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County of San BernardinoDepartment of Behavioral HealthCalifornia Statewide Prevention and Early Intervention (PEI) Projects Overview

May 20, 2010What are Statewide PEI Projects?In 2007, the Mental Health Services Oversight and Accountability Commission (MHSOAC) approved 5 statewide PEI projects

The intended impact is to support the implementation of PEI projects across the entire state by embedding an appropriate infrastructure.

Funding is for 4 years only2Statewide PEI Projects OverviewBackgroundThe 5 statewide projects include:

Training, Technical Assistance, and Capacity Building; Student Mental Health Initiative; Stigma and Discrimination Reduction; Suicide Prevention;Reducing Disparities through Racial, Cultural, and Ethnic Specific Programs

3Statewide PEI Projects Overview(Background Contd.)

In May 2008 the MHSOAC determined that the programs would be most effective if implemented by a single statewide entity.

Statewide Strategic Plans were developed and the MHSOAC determined that the projects should be administered by State Department of Mental Health (DMH)

4Statewide PEI Projects OverviewCurrently the 5 approved projects are in different stages of development and implementation:

Training, Technical Assistance and Capacity Building is being implemented locally and will be evaluated and shared to contribute to statewide learning.

A Statewide Strategic Plan is currently being developed for Reducing Disparities through Racial, Cultural, and Ethnic Specific Programs.

5Statewide PEI Projects OverviewStatewide Strategic Plans have been developed via an extensive statewide community planning process for the additional three projects:

Student Mental Health InitiativeSuicide PreventionReducing Mental Health Stigma and Discrimination

Information concerning Statewide projects can be found at http://www.dmh.ca.gov/PEIStatewideProjects/default.asp

6Statewide PEI Projects OverviewCalifornia Student Mental Health Initiative7Statewide PEI Projects OverviewCalifornia Student Mental Health Initiative (SMHI)

Developed in response to the Virginia Tech incident37.5% of overall statewide project funding should be targeted toward this initiativeOnly funds projects for 4 years to build systems, not to fund programs

The funding is not sustainable past the 4 year time period8Statewide PEI Projects OverviewCalifornia Student Mental Health Initiative (continued)

According to State Plan- 76% should be targeting Higher Education institutions, with emphasis on developing prevention and early intervention systems

24% should be targeted at K-12

9Statewide PEI Projects OverviewSMHI Key Elements:System and Policy DevelopmentTrainingEvaluationCampus based mental health programs such as:Mental health promotion, peer to peer support, referral and linkage, and creating the infrastructure for early intervention10Statewide PEI Projects OverviewCalifornia Suicide Prevention Plan11Statewide PEI Projects OverviewCalifornia Suicide Prevention:

Guidelines indicate 25% of overall funding should be directed toward Suicide Prevention

Should be utilized to develop a system of suicide prevention across the state to support projects at the local level12Statewide PEI Projects OverviewCalifornia Suicide Prevention Plan Strategies include:

Using targeted approaches for specific populations (ex. Older adults)Training and Workforce Enhancements (across multiple fields)Public EducationImproving program effectiveness and system accountability (we need to learn more to be successful)

13Statewide PEI Projects OverviewCalifornia Plan for Reducing Mental Health Stigma and Discrimination 14Statewide PEI Projects OverviewCalifornia Strategic Plan to Reduce Mental Health Stigma and Discrimination

Offers four Strategic Directions to reduce stigma and discrimination and

Offers six Core Principles

15Statewide PEI Projects OverviewFour Strategic Directions (Stigma & Discrimination)

Create Environmental Change

Promote awareness, accountability, and changes in values, practices, policies, and procedures across and within systems and organizations that encourages respect and rights of those with mental health challenges.

16Statewide PEI Projects OverviewStrategic Directions (Stigma & Disc. contd)

Uphold and advance federal and state laws to identify and eliminate discriminatory policies and practices.

Increase knowledge of effective and promising programs and practices that reduce stigma and discrimination

17Statewide PEI Projects OverviewSix Core Principles in Reducing Stigma and DiscriminationImplement culturally competent strategiesEmploy life span approachesInvolve a broad spectrum of stakeholdersAddress all types of stigma and anti-discrimination lawsBuild upon promising practices and proven modelsRecognize resiliency, the capacity for recovery, and that those participating in voluntary programs have the best outcomes

18Statewide PEI Projects OverviewWhere we are now19Statewide PEI Projects OverviewIn August 2009, the MHSOAC determined that additional options should be made available to counties in accessing PEI Statewide funds for statewide projects.

In September 2009 Guiding Principles were adopted by the MHSOAC

In March 2010, DMH released the guidelines for accessing the funding for the three projects with strategic plans.

To access the related Information Notices 10-05 and 10-06 go to: http://www.dmh.ca.gov/DMHDocs/2010_Notices.asp

20Statewide PEI Projects OverviewThree Additional Options outlined in Information Notices 10-05 & 10-06:

Option 1: Implement Statewide projects through a Joint Powers Authority (JPA)

Option 2: Implement Statewide and/or replicable programs through multi-county collaboration

Option 3: Statewide programs through Assignment to DMH with option to assign to JPA through a contractual agreement

21Statewide PEI Projects OverviewWhat is a Joint Powers Authority (JPA)?

An Institution permitted under Law Section 6500 State Government Code, whereby two or more public authorities (e.g. local governments) can operate collectively.

JPAs have separate, distinct governance from member counties (own administration) and their power is established by participating agencies (the counties that make up the JPA)JPAs can employ and contract independent staff to carry out and implement policies/projects

22Statewide PEI Projects Overview(JPA Continued)

Member counties jointly develop, fund, and implement mental health services, projects, and educational programs at the state, regional, and local levels.

JPA functions as the 59th County Currently there are 14 members of the California Mental Health Services Authority (CalMHSA) Joint Powers Authority (JPA).

23Statewide PEI Projects Overview(JPA Continued)

Currently, the Department of Mental Health (DMH) and the CalMHSA have a contractual agreement established allowing the DMH to contract and transfer funds to the JPA for implementation of State of California PEI Projects.

Projects must conform with statewide effect to be approved by the MHSOAC

24Statewide PEI Projects Overview

Overview of Options Available for Implementation of California Statewide PEI Projects as outlined in IN 10-05 & IN 10-06

Information concerning DMH Information Noticeshttp://www.dmh.ca.gov/DMHDocs/2010_Notices.asp

25Statewide PEI Projects OverviewOption 1: Implement State Projects through a JPA

Multi-phase process: First phase includes county submitting a request (Enclosure C) to the MHSOAC to delegate administration of Statewide Projects

DMH and MHSOAC must review and approve, certify the participation in the JPA

Once approved, the MHSA agreement between DMH and the county must be modified (meaning the boiler plate language around provision 10)`

26Statewide PEI Projects OverviewOption 1: Implement through a JPA (contd.)

Second-phase: JPA completes community planning to determine priorities, submits a plan to MHSOAC and DMH for approval to implement across the state

JPA responsible for administration including annual funding requests, funding requests for new programs, reporting, and evaluating and reporting statewide outcomes

27Statewide PEI Projects OverviewOption 2: Implement Statewide and/or Replicable programs through Multi-county Collaboration

Requests to implement multi-county collaborative projects must include specific program actions that will be taken to implement as statewide or replicable.

Plans must be consistent with California Strategic Plans, provide extensive program descriptions, budgets, evaluation strategies and provide description of collaboration with other counties. 28Statewide PEI Projects OverviewOption 3: Statewide Programs through Assignment to DMH to Contract with JPA

County submits Enclosure 1 from Information Notice 10-05 to MHSOAC for approval

MHSOAC reviews and once approved funding is assigned to DMH with the designation of JPA or DMH implementing projects (no modifications to agreement required)

29Statewide PEI Projects OverviewWe want your feedback

30Statewide PEI Projects OverviewFor additional questions or information please contact:

Michelle Dusick, PEI Coordinator(909) 252-4046mdusick@dbh.sbcounty.gov

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