss policy priorities for the remainder of this year and continues to provide workshops, trainings, and services to clients.

• Cal Voices (Superior and Southern Regions): Hosted a series of roundtables with stakeholders, developed educational materials, and worked on introducing the program using social media

Regional Lived Experience Project Updates • TCN (Bay Area Region): Identified focus for videos will

highlight the experiences of individuals who have behavioral health needs and are justice involved.

• LAARP (LA Region): Launched a second cohort of LEADERS. The leaders will be working on issues related to education, integrated health, and employment of individuals with LE.

CSUS Project Update • The California State University Sacramento (CSUS)

Project completed the report on Successful Approach To Employing Individuals With Lived Experience In The Criminal Justice And Behavioral Health Fields.

• Based on the findings and recommendations of this report, on September 13, 2021, CSUS staff facilitated the Lived Experience Hiring Solutions Workshop to identify potential solutions to hiring and integrating individuals with LE in the workforce.

• Upcoming activity: CSUS staff will be developing a report on the findings and recommendations for the Lived Experience Hiring Solutions Workshop (November 2021).

Forensic Peer Support Specialist

Report

Jessica Camacho DuranHealth Program Specialist II

Forensic Peer Support (FPS) Specialty• CCJBH continues to work on a report in favor of an FPS

specialty.• CCJBH has participated in listening sessions convened by the

MHSOAC Client and Family Leadership Subcommittee and CalMHSA.

• Upcoming activities: • With the support of CSUS staff, CCJBH is planning focus groups to

engage stakeholders to gather feedback on the CCJBH FPS recommendations report (currently being drafted).

CCJBH’s Efforts to Honor Suicide

Prevention Month and Recovery Awareness

Month

Liz Castillon ViceStaff Services Manager II

During the month of September, the CCJBH team hosted activities for Suicide Prevention Awareness for the Month and Recovery Awareness Month.

• Suicide Prevention Awareness Week: CCJBH highlighted a week of awareness, which took place September 6th – 10th.

• Recovery Awareness: For the remainder of the month, CCJBH hostedweekly informational webinars featuring individuals with lived experience, community programs, county partners and CDCR/CCHCS programs and projects, and disseminated resources throughout the month.

Recovery and Suicide Prevention Month

Legislation and Budget Summary

Liz Castillon ViceStaff Services Manager II

Legislation of Interest• The CA Legislature will reconvene on January 3, 2022.• The last day for the Governor to sign or veto bills for this

session was on October 10, 2021.• CCJBH monitored the progress of 62 bills related to:

• Homelessness• Behavioral Health Crisis Funding• Mental Health Services for foster youth and justice-involved

juveniles and adults• Workforce Development• Medi-Cal Eligibility

Legislation of Interest (con't)• The Governor signed 26 bills and vetoed 6 of the 62 bills that

CCJBH monitored. • The remaining bills were defeated, became law without the

Governor’s signature or will be readdressed in the upcoming 2022 Session.

• For a complete list of the 62 bills tracked by CCJBH for the 2021 Session of the Legislature, please visit our website at CCJBH Legislation Update.

Budget FY 2021-22• The FY 2021-22 State Budget of $262.6 billion

($196.4 General Fund) was enacted on June 28, 2021.• To view CCJBH's FY 2021-22 Budget Summary, visit our website.

Note: CCJBH received no new funding in the FY 2021-22 State Budget.

CCJBH Bi-Monthly Newsletter

Emily GrichuhinStaff Services Analyst

CCJBH Bi-Monthly Newsletter• Newsletters focus on CCJBH project updates,

announcements, upcoming Full Council and Workgroup Meeting dates, legislative updates, and upcoming events.

• CCJBH has produced newsletters in May, July, and September 2021, and is in the process of creating a newsletter that will be posted in late-November 2021.

• An archive of CCJBH’s past newsletters can be found on our website under News and Events.

Announcements

USICH Listening SessionWednesday, November 3, 2021 11:00 AM-12:00PM

Juvenile Justice Workgroup*This workgroup will not convene in November and will announce 2022

meeting dates at the December 10th Full Council Meeting.Diversion/Reentry Workgroup

Friday, November 19, 2021 1:00-3:00PMFull Council Meeting

Friday, December 10, 2021 2:00-4:30PM

THANK YOU FOR YOUR PARTICIPATION!

Upcoming Meetings