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Mental Health Services Act

Mental Health Services Act. Steering Committee Meeting August 4, 2008. Sharon Browning. Welcome. William Gonzalez. Consumer Perspective. Mary Hale. Local / State Updates. Kate Pavich. MHSA Updates / Capital Facilities. Capital Facilities-Technological Needs.

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Mental Health Services Act

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  1. Mental Health Services Act Steering Committee Meeting August 4, 2008

  2. Sharon Browning Welcome

  3. William Gonzalez Consumer Perspective

  4. Mary Hale Local / State Updates

  5. Kate Pavich MHSA Updates / Capital Facilities

  6. Capital Facilities-Technological Needs • Component Proposal was submitted to DMH on 7/17. • DMH review team has completed the administrative process and will be moving our proposal on to the next level of review and approval. DMH will send “points of clarification” by 9/17/08. Proposal will be approved after all questions are answered.

  7. 401 S. Tustin Renovation • Architect and selected consultants have begun validation study • Civil Engineer has begun topographic research • A Geotechnical Engineer has begun site investigation • Hazardous Material crew has begun fieldwork • Conditional Use Permit for a residential psychiatric facility was verified

  8. Architecture and Planning • Alexander + Hibbs AIA, INC.1200 N. Jefferson St. Suite AAnaheim, CA 92807Tel:  (714) 630-3686Fax: (714) 630-3687www.alexanderandhibbs.com

  9. Mission Statements have been drafted for the Crisis Residential Program, Wellness /Peer Support Center and Vocational Training Program Request for Proposal for the Wellness Center was released on 7/16 401 S. Tustin Programming

  10. 401 S. Tustin Programming • Space requirements for all three programs were reviewed • Discussed ways to incorporate “green” activities into the project which will be constructed as energy efficient/ environmentally friendly as possible • HCA staff and architects toured a children’s crisis residential program and Transitional Age Youth program to develop design ideas and recommendations

  11. DMH Information Notice 08-21 • Funding Augmentation $28,308,300 increased to $37,202,800 • Request for Capital Facilities Pre-Development Funds

  12. PEI Review • CSS / PEI – Orange County • PEI Roundtable 7/28/08 - 7/29/08

  13. Resilience – A Key Element in PEI Valuable model to evaluate how programs will engage the resilient nature of the folks we are hoping to serve and how will protective factors critical to health be employed in these programs. These protective factors are:

  14. Caring Relationships • Consistently “being there” • Showing compassion, interest, and acceptance • Listening to what is expressed • Having patience • Being trustworthy

  15. Setting High Expectations • Expressing belief in people’s resilience • Showing respect, firm guidance and support • Providing structure • Remaining strengths-focused • Reframing

  16. Meaningful Participation • Creating a safe place for expression, inclusion and choices • Allowing everyone to have a voice • Participant-driven • Caring for others • Peer Support

  17. Protective Factors • These protective factors should be at the heart of our PEI efforts whether it’s community collaboration, individual/family driven programs, systems change, recovery programs, evidence based practices, or cultural competence

  18. “Bringing Young People to the Policy Table”

  19. Prevention Question: • “How can the education, foster care and juvenile justice systems be improved to support young people’s own efforts to maintain their mental health?”

  20. Youth Recommendations #1 Long-Term Relationships with Adults #2 Make Meds Make Sense #3 Confidentiality

  21. Youth Recommendations: #4 Culturally Positive Environments #5 Youth Voice

  22. Intervention Question: • “What kind of interventions change the mentality of young people who have experienced trauma, so they don’t repeat the abuse and self-abuse they learned as coping tools?”

  23. Youth Recommendations: #1 Cultivate Personal Interests #2 Fix the Situation, Not Just the Kid #3 Good Information

  24. Youth Recommendations: #4 Avoid Labels and Stigma #5 Role Models

  25. Young People Matter “Kids can walk around trouble if there is someplace to walk to, and someone to walk with.” Tito in Urban Sanctuaries (Milbery, McLaughlin et. al)

  26. Listening “I believe all any of us really wants is to feel truly and deeply heard, seen, acknowledged, and allowed to be ourselves.” Jon Wilson Hope Magazine (#40) 2003

  27. Kimari Phillips PEI Community Survey Updates

  28. Survey Dissemination • Mailed over 3,000 surveys to OC organizations and community members • Handed out over 5,000 surveys throughout OC at meetings, clinics, community based organizations, etc. • E-mailed announcements regarding the online surveys (including a hyperlink for easy access)

  29. 390Organizational Surveys Received 72.6% Print (n = 283) 27.4% Online (n = 107) 1,564Community Surveys Received 81.5% Print (n = 1,275) 18.5% Online (n = 289) CommunitySurvey Language 84.7% English (n = 1,325) 11.7% Spanish (n = 183) 3.6% Vietnamese (n = 56)

  30. Information Gathered from Organizational Providers in OC • Types of organizations serving OC community (potential PEI partners) • Types of PEI services provided by respondents • Percent of annual budget allocated to PEI • Resources needed by OC providers to deliver PEI services • Satisfaction with amount & accessibility of PEI services in OC • Opinions regarding: • Priority goals/needs for PEI in OC • How OC can best deliver PEI services to underserved populations

  31. Information Gathered from OC Community(Residents/MH Consumers) • Demographic info (age, gender, race/ethnicity, annual household income, home ZIP code) • Satisfaction with amount & accessibility of PEI services in OC • Opinions regarding: • Populations in greatest need of PEI in OC • Priority PEI issues in OC communities • Most effective settings for identifying OC residents with a need for PEI services • Best approaches for addressing PEI in OC

  32. Race/Ethnicity of Community Respondents(n=1,514)

  33. Community Respondents’ • Average Age(n=1,476) • 43.5 years (15-91 yrs) • Gender(n=1,531) • 66.8% Female • 33.1% Male

  34. AverageAnnual Household Income(n=1,429)

  35. There are enough existing PEI resources and services.(n=382provider & n=1,512community responses, averages=1.72 & 2.25on a 5-point scale, where 1=Strongly Disagree, 5=Strongly Agree)

  36. There is enough information available about how to find and access existing PEI resources and services.(n=387 provider & n=1,527community responses, averages=1.86 & 2.29on a 5-point scale, where 1=Strongly Disagree,5=Strongly Agree)

  37. Community Opinions Regarding Priority Populations for PEI inOC(n > 1,500, averages on a 5-point scale, where 1=Very Low Need, 5=Very High Need)

  38. Community Opinions Regarding Priority Populations for PEI in OC(n > 1,500, averages on a 5-point scale, where 1=Very Low Need, 5=Very High Need)

  39. (slide 1 of 2)Opinions Regarding Priority PEI Goals/NeedsREDUCTION OF…

  40. (slide 2 of 2)Opinions RegardingPriority PEI Goals/Needs REDUCTION OF…

  41. Other Written PEI Goals/Needs • Dual Diagnosis/Substance Abuse (16.8%): • eg, substance abuse/addiction; problems due to prenatal drug exposure; self medicating; rehab • Underserved & Lack of Services/Access (14.5%): • eg, access to care/Rx at low/reasonable cost; more bilingual/bicultural staff; working poor; eligibility for SSI/SSDI, Medi-Cal/Medicare, MSI, Mental Health • Seniors/Older Adults (13%): • eg, elder neglect/abuse; senior homeless; isolated at risk elderly; lack of services for elderly; stigma particularly affects older adults

  42. Community Opinions Regarding Effective Settings for Identifying OC Residents Needing PEI Services

  43. Community Opinions Regarding Effective Settings for Identifying OC Residents Needing PEI Services

  44. Community Opinions RegardingBest Strategies for Addressing PEI in OC

  45. Other Written PEI Strategies • Collaboration & Expanded Services (31.6%): • eg, connect with Prop 10 services particularly with/for 0-5 yrs of age; locate better funding for existing programs; use more Spanish speaking staff; more clinics; support non-profit orgs • Housing & Placement for Recovery/Homeless (22.8%): • eg, implementation of AB 1421; additional facilities - inpatient and outpatient - for treatment; do not turn people with mental issues out on street; homeless outreach; long term care in SNF • Public Education & Media Campaigns (19.3%): • eg, increase public awareness via media (newspapers, bus stops, TV, radio, Internet “pop-ups,” MySpace, YouTube, etc); advertisements; public mailings; life skills training

  46. At the Provider Level: Expanded MH Services (78.0% of suggestions) Priority PEI Settings (67.6%) Schools, Residential Tx/ Rehab, Resource Centers, Doctor Offices/Clinics Priority PEI Populations (52.7%) Children & Youth, Substance Abusers, Homeless, Seniors/Older Adults Professional Training (49.7%) Early Identification of MH Problems (43.2%) To Meet Consumer Needs: Community Programs (53.9% of suggestions) Family/Caregiver Resources (34.9%) Public Knowledge (29.2%) Counseling Resources (27.0%) Culturally Competent Resources (19.4%) Access to Services (19.1%) Crisis Management (17.0%) Community Suggestions for Expansion of PEI

  47. At the Provider Level: Expanded MH Services (45.6% of suggestions) Priority PEI Settings (44.2%) Schools, Resource Centers, Doctor Offices/Clinics, Faith Based Organizations Priority PEI Populations (38.8%) Children, Transitional Age Youth, Seniors/Older Adults, Homeless Early Identification of MH Problems (22.4%) Professional Training (19.0%) To Meet Consumer Needs: Access to Services (46.3% of suggestions) Community Programs (23.8%) Family/Caregiver Resources (20.4%) Culturally Competent Resources (14.3%) Counseling Resources (11.6%) Public Knowledge (11.6%) Crisis Management (6.1%) Organizational Suggestions for Expansion of PEI

  48. At the Provider Level: Expanded MH Services (71.4% of suggestions) Priority PEI Settings (62.9%) Schools, Resource Centers, Doctor Offices/Clinics, Residential Tx/Rehab Priority PEI Populations (49.9%) Children & Youth, Substance Abusers, Homeless, Seniors/Older Adults Professional Training (43.5%) Early Identification of MH Problems (39.0%) To Meet Consumer Needs: Community Programs (47.8% of suggestions) Family/Caregiver Resources (32.0%) Public Knowledge (25.7%) Access to Services (24.6%) Counseling Resources (23.9%) Culturally Competent Resources (18.4%) Crisis Management (14.8%) COMBINED Suggestions for Expansion of PEI

  49. For more information regarding methods used for data collection, preliminary analyses, or this summary of results … • Contact: Kimari Phillips, MA, CHES Research Analyst, OC Health Care Agency Office of Quality Mgmt – Planning & Research 714-834-7402 kphillips@ochca.com

  50. Alan Albright PEI Sub-Committee Meetings

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