Steering Committee

Friday, April 27, 2007

10-1 pm

Roseville

• Welcome & Introductions– Voice from community– Time and location for future meetings

• Review of Campaign for Community Wellness

• MHSA Plan and report update

• What more needs to be done– Decision for CSS dollars

Agenda

Steering Committee Meeting time and location

Who is missing today?

What time works best?

Suggested locations?

Integrating. Coordinating. Collaborating.

Campaign for Community Wellness

Coordination

Transformation

Consumer Voice

Underserved

Awareness

Campaign for Community Wellness

Approaches– Co-occurring competence– Client/family centered– Recovery-oriented – Cultural competence– Collaborative

Reduce StigmaRecovery FocusedImproved Outcomes

Campaign for Community Wellness

Campaign for Community Wellness

Integrated approachShared resourcesCollective outreachImproved service deliverySystem transformation

CommunityConsumersCBO, Faith

Gov’t, Service

MHSASAMHSA

$2.2m$1.4m

Community Services & Supports funds

Campaign for Community Wellness-Phase I

CrisisTriage

Steering Committee

Transition AgeYouth

AdultOlder Adult

Lake Tahoe

Children

SystemChange

Co-occurring/Cultural Comp.

Children, Youth, Adults, Older AdultsLatino, TAY, Native American

Voice MH BoardVoice/Direction

System Transformation

Full-servicePartnerships

Youth Consumer Family

Elements of the Campaign

Severely Emotionally DisturbedSevere Mental Illness

Mental Health Services Act

Implementation Progress Report

Feb. – Dec. 2006

Comments

Report Distribution Process

• Date published – 4/18• English and Spanish version• Posted on

– Placer County website– Sent to

• Copies to: Libraries, cities, private providers, Family Resource Centers, Welcome Center

• Families, consumers, partners, client council• Placer Collaborative Network, Board of

Supervisors, City Council members• All local papers

• Press release submitted

Report Highlights

Rally Around Families Together (Children)– SMI children at risk of out-of-home placement

– 5 of 18 slots filled

Placer Transition Age Youth (16-17)– Most at risk due to SMI, history of hospitalization, out-

of-home placement, co-occurring substance abuse, or incarceration

– 13 of 22 slots filled

– Those less at risk receive case management and referral services

Transition AgeYouth

AdultOlder Adult ChildrenFull-servicePartnerships

Report Highlights

Whatever It Takes Team (Adults)– Living in locked setting, or frequently hospitalized

– Incarcerated

– All 24 slots filled

Older Adult Full Service Partnership– Support to live independently

– 3 of 22 slots filled, slow to start due to staff recruiting

Transition AgeYouth

AdultOlder Adult ChildrenFull-servicePartnerships

Report HighlightsCrisisTriage

Lake TahoeSystemChange

Co-occurring/Cultural Comp.

System Transformation

System Transformation– Improving system capabilities for those with mental illness

& substance abuse

– Resiliency and recovery-oriented, culturally competent

– Consumer Council and Welcome Center

– Increased outreach to Latino and Native American communities

– Hiring of consumer and family members

Report Highlights

Crisis Triage– Crisis response teams now in place

– Same day, next day• More immediate, short-term crisis resolution• Goal to reduce hospitalizations

Lake Tahoe System Development– Improve access to culturally competent care in Lake

Tahoe

– Hiring of bilingual/bicultural staff

– Partnership with FRC staff for more outreach

– Coordination of services

CrisisTriage

Lake TahoeSystemChange

Co-occurring/Cultural Comp.

System Transformation

Key Accomplishments to Date

• One of the first County’s to be up and running with MHSA funds

• Reduced number of adults living in locked institutions 33%

• Welcome Center averages 50 visitors a day• Integrating with other initiatives (SAMSHA)• Same day/next day – immediate response

– # (report)• Consumers hired # • Established Native American Council• Established a local private Board and Care to

provide appropriate housing

Lessons Learned

Adult Full-Service Partnership• Slots filled from locked institutions

• Need to outreach and fill slots for Latino, Native American and forensic population

Latino and Native American populations• Increased bilingual/bicultural staff

• Now have Native American Council

• Need to work on building outreach capacity to Latino Community

Lessons Learned

Crisis Triage• Have had wait times for services-improve

access to services and decrease wait time

Tahoe• Not getting comprehensive services due to

geographic challenges

Discussion Around Year 1 Progress

Questions

Comments

What More Needs to be Done?

Recommendation for CSS funding

Factors To Consider

• Governor’s proposal to eliminate Funding for Homeless Program (AB 2034)

• System transformation of core services is limited by resource challenges

• At least 51% of total funds need to go to full-service partnership

CrisisTriage

Steering Committee

Transition AgeYouth

AdultOlder Adult

Lake Tahoe

Children

SystemChange

Co-occurring/Cultural Comp.

SED,SMI Children, Youth & Adults, O.AdultsLatino, TAY, Native American

Voice MH BoardVoice/Direction

System Transformation

Full-servicePartnerships

Youth Consumer Family

Recommendations for Additional CSS funds of $881,000

Homeless

Contingency Plan

If the governor eliminates AB 2034 funding we recommend targeting the homeless population with the new monies

Homeless100%

If AB2034 is maintained . . .

Recommendations - Detail

VoiceYouth Consumer Family

CrisisTriage

Greater outreach to the underserved (building team)

Improve access & urgent services Psychologist and psychiatrist consultation for primary care

Double adult full-service partnership slots (24 more) for underserved populations (Latino, Native American, forensic)

Adult40%

Lake Tahoe Expand full-service partnership geographically

25%

20%

15%

Discussion

Questions

Individual and Group work

• Recommendations for $881,000

Steering Committee Timeline

April May June July

Meeting 4/27 Overview workforce $’sMeeting timeCSS Decision

If no decision

•Ad hoc meetings for Education/Training input

Mental Health Day volunteers

Formal Steering Committee meeting

Meeting: Date?

Overview of PE/I & Housing $’s

Education/Training Funding Decision

CSS $’s arrive

Aug.

Public Postings & Approvals

Send CSS decision to State for approval 6/15

June April May July

Post MHSA report 4/18

Mental Health Board meeting 5/21(1 week to get report comments in)

CSS decision operationalized & posted 5/15

Educ./Training decision operationalized & posted

Aug.

Send Educ./Training decision to State

Next Steps

• May & June Meeting – Time & location

• Public Hearing on MHSA Report: May 21, 2007

• Planning for Recommendations on Education/Training funding

Information Page

• Questions: Michele Zavoras– Mzavoras@placer.ca.gov

– Phone –530-889-7244

• Website: http://www.placer.ca.gov/hhs

/adult/MHSA.aspx

End of Presentation

Following slides are to support handouts

New CSS Funding Guidelines

Education & Training

CommunityService & Supports

Guidelines published

Early Intervention &

Prevention

No guidelines yetLimited Information

Phase 1$2.2M for 3 years

New money: + $881KTechnology

Education & Training

Housing

InnovativePrograms

MHSA Funding Plans (6)

Overview: Workforce Education & Training

• Training– Staff support consistent with MHSA principles– Mental Health Career Pathway programs targeting

consumers and family members

• Residency and internship programs – Attract licensed providers

• Financial incentives – For current and prospective public mental health

employees – For degrees and licenses with emphasis on

developing a more culturally diverse workforce