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1 Santa Clara County Santa Clara County 2 2 nd nd Stakeholder Meeting Stakeholder Meeting Mental Health Services Act Mental Health Services Act Department of Mental Health February 25, 2005 February 25, 2005

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Page 1: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Santa Clara CountySanta Clara County22ndnd Stakeholder Meeting Stakeholder Meeting

Mental Health Services Mental Health Services ActAct

Department of Mental Health

February 25, 2005February 25, 2005

Page 2: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Meeting ObjectivesMeeting Objectives

Inform Stakeholders of Work to Date on MHSA

Overview of Planning Process & Timeline

Obtain Stakeholder Input to Community Engagement and Stakeholder Training Needs

Launch Assessment PhaseLaunch Assessment Phase

Page 3: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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AgendaAgenda1.1. Welcome & Agenda ReviewWelcome & Agenda Review

2.2. Introduction of MIG ConsultantsIntroduction of MIG Consultants

3.3. Recap Kickoff Meeting & Summary of Recap Kickoff Meeting & Summary of

Stakeholder InputStakeholder Input

4.4. Approach to Assessment PhaseApproach to Assessment Phase

5.5. Planning Timeline & MilestonesPlanning Timeline & Milestones

6.6. Stakeholder Input Next Steps and Stakeholder Input Next Steps and

ClosureClosure

Page 4: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Recap of Kickoff Recap of Kickoff MeetingMeeting

Page 5: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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MHSA FundingMHSA Funding

1% tax on taxable personal income over $1 million to 1% tax on taxable personal income over $1 million to be deposited into a Mental Health Services Fund be deposited into a Mental Health Services Fund (MHSF) in State Treasury(MHSF) in State Treasury

Administered by State Department of Mental HealthAdministered by State Department of Mental Health

Oversight by 16-Member Accountability CommissionOversight by 16-Member Accountability Commission

Distributed to Counties Via Current State-County Distributed to Counties Via Current State-County ContractContract

$300 Million in FY05; $700 Million Est. in FY06$300 Million in FY05; $700 Million Est. in FY06

Is used to expand, not supplant services; can Is used to expand, not supplant services; can “not be “not be used to supplant existing state or county funds used to supplant existing state or county funds utilized to provide mental health services.”utilized to provide mental health services.”

Page 6: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Nine Categories of Nine Categories of ExpendituresExpenditures

1.1. Local PlanningLocal Planning

2.2. Services to ChildrenServices to Children

3.3. Services to Adults & Older Adults Services to Adults & Older Adults

4.4. Innovative Programs (within 1&2)Innovative Programs (within 1&2)

5.5. Prevention and Early InterventionPrevention and Early Intervention

6.6. Education and TrainingEducation and Training

7.7. Capital and Technology DevelopmentCapital and Technology Development

8.8. State Planning and AdministrationState Planning and Administration

9.9. Prudent Local ReservesPrudent Local Reserves

Page 7: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Initial Funding FY04-08Initial Funding FY04-08 FY04-05 funds (est. $300 Million)FY04-05 funds (est. $300 Million)

45% - Education and Training (DMH fund)45% - Education and Training (DMH fund) 45% - Capital Facilities Technology (DMH fund)45% - Capital Facilities Technology (DMH fund) 5% - Local Planning (to counties)5% - Local Planning (to counties) 5% - State Implementation (to DMH Admin)5% - State Implementation (to DMH Admin)..

FY06, FY07 and FY08 (est. $600 – 700 FY06, FY07 and FY08 (est. $600 – 700 Million)Million)

10% - Education & Training10% - Education & Training10% - Capital and Technology 10% - Capital and Technology 50% - Children, Adult, Senior Services50% - Children, Adult, Senior Services 5% - Innovative Programs5% - Innovative Programs20% - Prevention and Early Intervention20% - Prevention and Early Intervention 5% - State Administration5% - State Administration

Page 8: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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SCC Planning ProcessSCC Planning Process Monthly Stakeholder Leadership Monthly Stakeholder Leadership

Meetings for:Meetings for:• Information and Status ReportsInformation and Status Reports• Input from Broad CommunityInput from Broad Community• Readiness ForumsReadiness Forums

Work Group Meetings:Work Group Meetings:•Child, Adolescent, Young Adult SOCChild, Adolescent, Young Adult SOC•Adult and Older Adult SOCAdult and Older Adult SOC•Prevention and Early InterventionPrevention and Early Intervention•Data, Infrastructure and Human Data, Infrastructure and Human

ResourcesResources

Regular Reports Board and Board Regular Reports Board and Board Committees and Mental Health BoardCommittees and Mental Health Board

Page 9: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Board of Supervisors

State Dept. ofMental Health

BOS Committees(HHC, CSFC, PSJC)

County ExecutiveSCVHHS Exec. Dir

MHSA StakeholderLeadership Committee

Data, Technology,

Budget Work Group

Prevention & Early

InterventionWork Group

Children’s System of Care Work

Work Group

Adult/Older Adult

System of Care Work Group

Community Stakeholder Forums, Focus Groups, and Consumer Engagement Groups

Cultural Competency Readiness Forums Recovery/Self Help Readiness Forums

FocusGroup

FocusGroup

FocusGroup

FocusGroup

FocusGroup

Accountability Commission

Mental Health Board

Project Management

Team

Santa Clara CountyMHSA Planning

Structure

Page 10: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Local Planning ProcessLocal Planning ProcessPartial List of StakeholdersPartial List of Stakeholders

• Mental Health Department (chair)Mental Health Department (chair)

• County Executive’s Office (co-chair)County Executive’s Office (co-chair)

• Mental Health Board (co-chair)Mental Health Board (co-chair)

• Mental Health Self-Help Centers Mental Health Self-Help Centers

• MHD Office of Consumer MHD Office of Consumer Empowerment Empowerment

• National Alliance for the Mentally Ill National Alliance for the Mentally Ill

• Association of Mental Health Association of Mental Health Contract Agencies Contract Agencies

• Non-AMHCA mental health providersNon-AMHCA mental health providers

• Labor OrganizationsLabor Organizations

• Foster Care Association Foster Care Association

• Parents Helping Parents Parents Helping Parents

• Department of Alcohol and Drug Department of Alcohol and Drug Services Services

• Public Health Department Public Health Department

• VMC Acute Psychiatric Services VMC Acute Psychiatric Services

• Custody Health ServicesCustody Health Services

• Valley Medical Center Valley Medical Center

• Office of the Public GuardianOffice of the Public Guardian

• Police Chief Association Police Chief Association

• SCC Sheriff SCC Sheriff

• Department of Social Services Department of Social Services

• Probation Department Probation Department

• Superior Court Superior Court

• District Attorney’s Office District Attorney’s Office

• Public Defender’s Office Public Defender’s Office

• County Office of Education County Office of Education

• School District Superintendents School District Superintendents

• First Five Commission First Five Commission

• Council on Aging Council on Aging

• Office of Affordable Housing Office of Affordable Housing

• Domestic Violence Council Domestic Violence Council

• School Linked Services School Linked Services

• United Way United Way

• Interfaith Council Interfaith Council

• Silicon Valley Council of Non-Silicon Valley Council of Non-profitsprofits

• San Andreas Regional CenterSan Andreas Regional Center

Page 11: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Planning PhasesPlanning Phases Engagement and CommitmentEngagement and Commitment

Invite Stakeholder InvolvementInvite Stakeholder Involvement Share Intent and VisionShare Intent and Vision Lay Out Planning LandscapeLay Out Planning Landscape

Learning and AssessmentLearning and Assessment Learn Current SystemLearn Current System Learn Needs of Consumers, Stakeholders, CommunityLearn Needs of Consumers, Stakeholders, Community Learn Best Practice Strategies to Meet NeedsLearn Best Practice Strategies to Meet Needs

Prioritization and PlanningPrioritization and Planning Establish Local Mission, Values & Transformation Establish Local Mission, Values & Transformation

ObjectivesObjectives Prioritize Local NeedsPrioritize Local Needs Select Most Effective Strategies to Meet Local NeedsSelect Most Effective Strategies to Meet Local Needs

ImplementationImplementation Obtain State ApprovalObtain State Approval Select Local ProvidersSelect Local Providers Initiate, Monitor and Evaluate ServicesInitiate, Monitor and Evaluate Services

Page 12: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Input From Input From StakeholdersStakeholders

To DateTo Date

Page 13: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Input From 84 Input From 84 ConsumersConsumers

Our Needs – Top 10Our Needs – Top 101.1. Self-Help ExpansionSelf-Help Expansion N = 30N = 30

2.2. TransportationTransportation N = 29N = 29

3.3. Job Training & PlacementJob Training & Placement N = 27N = 27

4.4. Sensitivity Training Sensitivity Training ( MH Staff & Police)( MH Staff & Police) N = 26N = 26

5.5. Peer Support Peer Support (counseling, case mgmt.)(counseling, case mgmt.) N = 21N = 21

6.6. Outreach Outreach (Elderly, Homeless, Unserved)(Elderly, Homeless, Unserved) N = 16N = 16

7.7. Recreation/Socialization Recreation/Socialization (with Peers)(with Peers) N = 13N = 13

8.8. Education on Diagnosis Education on Diagnosis (to Clients and Families)(to Clients and Families)N = 12N = 12

9.9. Consumer Provider PositionsConsumer Provider Positions N = 12N = 12

10.10.Redesign of SystemRedesign of System N = 11N = 11

Page 14: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Input From 40 Dept. Input From 40 Dept. ManagersManagers

What Transformation Means to Us:What Transformation Means to Us: VisionVision

Consumer GainsConsumer Gains

Improved Improved ServicesServices

Staff Staff ImprovementsImprovements

““Two years from now we will Two years from now we will have a new, Innovative, have a new, Innovative, noticeable change”noticeable change”

in access, involvement, and in access, involvement, and freedom from stigmafreedom from stigma

In better practices and In better practices and improved qualityimproved quality

in knowledge & skill, awareness in knowledge & skill, awareness & inclusion, morale & attitude, & inclusion, morale & attitude, & in effectiveness of & in effectiveness of interventions.interventions.

Page 15: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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What Transformation Means What Transformation Means

to 200+ County Staffto 200+ County Staff A Vision:A Vision: “A holistic approach to mental “A holistic approach to mental

health incorporating medicine, health incorporating medicine, rehabilitation & recovery”rehabilitation & recovery”

A Process:A Process: “Improving existing services “Improving existing services to best meet client and community needs”to best meet client and community needs”

Results: Results: Prevention, early intervention, Prevention, early intervention, improved access, improved collaboration improved access, improved collaboration and integrated servicesand integrated services

Page 16: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Input From 236 Input From 236 Stakeholders 1/26/05Stakeholders 1/26/05

What in the DMH Vision is Important to What in the DMH Vision is Important to Us?Us?

• Service Scope Service Scope N = 66N = 66

• Service CollaborationService Collaboration N = 50N = 50

• Evidenced Based/Promising Practices Evidenced Based/Promising Practices N = N = 3333

• Results for Accountability and Results for Accountability and N = 33N = 33 to Improve Services to Improve Services

• Client Centered ProgramsClient Centered Programs N = 31N = 31

• Service QualityService Quality N = 28N = 28

• Partnering MechanismsPartnering Mechanisms N = N = 2828

Page 17: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Input From StakeholderInput From Stakeholder1/25/05 Kickoff1/25/05 Kickoff

Did you Like Meeting Format?Did you Like Meeting Format? Yes =125 No = 3Yes =125 No = 3

Did you Like the Presentation?Did you Like the Presentation? Yes =126 No = 3Yes =126 No = 3

Did you Like the Interactive Did you Like the Interactive Exercise?Exercise?

Yes =102 No = 17Yes =102 No = 17- Not enough time- Not enough time- Too hard to process each table- Too hard to process each table- Thanks for trying & modifying- Thanks for trying & modifying

Page 18: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Next Steps in Next Steps in EngagementEngagement

Finalize Engagement Strategies Finalize Engagement Strategies and and Survey for In-Reach to Bring the Survey for In-Reach to Bring the Voice of Voice of 5,000 Consumers and 5,000 Consumers and Families into the Families into the plan.plan.

Finalize Engagement Strategies Finalize Engagement Strategies and and Survey for Outreach to Survey for Outreach to Stakeholders and Stakeholders and Community Community Members to Bring the Voice Members to Bring the Voice of of 5,000 Stakeholders and Community 5,000 Stakeholders and Community Members into the plan.Members into the plan.

Page 19: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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InitiatingInitiatingAssessment PhaseAssessment Phase

Page 20: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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The Approach– Lifespan The Approach– Lifespan FrameworkFramework

Determine and Prioritize Local Determine and Prioritize Local Mental Health Needs Across Mental Health Needs Across LifespanLifespan

Prevention

Early Intervention

Intervention

All Citizens Across Lifespan

Citizens in need

Unmet Need

Current Public MH System

Page 21: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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The Approach – Lifespan The Approach – Lifespan FrameworkFramework

• Children, Youth Children, Youth and Young and Young AdultsAdults

0 - 5 years0 - 5 years

6 - 11 years6 - 11 years

12 – 17 years12 – 17 years

18 – 25 years18 – 25 years

• Adults and Adults and Older AdultsOlder Adults

26 – 35 years26 – 35 years

36 – 50 years36 – 50 years

51 – 65 years51 – 65 years

65 + years65 + years

Page 22: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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• Population SizePopulation Size

• Geographic DistributionGeographic Distribution

• Ethnicity and ImmigrationEthnicity and Immigration

• Gender Gender

• AgeAge

• Service UtilizationService Utilization

• Prevalence InfoPrevalence Info

• Risk & Special Risk & Special

PopulationsPopulations

• Unmet NeedUnmet Need

• Stakeholder InputStakeholder Input

For Each Developmental Group Describe:Developmental Group Describe:

The Approach – Lifespan The Approach – Lifespan FrameworkFramework

Page 23: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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For Each Developmental Group For Each Developmental Group Assess Each Transformation Area:

Consumer & Family Involvement

Community Partners

Programs & Services

Cultural Competency

Accountability and Outcomes

Where Are We?

Assess Strengths & Weaknesses in each area

Where Do We Want to Be?

Determine Transformation Objectives in each area

The Approach – Lifespan The Approach – Lifespan FrameworkFramework

Page 24: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Early Intervention

The Approach – Lifespan The Approach – Lifespan FrameworkFramework

Developmental Group

Strategies to Transform Current System

Strategies to Increase Services

Strategies forEarly Intervention & Prevention

Prevention

Intervention

For All Ages

Page 25: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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The ApproachThe Approach

Establish Common Goals for Establish Common Goals for All AgesAll Ages

Health & Well

Being

Stability in Home,

Family & Social

Relations

Success in School/Wor

k Meaningful

Activity

Safe From Harming or

Being Harmed in Community

Examples of System Outcome Objectives

Health Insurance

Health Visits

Health Status

Suicide

Stable Living

# Placements

DV Incidents

School Attendance

Graduations

Work stability

CJS Recidivism

Days incarcerated

Victims of Crime

CJS Diversions

Page 26: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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The ApproachThe Approach

Establish System Structure Establish System Structure and Stakeholder Involvementand Stakeholder Involvement

Individual & Family

Provider Services

System Policy and

Management

Sta

keh

old

ers

System Performance: Expectations & Results

Provider Performance: Expectations & Results

Client Level Outcomes: Expectations & Results

Page 27: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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The ApproachThe Approach

Demonstrate process quality Demonstrate process quality and favorable outcomesand favorable outcomes

Who Do We Serve?

What Are We Trying to Change?

What Practices Do We Employ and Why?

How Do We Insure Quality of Practices?

How Do We Measure Results?

What Results Do We Achieve?

Page 28: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Planning Process & Planning Process & Timeline OverviewTimeline Overview

Page 29: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Stakeholder Input Stakeholder Input

Plan to PlanPlan to Plan

Outreach Engagement Outreach Engagement StrategiesStrategies

Outreach SurveyOutreach Survey

Page 30: 1 Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act Department

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Meeting ScheduleMeeting ScheduleWork Group Work Group

InterestInterestMeeting EvaluationMeeting Evaluation

ClosureClosure