1 santa clara county 2 nd stakeholder meeting mental health services act santa clara county 2 nd...
TRANSCRIPT
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Santa Clara CountySanta Clara County22ndnd Stakeholder Meeting Stakeholder Meeting
Mental Health Services Mental Health Services ActAct
Department of Mental Health
February 25, 2005February 25, 2005
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Meeting ObjectivesMeeting 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 PhaseLaunch Assessment Phase
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AgendaAgenda1.1. Welcome & Agenda ReviewWelcome & Agenda Review
2.2. Introduction of MIG ConsultantsIntroduction of MIG Consultants
3.3. Recap Kickoff Meeting & Summary of Recap Kickoff Meeting & Summary of
Stakeholder InputStakeholder Input
4.4. Approach to Assessment PhaseApproach to Assessment Phase
5.5. Planning Timeline & MilestonesPlanning Timeline & Milestones
6.6. Stakeholder Input Next Steps and Stakeholder Input Next Steps and
ClosureClosure
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Recap of Kickoff Recap of Kickoff MeetingMeeting
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MHSA FundingMHSA Funding
1% tax on taxable personal income over $1 million to 1% tax on taxable personal income over $1 million to be deposited into a Mental Health Services Fund be deposited into a Mental Health Services Fund (MHSF) in State Treasury(MHSF) in State Treasury
Administered by State Department of Mental HealthAdministered by State Department of Mental Health
Oversight by 16-Member Accountability CommissionOversight by 16-Member Accountability Commission
Distributed to Counties Via Current State-County Distributed to Counties Via Current State-County ContractContract
$300 Million in FY05; $700 Million Est. in FY06$300 Million in FY05; $700 Million Est. in FY06
Is used to expand, not supplant services; can Is used to expand, not supplant services; can “not be “not be used to supplant existing state or county funds used to supplant existing state or county funds utilized to provide mental health services.”utilized to provide mental health services.”
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Nine Categories of Nine Categories of ExpendituresExpenditures
1.1. Local PlanningLocal Planning
2.2. Services to ChildrenServices to Children
3.3. Services to Adults & Older Adults Services to Adults & Older Adults
4.4. Innovative Programs (within 1&2)Innovative Programs (within 1&2)
5.5. Prevention and Early InterventionPrevention and Early Intervention
6.6. Education and TrainingEducation and Training
7.7. Capital and Technology DevelopmentCapital and Technology Development
8.8. State Planning and AdministrationState Planning and Administration
9.9. Prudent Local ReservesPrudent Local Reserves
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Initial Funding FY04-08Initial Funding FY04-08 FY04-05 funds (est. $300 Million)FY04-05 funds (est. $300 Million)
45% - Education and Training (DMH fund)45% - Education and Training (DMH fund) 45% - Capital Facilities Technology (DMH fund)45% - Capital Facilities Technology (DMH fund) 5% - Local Planning (to counties)5% - Local Planning (to counties) 5% - State Implementation (to DMH Admin)5% - State Implementation (to DMH Admin)..
FY06, FY07 and FY08 (est. $600 – 700 FY06, FY07 and FY08 (est. $600 – 700 Million)Million)
10% - Education & Training10% - Education & Training10% - Capital and Technology 10% - Capital and Technology 50% - Children, Adult, Senior Services50% - Children, Adult, Senior Services 5% - Innovative Programs5% - Innovative Programs20% - Prevention and Early Intervention20% - Prevention and Early Intervention 5% - State Administration5% - State Administration
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SCC Planning ProcessSCC Planning Process Monthly Stakeholder Leadership Monthly Stakeholder Leadership
Meetings for:Meetings for:• Information and Status ReportsInformation and Status Reports• Input from Broad CommunityInput from Broad Community• Readiness ForumsReadiness Forums
Work Group Meetings:Work Group Meetings:•Child, Adolescent, Young Adult SOCChild, Adolescent, Young Adult SOC•Adult and Older Adult SOCAdult and Older Adult SOC•Prevention and Early InterventionPrevention and Early Intervention•Data, Infrastructure and Human Data, Infrastructure and Human
ResourcesResources
Regular Reports Board and Board Regular Reports Board and Board Committees and Mental Health BoardCommittees and Mental Health Board
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Board of Supervisors
State Dept. ofMental Health
BOS Committees(HHC, CSFC, PSJC)
County ExecutiveSCVHHS Exec. Dir
MHSA StakeholderLeadership Committee
Data, Technology,
Budget Work Group
Prevention & Early
InterventionWork Group
Children’s System of Care Work
Work Group
Adult/Older Adult
System of Care Work Group
Community Stakeholder Forums, Focus Groups, and Consumer Engagement Groups
Cultural Competency Readiness Forums Recovery/Self Help Readiness Forums
FocusGroup
FocusGroup
FocusGroup
FocusGroup
FocusGroup
Accountability Commission
Mental Health Board
Project Management
Team
Santa Clara CountyMHSA Planning
Structure
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Local Planning ProcessLocal Planning ProcessPartial List of StakeholdersPartial List of Stakeholders
• Mental Health Department (chair)Mental Health Department (chair)
• County Executive’s Office (co-chair)County Executive’s Office (co-chair)
• Mental Health Board (co-chair)Mental Health Board (co-chair)
• Mental Health Self-Help Centers Mental Health Self-Help Centers
• MHD Office of Consumer MHD Office of Consumer Empowerment Empowerment
• National Alliance for the Mentally Ill National Alliance for the Mentally Ill
• Association of Mental Health Association of Mental Health Contract Agencies Contract Agencies
• Non-AMHCA mental health providersNon-AMHCA mental health providers
• Labor OrganizationsLabor Organizations
• Foster Care Association Foster Care Association
• Parents Helping Parents Parents Helping Parents
• Department of Alcohol and Drug Department of Alcohol and Drug Services Services
• Public Health Department Public Health Department
• VMC Acute Psychiatric Services VMC Acute Psychiatric Services
• Custody Health ServicesCustody Health Services
• Valley Medical Center Valley Medical Center
• Office of the Public GuardianOffice of the Public Guardian
• Police Chief Association Police Chief Association
• SCC Sheriff SCC Sheriff
• Department of Social Services Department of Social Services
• Probation Department Probation Department
• Superior Court Superior Court
• District Attorney’s Office District Attorney’s Office
• Public Defender’s Office Public Defender’s Office
• County Office of Education County Office of Education
• School District Superintendents School District Superintendents
• First Five Commission First Five Commission
• Council on Aging Council on Aging
• Office of Affordable Housing Office of Affordable Housing
• Domestic Violence Council Domestic Violence Council
• School Linked Services School Linked Services
• United Way United Way
• Interfaith Council Interfaith Council
• Silicon Valley Council of Non-Silicon Valley Council of Non-profitsprofits
• San Andreas Regional CenterSan Andreas Regional Center
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Planning PhasesPlanning Phases Engagement and CommitmentEngagement and Commitment
Invite Stakeholder InvolvementInvite Stakeholder Involvement Share Intent and VisionShare Intent and Vision Lay Out Planning LandscapeLay Out Planning Landscape
Learning and AssessmentLearning and Assessment Learn Current SystemLearn Current System Learn Needs of Consumers, Stakeholders, CommunityLearn Needs of Consumers, Stakeholders, Community Learn Best Practice Strategies to Meet NeedsLearn Best Practice Strategies to Meet Needs
Prioritization and PlanningPrioritization and Planning Establish Local Mission, Values & Transformation Establish Local Mission, Values & Transformation
ObjectivesObjectives Prioritize Local NeedsPrioritize Local Needs Select Most Effective Strategies to Meet Local NeedsSelect Most Effective Strategies to Meet Local Needs
ImplementationImplementation Obtain State ApprovalObtain State Approval Select Local ProvidersSelect Local Providers Initiate, Monitor and Evaluate ServicesInitiate, Monitor and Evaluate Services
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Input From Input From StakeholdersStakeholders
To DateTo Date
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Input From 84 Input From 84 ConsumersConsumers
Our Needs – Top 10Our Needs – Top 101.1. Self-Help ExpansionSelf-Help Expansion N = 30N = 30
2.2. TransportationTransportation N = 29N = 29
3.3. Job Training & PlacementJob Training & Placement N = 27N = 27
4.4. Sensitivity Training Sensitivity Training ( MH Staff & Police)( MH Staff & Police) N = 26N = 26
5.5. Peer Support Peer Support (counseling, case mgmt.)(counseling, case mgmt.) N = 21N = 21
6.6. Outreach Outreach (Elderly, Homeless, Unserved)(Elderly, Homeless, Unserved) N = 16N = 16
7.7. Recreation/Socialization Recreation/Socialization (with Peers)(with Peers) N = 13N = 13
8.8. Education on Diagnosis Education on Diagnosis (to Clients and Families)(to Clients and Families)N = 12N = 12
9.9. Consumer Provider PositionsConsumer Provider Positions N = 12N = 12
10.10.Redesign of SystemRedesign of System N = 11N = 11
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Input From 40 Dept. Input From 40 Dept. ManagersManagers
What Transformation Means to Us:What Transformation Means to Us: VisionVision
Consumer GainsConsumer Gains
Improved Improved ServicesServices
Staff Staff ImprovementsImprovements
““Two years from now we will Two years from now we will have a new, Innovative, have a new, Innovative, noticeable change”noticeable change”
in access, involvement, and in access, involvement, and freedom from stigmafreedom from stigma
In better practices and In better practices and improved qualityimproved quality
in knowledge & skill, awareness in knowledge & skill, awareness & inclusion, morale & attitude, & inclusion, morale & attitude, & in effectiveness of & in effectiveness of interventions.interventions.
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What Transformation Means What Transformation Means
to 200+ County Staffto 200+ County Staff A Vision:A Vision: “A holistic approach to mental “A holistic approach to mental
health incorporating medicine, health incorporating medicine, rehabilitation & recovery”rehabilitation & recovery”
A Process:A Process: “Improving existing services “Improving existing services to best meet client and community needs”to best meet client and community needs”
Results: Results: Prevention, early intervention, Prevention, early intervention, improved access, improved collaboration improved access, improved collaboration and integrated servicesand integrated services
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Input From 236 Input From 236 Stakeholders 1/26/05Stakeholders 1/26/05
What in the DMH Vision is Important to What in the DMH Vision is Important to Us?Us?
• Service Scope Service Scope N = 66N = 66
• Service CollaborationService Collaboration N = 50N = 50
• Evidenced Based/Promising Practices Evidenced Based/Promising Practices N = N = 3333
• Results for Accountability and Results for Accountability and N = 33N = 33 to Improve Services to Improve Services
• Client Centered ProgramsClient Centered Programs N = 31N = 31
• Service QualityService Quality N = 28N = 28
• Partnering MechanismsPartnering Mechanisms N = N = 2828
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Input From StakeholderInput From Stakeholder1/25/05 Kickoff1/25/05 Kickoff
Did you Like Meeting Format?Did you Like Meeting Format? Yes =125 No = 3Yes =125 No = 3
Did you Like the Presentation?Did you Like the Presentation? Yes =126 No = 3Yes =126 No = 3
Did you Like the Interactive Did you Like the Interactive Exercise?Exercise?
Yes =102 No = 17Yes =102 No = 17- Not enough time- Not enough time- Too hard to process each table- Too hard to process each table- Thanks for trying & modifying- Thanks for trying & modifying
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Next Steps in Next Steps in EngagementEngagement
Finalize Engagement Strategies Finalize Engagement Strategies and and Survey for In-Reach to Bring the Survey for In-Reach to Bring the Voice of Voice of 5,000 Consumers and 5,000 Consumers and Families into the Families into the plan.plan.
Finalize Engagement Strategies Finalize Engagement Strategies and and Survey for Outreach to Survey for Outreach to Stakeholders and Stakeholders and Community Community Members to Bring the Voice Members to Bring the Voice of of 5,000 Stakeholders and Community 5,000 Stakeholders and Community Members into the plan.Members into the plan.
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InitiatingInitiatingAssessment PhaseAssessment Phase
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The Approach– Lifespan The Approach– Lifespan FrameworkFramework
Determine and Prioritize Local Determine and Prioritize Local Mental Health Needs Across Mental Health Needs Across LifespanLifespan
Prevention
Early Intervention
Intervention
All Citizens Across Lifespan
Citizens in need
Unmet Need
Current Public MH System
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The Approach – Lifespan The Approach – Lifespan FrameworkFramework
• Children, Youth Children, Youth and Young and Young AdultsAdults
0 - 5 years0 - 5 years
6 - 11 years6 - 11 years
12 – 17 years12 – 17 years
18 – 25 years18 – 25 years
• Adults and Adults and Older AdultsOlder Adults
26 – 35 years26 – 35 years
36 – 50 years36 – 50 years
51 – 65 years51 – 65 years
65 + years65 + years
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• Population SizePopulation Size
• Geographic DistributionGeographic Distribution
• Ethnicity and ImmigrationEthnicity and Immigration
• Gender Gender
• AgeAge
• Service UtilizationService Utilization
• Prevalence InfoPrevalence Info
• Risk & Special Risk & Special
PopulationsPopulations
• Unmet NeedUnmet Need
• Stakeholder InputStakeholder Input
For Each Developmental Group Describe:Developmental Group Describe:
The Approach – Lifespan The Approach – Lifespan FrameworkFramework
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For Each Developmental Group For Each Developmental Group Assess Each Transformation Area:
Consumer & Family Involvement
Community Partners
Programs & Services
Cultural Competency
Accountability and Outcomes
Where Are We?
Assess Strengths & Weaknesses in each area
Where Do We Want to Be?
Determine Transformation Objectives in each area
The Approach – Lifespan The Approach – Lifespan FrameworkFramework
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Early Intervention
The Approach – Lifespan The Approach – Lifespan FrameworkFramework
Developmental Group
Strategies to Transform Current System
Strategies to Increase Services
Strategies forEarly Intervention & Prevention
Prevention
Intervention
For All Ages
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The ApproachThe Approach
Establish Common Goals for Establish Common Goals for All AgesAll Ages
Health & Well
Being
Stability in Home,
Family & Social
Relations
Success in School/Wor
k Meaningful
Activity
Safe From Harming or
Being Harmed in Community
Examples of System Outcome Objectives
Health Insurance
Health Visits
Health Status
Suicide
Stable Living
# Placements
DV Incidents
School Attendance
Graduations
Work stability
CJS Recidivism
Days incarcerated
Victims of Crime
CJS Diversions
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The ApproachThe Approach
Establish System Structure Establish System Structure and Stakeholder Involvementand Stakeholder Involvement
Individual & Family
Provider Services
System Policy and
Management
Sta
keh
old
ers
System Performance: Expectations & Results
Provider Performance: Expectations & Results
Client Level Outcomes: Expectations & Results
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The ApproachThe Approach
Demonstrate process quality Demonstrate process quality and favorable outcomesand favorable outcomes
Who Do We Serve?
What Are We Trying to Change?
What Practices Do We Employ and Why?
How Do We Insure Quality of Practices?
How Do We Measure Results?
What Results Do We Achieve?
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Planning Process & Planning Process & Timeline OverviewTimeline Overview
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Stakeholder Input Stakeholder Input
Plan to PlanPlan to Plan
Outreach Engagement Outreach Engagement StrategiesStrategies
Outreach SurveyOutreach Survey
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Meeting ScheduleMeeting ScheduleWork Group Work Group
InterestInterestMeeting EvaluationMeeting Evaluation
ClosureClosure