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Mental Health Services Act Steering Committee

Mental Health Services Act Steering Committee. April 7, 2008 1:00pm – 4:00pm. Prevention and Early Intervention. Alan Albright PEI Coordinator. Local & State Updates. Mark Refowitz Behavioral Health Director. Reversion Policy (DMH Notice 08-07). Reversion will occur if:

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Mental Health Services Act Steering Committee

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  1. Mental Health Services ActSteering Committee April 7, 2008 1:00pm – 4:00pm

  2. Prevention and Early Intervention Alan Albright PEI Coordinator

  3. Local & State Updates Mark Refowitz Behavioral Health Director

  4. Reversion Policy(DMH Notice 08-07) Reversion will occur if: • A county does not gain approval for use of funds within a specified time period set by the state • A county’s total expenditures over the entire reversion period are less than the amount distributed by the state for MHSA purposes

  5. Reversion Timeframe • Community Services and Supports (CSS) and Prevention and Early Intervention (PEI) are subject to a three year reversion period • Capital Facilities, Technology, and Workforce, Education, and Training may be retained for up to 10 years before reverting to the state.

  6. FY05/06 $24 Million $1.2 Million FY06/07 $26.1 Million $17.6 Million Orange County CSS Funds FY07/08 $14 Million (year to date) $16.6 Million (year to date) Fiscal Year DMH Distributed Funds ($ we have received) Expended Funds Total Expended: 35.4 Million

  7. Funds Subject to Reversion • $25 Million FY 05/06 subject to reversion on 6/30/08 • However, Orange County funds will not be reverted • $35.4 Million has been expended which is more than the $25 Million subject to reversion • F.I.F.O.: First In First Out

  8. Housing • State FY 2007/08 Planning Estimate $33,158,300 (MHSA Housing Program) • 33.1 Million transferred by DMH to the California Housing Finance Agency (CalHFA) • Protects funds from Reversion on June 30, 2008 • Funds will be held in a County specific sub-account and be accessible only to that specific county

  9. Capital Facilities & Technology Guidance Kate Pavich Capital Facilities Coordinator & Kathleen Murray Technology Coordinator

  10. Capital Facilities & Technological Needs Proposal • Support the goals of MHSA • Produce long-term impacts with lasting benefits • Move the system towards goals of wellness, recovery, resiliency, and cultural competence • Expand opportunities for accessible community-based services for clients • Promote reduction in disparities to underserved groups

  11. MHSA Proposal Must include a variety of technology uses and strategies and/or

  12. MHSA Proposal • Community-based facilities which support integrated services that are culturally and linguistically appropriate

  13. Use of Funds • Support an increase in peer-support and consumer run facilities • Development of community-based, less restrictive settings that reduce the need for incarceration or institutionalization • Development of a technological infrastructure for the mental health system

  14. Timeline for Funds • Capital Facilities and Technological Needs funds must be used within ten years or they will revert back to the State

  15. Capital Facilities Approved Costs • Acquire and build upon land that will be County owned • Acquire buildings • Construct buildings • Renovate buildings

  16. Costs Not Approved • Facilities where the purpose of the building is to provide housing • Acquisition of facilities not secured to a foundation (e.g. buses, trailers) • Operating costs for the building (e.g. utilities, landscaping, security guard) • Furniture or fixtures not attached to the building (e.g. desk, chairs, sofas)

  17. Current Allocation Expect our allocation to be $28,308,300. • 80% Capital Facilities ($22.6 million) • 20% Technology ($5.6 million)

  18. Capital Facilities Project401 S. Tustin Avenue, Orange

  19. Proposed Programs • Crisis Residential Program • Wellness/Peer Support Center • Vocational Training

  20. Estimated Project Cost $16,500,000 which includes: • Demolition of all existing buildings • Construction of three 7,500 square foot buildings for programs • New site improvements (parking, landscaping, etc.) • Construction of miscellaneous site structures

  21. Technological Needs • DMH goal is to develop an Integrated Information Systems Infrastructure where all counties can securely access and exchange information • This will provide local service sites with client data and critical information for coordination of care

  22. Use of Technology Funds • To purchase a data warehouse to combine and store data from multiple information systems to increase or complete clinical picture available to the treatment team • To purchase resources to increase consumer and family access to computers • To fund scanning and imaging projects to allow the information system to become “paperless”

  23. Use of Technology Funds • Expansion of the Network of Care to increase consumer access to the Personal Health Record • To fund pilot projects to monitor new programs and improve service outcome strategies

  24. Proposed Use of Funds • The Health Care Agency is currently planning to analyze the best way to use the available MHSA funds to support the overall goal to create an integrated Information systems infrastructure through the implementation of an Electronic Health Record (EHR).

  25. Electronic Health Record (EHR) • A secure, real-time, point-of- care, information resource for service providers • Allows standard data exchanges with other counties, contract providers, labs, and pharmacies

  26. Technology Proposal • Assess the current state of technological readiness and develop and implement roadmaps for technological improvements over time. • The Roadmap will define the plan and schedule an approach to achieving an Integrated Information Systems Infrastructure.

  27. Our Roadmap • Will include proposed project milestones and cost estimates as well as plans for vendor selection, communication, training, and workflow assessment.

  28. Component Proposal • Will provide an overview of future Capital Facilities and Technological Needs projects • May submit a Component Proposal that addresses both capital facilities and technological needs or only one segment of the component

  29. FY08/09 Growth Funds Mark Refowitz Behavioral Health Director

  30. FY 08/09 Growth Funds Total Allocation From DMH: $8,135,900 Administration (15%): -$1,220,385 Available for Programs: $6,915,515

  31. CSS Age Allocation • Children: $1,403,850 • TAY: $1,293,201 • Adult: $3,250,292 • Older adult: $968,172 • Total: $6,915,515

  32. Children Must Fix Available: $1,403,850 • FSP Renew (Providence) $791,760 • FSP Combo Children/TAY split 50/50 (OCAPICA) $95,000 • Children Crisis Residential (CSP) $197,195 Amount Remaining: $319,895

  33. TAY Must Fix Available: $1,293,201 • FSP STAY (Providence) $954,369 • FSP Combo Children/TAY split 50/50 (OCAPICA) $95,000 • TAY Crisis Residential (South Coast) $129,605 Amount Remaining: $114,227

  34. Children & TAYRemaining: $434,122 Stakeholder Recommendations • Youth Offender Wrap • Consensus Reached

  35. Adults Must FixAvailable: $3,250,292 • Supportive Employment (Goodwill) $85,712 • MHA FSP Non-Court $630,000 • Adult O&E (County) $262,308 • Opportunity Knocks $140,000 • Whatever It Takes (WIT) $160,000 • Recovery Center $1,500,000 Amount Remaining: $472,272

  36. Adults Remaining: $472,272 Stakeholder Recommendations In Rank Order • Peer Mentors/ Outpatient support • CAT/PERT • Goodwill Program in South County • Expansion of slots for FSP's • Outreach & Engagement

  37. Older AdultsAvailable: $968,172 • Must Fix: $0 • Amount Remaining: $968,172

  38. Older Adults Remaining: Stakeholder Recommendations In Rank Order • Peer Support/ Outpatient Support for Older Adults not in an FSP • Expand Recovery Program • Expand OASIS Program

  39. Next Meeting Monday, May 5, 2008 1:00-4:00 PM Delhi Community Center 505 East Central, Santa Ana, CA 92707

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