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Department of Mental Health SCVHHS

Santa Clara County Mental Health Services Act Planning CSS Three-Year Plan CSS Plan Celebration & Implementation Launch January 27, 2006. Department of Mental Health SCVHHS. Welcome!. CSS Plan Overview Implementation Phase Overview Thank You!. MHSA (aka Proposition 63).

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Department of Mental Health SCVHHS

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  1. Santa Clara CountyMental Health Services Act PlanningCSS Three-Year PlanCSS Plan Celebration &Implementation LaunchJanuary 27, 2006 Department of Mental Health SCVHHS

  2. Welcome! • CSS Plan Overview • Implementation Phase Overview • Thank You!

  3. MHSA (aka Proposition 63) • 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 Est. Million in FY05; $700 Million Est. in FY06 • Phased in approach to implementation, beginning with Planning and Expanded Service components • Counties currently submitting first component funding requests

  4. Overview of MHSA Components Six phased-in components completed through a state and local stakeholder involved process: • Community Program Planning(5%) • Community Services and Supports(50%) • Capital and Information Technology (10%)* • Education and Training (10%)* • Prevention and Early Intervention (20%)* • Innovation (5%)* *requirements and allocation method undetermined

  5. Plan Approved by the Board of Supervisors • Community Services & Supports Plan • Santa Clara: $13.4 Million x 3 yrs • 51%+ in Full Service Partnerships • 49% System Development/Outreach & Engagement • 20+ Specific Age-Based Work Plans • Subject to DMH approval • Each distinct program must be approved/denied • Approval expected for initial plans by April 2006

  6. Santa Clara County MHSA Planning Structure 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 Work Group & Strategy Teams Children & Youth 0-15 Years Work Group & Strategy Teams Transition Age Youth 16-25 Years Work Group & Strategy Teams Adults 26-59 Years Work Group & Strategy Teams Older Adults 60+ Years Ethnic Community Advisory Committees Ethnic Community Advisory Committees Community Stakeholder Forums, Focus Groups, and Consumer Engagement Groups, Surveys, Meetings Focus Group Focus Group Focus Group Focus Group Focus Group Cultural Competency Wellness and Recovery Evidenced Based Practices MHSA Vision & Requirements

  7. Plan Requirements The Three-Year CSS Plan 1 2 3 4 Identify Specific Populations for Focus Identify Community Concerns for All Ages Determine Unmet Need & Disparities Identify strategies to Meet Need $13.4 Million per year 20 Program Work Plans

  8. Planning PhaseAccomplishments • Inreach and Outreach Campaign March through June 2005–10,000 voices of input! • Work Groups drafted concerns and potential focal populations; • Ethnic Community Advisory Committees formed and providing ongoing input; • Strategy Teams researched and identified key strategies for nine focal populations; • Stakeholder Leadership Committee -endorsed draft plan recommendations from Work Groups, Strategy Teams, and Ethnic Community Advisory Teams • Three Public Hearings sponsored by the Mental Health Board in November 2005 • Board of Supervisors approved CSS Plan for state submission in December

  9. Focal PopulationsDefined Per Requirements Children 0 - 15 • Zero to Five Years High Risk • Foster Care Youth • Juvenile Justice Involved Youth • Underserved Seriously Emotionally Disturbed Transition Age Youth 16 - 25 • First Time Psychosis • Sixteen to 25 Years Aging Out of Child Systems Adults 26 - 59 • Jail Involved/Homeless/Dual Diagnosed SMI • Underserved/Un-served SMI Older Adults 60+ • High Risk/Homebound SMI Seniors

  10. Disparities in Unmet Need • Latino, Asian and American Indian underserved among all ages • Latino, African American and American Indian over-represented in CJS, un-housed, and foster care with greater need (prevalence) and underserved • Refugee, immigrant and monolingual greater need and less served • LGBTQ greater need and less served • Developmentally disabled greater need and less served

  11. Overview of Proposed Work Plans

  12. Children 0-15 • C-01 Full Service Partnerships– 30 slots; est. $20K per year per child, with up to 30% to support stable living/housing; emphasis on Latino, African American, and American Indian juvenile justice involved and youth without insurance. • C-02 Zero to Five System Development -to develop inter-agency infrastructure to support 0-5 year olds, includes planning; screening/assessment design; training of specialists; family support and system navigation for monolingual Latino and Vietnamese families.

  13. Children 0-15 • C-03 Behavioral Health System Development– System-wide implementation of improved screening, assessment and best practice models of treatment; specialized access and care management of juvenile justice and foster care populations. Emphasis on underserved Latino, Asian, African American, American Indian youth and families.

  14. Transition Age Youth 15 – 25 Years • T-01 Full Service Partnerships– 30 slots; est. $20K per year per youth, with up to 30% to support stable living/housing; emphasis on Latino, African American, and American Indian exiting juvenile justice and foster care systems. • T-02 Behavioral Health System DevelopmentSystem-wide implementation of improved screening, assessment and best practice models of treatment; specialized access and care management of youth child-serving systems. Emphasis on underserved Latino, Asian, African American, Native American youth and families.

  15. Transition Age Youth 15 – 25 Years • T-03 Crisis & Drop-In Services and Supportssafe, non-stigmatizing access to mental health and basic services. • T-04 Education Partnership – Integrated “middle college” and community college support to improve school success of youth with mental health concerns.

  16. Adults 26-59 • A-01 Full Service Partnerships– 75 slots; est. $20K per year per client, with up to 30% to support stable living/housing; emphasis on Latino, African American, Asian and American Indian, homeless, institutionalized, and frequent ER users with severe mental illness. • A-02 Behavioral Health Recovery Services– to redesign county adult outpatient services to include consumer and family support staff; add support and case management staff; and to introduce best practice strategies and align and establish therapeutic caseload size.

  17. Adults 26-59 • A-03 Jail Aftercare and Recovery Services– ($2.5 Mproposed to satisfy Jail Task Force solution #15)for criminal justice involved mentally ill: • Full Service Partnerships - 75 slots; est. $20K per year per client, with up to 30% to support stable living/housing; emphasis on Latino, African American, and American Indian; • Enhanced Treatment Court – 60 slots for case management and service linkage; • Dual-Diagnosis After Care Treatment – 125 slots for medication and case management services; • Expanded Housing Options – 75 beds; Transitional Housing Units (THU)

  18. Adults 26-59 • A-04 Adult Urgent Care and Crisis Support– Establishes urgent care and mobile crisis response in north, central and south county regions. • A-05 Consumer and Family Self-Help Support- Establishes Director of Consumer Affairs and Director of Family Support and Education, in addition to expanded consumer and family self-help with focus on unserved and underserved ethnic and cultural communities.

  19. Older Adults 60+ • OA-01 Full Service Partnerships– 25 slots; est. $20K per year per client, with up to 30% to support stable living/housing; emphasis on those in or at risk of homelessness, institutionalization, incarceration; physical and emotional harm. • OA-02 Behavioral Health Services– System-wide implementation of improved screening, assessment and best practice models of treatment; specialized access and care management of older adults; expanded service to senior day programs.

  20. Older Adults 60+ • OA-03 Senior Mobile Assessment & Outreach-Provides specialized mobile assessment and outreach services to shut-in and homebound mentally ill seniors, many of whom are experiencing concurrent medical and substance abuse problems; focus on monolingual seniors. • OA-04 Senior Family and Caregiver Support– Provides culturally appropriate family and caregiver support and education to those caring for mentally ill seniors.

  21. Crosscutting Strategies • State requirements allow up to 6 months ($6.7 million) of FY06 funds to be used for one-time expenses over three years. These funds are proposed to support several age-based plans in addition to several cross-cutting initiatives.

  22. Crosscutting Strategies • HO-01 – Housing Options – Establishes $4 million fund to develop housing options in collaboration with Office of Affordable Housing with $2 million MHSA and $2 million from County. Upon State approval of this proposal, MHD and OAH will jointly design expenditure plan with assistance of housing experts, and will bring back to BOS for approval. Objective will be to leverage these funds in order to maximize the establishment of ongoing permanent housing for the mentally ill in Santa Clara County.

  23. Crosscutting Strategies • Housing Component Summary • Full Service Partnerships (C-01, T-01, A-01, A-03 and OA-01). Est. $2-3 Million (30% of annual resources) will go to securing and maintaining stable permanent living for clients. • MHSA Housing Fund (HO-01) - $4 Million to develop permanent housing resources. • Jail Aftercare & Recovery (A-03) - $625,000 for 75 Transition Housing Units dedicated to jail aftercare. Length of stay and provider requirements will be determined through collaboration with Jail Task Force members.

  24. Crosscutting Strategies • FH-01 – Community & Family Outreach and Engagement Initiative –to develop culturally competent outreach and engagement strategies to underserved populations. • HC-01 – Behavioral & Primary Health Care Partnership – to establish pilot program to improve primary care service access for clients of the mental health system.

  25. Crosscutting Strategies • EE-01 – Education, Employment, and Self-Sufficiency Services - to develop comprehensive education, employment and benefit assistance system for all clients of the system. • ST-01 – Regional Survivors of Torture Treatment Services – to establish regionally available specialty treatment services for Bay Area refugee survivors of torture.

  26. Implementation Approach

  27. Implementation Implementation Full Service Partnerships System Development Outreach and Engagement Jan 2006 Jun 2006 Sep 2006

  28. Implementation • Training • All system stakeholders will be offered training on new program groups (Full Service, System Development, Outreach & Engagement) by the MHD Training Team. • Training to continue through RFP process and provider selection. • Ongoing annual Learning Partnership Training Plan will be developed.

  29. Implementation • Program Requirements • A Program Requirements Team will develop program requirements for each group of programs by age group (Full Service, System Development, Outreach & Engagement) • Requirements will be included in RFP’s, county program descriptions, policies and procedures

  30. Implementation • Outcomes Data and Technology • All new programs will have state and county outcomes requirements defined, communicated and managed by a Data and Technology Team for each group of programs (Full Service, System Development, Outreach & Engagement)

  31. Implementation • Budget and Fiscal Management • A MHD Budget and Fiscal Team will develop, monitor and manage program budgets and budget reports throughout the implementation process.

  32. Implementation • Stakeholder Communication • MHD will develop a Communication Plan to ensure ongoing information flow to staff, providers, system partners, Mental Health Board and county and state leadership.

  33. Tentative Timeline(Calendar Regularly Updated on Website) • January 27 - Launch Implementation Phase • February 24 - Potential Provider Orientation • Feb 27 - Mar 2 - Full Service Partnership Training • March 17 - Full Service Partnership RFP Released • March 29 - Mandatory Vendor Conference • May 3 - Full Service Partnership Proposals Due • Late May - Full Service Partnership Contract Awards • June - Contract Negotiations/Development • July - Full Service Partnership Contracts Begin

  34. Thank You! • Contact Info Nancy Pena, Ph.D., Director, MHD, 408-885-5783 Bruce Copley, Deputy Director, MHD 408-885-5773 Tiffany Ho, M.D., Medical Director, MHD, 408-885-5781 Sheila Yuter, MHSA Coordinator, 408-885-3885 Maria Fuentes, Ethnic Services Manager, 408-885-5775 Santa Clara County MHD Website www.sccmhd.org State Dept. Mental Health website www.dmh.ca.gov

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