Placer MHSA Integrated 3 Year Planning—Further Conversations

Placer MHSA Integrated 3 Year Planning—Further Conversations July 1, 2014- June 31,2017

The Big Picture… • Review MHSA planning efforts & timeline • Recap last meeting • Decisions made & New Programs Process update • Innovation discussion

Review of Planning Elements & Requirements • 3-year plan (2014 – 2017) • Based on unspent funds + estimated revenues from State • Stakeholder process • Representatives from the County’s constituency groups (CCW Steering) • Involvement in: mental health policy, program planning & implementation, monitoring, quality improvement, evaluation & budget allocations • Draft plan circulated for 30 days for public comment (Summer/Fall 2013)

Review of Campaign Structure • Four committees/Representatives: • Promote Mental Health Awareness – Anno Nakai • Outreach and Stigma Reduction—Jennifer Price • MHSA Implementation – Janice Leroux • Workforce, Education and Training(WET)—Sandy Cretney • 2 Mental Health Authority Reps. – Maureen Bauman and Richard Knecht • Campaign Facilitators—Katrina Moser/Christi Meng • Leadership Team: Decisional Team, based on input and guidance from this CCW Steering committee

Current Process and Timeline Dec. May/June March April July Gaps Eval. Current Programs Innovation + Planning Framework For Priorities (GAPS) Asset Map For Review Target Pop. + Outcomes • Target Pops served • Outcomes • Recomm. • Steering Ideas • Asset mapping • Input on gap tool • Process Decisions • Funding strategies Sept. Aug Strategies & Programs Outcomes& Target Pops. Draft Plan Staff maps To Budget • Recommended programs • Steering Rec. • Leadership Team decisional Oct. 2013

Review of Current MHSA Elements Ongoing Ongoing One-Time 75% 20% 5% Community Services & Supports Prevention & Early Intervention Innovation Cap Fac. & Tech WET West Slope(PCF) Full Service Prt. Ready for Success Tahoe(TTCF) Systems Transf. Bridges to Wellness 5 Large Projects Bye Bye Blues Crisis Triage Housing Lake Tahoe

Decision:Process to update MHSA plan and fund ongoing programs

Current Programs Process Decision Made Meet State Guidelines And County Outcomes ? Contract Deliverables Outcomes (qualitative and quant.) All Current Programs YES MHSA EvalTeam Include WET YES Programs needing more $’s would apply separately for unspent funds. RFP after plan Is approved Recommend Programs (At existing Funded levels) CCW Steering Review CCW Leadership (Final Decision) Draft MHSA Plan Recommendations: 1) WET to be included in ongoing CSS program expenses. 2) Ongoing programs -7% COLA next year and 2% annual increase thereafter 3) PEI receives $300k of additional ongoing funds for RFP –worked into unspent RFP process

“Unspent Funds” 1) Funding Allocation Framework - Decision 2) Process - Revisions made Recommendation Results inform the Annual Plan Update

CCW Leadership Committee Decisions for “unspent ” dollars framework + process • Planning cycle of 6 yrs. • 3yr. renewal process w/evals. • Higher level first 3 yrs. • Lower level next 3 yrs • Include incentives for agencies that leverage other dollars—TBD • Current programs can apply for expansion funds • Capital Facilities and Housing • $3m total for both, allocations to be made as proposals come in.

Decisional: Allocation Unspent Dollars ($3m for housing and facilities not shown) Allocates more dollars in first three years and slightly less remaining three years Requirements: CSS 51% or > to FSP and PEI 51% or > to 0-24 yrs. old. 5% to innovation programs--12/13 unpsent funds spread over six years $3 million- for capital facilities + housing can occur within 10 yr timeframe (not shown).

Decisional: Allocation Unspent Dollars • ($3m for housing and facilities not shown)

One Program Selection Process -- Revision Includes Unspent + PEI ongoing + Innovation Program identification Process Program Strategies Framework MHSA Criteria MHSA Evaluation Committee • Gap ideas • Asset map • Funding allocations • Hospital data • CSS: 51% > FSP • PEI: 51% > 0 – 24yrs • PEI early treatment. • Fallback: volunteer committee • Outcomes • Target pops. Request for Proposal CCW Steering CCW Leadership Annual Plan Update Note: Unspent (6 yr. framework), PEI $300k(ongoing) + Innovation follows separate guidelines

Total Dollars for Process Unspent + PEI Ongoing + Innovation Allocates more dollars in first three years and slightly less remaining three years Requirements: CSS 51% or > to FSP and PEI 51% or > to 0-24 yrs. old. $3 million- for capital facilities + housing can occur within 10 yr timeframe (not shown).

Innovation Move forward on our conversation Review MHSA criteria Review funding level – three-year timeframe What would we want to experiment with

Innovation – Select A Primary Purpose Can not be community capacity building – done before Increased access to underserved groups Increase the quality of services (outcomes) Promote interagency and community collaboration Increase access to services

Innovation – Must Do At Least One of the Following • Introduce new mental health practice/ and approach • Make a change to an existing mental health practice/approach (new setting, community, etc.) • Introduce to the mental health system a new promising community-driven practice/approach or a practice/approach that has been successful in non-mental health setting

Innovation – May Affect Any One of the Following Administrative governance, organizational practice, process or procedure Advocacy Education and Training Outreach, capacity building and community development System development Public education efforts Research Services and interventions

Innovationnumbers Note: 13/14 Ongoing Innovation funds are already allocated.

Innovation - Conversation • What do we want to experiment with? • New practice • Change • Community promise • Look at gap ideas • How do we want to allocate the funds every three years • Several large grants? • Other? • Small group discussion • Share

Next Steps Update from today’s meeting Continue MHSA planning update process

Placer MHSA Integrated 3 Year Planning—Further Conversations