August 2018

1. August 2018 CalMHSA 101: Revisiting the structure and future of CalMHSA

2. Table of Contents • What is CalMHSA?3 • Strategic Partners11 • Current Projects15 • Benefit and Impact17 • Contact Information19

3. What is CalMHSA? • A Joint Powers Authority (JPA) governmental entity • Formed on July 1, 2009 • Purpose is to serve as an independent administrative and fiscal structure for jointly developing, funding, and implementing mental health services and educational programs at the state, regional, and local levels. • Consists of 56 members (54 counties, 1 JPA, 1 City) with an additional two (2) counties assigning funds and participating as non members. • Vision is to continually promote systems and services arising from a commitment to community mental health, and to the values of the California Mental Health Services Act.

4. Brief Background of CalMHSA • CBHDA suggested a JPA structure in 2008, and in collaboration with CiBHS and George Hills, CalMHSA was formed. • Formed in 2009 with George Hills Company, Inc. to administer • Initially formed to implement coordinated statewide efforts in MHSA PEI programs • Efforts expanded over the years to include a variety programs and projects administered and implemented at state, regional, and local levels that benefit and support the behavioral health of all Californians and community behavioral health systems • Annual Strategic Planning Sessions guide the evolution of CalMHSA, including membership, funding sustainability, and project development

5. CalMHSA—On a Mission Mission The mission of CalMHSA is to provide member counties a flexible, efficient, & effective administrative/fiscal structure, focused on collaborative partnerships & pooling efforts in: • Development & implementation of common strategies & programs to improve Behavioral Health of Californians; • Fiscal integrity, protections, & management of programs; and • Accountability at state, regional & local levels. Vision Promoting excellent mental wellness through the collective work of California’s counties. Purpose Promoting Efficiency, Effectiveness and Enterprise among Counties and Cities.

6. Governance Structure Advisory Committee (in-active) CalMHSA Board of Directors Legal Counsel Executive Committee(9 elected Board Members) Finance Committee(at least 50% Board Members) County Liaisons Executive Director Program Finance Administration Deputy Director Finance Director Chief Operations Officer Program Coordinator JPA Manager Program Contracts

7. Governance Structure Board Officers: President - Dawan Utecht, Fresno County Vice President - Steve Steinberg, Riverside County Treasurer - Bill Walker, Kern County Secretary - Alissa Nourse, Alpine County

8. CalMHSA Facts - Administration • Present membership is at 99% of the California population, consisting of 56 members and 54 counties, 1 JPA, and 1 City. (Of the remaining non-member counties, 2 are active participants in CalMHSA programs.) • It is the intent of the Authority that all such programs are fiscally self‐contained, requiring no additional funds from Members, however currently not perfected. • The initial costs to operate Statewide PEI programs were based on funds assigned and plan/budget approval by the Mental Health Services Oversight and Accountability Commission (MHSOAC). • Yearly budget is adopted by the CalMHSA Board of Directors. • One-time member application fee, based on county population ($250 ‐ $1,000). • Cost to operate other local/regional/statewide programs is based on funds assigned and approved by the CalMHSA Board of Directors. • Membership criteria are designed for flexibility, with full membership as well as a Memorandum of Understanding or Participation Agreement.

9. Current County Members Current CalMHSA County Members and Counties with Funds Assigned Prospective Member County Non Member Counties that originally assigned funds

10. Current County Members Tri-City (October 13, 2011) Del Norte (December 15, 2011) Shasta (February 10, 2012) Tulare (February 10, 2012) Kings (April 13, 2012) San Joaquin (April 13, 2012) Berkeley (June 14, 2012) Inyo (June 14, 2012) Mono (June 14, 2012) Nevada (June 14, 2012) Alameda (June 13, 2013) Santa Barbara ( April 11, 2014) Plumas (June 11, 2015) Alpine (December 10, 2015) Merced (June 9, 2016) Tehama ( June 13, 2018) • San Bernardino (July 9, 2009) • Solano (July 9, 2009) • Colusa (July 9, 2009) • Monterey (July 9, 2009) • San Luis Obispo (July 9, 2009) • Stanislaus (July 9, 2009) • Sutter/Yuba (August 13, 2009) • Butte (November 13, 2009) • Placer (January 14, 2010) • Sacramento (March 12, 2010) • Glenn (April 15, 2010) • Trinity (April 15, 2010) • Sonoma (May 13, 2010) • Modoc (May 13, 2010) • Santa Cruz (June 10, 2010) • Los Angeles (June 10, 2010) • Marin (August 12, 2010) • Orange (August 12, 2010) • Yolo (August 12, 2010) • Contra Costa (October 14, 2010) • Fresno (October 14, 2010) • Imperial (October 14, 2010) • Kern (October 14, 2010) • Lake (October 14, 2010) • Riverside (October 14, 2010) • Santa Clara (October 14, 2010) • Siskiyou (October 14, 2010) • Ventura (October 14, 2010) • Madera (November 12, 2010) • Mendocino (December 9, 2010) • San Diego (February 10, 2011) • San Francisco (February 10, 2011) • El Dorado (March 11, 2011) • San Mateo (March 11, 2011) • Napa (June 9, 2011) • Humboldt (July 14, 2011) • Lassen (July 14, 2011) • Mariposa (August 11, 2011) • Tuolumne (August 11, 2011) • San Benito (October 13, 2011)

11. Strategic Partners • CalMHSA supports the California Behavioral Health Directors Association (CBHDA) as appropriate on policy-related matters, and works collaboratively on various projects. • CalMHSA supports the California Institute for Behavioral Health Services (CIBHS) as appropriate, and works collaboratively on various projects. • CalMHSA’s initial contract was held by the Department of Health Care Services. The JPA reports and is accountable to the Mental Health Services Oversight and Accountability Commission. • CalMHSA is an affiliate member of the California State Association of Counties (CSAC).

12. CalMHSA, CBHDA and CIBHS

13. CalMHSA, CBHDA and CIBHS

14. CalMHSA, CBHDA and CIBHS

15. CalMHSA Facts - Programs • CalMHSA may establish programs as directed by the Board. • Establishment of a Program that may involve more than one Member and contributions made by Members requires a vote of the full Board. • Establishment of Single-County Programs and Programs funded entirely by other non-Member sources may occur by vote of either the Board or the Executive Committee. • Participants in a Program shall adopt and maintain a Participation Agreement to establish the operating guidelines of that Program. Guidelines shall include contribution, commitment time period, joining the Program after inception, and Program withdrawal or expulsion. • Research and development/feasibility funds are vital when potential programs are being assessed for viability of development. • CalMHSA currently has 12 active programs and is studying several others for potential development.

16. Current CalMHSA Projects

17. Innovation Technology Program The Innovation Technology Suite Project (INN Tech Suite Project) is being administered by CalMHSA on behalf of participating member counties. This is a three-year demonstration project which is funded and directed by counties. The primary purpose of this INN Tech Suite Project is to increase access to mental health care and support and to promote early detection of mental health symptoms, or even predict the onset of mental illness. Through the utilization of multiform-factor devices, such as smart phones, tablets and laptops, as a mode of connection and treatment to reach people who are likely to go either unserved or underserved by traditional mental health care, project services will focus on prevention, early intervention, family and social support to decrease the need for psychiatric hospital and emergency care service. In your packet you will find additional program information.

18. Benefit and Impact of CalMHSA - Administrative • Act jointly with members to increase cost efficiency in administration. Rather than individual counties complying with reporting requirements, this task could be centralized, resulting in cost avoidance. • Leverage CalMHSA as a hub to develop multiple requests for proposals and contracts with providers. The JPA facilitates the efficient use of member and provider resources to accomplish the agreed upon goals. • Negotiate cost effective rates with various subcontractors statewide and greatly reduce the cost of overhead administration. • Data serves as a repository to house, share and disseminate research, information and specific strategies that are the most effective and quality assured. • Provides an alternative to the assignment of county MHSA funds to the state department and state legislature to implement state and regional MHSA projects.

19. Benefit and Impact of CalMHSA - Programmatic • Provide strategic planning and support in programs that address mental health prevention & early intervention, stigma and discrimination reduction, suicide prevention, student mental health, program evaluation and cultural competency • Link counties to vetted organizations that understand the values of MHSA • Coordinate program-level data collection efforts and package data for county use • Connect county projects to related statewide and national efforts • Evaluates and analyzes potential statewide and regional efforts for systematic results • Ensure the implementation of community-defined practices, best practices or evidence-based practices

20. CalMHSA — We’re Here to Answer Questions Wayne Clark, PhD Executive Director (916) 800-4677 (CalMHSA Office) wayne.clark@calmhsa.org John Chaquica Chief Operations Officer (916) 859-4824 (CalMHSA Office) john.chaquica@georgehills.com Ann Collentine, MPPA Deputy Director of Programs (916) 859-4806 (CalMHSA Office)ann.collentine@calmhsa.org Kim Santin, CPA Finance Director (916) 859-4820 (CalMHSA Office)kim.santin@calmhsa.org Laura Li JPA Administrative Manager (916) 859-4818 (CalMHSA Office)laura.li@calmhsa.org

21. Thank you for joining us.