steering committee friday, april 27, 2007 10-1 pm roseville
TRANSCRIPT
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– [email protected]
– 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