campaign steering committee friday, november 30, 2007 10-1 pm roseville
TRANSCRIPT
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Campaign
Steering Committee
Friday, November 30, 2007
10-1 pm
Roseville
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• Welcome & thank you• Consumer Voice• Public Comment• Campaign Steering
Roster– Updates to approve
• Prevention Updates– Where we are– Guiding Principles– Prevention reminders
Agenda
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• Recommendations– Priority populations
identified• Recommendations
– Allocation framework by focus
– Workgroups
• Public comment review • Wrap-up/next steps
Agenda (continued)
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.
VOICE
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Public Comment
Comments Welcome
3-minutes per comment
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Steering Committee Roster:Request for Approval
• Consumer youth – Sam Stodolski
• Need 1 more consumer– Latino, jail, Tahoe
• Latino, Youth advocate, Tahoe– Emilio Vaca
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Prevention Planning Review
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PEI Planning Elements for Discussion
• Review decision making process– Role of Steering
• Affirm guiding principles• Approve initial priority
populations and community needs– Review process first
• Formalize work groups• Approve allocation/funding
framework
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Planning Process
SteeringCommunity
(Tahoe, Auburn, Lincoln,Roseville)
Needs &
Assets
SteeringEstablish work groups, approve initial criteria & plan
County staffFinalizes decisionsCreates work plans
Latino Leadership
NativeAmerican
Data collection/Risk & Protective Factors
Workgroup#1
Workgroup#2
Workgroup#3
LatinoWorkgroup
Native American
Target needs and priorities
Steering
Reviews workgroup recs,formalizes recs.
RecommendingBody
Decision-making
RecommendingBody
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PEI Guiding Principles•Cultural competence•Collaboration•Client / Family centered •Recovery /strength-based wellness focus•Co-occurring competent•Early intervention•Evidence based outcome focus•Integrated services•Accessibility
Affirm
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Prevention Refresher
• Definition of prevention• Trajectories• Upstream emphasis
“An ounce of prevention is worth of pound of service”
-Anonymous
Review handout
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Prevention
• Interventions that occur before the onset of a problem
• Can also mean interventions that prevent relapse, disability and the consequences of severe mental illness
• The Institute of Medicine restricts the definition to processes that occur before there is a diagnosable mental illness.
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Examples of Protective Factors
FamilyFamily
Health careHealth care
CultureCulture
ReligionReligion
FriendsFriends
Restricted access Restricted access to lethal means to lethal means (suicide)(suicide)
Self-help Self-help skillsskills
Anger Anger management skillsmanagement skills
Work/volunteeringWork/volunteering
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Examples of Risk Factors
Job lossJob loss
Lack of health careLack of health care
TraumaTrauma
Physical illnessPhysical illness
Alcohol/substance abuseAlcohol/substance abuse
Gay youthGay youth
Native American Native American youthyouth
Previous suicide attemptPrevious suicide attempt
Grils & young womenGrils & young women
Isolated elderlyIsolated elderly
DiscriminationDiscrimination
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Classification of Prevention Interventions
• A universal preventive intervention is applicable or useful for everyone in the general population.
• A selective preventive intervention is targeted at individuals or subgroups whose risk of developing mental health problems is significantly higher than average.
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Classification of Prevention Interventions
• An indicated preventive intervention is aimed at individuals who have some symptoms of mental health problems but whose symptoms are not yet severe or prolonged enough to meet diagnostic criteria.
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Why Intervene Early?
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Step 1: Identifying NeedsWho is at risk & for what
Steering and
Community Input sessions
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What did you tell us?
• Steering: Who is at risk & for what: – Children & youth at-risk
• Poverty, uninsured, abuse, depressed, disabled, poor school performers, substance abuse, incarcerated
– Adults• Trauma, depressed, single
(divorced,widowed,separated)
– Seniors• Depression, drug abuse
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Community Input Summary (Kings Beach, Lincoln, Auburn))
• Children– Neglect, lack of care &
security– Those with mentally ill
parents and/or substance abuse
• Youth– Antisocial/isolation, inverted
family structure,drugs, neglect, gangs,aggressive
• LGBT
– Transitioning, lack of job skills
– Incarceration
Who is at risk & for what:
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Community Input Summary(Kings Beach, Lincoln, Auburn))
• Adults- Women (depression,
poverty, transp.)– Men (money, jobless,
discrimination)• Families
– Drugs, abuse,early sex, bullying,domestic violence, divorce
• Seniors– Isolated, depressed– Elder abuse, substance
abuse– Health
Who is at risk & for what:
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Latino Leadership Input
• Children– School failure,
domestic violence
• Women, men & family– Substance abuse,
isolation/depression, fear of immigration, lack of medical care, incarceration, job loss
Who is at risk & for what:
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Native NetworkInput
• All ages/gender at-risk• Family-centered, community
approaches– Preservation of cultural
knowledge and traditional health practices is top priority.
• At-risk for:– Historical trauma,
discrimination, poverty, homelessness,low educational attainment, lack of access to care
“Culture is Prevention”
Who is at risk & for what:
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Summary of Community Needs
• Depression across all ages groups– Children, youth, adults,
seniors, homeless
• At-risk children and youth– School failure
– Juvenile delinquency
– Stressed families
• Underserved cultures– Access to care
– Stigma/discrimination
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What is the Data Telling Us?
QuickTime™ and aTIFF (Uncompressed) decompressor
are needed to see this picture.
Refer to handout
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The Good News:Protective Factors
• High educational levels– 68% some college or
higher
• Low violent crime• High graduation rates
– 91%
• High Quality Health Care– Low rate of uninsured
(3.5% kids)
• Low unemployment• Low poverty
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Our Risk Factors
• Population growth 2nd highest in CA– Eldery
– Latino
• Above average suicide rates– 34 per 100,000 for (80-
84yrs.)
– 76% of all suicides are male
– 25% of all suicides ages 40-50
– Adolescents on par with State
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Our Risk Factors
• Above average rate of child abuse calls– 20% Latino substantiated cases
• Above average alcohol and drug abuse– Hospital discharges
• 2nd to worst in State
– Juvenile arrests– Adult arrests (DUI, other
alcohol)– Accidents– 25% more liquor stores
• 100% youth in Tahoe request information on depression
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Our Risk Factors
• Pockets of poverty– 8 schools have 65% or
more free/reduced lunch programs
– 6 areas identified:• North Auburn• Lincoln• Colfax• Central Roseville• Foresthill• Kings Beach
• Poverty increases risk of mental illness by 2x in Placer (see handout)
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Most effective use of $
• The more upstream the more effective
• Shotgun approach will not work– Not a lot of $’s
• Need to focus
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Most criticalareas to choose:
• Disparities in Access • Psycho-social impact of
trauma• At-risk children, youth
and young adult• Stigma & Discrimination• Suicide Risk
• Trauma exposed individuals
• First onset• Children, youth stressed
families• Children, youth school
failure• Children, youth juvenile
justice
Community Needs Priority Populations
Agreement/Approval
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Proposed GeneralFunding Framework
• 0-25 yrs.• Disparities in Access
– Underserved cultures
• Depression/suicide
DiscussionAgreement/Approval
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Recommended Workgroups
Children/Youth At- Risk
DepressionSuicide
Latino
NativeAmerican
Tahoe
Focus Areas
Disparities inAccess
DiscussionAgreement/Approval
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Group Work by Jan 25Provide Recommendations
• Who is the target?• What are the outcomes?• Recommendation on prevention strategy:
–Universal, selective, etc.
Staff will assist
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Public Comment Review
Recap of public comment process
Discussion
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Public CommentProcess
Written:
Letter StaffResponds
SteeringReviews
2 weeks
Edits/ FinalResponse
Recommended Oral process:
PublicComment
Steering Listens
No formalResponse
DiscussionAgreement/Approval
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Next Steps
• Complete community meetings
• Workgroups meet with staff assistance – Present targets and
outcomes
• Next Steering Meeting Jan. 25– 10-1pm CDRA, Auburn
• Happy New Year!
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End