Santa Clara County 2 nd Stakeholder Meeting Mental Health Services Act

1. Santa Clara County2nd Stakeholder MeetingMental Health Services Act February 25, 2005 Department of Mental Health

2. Meeting Objectives • Inform Stakeholders of Work to Date on MHSA • Overview of Planning Process & Timeline • Obtain Stakeholder Input to Community Engagement and Stakeholder Training Needs • Launch Assessment Phase

3. Agenda • Welcome & Agenda Review • Introduction of MIG Consultants • Recap Kickoff Meeting & Summary of Stakeholder Input • Approach to Assessment Phase • Planning Timeline & Milestones • Stakeholder Input Next Steps and Closure

4. Recap of Kickoff Meeting

5. MHSA Funding • 1% tax on taxable personal income over $1 million to be deposited into a Mental Health Services Fund (MHSF) in State Treasury • Administered by State Department of Mental Health • Oversight by 16-Member Accountability Commission • Distributed to Counties Via Current State-County Contract • $300 Million in FY05; $700 Million Est. in FY06 • Is used to expand, not supplant services; can “not be used to supplant existing state or county funds utilized to provide mental health services.”

6. Nine Categories of Expenditures • Local Planning • Services to Children • Services to Adults & Older Adults • Innovative Programs (within 1&2) • Prevention and Early Intervention • Education and Training • Capital and Technology Development • State Planning and Administration • Prudent Local Reserves

7. Initial Funding FY04-08 • FY04-05 funds (est. $300 Million) 45% - Education and Training (DMH fund) 45% - Capital Facilities Technology (DMH fund) 5% - Local Planning (to counties) 5% - State Implementation (to DMH Admin). • FY06, FY07 and FY08 (est. $600 – 700 Million) 10% - Education & Training 10% - Capital and Technology 50% - Children, Adult, Senior Services 5% - Innovative Programs 20% - Prevention and Early Intervention 5% - State Administration

8. SCC Planning Process • Monthly Stakeholder Leadership Meetings for: • Information and Status Reports • Input from Broad Community • Readiness Forums • Work Group Meetings: • Child, Adolescent, Young Adult SOC • Adult and Older Adult SOC • Prevention and Early Intervention • Data, Infrastructure and Human Resources • Regular Reports Board and Board Committees and Mental Health Board

9. State Dept. of Mental Health Accountability Commission Board of Supervisors Mental Health Board BOS Committees (HHC, CSFC, PSJC) County Executive SCVHHS Exec. Dir MHSA Stakeholder Leadership Committee Project Management Team Data, Technology, Budget Work Group Children’s System of Care Work Work Group Adult/ Older Adult System of Care Work Group Prevention & Early Intervention Work Group Community Stakeholder Forums, Focus Groups, and Consumer Engagement Groups Focus Group Focus Group Focus Group Focus Group Focus Group Cultural Competency Readiness Forums Recovery/Self Help Readiness Forums Santa Clara County MHSA Planning Structure

10. Mental Health Department (chair) County Executive’s Office (co-chair) Mental Health Board (co-chair) Mental Health Self-Help Centers MHD Office of Consumer Empowerment National Alliance for the Mentally Ill Association of Mental Health Contract Agencies Non-AMHCA mental health providers Labor Organizations Foster Care Association Parents Helping Parents Department of Alcohol and Drug Services Public Health Department VMC Acute Psychiatric Services Custody Health Services Valley Medical Center Office of the Public Guardian Police Chief Association SCC Sheriff Department of Social Services Probation Department Superior Court District Attorney’s Office Public Defender’s Office County Office of Education School District Superintendents First Five Commission Council on Aging Office of Affordable Housing Domestic Violence Council School Linked Services United Way Interfaith Council Silicon Valley Council of Non-profits San Andreas Regional Center Local Planning ProcessPartial List of Stakeholders

11. Planning Phases • Engagement and Commitment • Invite Stakeholder Involvement • Share Intent and Vision • Lay Out Planning Landscape • Learning and Assessment • Learn Current System • Learn Needs of Consumers, Stakeholders, Community • Learn Best Practice Strategies to Meet Needs • Prioritization and Planning • Establish Local Mission, Values & Transformation Objectives • Prioritize Local Needs • Select Most Effective Strategies to Meet Local Needs • Implementation • Obtain State Approval • Select Local Providers • Initiate, Monitor and Evaluate Services

12. Input From StakeholdersTo Date

13. Input From 84 ConsumersOur Needs – Top 10 • Self-Help Expansion N = 30 • Transportation N = 29 • Job Training & Placement N = 27 • Sensitivity Training ( MH Staff & Police) N = 26 • Peer Support (counseling, case mgmt.) N = 21 • Outreach (Elderly, Homeless, Unserved) N = 16 • Recreation/Socialization (with Peers) N = 13 • Education on Diagnosis (to Clients and Families) N = 12 • Consumer Provider Positions N = 12 • Redesign of System N = 11

14. Input From 40 Dept. ManagersWhat Transformation Means to Us: • Vision • Consumer Gains • Improved Services • Staff Improvements • “Two years from now we will have a new, Innovative, noticeable change” • in access, involvement, and freedom from stigma • In better practices and improved quality • in knowledge & skill, awareness & inclusion, morale & attitude, & in effectiveness of interventions.

15. What Transformation Means to 200+ County Staff • A Vision:“A holistic approach to mental health incorporating medicine, rehabilitation & recovery” • A Process:“Improving existing services to best meet client and community needs” • Results: Prevention, early intervention, improved access, improved collaboration and integrated services

16. Input From 236 Stakeholders 1/26/05 • What in the DMH Vision is Important to Us? • Service Scope N = 66 • Service Collaboration N = 50 • Evidenced Based/Promising Practices N = 33 • Results for Accountability and N = 33 to Improve Services • Client Centered Programs N = 31 • Service Quality N = 28 • Partnering Mechanisms N = 28

17. Input From Stakeholder1/25/05 Kickoff • Did you Like Meeting Format? Yes =125 No = 3 • Did you Like the Presentation? Yes =126 No = 3 • Did you Like the Interactive Exercise? Yes =102 No = 17 - Not enough time - Too hard to process each table - Thanks for trying & modifying

18. Next Steps in Engagement • Finalize Engagement Strategies and Survey for In-Reach to Bring the Voice of 5,000 Consumers and Families into the plan. • Finalize Engagement Strategies and Survey for Outreach to Stakeholders and Community Members to Bring the Voice of 5,000 Stakeholders and Community Members into the plan.

19. InitiatingAssessment Phase

20. The Approach– Lifespan Framework • Determine and Prioritize Local Mental Health Needs Across Lifespan Current Public MH System Intervention Unmet Need Citizens in need Early Intervention Prevention All Citizens Across Lifespan

21. Children, Youth and Young Adults 0 - 5 years 6 - 11 years 12 – 17 years 18 – 25 years Adults and Older Adults 26 – 35 years 36 – 50 years 51 – 65 years 65 + years The Approach – Lifespan Framework

22. The Approach – Lifespan Framework • Population Size • Geographic Distribution • Ethnicity and Immigration • Gender • Age For Each Developmental Group Describe: • Service Utilization • Prevalence Info • Risk & Special Populations • Unmet Need • Stakeholder Input

23. The Approach – Lifespan Framework For Each Developmental Group Assess Each Transformation Area: Where Do We Want to Be? Where Are We? • Consumer & Family Involvement • Community Partners • Programs & Services • Cultural Competency • Accountability and Outcomes Assess Strengths & Weaknesses in each area Determine Transformation Objectives in each area

24. The Approach – Lifespan Framework Early Intervention Strategies to Transform Current System For All Ages Intervention Strategies to Increase Services Strategies for Early Intervention & Prevention Prevention Developmental Group

25. The Approach • Establish Common Goals for All Ages Stability in Home, Family & Social Relations Success in School/Work Meaningful Activity Safe From Harming or Being Harmed in Community Health & Well Being Examples of System Outcome Objectives • CJS Recidivism • Days incarcerated • Victims of Crime • CJS Diversions • Health Insurance • Health Visits • Health Status  Suicide • Stable Living • # Placements • DV Incidents • School Attendance • Graduations  Work stability

26. The Approach • Establish System Structure and Stakeholder Involvement System Policy and Management System Performance:Expectations & Results Stakeholders Provider Performance: Expectations & Results Provider Services Individual & Family Client Level Outcomes: Expectations & Results

27. The Approach • Demonstrate process quality and favorable outcomes What Are We Trying to Change? Who Do We Serve? What Practices Do We Employ and Why? How Do We Insure Quality of Practices? How Do We Measure Results? What Results Do We Achieve?

28. Planning Process & Timeline Overview

29. Stakeholder Input Plan to Plan Outreach Engagement Strategies Outreach Survey

30. Meeting ScheduleWork Group InterestMeeting EvaluationClosure