Placer MHSA Integrated 3 Year Planning—Further Conversations

1. Placer MHSA Integrated 3 Year Planning—Further Conversations July 1, 2014- June 31,2017

2. The Big Picture… • Review MHSA planning efforts & timeline • Recap last meeting • Decisions made & New Programs Process update • Innovation discussion

3. Review of Planning Elements & Requirements • 3-year plan (2014 – 2017) • Based on unspent funds + estimated revenues from State • Stakeholder process • Representatives from the County’s constituency groups (CCW Steering) • Involvement in: mental health policy, program planning & implementation, monitoring, quality improvement, evaluation & budget allocations • Draft plan circulated for 30 days for public comment (Summer/Fall 2013)

4. Current Process and Timeline Dec. May/June March April July Gaps Eval. Current Programs Innovation + Planning Framework For Priorities (GAPS) Asset Map For Review Target Pop. + Outcomes • Target Pops served • Outcomes • Recomm. • Steering Ideas • Asset mapping • Input on gap tool • Process Decisions • Funding strategies Sept. Aug Strategies & Programs Outcomes& Target Pops. Draft Plan Staff maps To Budget • Recommended programs • Steering Rec. • Leadership Team decisional Oct. 2013

5. Review of Current MHSA Elements Ongoing Ongoing One-Time 75% 20% 5% Community Services & Supports Prevention & Early Intervention Innovation Cap Fac. & Tech WET West Slope(PCF) Full Service Prt. Ready for Success Tahoe(TTCF) Systems Transf. Bridges to Wellness 5 Large Projects Bye Bye Blues Crisis Triage Housing Lake Tahoe

6. Recap of Decisions made:

8. Current Programs Process Decision Made in April Program Deliverables Outcomes (qualitative and quant.) All Current Programs MHSA EvalTeam Include WET YES Programs needing more $’s would apply separately for unspent funds. RFP after plan Is approved Recommend Programs (At existing Funded levels) CCW Steering Review CCW Leadership (Final Decision) Draft MHSA Plan Notes: 1) WET to be included in ongoing CSS program expenses. 2) Ongoing programs -7% COLA next year and 2% annual increase thereafter 3) PEI receives $300k of additional ongoing funds for RFP –worked into unspent RFP process

9. Total Current Program Dollars Current Ongoing Process • WET is included in CSS, includes COLA of 7% in 13/14 and 2% thereafter • $300k of “new” PEI ongoing is not included in above process but will be included in “unspent process”

10. Program Selection Process • Decision Made in May* Includes Unspent + PEI ongoing + Innovation Program identification Process MHSA Criteria Community Program Review Panel Program Strategies Framework • Gap ideas • Asset map • Funding allocations • Hospital data • Innovation priorities • CSS: 51% > FSP • PEI: 25% > 0 – 24yrs • WET, Housing, Facilities • Outcomes • Target pops. CCW Steering Request for Proposal CCW Leadership Annual Plan Update Note: * Includes unspent (6yr. Funding framework), PEI $300k(ongoing) + Innovation * $3 million- for capital facilities + housing - decision by 2018

11. Total Dollars for Process Unspent + PEI Ongoing + Innovation PEI & CSS - allocates more dollars in first three years and slightly less remaining three years Requirements: CSS 51% or > to FSP and PEI 25% or > to 0-24 yrs. old. $3 million- for capital facilities + housing decision to occur by 2018.

12. Tahoe Priorities • Increase awareness of underserved pops. • LGBTQ, disabilities, TAY, PPD • Increase non-therapy and therapy alternatives for youth (natural setting) • Increased coordination and community wide prevention around suicide (warning signs) • Decrease stigma and discrimination • Culturally competent therapy for Latino pop. • Mental health & substance abuse services for under and uninsured • Homeless support – strategies* • Intervention and supports for children and families (those with and without mental illness) • Adequate crisis response with follow up services

13. Innovation • Review MHSA guidelines and numbers • Recap ideas from last meeting • Mapped to Innovation guidelines • Recommendations from Leadership Committee • Group work prioritization

14. Innovation- Available Dollars

15. Innovation – Must Do At Least One of the Following • Introduce new mental health practice/ and approach • Make a change to an existing mental health practice/approach • Introduce to the mental health system a new promising community-driven practice/approach or a practice/approach that has been successful in non-mental health setting

16. Innovation - New Mental Health Approaches • Services to incarcerated adults upon release • First Hospitalization/ First Onset/Early Response • Mobile Response Unit • Transportation Resources

17. Innovation – Making Changes to Existing Programs or Services • Peer Support/Wellness Recovery Action Plan • Leasing available space in churches or other buildings • Peer Run Board and Care • Transition Age Youth Housing • Mental Health integrated with Acute Health

18. Innovation – Introduce Community Driven Practices to Mental Health • Community Garden • Cooking Café • Respite Services • Art Center • Operational Support for Transition Age Youth Center • Other work program/business opportunity

19. Innovation – Concepts that are better met through PEI or other funding sources • Homeless Shelter • Services for Jail Population • Suicide Prevention

20. Innovation – LeadershipRecommendation • Focus on one to three initiatives • 1 large initiative ($350,000) + 2 small ($175,000 each) • 3 similar initiatives ($233,000 each) • 2 initiatives ($350,000 each) • Exercise: • Select top funding initiative from above • Relative to brainstorm list, pick top three priorities

21. Next Steps Move Innovation priorities into the process August MHSA program recommendations