Steering Committee Friday, April 27, 2007 10-1 pm Roseville

1. Steering Committee Friday, April 27, 2007 10-1 pm Roseville

2. Agenda • Welcome & Introductions • Voice from community • Time and location for future meetings • Review of Campaign for Community Wellness • MHSA Plan and report update • What more needs to be done • Decision for CSS dollars

3. Steering Committee Meeting time and location Who is missing today? What time works best? Suggested locations?

4. Campaign for Community Wellness Integrating. Coordinating. Collaborating.

5. Campaign for Community Wellness Coordination Transformation Consumer Voice Underserved Awareness

6. Campaign for Community Wellness Approaches • Co-occurring competence • Client/family centered • Recovery-oriented • Cultural competence • Collaborative Reduce Stigma Recovery Focused Improved Outcomes

7. Campaign for Community Wellness-Phase I Campaign for Community Wellness Community Consumers CBO, Faith Gov’t, Service Integrated approach Shared resources Collective outreach Improvedservice delivery System transformation Community Services & Supports funds SAMHSA MHSA $1.4m $2.2m

8. Elements of the Campaign Steering Committee Voice MH Board Voice/ Direction Youth Consumer Family System Transformation Crisis Triage System Change Co-occurring/ Cultural Comp. Lake Tahoe Full-service Partnerships Transition Age Youth Older Adult Adult Children Severely Emotionally Disturbed Severe Mental Illness Children, Youth, Adults, Older Adults Latino, TAY, Native American

9. Mental Health Services Act Implementation Progress Report Feb. – Dec. 2006 Comments

10. Report Distribution Process • Date published – 4/18 • English and Spanish version • Posted on • Placer County website • Sent to • Copies to: Libraries, cities, private providers, Family Resource Centers, Welcome Center • Families, consumers, partners, client council • Placer Collaborative Network, Board of Supervisors, City Council members • All local papers • Press release submitted

11. Report Highlights Full-service Partnerships Transition Age Youth Older Adult Adult Children Rally Around Families Together (Children) • SMI children at risk of out-of-home placement • 5 of 18 slots filled Placer Transition Age Youth (16-17) • Most at risk due to SMI, history of hospitalization, out-of-home placement, co-occurring substance abuse, or incarceration • 13 of 22 slots filled • Those less at risk receive case management and referral services

12. Report Highlights Full-service Partnerships Transition Age Youth Older Adult Adult Children Whatever It Takes Team (Adults) • Living in locked setting, or frequently hospitalized • Incarcerated • All 24 slots filled Older Adult Full Service Partnership • Support to live independently • 3 of 22 slots filled, slow to start due to staff recruiting

13. Report Highlights System Transformation Crisis Triage System Change Co-occurring/ Cultural Comp. Lake Tahoe • System Transformation • Improving system capabilities for those with mental illness & substance abuse • Resiliency and recovery-oriented, culturally competent • Consumer Council and Welcome Center • Increased outreach to Latino and Native American communities • Hiring of consumer and family members

14. Report Highlights System Transformation Crisis Triage System Change Co-occurring/ Cultural Comp. Lake Tahoe Crisis Triage • Crisis response teams now in place • Same day, next day • More immediate, short-term crisis resolution • Goal to reduce hospitalizations Lake Tahoe System Development • Improve access to culturally competent care in Lake Tahoe • Hiring of bilingual/bicultural staff • Partnership with FRC staff for more outreach • Coordination of services

15. Key Accomplishments to Date • One of the first County’s to be up and running with MHSA funds • Reduced number of adults living in locked institutions 33% • Welcome Center averages 50 visitors a day • Integrating with other initiatives (SAMSHA) • Same day/next day – immediate response • # (report) • Consumers hired # • Established Native American Council • Established a local private Board and Care to provide appropriate housing

16. Lessons Learned Adult Full-Service Partnership • Slots filled from locked institutions • Need to outreach and fill slots for Latino, Native American and forensic population Latino and Native American populations • Increased bilingual/bicultural staff • Now have Native American Council • Need to work on building outreach capacity to Latino Community

17. Lessons Learned Crisis Triage • Have had wait times for services-improve access to services and decrease wait time Tahoe • Not getting comprehensive services due to geographic challenges

18. Discussion Around Year 1 Progress Questions Comments

19. What More Needs to be Done? Recommendation for CSS funding

20. Factors To Consider • Governor’s proposal to eliminate Funding for Homeless Program (AB 2034) • System transformation of core services is limited by resource challenges • At least 51% of total funds need to go to full-service partnership

21. Recommendations for Additional CSS funds of $881,000 Steering Committee Voice MH Board Voice/ Direction Youth Consumer Family System Transformation Crisis Triage System Change Co-occurring/ Cultural Comp. Lake Tahoe Full-service Partnerships Transition Age Youth Older Adult Adult Children Homeless SED,SMI Children, Youth & Adults, O.Adults Latino, TAY, Native American

22. Contingency Plan If the governor eliminates AB 2034 funding we recommend targeting the homeless population with the new monies Homeless 100% If AB2034 is maintained . ..

23. Recommendations - Detail Greater outreach to the underserved (building team) Voice 15% Youth Consumer Family Improve access & urgent services Psychologist and psychiatrist consultation for primary care Crisis Triage 25% Double adult full-service partnership slots (24 more) for underserved populations (Latino, Native American, forensic) Adult 40% Lake Tahoe 20% Expand full-service partnership geographically

24. Discussion Questions Individual and Group work • Recommendations for $881,000

25. Steering Committee Timeline April May June July Aug. CSS $’s arrive • Meeting 4/27 • Overview workforce $’s • Meeting time • CSS Decision • Ad hoc meetings for Education/Training input • Mental Health Day volunteers • Meeting: Date? • Overview of PE/I & Housing $’s • Education/Training Funding Decision Formal Steering Committee meeting If no decision

26. Public Postings & Approvals April May June July Aug. Post MHSA report 4/18 Mental Health Board meeting 5/21 (1 week to get report comments in) CSS decision operationalized & posted 5/15 Send CSS decision to State for approval 6/15 Educ./Training decision operationalized & posted Send Educ./Training decision to State

27. Next Steps • May & June Meeting • Time & location • Public Hearing on MHSA Report: May 21, 2007 • Planning for Recommendations on Education/Training funding

28. Information Page • Questions: Michele Zavoras • Mzavoras@placer.ca.gov • Phone –530-889-7244 • Website: http://www.placer.ca.gov/hhs/adult/MHSA.aspx

29. End of Presentation Following slides are to support handouts

30. New CSS Funding Guidelines Education & Training

31. MHSA Funding Plans (6) Early Intervention & Prevention Community Service & Supports Housing Education & Training Innovative Programs Phase 1 $2.2M for 3 years Technology New money: + $881K Guidelines published No guidelines yet Limited Information

32. Overview: Workforce Education & Training • Training • Staff support consistent with MHSA principles • Mental Health Career Pathway programs targeting consumers and family members • Residency and internship programs • Attract licensed providers • Financial incentives • For current and prospective public mental health employees • For degrees and licenses with emphasis on developing a more culturally diverse workforce