strategic planning session agendaapr 13, 2012 · (b) ethnic and cultural outreach. (c) stigma and...
TRANSCRIPT
BoardofDirectorsStrategicPlanningSession
AGENDA
April13,2012
8:30a.m.–3:00p.m.(BoardMeetingtofollow:3:00p.m.–4:30p.m.)
MeetingLocation:HolidayInnCapitolPlaza
300JStreet,Sacramento,CA95814(916)446‐0100
(businesscasualdress)
Page 1 of 47Page 1 of 47
California Mental Health Services Authority Board of Directors Strategic Planning Session
Friday, April 13, 2012 Call-In Information: 1-877-339-2412,
Conference Code: 2250381321 (listen in only)
Meeting Location: Holiday Inn Capitol Plaza
300 J Street, Sacramento, CA 95814 (916) 446-0100
In compliance with the Americans with Disabilities Act, if you are a disabled person and you need a disability-related modification or accommodation to participate in this meeting, please contact Laura Li at (916) 859-4818 (telephone) or (916) 859-4805 (facsimile). Requests must be made as early as possible, and at least one full business day before the start of the meeting.
Materials relating to an item on this agenda submitted to this Board after distribution of the agenda packet are available for public inspection at 3043 Gold Canal Drive, Suite 200, Rancho Cordova, CA, 95670, during normal business hours.
8:30 a.m. Welcome and Introductions – Dr. Wayne Clark/Eric Douglas Introductions Meeting Goals
8:45 a.m. President’s Message – Dr. Wayne Clark
9:00 a.m. State of the Authority – John Chaquica
9:30 a.m. Statewide PEI Initiatives Update – Ann Collentine/Stephanie Welch
10:00 a.m. Break
10:15 a.m. Future Roles for CalMHSA – Eric Douglas Share Survey Results Discuss Potential Roles for JPA Discuss Operating Principles
Noon Lunch
12:45 p.m. Future Roles for CalMHSA (continued) Reach Agreements on Appropriate Roles
Reach Agreements on Operating Principles
2:00 p.m. Next Steps – Eric Douglas Summarize Conclusions Reached
Decide on Next Steps
3:00–4:30 p.m. Board of Directors Meeting
Page 2 of 47Page 2 of 47
CalMHSAJPABoardofDirectorsStrategicPlanningSession
April13,2012
TableofContents
StateoftheAuthorityPowerPoint 4
StatewidePEIInitiativesUpdatePowerPoint 27
CalMHSAMemberSurvey:2012StrategicPlanningSessionSurveyResults 41
Statusof3YearGoalsandAccomplishments 43
Page 3 of 47
4/11/2012
1
Compassion. Action. Change.
April 13, 2012
Sacramento, California
State of the AuthorityCalifornia Mental Health Services Authority
(CalMHSA)
2
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
Page 4 of 47Page 4 of 47
4/11/2012
2
3
Compassion. Action. Change.3
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.
4
Compassion. Action. Change.4
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.”
Page 5 of 47Page 5 of 47
4/11/2012
3
5
Compassion. Action. Change.5
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.
6
Compassion. Action. Change.6
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.
Page 6 of 47Page 6 of 47
4/11/2012
4
7
Compassion. Action. Change.7
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
8
Compassion. Action. Change.8
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.
Page 7 of 47Page 7 of 47
4/11/2012
5
9
Compassion. Action. Change.9
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
10
Compassion. Action. Change.10
Page 8 of 47Page 8 of 47
4/11/2012
6
11
Compassion. Action. Change.11
JPA Organizational Structure
CalMHSA Board of Directors
Executive Committee
Advisory Committee
Finance Committee
Executive Director
Staff
Legal Counsel
Program Partners
12
Compassion. Action. Change.12
Operational Structure
Page 9 of 47Page 9 of 47
4/11/2012
7
13
Compassion. Action. Change.13
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.
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).
Page 10 of 47Page 10 of 47
4/11/2012
8
15
Compassion. Action. Change.15
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
16
Compassion. Action. Change.16
Historical Milestones
November – December 2009
First CalMHSA project approved–Technical Assistance and Capacity Building (contract with CiMH)
CalMHSA Website launched
Page 11 of 47Page 11 of 47
4/11/2012
9
17
Compassion. Action. Change.17
Historical Milestones
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)
“The real work starts now.”--Allan Rawland
18
Compassion. Action. Change.18
Historical Milestones
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
Page 12 of 47Page 12 of 47
4/11/2012
10
19
Compassion. Action. Change.19
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
20
Compassion. Action. Change.20
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)
2011-2012 Accomplishments
Page 13 of 47Page 13 of 47
4/11/2012
11
21
Compassion. Action. Change.21
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)
2011-2012 Accomplishments
22
Compassion. Action. Change.22
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)
2011-2012 Accomplishments
Left to right: Wayne Clark, Allan Rawland, Wayne Clark, Edward Walker, Allan Rawland, Maureen Bauman.
Page 14 of 47Page 14 of 47
4/11/2012
12
23
Compassion. Action. Change.23
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
2011-2012 Accomplishments
24
Compassion. Action. Change.24
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
2011-2012 Accomplishments
Page 15 of 47Page 15 of 47
4/11/2012
13
25
Compassion. Action. Change.25
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)
2011-2012 Accomplishments
26
Compassion. Action. Change.26
Programs continued
SAMHSA grant submitted (May 30) Suicide Prevention proposals approved (May 6)
2011-2012 Accomplishments
“The real work starts now.”--Allan Rawland
Page 16 of 47Page 16 of 47
4/11/2012
14
27
Compassion. Action. Change.27
Programs continued Stigma and Discrimination Reduction and Student Mental Health
proposals approved (June 9)
2011-2012 Accomplishments
28
Compassion. Action. Change.28
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)
2011-2012 Accomplishments
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.
Page 17 of 47Page 17 of 47
4/11/2012
15
29
Compassion. Action. Change.29
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
2011-2012 Accomplishments
30
Compassion. Action. Change.30
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)
2011-2012 Accomplishments
Page 18 of 47Page 18 of 47
4/11/2012
16
31
Compassion. Action. Change.31
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.
2011-2012 Accomplishments
32
Compassion. Action. Change.32
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)
2011-2012 Accomplishments
Page 19 of 47Page 19 of 47
4/11/2012
17
33
Compassion. Action. Change.33
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)
2011-2012 Accomplishments
34
Compassion. Action. Change.34
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
Page 20 of 47Page 20 of 47
4/11/2012
18
35
Compassion. Action. Change.35
CalMHSA Cash Flow as of March 31, 2012
Cash Balance as of 3/31/2012 of $132M
36
Compassion. Action. Change.36
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
Page 21 of 47Page 21 of 47
4/11/2012
19
37
Compassion. Action. Change.37
Total Expenditures Since July 2009
38
Compassion. Action. Change.38
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
Page 22 of 47Page 22 of 47
4/11/2012
20
39
Compassion. Action. Change.39
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
40
Compassion. Action. Change.40
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
Page 23 of 47Page 23 of 47
4/11/2012
21
41
Compassion. Action. Change.41
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
42
Compassion. Action. Change.42
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
Page 24 of 47Page 24 of 47
4/11/2012
22
43
Compassion. Action. Change.43
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
Compassion. Action. Change.
Page 25 of 47Page 25 of 47
4/11/2012
23
45
Compassion. Action. Change.45
STATUS OF 3 YEAR GOALS AND ACCOMPLISHMENTS
Page 26 of 47Page 26 of 47
4/11/2012
1
Compassion. Action. Change.
Statewide PEI Initiatives
Update
April 13, 2012
Presented By: Ann Collentine, MPPA, Program Director, CalMHSA
Stephanie Welch, MSW, Program Manager, CalMHSA
California Mental Health Services Authority (CalMHSA)
2
Compassion. Action. Change.2
CalMHSA PEI Statewide Projects Implementation
Year 1: Foundation & Setting the Stage for SuccessYear 2: Contract Management, Communication,
Quality ImprovementYear 3: Project Outcomes, Evaluation,
SustainabilityYear 4: Evidence of Impact
Page 27 of 47Page 27 of 47
4/11/2012
2
3
Compassion. Action. Change.3
Foundation
Developed & released RFPsContractors approved by CalMHSA BoardDeveloped standardized contract languageNegotiated & executed 25 contracts
4
Compassion. Action. Change.4
Foundation
Developed invoicing and monitoring tools; review and approval processesEfficient tracking and communication
system with contractorsDatabase and communication tool
operational
Page 28 of 47Page 28 of 47
4/11/2012
3
5
Compassion. Action. Change.5
Foundation
6
Compassion. Action. Change.6
Foundation
Hired expertise in evaluationContracted for evaluation across initiative areas
• Hired RAND for statewide evaluation• Statewide Evaluation Experts (SEE) Team
established• Draft Evaluation Plan will be presented to the SEE
Team for feedback in May
Page 29 of 47Page 29 of 47
4/11/2012
4
7
Compassion. Action. Change.7
Foundation
Hired expertise in communication • Communication guidelines adopted• Branding & tag line• Media toolkit for program partners
8
Compassion. Action. Change.8
Foundation: Board Member Program Oversight
Fiscal Oversight: Finance CommitteeStakeholder Input: Advisory CommitteeEvaluation Input: SEE Team
Page 30 of 47Page 30 of 47
4/11/2012
5
9
Compassion. Action. Change.9
Contract Management
Regular communication with Board and County LiaisonsRegular meetings with contractorsSite visits/county presentationsOpportunities: great partners; contracts with
deliverable milestones; synergy of initiativesChallenges: variety of contractors, scope of
deliverables, providing timely technical assistance
10
Compassion. Action. Change.10
Implementation is Underway
CalMHSA projects providing:Broadening mental health
skills/knowledge/attitudes across initiativesNew and/or expanded programs (e.g. training,
awareness/understanding and service provision)Material and financial resourcesCross-system collaboration, policies & protocols
Page 31 of 47Page 31 of 47
4/11/2012
6
11
Compassion. Action. Change.11
Statewide PEI Initiatives
Stigma & Discrimination
Reduction
Student Mental Health
Suicide Prevention
Leveraging opportunitiesbetween Initiatives
Synergy across initiatives
12
Compassion. Action. Change.12
Synergy
Promoted collaboration across initiatives (e.g. Contract requirement, Statewide Coordinating Workgroup)
• Student PSA competition – partnership between SDR and SP social marketing and K-12
• SDR and Higher Education exploring student film competition – collaboration with Active Minds chapters and future media-makers
• SP capacity building contractors sharing assessment tools, marketing strategies and data collection approaches
Page 32 of 47Page 32 of 47
4/11/2012
7
13
Compassion. Action. Change.13
Stigma & Discrimination Reduction
14
Compassion. Action. Change.14
Stigma & Discrimination Reduction- Current Efforts
Baseline data collection completed Partnerships: SDR Consortium, Promising
Practices Research & Evaluation Team, statewide advisory committee Program coordination underway
• Speakers’ bureau, training resources, toolkitsMedia efforts: positive mental health messagingComing soon: RFP for consumer training
Page 33 of 47Page 33 of 47
4/11/2012
8
15
Compassion. Action. Change.15
US.ReachOut.com
16
Compassion. Action. Change.16
Student Mental Health Initiative
Page 34 of 47Page 34 of 47
4/11/2012
9
17
Compassion. Action. Change.17
Student Mental Health Initiative- Current Efforts
K-12:• Mental health training for educators• SMH Policy Workgroup inaugural meeting May 2012 • Statewideness: 11 regional plans under review
Higher Education:• CCC & CSU campus grants being solicited - require
letter of support from county MH Department• UC Faculty/Student Mental Health training conducted• Systems collaboration: UC/CSU/CCC meeting
quarterly
18
Compassion. Action. Change.18
Suicide Prevention
Page 35 of 47Page 35 of 47
4/11/2012
10
19
Compassion. Action. Change.19
Suicide Prevention- Current Efforts
Established partnerships among 9 crisis centers Built capacity statewide, through regional effortsLaunched communication & input tool: Your Voice
CountsCompleted data collection
• County Suicide Prevention efforts, Survey of CA residents on attitudes and knowledge related to suicide
Developed the workforce: Hired trainers in 3 regions, conducted training for trainers
20
Compassion. Action. Change.20
YourVoiceCounts.org
Page 36 of 47Page 36 of 47
4/11/2012
11
21
Compassion. Action. Change.21
Year Two: SDR
Communication campaigns underway:• Social marketing across lifespan• Speakers bureaus partnership with UACF & NAMI
Resource Materials Clearinghouse establishedComprehensive training underway
• Media, educators/parents, workplace, healthcare• Empowerment trainings launching statewide
Identification of: promising practices and discriminatory policies
22
Compassion. Action. Change.22
Year Two: SMHI- K-12
Operational PEI practice demonstration modelsbased on regional plansData on training practices, participation and 6
month post training survey resultsWork Plan and target dates for key policy issues
to be addressed by SMHPWG
Page 37 of 47Page 37 of 47
4/11/2012
12
23
Compassion. Action. Change.23
Year Two: SMHI- Higher Education
PSA’s and social marketing campaigns specific to students populations and adaptable to specific campuses Expanded training for staff on Mental Health
needs for student VeteransCampus based projects operational/inter-system
resource sharing
24
Compassion. Action. Change.24
Year Two: Suicide Prevention
Social marketing campaign underway–• Localized messaging; ongoing monitoring of
message effectiveness Statewide Suicide Prevention Network-
• Identify common metrics and best practice local initiatives for registry
Training- ASIST and Safe Talk Regional networks established
• Outreach efforts for local crisis lines underway
Page 38 of 47Page 38 of 47
4/11/2012
13
25
Compassion. Action. Change.25
Year Two - Goals
Contract Management• Oversight of deliverables/site visits• Opportunities to build coordination with local efforts
Communication• Dashboards with interim outcomes: Demographics-
who are we reaching? Quality Improvement
• Addressing challenges with Performance Improvement Plans
• Technical assistance from RAND for program partners
26
Compassion. Action. Change.26
Year Three- Goals
Project Outcomes - Availability of outcome dataEvaluation - Program partner evaluations
submittedSustainability/Legacy - Setting priorities
Page 39 of 47Page 39 of 47
4/11/2012
14
27
Compassion. Action. Change.27
Year Four- Evidence of Impact
Reduction in stigma and discriminationImproved student mental healthReduction in suicide
28
Compassion. Action. Change.28
Statewide Initiative Values
Page 40 of 47Page 40 of 47
CalMHSA Member Survey 2012 Strategic Planning Session
Compassion. Action. Change. page 1
SUMMARY SURVEY RESULTS
The summary table below shows the percent of respondents who selected "Agree" (4) or "Strongly Agree" (5) for each question. The total number of responses (n) for each question is also provided.
Question % of Respondents
Who Agree
1. CalMHSA efficiently and effectively acts as the fiscal and administrative agency for the MHSA Statewide Prevention and Early Intervention (PEI) Initiatives.
65.6% (n=32)
2. CalMHSA, as a Joint Powers Authority, will be valuable in the future for meeting the needs of county mental health departments beyond the completion of the MHSA Statewide PEI Initiatives on June 30, 2014.
54.8% (n=31)
3. CalMHSA can serve a useful role for counties in the business they conduct with state departments (DPH, DHCS, OSHPD, etc.) regarding various county mental health concerns, including but not limited to MHSA administration.
54.8% (n=31)
4. CalMHSA’s future value is lessened without all 58 counties as members. 38.7% (n=31)
5. CalMHSA and CiMH currently complement their efforts and collaborate effectively. 35.5% (n=31)
6. Collectively CalMHSA and CMHDA should attempt to weave together their meeting locations and times.
65.7% (n=32)
7. CalMHSA, CiMH, and CMHDA leadership and staff should meet on a regular basis. (n=31)
a. Monthly 35.5%
b. Quarterly 54.8%
c. Semi-annually 9.7%
d. Annually 0.0%
8. CalMHSA's current voting structure, based on CSAC with weighted voting only occurring if requested by a member and approved by majority of members, is effective.
37.9% (n=29)
Detailed survey results are provided on the following pages, including the full distribution of responses for each question and member comments.
Page 41 of 47Page 41 of 47
CalMHSA Member Survey 2012 Strategic Planning Session
Compassion. Action. Change. page 2
DETAILED SURVEY RESULTS
Question #1
Strongly Disagree
1 Disagree
2 Neutral
3 Agree
4
Strongly Agree
5 CalMHSA efficiently and effectively acts as the fiscal and administrative agency for the MHSA Statewide Prevention and Early Intervention (PEI) Initiatives. (n=32)
12.5% (4)
12.5% (4)
9.4% (3)
28.1% (9)
37.5% (12)
Question #2
Strongly Disagree
1 Disagree
2 Neutral 3 Agree
4
Strongly Agree
5 CalMHSA, as a Joint Powers Authority, will be valuable in the future for meeting the needs of county mental health departments beyond the completion of the MHSA Statewide PEI Initiatives on June 30, 2014. (n=31)
19.4% (6)
9.7% (3)
16.1% (5)
16.1% (5)
38.7% (12)
Question #3
Strongly Disagree
1 Disagree
2 Neutral 3 Agree
4
Strongly Agree
5 CalMHSA can serve a useful role for counties in the business they conduct with state departments (DPH, DHCS, OSHPD, etc.) regarding various county mental health concerns, including but not limited to MHSA administration. (n=31)
16.1% (5)
9.7% (3)
19.4% (6)
29.0% (9)
25.8% (8)
Question #4
Strongly Disagree
1 Disagree
2 Neutral 3 Agree
4
Strongly Agree
5 CalMHSA’s future value is lessened without all 58 counties as members. (n=31)
6.5% (2)
22.6% (7)
32.3% (10)
22.6% (7)
16.1% (5)
Question #5
Strongly Disagree
1 Disagree
2 Neutral 3 Agree
4
Strongly Agree
5 CalMHSA and CiMH currently complement their efforts and collaborate effectively. (n=31)
9.7% (3)
12.9% (4)
41.9% (13)
29.0% (9)
6.5% (2)
Question #6
Strongly Disagree
1 Disagree
2 Neutral 3 Agree
4
Strongly Agree
5 Collectively CalMHSA and CMHDA should attempt to weave together their meeting locations and times. (n=32)
18.8% (6)
6.3% (2)
9.4% (3)
18.8% (6)
46.9% (15)
Question #7 Monthly Quarterly Semi-
annually Annually CalMHSA, CiMH, and CMHDA leadership and staff should meet on a regular basis. (n=31)
35.5% (11)
54.8% (17)
9.7% (3)
0.0% (0)
Question #8
Strongly Disagree
1 Disagree
2 Neutral 3 Agree
4
Strongly Agree
5 CalMHSA's current voting structure, based on CSAC with weighted voting only occurring if requested by a member and approved by majority of members, is effective. (n=29)
13.8% (4)
24.1% (7)
24.1% (7)
24.1% (7)
13.8% (4)
Page 42 of 47Page 42 of 47
1
1
STATUS OF 3 YEAR GOALS AND ACCOMPLISHMENTS
Goal 1 – JPA ADMINISTRATION – shall be fully operational with all key positions filled, that the structure shall provide the leadership, delivery of service, quality controls, and accountability of operation.
Administration has grown substantially since May 2010:
• Starting with the hiring of Edward Walker, LCSW, in June 2010 (retired June 2011)
• GHC contracted with CiMH to extend program administration in 2010
• Hiring of Ann Collentine, MPPA, and Stephanie Welch, MSW, in June 2011; and hiring of Sarah Brichler, MEd, in December
• Addition of communication, data and fiscal experts throughout 2011 and into 2012
• Hired Amy Shearer (support) and Larry Edgar (accounting)
Page 43 of 47Page 43 of 47
2
2
STATUS OF 3 YEAR GOALS AND ACCOMPLISHMENTS
Goal 2 – FUNDING – to secure CalMHSA funding for all 58 counties and to develop alternative funding sources.
• CalMHSA has seen membership grow from 11 member counties in March 2010 to 46 members (46 counties, 1 JPA) in April 2012, with anticipation of 50 members by July 2012
• Alternate funding sources and other CalMHSA operational roles and functions are a significant topic at the 2012 Strategic Planning Session
Page 44 of 47Page 44 of 47
3
3
STATUS OF 3 YEAR GOALS AND ACCOMPLISHMENTS
Goal 3 – PROJECT DEVELOPMENT and IMPLEMENTATION – Establish process and protocols for successful plan submission, implementation/project management, and evaluation methodologies.
• Implementation Ad Hoc Committee (IAHC) was formed in 2010, with Wayne Clark, PhD, as chair and Edward Walker, LCSW, as Program Director
• An aggressive implementation plan was created and approved, and execution has been highly successful
• Upon PEI Program Partner contract completion, the IAHC was dissolved and the Advisory Committee was created, allowing more stakeholder input and feedback on projects and implementation
• RAND Corporation was hired as CalMHSA Evaluation Program Partner • Dorthy Lebron, PhD, was hired as Evaluation and Data Analyst
Page 45 of 47Page 45 of 47
4
4
STATUS OF 3 YEAR GOALS AND ACCOMPLISHMENTS
Goal 3 – PROJECT DEVELOPMENT and IMPLEMENTATION – ACHIEVED IN 2011
Suicide Prevention; Stigma & Discrimination Reduction; Student Mental Health • January - February: RFPs/RFAs released • March - April: Proposals/Applications Due - panel scored, staff analyzed • May - June: Board selected proposals/applications for contract;
Statewide Evaluation • April - RFP release • May - Proposals Due - panel scored, staff analyzed • June - Board selected proposal for contract
Contract Monitoring • October - December - site visits with each program; convened Statewide
Coordinating Workgroup; establish protocols for evaluation data collection and progress reports
Page 46 of 47Page 46 of 47
5
5
STATUS OF 3 YEAR GOALS AND ACCOMPLISHMENTS
Goal 4 – ACCOUNTABILITY – Develop necessary quality control procedures surrounding fiscal and administrative operations and establish benchmarks for evaluation of results. • Implementation timeline was executed in a timely manner and accountability
measurements established • Standing Finance Committee was formed • Semiannual reports submitted to the MHSOAC • DMH Contract:
• Utilization of funds in accordance with policies • Adherence to controls, record keeping reporting and fund accounting
procedure requirements • Placement of funds into a separate account
• Inaugural Financial Audit for years ended June 30, 2011—received an unqualified opinion
• GHC near completion of Statements on Standards for Attestation Engagements (SSAE) 16 Audit (evaluation of operating controls relative to JPA management)
Page 47 of 47Page 47 of 47