state of the authority - calmhsa.org edgar, cpa – accountant laura li – program analyst...

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Compassion. Action. Change.

April 13, 2012

Sacramento, California

State of the AuthorityCalifornia Mental Health Services Authority

(CalMHSA)

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Compassion. Action. Change.2

Table of Contentspage

A. Mission/Vision/Purpose/Values 3

B. Membership 6

C. Executive Committee 9

D. JPA Organizational Structure 10

E. Operational Structure 11

F. Historical Milestones 13

G. 2011-12 Accomplishments 19

H. Financial Update 34

I. 2012-13 Looking Forward 42

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Mission and Vision

Mission

The mission of CalMHSA is to provide member counties a flexible, efficient, & effective administrative/fiscal structure focused on collaborative partnerships & pooling efforts in:

• Development & Implementation of Common Strategies & Program• Fiscal Integrity, Protections, & Management of Collective Risk• Accountability at State, Regional & Local Levels

Vision

CalMHSA serves California Counties and Cities in the dynamic delivery of mental health and supportive services. A nationally recognized leader, CalMHSA inspires the service community through its commitment to results and values. Successful statewide and regional programs enable the voice of many to be heard.

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Purpose

PurposePromoting Efficiency, Effectiveness and Enterprise among Counties and Cities

Purpose (JPA agreement)This Agreement is entered into by the Members in order to provide administrative and fiscal services in support of each members Mental Health Department acting alone or in collaboration. To jointly develop, and fund mental health services and education Programs as determined on a regional, statewide, or other basis. Such Programs may include, but are not limited to, the following:

(a) Addressing suicide prevention.

(b) Ethnic and cultural outreach.

(c) Stigma and discrimination reduction related to mental illness.

(d) Student mental health and workforce training and education.

(e) Training, technical assistance, and capacity building.

(f) The provision of necessary administrative services. Such administrative services may include, but shall not be limited to, establishing a depository for research materials and information regarding “best practices.”

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ValuesValues

CalMHSA shall continually promote:

• Systems and services which strengthen and transform community mental health and reduce disparities in access, utilization and outcomes by age, race, ethnicity and gender, sexual orientation, nationality and disability;

• Efficiency, expertise, innovation, accountability and quality;

• Transparency and stakeholder input;

• Prevention and early intervention;

• Community collaboration;

• Cultural competence;

• Recognition that geographical features might require unique program interventions;

• Client/family-driven mental health system for children, transition age youth adults, older adults;

• Wellness focus, including recovery and resilience;

• Integrated service experiences and interactions; (integration may occur in other systems such as primary care, aging services, education, etc)

• Qualified, culturally competent and diverse public mental health workforce with the knowledge and skills to work with age-specific and racially, ethnically and culturally diverse populations.

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Membership

Current CalMHSA County Members and Counties with Funds Assigned

Prospective Member Counties

Non Member Counties with funds assigned

Note: Since July 1, 2011, nine (9) new members have joined CalMHSA.

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Membership1. San Bernardino County (July 9, 2009)

2. Solano County (July 9, 2009)

3. Colusa County (July 9, 2009)

4. Monterey County (July 9, 2009)

5. San Luis Obispo County (July 9, 2009)

6. Stanislaus County (July 9, 2009)

7. Sutter/Yuba County (August 13, 2009)

8. Butte County (November 13, 2009)

9. Placer County (January 14, 2010)

10. Sacramento County (March 12, 2010)

11. Glenn County (April 15, 2010)

12. Trinity County (April 15, 2010)

13. Sonoma County (May 13, 2010)

14. Modoc County (May 13, 2010)

15. Santa Cruz County (June 10, 2010)

16. Los Angeles County (June 10, 2010)

17. Marin County (August 12, 2010)

18. Orange County (August 12, 2010)

19. Yolo County (August 12, 2010)

20. Contra Costa County (October 14, 2010)

21. Fresno County (October 14, 2010)

22. Imperial County (October 14, 2010)

23. Kern County (October 14, 2010)

24. Lake County (October 14, 2010)

25. Riverside County (October 14, 2010)

26. Santa Clara County (October 14, 2010)

27. Siskiyou County (October 14, 2010)

28. Ventura County (October 14, 2010)

29. Madera County (November 12, 2010)

30. Mendocino County (December 9, 2010)

31. San Diego County (February 10, 2011)

32. San Francisco City and County (February 10, 2011)

33. El Dorado County (March 11, 2011)

34. San Mateo County (March 11, 2011)

35. Napa County (June 9, 2011)

36. Humboldt County (July 14, 2011)

37. Lassen County (July 14, 2011)

38. Mariposa County (August 11, 2011)

39. Tuolumne County (August 11, 2011)

40. San Benito County (October 13, 2011)

41. Tri-City Mental Health Center (October 13, 2011)

42. Del Norte County (December 15, 2011)

43. Shasta County (February 10, 2012)

44. Tulare County (February 10, 2012)

45. Kings County (April 13, 2012)

46. San Joaquin County (April 13, 2012)

Non-member Counties Who Have Assigned Funds• Amador• Calaveras• Merced• Santa Barbara

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Membership

The status of non-member counties:

Not Interested In Membership Interested In Membership In Process

Santa Barbara County* Alameda CountyCalaveras County*Plumas CountySierra CountyTehama County

Alpine CountyAmador County*City of BerkeleyInyo CountyKings County±

Merced County*Mono CountyNevada CountySan Joaquin County±

*Funds have been assigned to CalMHSA.±Seeking membership at the April 13, 2012 board meeting.

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Executive Committee

Officers

President – Wayne Clark, PhD – Monterey County

Vice President – Maureen Bauman, LCSW – Placer County

Secretary – Karen Baylor, PhD, MFT – San Luis Obispo County

Treasurer – Scott Gruendl, MPA – Glenn County

Regional Representatives

Superior Area Representative – William Cornelius, PhD – Colusa County

Central Area Representative – Brad Luz, PhD – Sutter/Yuba County

Bay Area Representative – Michael Kennedy, MFT – Sonoma County

Southern Area Representative – Mark Refowitz, MSW – Orange County

Los Angeles Area Representative – William Arroyo, MD – Los Angeles County

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JPA Organizational Structure

CalMHSA Board of Directors

Executive Committee

Advisory Committee

Finance Committee

Executive Director

Staff

Legal Counsel

Program Partners

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Operational Structure

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Organizational StructureFunction Purpose/Objective/Outcome

Member Services Meeting planning; communication; document management (external); travel; conferences/training; technical assistance

Finance & Accounting Transactions; procurement; travel; financial statements; budget; state/federal reporting; member/program fiscal reporting; audit/quality controls; insurance; investment; Finance Committee

Administrative/Governance Managing governing documents; agendas; minutes; document management (internal); regulatory filing; CalMatrix; Executive Committee/Board of Directors; contracts

Advisory Committee & Affiliates Committee meetings, roundtable meetings; attendance at stakeholder meetings; developing and maintaining relationships with affiliate organizations

Programs Contract management; development and evaluation; committee management

Communications/Public Relations Marketing and public relations; Website management; Facebook; blog

Recruitment & Other Outreach New member outreach; affiliate outreach

Legal Governing documents; contracts, correspondence; Brown Act; counsel and representation


Compassion.Action.Change.

Left to right: Karen Baylor (San Luis Obispo), Denise Hunt (Stanislaus), Michael Oprendek (Solano), Curtis Boewer (Colusa), Allan Rawland (San Bernardino), Wayne Clark (Monterey).

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Historical Milestones

January – June 2009

Genesis of JPA Formation process and legal documents started

July – October 2009

JPA opens doors with six members and begins meetings per Brown Act requirement (July)

CalMHSA documents filed with appropriate state authorities

First Strategic Planning Session held (September)

Contract with George Hills Company, Inc finalized (October)

“The real work starts now.”--Allan Rawland

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November – December 2009

First CalMHSA project approved–Technical Assistance and Capacity Building (contract with CiMH)

CalMHSA Website launched

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January – May 2010

Second Strategic Planning Session held (March)

Agreement with DMH approved (April)

Contract with George Hills Company, Inc amended (April)

14-month CalMHSA budget approved (April)

June – July 2010

Amended JPA Agreement approved (June)

Bylaws formally approved (July)

Implementation Ad Hoc Committee formed (July)


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August 2010 Implementation timeline approved for Work Plan and release of RFPs

Recommended Actions (from Suicide Prevention, Stigma and Discrimination Reduction, and Student Mental Health Strategic Plans) prioritized with stakeholder input

Vision and Purpose statements adopted

September 2010 Finance Ad Hoc Committee established

November – December 2010

CalMHSA Statewide PEI Implementation Work Plan approved by board and submitted to MHSOAC (November)

Purchasing and Procurement Policy approved

Information gathering sessions held regarding the scopes of work for the implementation RFPs

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Member Services

Board approved current format for meeting minutes, with more information being submitted via public comment cards (February 10)

iPad Program approved by board (February 10)

Bi-monthly calendar approved for 2012 board meetings (October 13)

WebEx contract established with InterCall (March)

2011-2012 Accomplishments

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Finance & Accounting

DMH Contract extended to 6/30/14 (with no cost extension possible)

Finance Ad Hoc Committee selects Morgan Stanley Smith Barney to oversee CalMHSA’s investment management through an extensive RFP process (September 13)

CalMHSA Investment Policy approved by Board (October 13)

Public Finance Management (PFM) selected as CalMHSA’s investment management firm (December 15)

CSAC-EIA membership approved (December)


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Finance & Accounting continued

Standing Finance Committee launched (February 10)

Inaugural audit received and filed for fiscal years ended June 30, 2011 and 2010 (February 10)

George Hills Company Staffing Analysis presented to full board (February 10)

GHC receives the first draft of their SSAE 16 Audit for review (March)


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Administrative/Governance

George Hills sub-contracts with CiMH (January)

First Executive Committee elections held (June 9)

Inaugural CalMHSA President Allan Rawland recognized (June 9)

Edward Walker, LCSW, retires as Program Director; Ann Collentine, MPPA, and Stephanie Welch, MSW, join staff (June)


Left to right: Wayne Clark, Allan Rawland, Wayne Clark, Edward Walker, Allan Rawland, Maureen Bauman.

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Administrative/Governance continued

CalMHSA enters into contract with CMHDA to develop a business plan (September 22)

Staff hired/contracted:

Allan Rawland, LCSW – Associate Administrator–Government Relations

Ann Collentine, MPPA – Program Director

Stephanie Welch, MSW – Program Manager

Sarah Brichler, MEd – Program Coordinator

Dorthy Lebron, PhD – Evaluation and Data Analyst

Larry Edgar, CPA – Accountant

Laura Li – Program Analyst (promoted)

Amy Shearer – Executive Assistant


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Advisory Committee & Affiliates Advisory Committee established to provide an opportunity for more

feedback on projects from stakeholders (July 14)

Advisory Committee launched (November 17) Maureen Bauman – Co-Chair

Joseph Robinson – Co-Chair

Ann Robin, Butte County

Michael Kennedy, Sonoma County

William Arroyo, Los Angeles County

Jerry Wengerd, Riverside County

Donna Jensen

Justin Louie Locke

Donna Ewing Marto

Keris Jan Myrick

Implementation Ad Hoc Committee dissolved upon PEI contracts’ execution


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Programs

Addendum to Statewide PEI Implementation Work Plan submitted to and approved by the MHSOAC (January 27)

Work Plan Suicide Prevention RFP released (January 28)

Stigma and Discrimination RFP (February 14) and Student Mental Health Initiative RFAs released (February 28)

Proposals received in response to SP, SDR and SMHI RFPs/RFAs:

Subject Matter Expert (SME) review panels convened to review and score the proposals received (April)


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Programs continued

SAMHSA grant submitted (May 30)

Suicide Prevention proposals approved (May 6)



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Programs continued Stigma and Discrimination Reduction and Student Mental Health

proposals approved (June 9)


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Programs continued

CalMHSA enters into agreement with Contra Costa County to administer the county’s Workforce Education & Training (WET) funds (June)

CalMatrix (contract management tool) creation board approved (June 9)

First Statewide PEI Program contract fully executed (August)

PEI Program Partners participate in a Statewide PEI Program Orientation which included a lunch to honor those with lived experience and a reception featuring Senate President Pro Tem Darrell Steinberg and CalMHSA President Dr. Wayne Clark (August 16-17)


Left to right: John Chaquica, Allan Rawland, Karen Baylor, Maureen Bauman, Kamila Baker, Vic Ojakian, Clayton Chau, Wayne Clark, Stephanie Welch, Darrell Steinberg.

Success is our only option.

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Programs continued

Stigma and Discrimination Reduction Program 1, Component 3 and Student Mental Health Program 2 proposals approved (August 11)

RAND Corporation joins the PEI team to provide statewide evaluation support (October 13)

RFI released to find SDR Program 1, Component 1: SDR Consortium Project Manager (October 14)

CalMHSA and MHSOAC agree to work together with RAND on Statewide Framework


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Programs continued

Adele James joins team as Project Manager for SDR Program 1, Component 1: SDR Consortium (December 15)

Launching the second Training/Technical Assistance & Capacity Building project (December 15)

SDR Program 2, Component 4 RFP is re-released; to be awarded at the April 13, 2012 board meeting; contract execution goal of June 30, 2012 (December 16)

Execution of Statewide PEI contracts completed

Master contract with CiMH executed (March)

MHSOAC approves the First Amendment to the CalMHSA Statewide PEI Implementation Work Plan (March 23)

SDR Consortium kick-off meeting held in Sacramento (April 2)


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Communication/Public Relations

Mike Roth, Pascal Roth, hired as communication consultant (October)

Runyon Saltzman & Einhorn finalizes the CalMHSA Style Guide (October)

CalMHSA tag-line created: Compassion. Action. Change.


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Recruitment & Other Outreach

Allan Rawland joins staff as Associate Administrator – Government Relations to focus on non-member county recruitment through contractual relationship with San Bernardino County (July 14)

CalMHSA participates in in the California Association of Counties’ (CSAC) 117th Annual Meeting (November 29 – December 1)


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Recruitment & Other Outreach continued 12 new members welcomed:

San Diego County (February 10) San Francisco City and County (February 10) El Dorado County (March 11) San Mateo County (March 11) Napa County (June 9) Humboldt County (July 14) Lassen County (July 14) Mariposa County (August 11) Tuolumne County (August 11) San Benito County (October 13) Tri-City Mental Health Center (October 13) Del Norte County (December 15) Shasta County (February 10) Tulare County (February 10)

Kings and San Joaquin counties seek membership, taking total membership to 46—46 counties, 1 JPA (April 13)


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CalMHSA Cash Flow as of March 31, 2012

Deposits Expenditures

2009/2010 2nd Qtr $251,736 $37,339

2009/2010 3rd Qtr $21,406 $37,148

2009/2010 4th Qtr $124,477 $150,521

2010/2011 1st Qtr $1,619,735 $185,020

2010/2011 2nd Qtr $2,719,010 $286,707

2010/2011 3rd Qtr $46,965 $559,059

2010/2011 4th Qtr $88,417,835 $215,219

2011/2012 1st Qtr $50,057,100 $2,238,484

2011/2012 2nd Qtr $1,010,900 $4,111,305

2011/2012 3rd Qtr $232,370 $4,035,685

Total $144,501,534 $11,856,487

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CalMHSA Cash Flow as of March 31, 2012

Cash Balance as of 3/31/2012 of $132M

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Total Deposits Since July 2009

Source Cash Received

Technical Assistance/Capacity Building $339,613

Founding Members 79,480

JPA Membership Fees 17,000

PEI Planning Funds 7,205,119

PEI Program Funds 136,897,252

Interest 144,887

TOTAL $144,683,350

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Total Expenditures Since July 2009

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PEI Implementation Work Plan Budget

PEI Funds Received: $144 million

Program Partners Amount Proportionality

Suicide Prevention 10 $24.3 million 25%

Stigma and Discrimination Reduction 10 35 million 37%

Student Mental Health 5 36.5 million 28%

SUBTOTAL 95.8 million 100%

Evaluation 2 8.5 million

TOTAL Contracts $104.3 million

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PEI Implementation Work Plan Budget

5%Phase I

Planning

Phase II

100%TotalFunding

70.5% Program/Direct

Contingency Reserve1

7.5%Evaluation2

7.5%Admin2

Work Plan Budget $6,810,520.00 $97,322,330.00 $10,215,781.00 $11,645,988.00 $10,215,780.00 $136,210,400.00

First Amendment (additional funding)

$409,155.00 $5,769,085.50 $777,394.50 $613,732.50 $613,732.50 $8,183,100.00

Total $7,219,675.00 $103,091,415.50 $10,993,175.50 $12,259,720.50 10,829,512.50 $144,393,500.00

Contracted $95,800,000 $8,500,000

1. Contingency Reserve is calculated on 10% of Phase II funding request of $129,399,881. It is the intent of CalMHSA and its members to maximize the delivery of services. This reserve will be utilized for delivery of services.

2. The maximum allocation permitted by DMH for Indirect Administration services is 15%. Included in this 15% is the requirement to provide evaluation of programs. This allocation has been estimated and will be refined as facts develop.

PEI Funds Received: $144 million

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Total Cash Portfolio Dollars – February 29, 2012

$29,343,64222%

$16,248,89612%

$45,392,57334%

$42,563,159(32%)

$306,178(0%)

Summary of Investment Portfolio

Short term instruments

Corporate bonds

Government & GSE(*) Bonds

MSSB Money Fund

LAIF

CB&T Checking

Accrued Interest

$103,426(0%)

$33,624(0%)

Total Cash and Investments $133,991,497

Investment Policy Objectives

• Safety of Principal

• Meeting Liquidity Needs

• Rate of Return

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Total Cash Portfolio Dollars – February 29, 2012

2-3 years$20,820,657

(16%)

1-2 years $40,820,812

(30%)

0-1 year $72,350,028

(54%)

Summary of Maturities

Total Cash and Investments $133,991,497

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2012-13 Looking ForwardMember Services

Short term priorities – CMHDA

Local reversion

Hospital beds

Finance and Accounting 2012-2013 Budget

Contract Billings

EPSDT

Administrative/Governance Strategic Planning 2012

Board structure

Business Plan

Advisory Committee and Affiliates Consortium Program Second Amendment to the Statewide PEI Implementation Work Plan

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2012-13 Looking ForwardPrograms

Statewide projects (Suicide Prevention/Stigma and Discrimination Reduction/Student Mental Health)

Training/Technical Assistance and Capacity Building

Contra Costa County WET Program

Statewide reversion

Communication/Public Relations American Journal of Public Health

May Mental Health Month

Recruitment/Outreach New members

CSAC 118th Annual Meeting, Long Beach


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STATUS OF 3 YEAR GOALS AND ACCOMPLISHMENTS

state of the authority - calmhsa.org edgar, cpa – accountant laura li – program analyst...

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