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Behavioral Health & Recovery Services Mental Health Services Act

Planning Meeting

February 27, 2015

MHSA Representative Stakeholder Steering Committee

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Welcome

and Introductions

MHSA Representative Stakeholder Steering Committee

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Introductions Recap of January 30

Stakeholder Meeting Present funding proposals and

PEI Restructuring Plan for consideration/Gradients of Agreement

---Break--- Gather input on ideas for

possible future funding/ Roundtable Exercise

Close

Meeting Agenda

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Reviewed BHRS Commitments to Long Term Change

Reviewed MHSA budget Presented highlights from FY

15/16 Annual Update /MHSA Programs – FY 13-14

Shared PEI Restructuring Plan Gathered input on MHSA projects Discussion on MHSA future

funding

Recap of January 30, 2014 Meeting

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Community Services and Supports (CSS)

Prevention and Early Intervention (PEI)

Workforce Education and Training (WE&T)

Capital Facilities/ Technological Needs (CF/TN)

Innovation

MHSA Components

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Prevention and Early Intervention (PEI) Statewide PEI Initiative - $ 90,000 (3% of allocation) Know the Signs Suicide Prevention Campaign Prevention strategies, training/outreach

Each Mind Matters Anti-Stigma Campaign Stigma reduction

Funding Proposals

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Prevention and Early Intervention (PEI) Program Revision: School Behavioral Health Integration

(SBHI) Align services using the School Behavioral Health

Consultation Model. Build and enhance a continuum of behavioral health

supports at school sites by focusing work in five areas: 1) teacher and staff support, 2) whole school support, 3) student support, 4) family support, and 5) crisis support.

PEI Restructuring Plan

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Prevention and Early Intervention (PEI) Program Revision: National Alliance for the Mentally Ill (NAMI) Program originally funded to provide In Our Own Voice and

Parents and Teachers as Allies school-based training. As NAMI program gained access to communities and

schools, the community requested additional NAMI training and education presentations.

To broaden impact/meet community needs, program will now provide all NAMI approved training and education. NAMI has had success in reaching communities with anti-stigma and mental health education.

PEI Restructuring Plan

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Prevention and Early Intervention (PEI) Program Revision: Friends are Good Medicine (FGM)

The program target population will focus on families of

adults with serious mental illness and/or with a recent hospitalization.

The program will add the additional strategy of outreach to families and connecting them to peer and community support.

There is no budget impact.

PEI Restructuring Plan

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Prevention and Early Intervention (PEI) Program to be Discontinued: Children Are People BHRS recommends ending the Children Are People

program as of June 2015. Even though the program experienced successful

outcomes, the program resources would be best utilized within the SBHI project where strategies are similar and align with PEI Regulations.

Budget transferred to SBHI budget.

PEI Restructuring Plan

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Prevention and Early Intervention (PEI) Program to be Discontinued: Faith/Spirituality-Based Resiliency and Social Connectedness

BHRS recommends ending county operated program. After program redesigns, it was found that the strategy is

not efficient as a stand-alone program. The Community Behavioral Health Outreach and

Engagement program will continue to engage faith/spirituality communities to increase behavioral peer and community supports for their members.

Budget transferred to Community Behavioral Health Outreach and Engagement

PEI Restructuring Plan

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Workforce Education and Training (WE&T) Training Costs - $150,000 Staff Training and Community Workforce Development Examples: Suicide Prevention Collaborative Documentation Trauma Informed Care Assertive Community Treatment Training High Intensity Homeless Outreach and Engagement Best Practices

Funding Proposals

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Innovation (INN) FSP Co-Occurring Disorders Project - $800,000 Focus on adults who have both serious mental illness

and co-occurring substance use disorder. Insure treatment/primary care is provided to address potential risks to reduce homelessness, criminal justice involvement, acute psychiatric hospitalizations, and institutionalization

Funding Proposals

Technological Needs (TN) Evaluation Outcomes Funding - $400,000 Why? State requirements Report outcomes to

stakeholders 64 MHSA programs Program expansions and

additions Added 1 FSP Added 8 GSD and

O&E Expanded 6 GSD

What? Infrastructure Systems Engineer

Development Software Developer

Analysis/Presentation Staff Services

Coordinator

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Funding Proposals

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MHSA Representative Stakeholder Steering Committee

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Future Funding

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Examine current project outcomes

Examine current project sustainable funding

Incorporate MHSA stakeholder priorities

Include feedback from Board of Supervisors on priority areas

Context for Future Funding

MHSA Stakeholder Meeting June 20, 2014

CSS, PEI, INN Population and Strategy Priorities Mental Health Adaptive Dilemma

Priorities

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CSS Population and Strategy Priorities

Population Strategy Points 1. Children/Youth 53 FSP - Full Service Partnership 28 GSD - General System Development 19 O&E - Outreach and Engagement 6 2. Adults 30 FSP 19 GSD 0 O&E 11 3. TAYA 7 FSP 7 GSD 0 O&E 0 4. Older Adults 7 FSP 6 GSD 0 O&E 1

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PEI Populations Priorities Population Points

1. Children/Youth 43 Underserved 0 At-risk 6 Exhibiting onset/MH issues 37 Families 0 2. Adults 26 Underserved 26 At-risk 0 Exhibiting onset/MH issues 0 Families 3. TAYA 21 Underserved 2 At-risk 10 Exhibiting onset/MH issues 9 Families 0 4. Older Adults 10 Underserved 7 At-risk 3 Exhibiting onset/MH issues 0 Families 0

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Innovation

Mental Health Adaptive Dilemma Points

1. Improving parental competency and social support for fathers

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2. Improving the well-being of children, TAY, TAYA

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3. Treatment options for people struggling with both substance abuse and mental illness

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4. Connecting people receiving services to community based supports

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5. Honoring and identifying more holistic approaches to well-being

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6. Connecting and linking underserved and diverse communities with resources

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Reduction in suicide rate Expanded efforts to deal with

homelessness/address perception that it is growing.

Stigma reduction approaches Reduction in incarceration Reduction in ER visits Prevention

BOS Priorities for Future Funding

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BOS Comments: Supervisors value stakeholder input. Supervisors want to insure that outcomes

are the focus of programs.

BOS Priorities for Future Funding

Scenario #1 Expand existing

programs with demonstrated positive outcomes

Scenario #2 Generate ideas for

future funding - New proposals - New expansions

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Context for Future Funding

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Stakeholder Ideas Exercise/Roundtable Discussions

Future Funding

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Next Steps

What questions do

you have?

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Next Steps

Community Input on Annual Update 30-day public review and comment period March 24 - April 22, 2015 Informational outreach meeting - March 25, 2015 @

BHRS Main Conference Room, 1:30 p.m. Mental Health Board Public Hearing on April 23, 2015 @ 5 pm, BHRS Redwood Room Board of Supervisors Meeting - Adoption of Annual

Update - May 12, 2015 Update to MHSOAC within 30 days

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Next Steps

Meeting Feedback Form Next Meeting – April 10, 2015 (Tentative) Final Reflections/Questions

www.stanislausmhsa.com

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Thank you for your partnership!