+

Placer MHSA Integrated 3 Year Planning—Further Conversations

July 1, 2014- June 31,2017

The Big Picture… Review MHSA planning

efforts

MHSA Planning timeline

Existing Programs Recommended Process Decisional

New Programs (unspent $)Process Recommendations from

Leadership Committee

Innovation brief

Next Steps

+Review of Planning Elements & Requirements

3-year plan (2014 – 2017)

Based on unspent funds + estimated revenues from State

Stakeholder process Representatives from the County’s constituency groups

(CCW Steering) Involvement in: mental health policy, program planning &

implementation, monitoring, quality improvement, evaluation & budget allocations

Draft plan circulated for 30 days for public comment (Summer/Fall 2013)

Review of Campaign Structure

Four committees/Representatives: Promote Mental Health Awareness – Anno Nakai Outreach and Stigma Reduction—Jennifer Price MHSA Implementation – Janice Leroux Workforce, Education and Training(WET)—Sandy Cretney 2 Mental Health Authority Reps. – Maureen Bauman and

Richard Knecht Campaign Facilitators—Katrina Moser/Christi Meng

Leadership Team: Decisional Team, based on input and guidance from this CCW Steering committee

Current Process and Timeline

Target Pop.+ Outcomes

Outcomes&Target Pops.

Strategies &Programs Draft

Plan

Steering Ideas

Asset mapping

Target Pops served

Outcomes Recomm.

Recommended programs

Staff mapsTo Budget

Eval.Current

Programs

Steering Rec.

Leadership Team decisional

Gaps

AprilMarchDec.

Aug

Oct. 2013

Framework For Priorities

(GAPS)

July

Asset Map For Review

Process Decisions

Funding strategies

Sept.

Input on gap tool

Innovation+

Planning

May/June

+Review of Funding Dynamics

Review of Current MHSA Elements

CommunityServices & Supports

Prevention & Early

InterventionInnovation

WET

Cap Fac. & Tech

Full Service Prt.

Systems Transf.

Crisis Triage

Lake Tahoe

Ready for Success

Bridges to Wellness

Bye Bye Blues

West Slope(PCF)

Tahoe(TTCF)

5 Large Projects

Housing

OngoingOngoing One-Time75% 20% 5%

Forecast MHSA Dollars

State Forecast of Dollars – March 4, 2013

Placer – Revised Forecast of Dollars (including current unspent)

2011

/201

2

2012

/201

3

2013

/201

4

2014

/201

5

2015

/201

6

2016

/201

7

2017

/201

8$0

$2,000,000

$4,000,000

$6,000,000

$8,000,000

$10,000,000

$12,000,000MHSA Funds

MHSA Program Run Rate

+Process to update MHSA plan and fund ongoing programs

Decision Required

Results inform the new MHSA Plan

Current Programs Process Requesting Approval

All Current

Programs

Meet State GuidelinesAnd County Outcomes ?

RecommendPrograms (At

existing Funded levels)

CCW SteeringReview

YES

CCW Leadership

(Final Decision)

Draft MHSA Plan

RFP after planIs approved

MHSA Eval Team

Programs needing more $’s would apply separately for unspent funds.

Include WET

Recommendation: WET to be included in ongoing CSS program expenses.Ongoing programs will receive 7% COLA next year and 2% annual increase therafter.

Contract DeliverablesOutcomes (qualitative and quant.)

YES

+

“Unspent Funds” Recommendations

1) Funding Allocations2) Process for Decision-making

Results inform the Annual Plan Update

CCW Leadership Committee Recommendations for “unspent” dollars

Support programs for six years It’s a sustainable time frame Higher level first 3 yrs. Lower level next 3 yrs

Include incentives for agencies that leverage other dollars—TBD

Consider Current Programs for Expansion

$1.5m one-time capital facilities and/or housing dollars

Leadership Committee Recommendations for “unspent” funds

“Prudent Use” of the Prudent Reserve

Use MHSA Evaluation team to Review Current Programs basic outcomes

RFP recommendations to formulate in Leadership team or via Contingency Review Panel

Contingency: Volunteer Panel

REVISED Placer Forecast of Unspent Dollars (in millions)

Revision: CSS ongoing expenses to include WET program.

2012

...

2013

...

2014

...

2015

...

2016

...

2017

...

-2.00

0.00

2.00

4.00

6.00

8.00

10.00

CSSPEIINNCap. FacWET

REVISED Placer Forecast of Unspent Dollars (in millions)

Revision: CSS now includes WET expenses.Summary: CSS Total 12/13 – 15/16 = $8.94m, shortfall 16/17 – 18/19 = $500kPEI Total 12/13-18/19 = $5.66m

12/13 13/14 14/15 15/16 16/17 17/18 18/19

CSS 8.93 0.91 0.50 0.10 -0.02 -0.15 -0.29

PEI 3.06 0.56 0.52 0.42 0.39 0.37 0.34

INN 0.88 -0.31 0.00 0.00 0.00 0.00 0.00

Cap. Fac 0.50 0.00 0.00 0.00 0.00 0.00 0.00

WET 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Recommended Allocation Unspent Dollars (in millions)

Allocates more dollars in first three years and slightly less remaining three years

Requirements: CSS 51% or > to FSP and PEI 51% or > to 0-24 yrs. old.

5% to innovation programs

$1.5 million for capital facilities/housing can occur within 10 yr timeframe.

2013/2014 2014/2015 2015/2016 2016/2017 2017/2018 2018/20190.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

WETCap. FacINNPEICSS

Recommended Funding Allocation of Unspent Funds Across Program Areas

Allocated across 6 yrs with first 3 yrs. at a higher level, second 3 yrs. slightly lower.

2012/2013 2013/2014 2014/2015 2015/2016 2016/2017 2017/2018 2018/2019

CSS 0.00 1.54 1.54 1.54 1.24 1.24 1.24

PEI 0.00 1.10 1.10 1.10 0.78 0.78 0.78

INN 0.29 0.29 0.29 0.00 0.00 0.00 0.00

Cap. Fac 0.25 0.25 0.00 1.50 0.00 0.00 0.00

WET 0.00 0.00 0.00 0.00 0.00 0.00 0.00

New Program Selection Process --Simplified

MHSA EvaluationCommittee

Request for Proposal

CCW Steering

CCW Leadership

Annual Plan

Update

Program identification

Process

• Gap ideas• Asset map• Funding allocations

Program Strategies

MHSA Criteria

• CSS: 51% > FSP• PEI: 51% > 0 – 24yrs.

• Fallback: volunteer committee

• Outcomes• Target pops.

Innovation

Start conversation next month

Review MHSA criteria

What gap or focus do we want to consider?

Funding level $400 - $450k per year

Funding period: Three-year time frame

Next Steps

Update from today’s meeting

Continue MHSA planning update process

Innovation process discussion Review Program Learning and

strategies conversation