Mental Health Services Act Update

October 11, 2007

Stephanie Welch, MSW

Associate Director, MHSA

MHSA Report Outline

Status of One-Time CSS Expansion Funds

Transition in the wake of the elimination of the AB 2034 program

Outcomes from September Oversight and Accountability Commission (OAC) Meeting

Update on Components

Fiscal Report – CMHDA’s Recommendations for Component Funding

One-Time CSS Expansionfor FY 07-08

DMH Information Notice expected by 10/12/07 (Similar to 06-15)

Planning estimates based on recommendations from the CMHDA distribution workgroup

Recommendations acknowledge recent shifts in available resources at the local level due to the elimination of AB 2034 funds

“No county (or city) which previously had received funds for the AB 2034 program should receive more or less of the new CSS one-time funds than it received in the previous fiscal year for the former AB 2034 program, and that non-AB 2034 counties should receive the remainder of the funding based on previously agreed-upon distribution formulas.”

One-Time CSS Expansionfor FY 07-08

Funds to be used for program expansion or new programs.

Program expansion process for CSS requires 30 day public notice but not full stakeholder process like with a new program

Funds are subject to the 3-year reversion rule beginning the date of the release of the funds

TA from CMHDA/CIMH on transition issues will be available by end of October/Early November. This will include fiscal and program support.

Advocates Proceed with Lawsuit on AB 2034 Cut

Advocates sent a demand letter 10/9/07, seeking an immediate restoration of funding for AB 2034

Plaintiffs include: The Mental Health Association in California, The CA Network of Mental Health Clients, and NAMI-California.

MH Advocates currently looking for individual plaintiffs in various counties.

Report from the Oversight and Accountability Commission

(OAC)

September 2007 Meeting

OAC Issues

Prevention and Early Intervention:

Approved: Interim plan review process and tool for PEI planning funds

• Copies of Review Tool and CMHDA Letter to OAC in packets

• This should result in planning funds being approved in a timely manner

OAC Issues

Approved: $60 million in statewide PEI funds for the Student Mental Health Initiative (SMHI)

• Higher Education emphasis will be on training programs, peer support, and suicide prevention.

• K-12 emphasis will be on creating a comprehensive

student mental health program. • Program will take place over 4 years. Aim is start

date of July 1, 2008.

OAC Issues

Discussion Issues Overall Plan Review Process:• Debate over roll of OAC commissioners in process –

DO they set criteria for review or actually review with staff and expert stakeholders?

• Concern over role of “expert” stakeholders, including selection

• Issue will be revisited during November Meeting.

OAC Issues

PEI Plan Review Tool: Initial Discussion. OAC staff is working collaboratively

with CMHDA and PEI committee to make improvements to the tool to be more objective and anchored to guidelines.

CMHDA exploring possibility of alternative tool to review small county plans due to exemptions

OAC staff will collaborate closely with DMH staff & other stakeholders to improve tool

OAC Issues

OAC in State of Change: • Looking for Executive Director• Senator Steinberg becoming Chair Emeritus• New Chair January 2008• 5 new commissioners, 3 more terms expiring

January 08’• Temporary commitment to “try” to meet

monthly due to PEI and Innovation Plans.

CSS/MHSA Housing

PEI

WET

Capital Facilities and IT

Component Update

Community Services and Supports

FY 07/08 Planning Estimates Total $454 million

$64 million in one-time expansion funds to be released through DMH info-notice expected to be posted by 10/12/07

Roughly $100 million will be growth for 08/09 planning estimates (more in fiscal report)

Community Services and Supports

• New sub-agreement expected by end of October. They will be rolled out county by county as they are completed

• CMHDA’s goal is fiscal simplification for plan submittal and amendments that support counties accessing their entire planning estimate if they develop an approvable plan

• One-time CSS fund expansion can use sub-agreement to apply for funds

Community Services and SupportsMHSA Housing Program

Application posted 8/6/07

CMHDA voted to approve the DMH proposal to distribute $400 million over the course of 3 ½ years in March 2007.

Funds will be released when application is approved, there is no application deadline

Regulations are being developed, expected at end of 2007

DMH staff are seeking feedback from counties regarding when they might be ready to submit applications

TA to develop applications with appropriate partners is being offered by DMH and CalHFA.

Community Services and SupportsMHSA Housing Program

CMHDA Housing Workgroup:

Working with DMH staff to address duplicative housing outcome data collection.

Housing outcomes should be streamlined with other DMH efforts under the accountability framework being developed.

Issue should be taken to the evaluation coordination committee which will be meeting this fall and include CMHDA representation.

Prevention and Early Intervention

Final Proposed Guidelines Posted 9/26/07

Small County Exemptions: 1. Do NOT need to have 51% of program funds dedicated to 0-25 age range2. Do NOT have to address ALL age groups3. Incentives to support participation in statewide evaluation (other possible modifications being explored to ease administrative burden)

PEI Community Planning Funds Total $25 million, see DMH info-Notice 06-17.

Interim Review Process and Tool Approved by OACCounties can submit requests for planning funds

CIMH/DMH offering TA Webcast aimed at staff responsible for submitting plans on 10/22 and repeated on 11/2. See materials for information on how to sign up

Prevention and Early Intervention

PEI Planning Estimates: Community Services07/08 = $90 million and 08/09 = $192 million

State-Administered (through 09)$245 million to be expended over four years• $57 million for Suicide Prevention• $80 million for Stigma and Discrimination Reduction• $60 million for Ethnic and Culturally Specific Programs• $48 million for Training/TA/ Capacity Building

* 18.9 million for PEI Innovation • (OAC to recommend and approve principles in Nov. 2007)

Prevention and Early Intervention

State-Administered & Statewide Projects:

Criteria developed by CMHDA has been edited and will be vetted by Government Partners 10/15/07.

Proposed roles, responsibilities and timelines for all state administered projects are currently under discussion

Recommendations will be brought to CMHDA (and other Government Partners including OAC) in November.

Statewide Suicide Prevention Plan

Draft recommendations from advisory group posted September

Strategic plan is successfully inclusive of multiple perspectives and contains information to guide solid recommendations for action

Remain concerned about how plan will dovetail local county PEI plans and other statewide efforts (SMHI, Stigma and Discrimination Reduction, & Ethnically and Culturally Specific Programs and Interventions).

Next steps: Incorporate public input and produce final draft for OAC in Jan. 08’, submit to Governor May 08’

Workforce Education and Training

Proposed guidelines posted July 2007

Roughly 35 WET early implementation plans have been approved by DMH. ($15 million)

State is projecting that most counties will submit WET plan by spring of 08’ with first round of plans submitted in early 08’

No plans have been submitted to date

Workforce Education and Training

Current State-Administered Projects w/ Green LightRegional Partnership Staffing Structure:

5 CMHDA regional chairs can submit a letter to DMH = RFPRegions can subdivideEach regional partnership will get $500,000.00 annually until the statewide $$$ runs out and/or some other funding mechanism is established by county choice.

Consumer and Family Technical Assistance Center: RFP currently in process. It will likely be one contract for 800,000 annually that will consist of numerous sub-contractors (NAMI, CNMHC, etc)

CalSWEC: 07/08 Stipend delayed due to contracting problem. CMHDA has expressed support

of program and is seeking solutions so that current year stipends can get to students by Dec. 4th 2007. DMH notes problem is only a one-time situation.

Workforce Education and Training

Upcoming Issues for CMHDA:

Loan Assumption Program - Official start date is projected at July 1, 2008Remaining task for counties is to create a local decision making process regarding who to chose for loan assumption program.

Offer input on review process and tools for WET Plans

Address concerns about the accountability/evaluation of WET projects

Identify what WET projects are best administered at the state vs. county level and future of WET after 09’

Capital Facilities and IT

Final proposed guidelines are expected by the end of October

Gift of Public Funds: CMHDA has an opinion from CSAC which uses case law to support their opinion that there is no constitutional violation if a county partners with a private non-profit entity to expend MHSA funds on capital and IT needs.

IT committee chairs were active in offering comments to DMH, including securing specific exemptions for small counties in area of reporting requirements and other modifications.

Fiscal Report

CMHDA’sRecommendations for Component

Funding Levels

Purpose and Process

Government Partners have created a fiscal subcommittee that CMHDA participates in

Purpose is to act as a technical workgroup to make recommendations regarding commitment of MHSA local assistance funding

This group will meet to accomplish this task at the beginning of the fiscal year (July 1) and as needed to review proposals for state-administered projects

Capital Facilities and IT: No commitment to state-administered projects.

Add the $42.3 million in 07/08 funds already received to the $302.7 million in unreserved funds collected through 06/07.

Total = $345 million in the 07/08 planning estimate.

Recommendations for Component Funding Levels

Recommendations for Component Funding Levels

Workforce, Education and Training:

No commitment to additional state-administered projects.

Make the $102.7 million in unreserved funds collected through 06/07available to counties now by adding it to the 07/08 planning estimates.

Total = $202.7 million in local planning estimates through 07/08.

Recommendations for Component Funding Levels

Community Services and Supports: Add $35.7 million currently reserved for a

State prudent reserve from 05/06 revenues and the $64.4 million unreserved funds to the $453.8 million 07/08 planning estimate

Total = $553.9 million for 08/09 planning estimate. (100 million in CSS growth)

Note: the 64.4 million listed above is in addition to the 64 million in unspent state administrative dollars used as a one-time CSS expansion in funding for 07-08 planning estimates. The dollar amount happens to be the same but these are two different sources of funding. The above number is reference to 08/09 planning estimates