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BHB Adult System of Care CommitteeFY16 MHSA Annual Update Planning Meeting
JULY 16, 2015, 9:00AM-11:00AM
DOWNTOWN MENTAL HEALTH CENTER
107 5 E . S A N TA C L A R A S T R E E T, 2 N D F LO O R , T R A I N I N G RO O M # 3
Revised 7/13/2015
FY16 MHSA Annual Update Planning MeetingAgenda
I. Planning and Timeline
II. Meeting Overview
III. Adult and Older Adult Division
IV. Integrated Behavioral Health Division
V. Housing Division
VI. Comments and Questions
VII. Additional Information
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FY16 MHSA Annual Update Planning MeetingPlanning and Timeline
County’s MHSA FY15-17 Three-Year Plan approved in fall of
2014
Counties are required to provide an annual update to the
County’s plan
FY16 MHSA Annual Update instructions www.mhsoac.ca.gov
Community Planning Process Timeline - Refer to handout
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FY16 MHSA Annual Update Planning MeetingOverview
By programming division:
1. Program/Service Description
2. Program/Service Outcomes
3. FY16 Initial Recommendations
4. MHSA Funding: FY15 Approved and FY16 Proposal
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Adult and Older Adult Division: Adult Programming
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FY16 MHSA Annual Update Planning Meeting
CSS A01 Plan: Adult Full Service PartnershipProgram/Service Description
Overall Description:
Intensive, comprehensive program for highest risk SMI adults
Provides treatment, case management, and community
resources
Total # of Clients Served Annually: 391
# of Programs: 3
Total MHSA Funding: $4,692,204
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CSS A02 Plan: Adult/Older Adult BHOS Redesign Program/Service Description
Overall Description:
Expands self-help, redesigns OP clinics toward recovery model
Service expansion addresses specific population disparities
Total # of Clients Served Annually: 5,285
# of Programs: 11
Total MHSA Funding: $11,609,233
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CSS A03 Plan: Criminal Justice System Jail Aftercare Program Program/Service Description
Overall Description:
Intensive, comprehensive services, including outpatient and
residential
Serves criminal-justice involved adults with concurrent mental
health and substance abuse problems
Total # of Clients Served Annually: 692
# of Programs: 7
Total MHSA Funding: $7,168,262
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INN-06 Plan: Transitional Mental Health Services for Newly Released Inmates (Faith Based Resource Centers) Program/Service Description
Overall Description:
Inter-faith collaborative; coordination and collaboration with other
service providers
Advocacy groups that connect faith organizations with newly released
inmates to improve outcomes
Total No. of Clients Served from November 2012 to June 2014: 638
# of Programs:
Total MHSA Funding: $742,264
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A/OA DivisionProgram/Service Outcomes
Identified Outcomes
Access for New Clients and Service Engagement Timeliness
Targeted System Performance, Metrics and Improvement Objective
Successful Discharges (Quality)
Acute Care Readmissions (Quality)
Services Delivery (Capacity)
Data
Measurement Methods
Quarterly Reviews and Quality Improvement Plan
Client & Service Information (CSI) Data; Data Collection & Reporting
(DCR); Unicare Data; and Milestones of Recovery Scale (MORS)
Evaluations: INN-06 (Faith Reentry Collaborative Project)
Findings: INN-06
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A/OA DivisionFY16 Initial Recommendations
Maintain the Faith Based Contract: Primary Allocation for these
Centers is through Re-Entry Resource Center.
Additional Changes:
Increase Residential Care Facility Care (RCF) Beds
Increase Outpatient Capacity for Specialty Outpatient Program
Build in Outpatient services for Criminal Justice clients
Increase Full Service Partnership slots
Innovation plans going out to Request For Proposal (RFP)
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A/OA DivisionFY15 Approved and FY16 Proposal
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Component FY15 Approved FY16 Proposal Change
CSS $23,469,699 $24,360,603 $890,904
PEI $ - $ - $ -
INN $742,264 $628,287 ($113,977)
WET $ - $ - $ -
CFTN $ - $ - $ -
Total* $24,211,693 $24,988,890 $776,927
% Change 3.2%
Initial Recommendations as of June 2015:
*MHSA Work Plans: CSS Adult A01, A02 and CSS CJS A03; INN project INN-06
FY16 Proposal includes:
• Placeholder for FY16 Contractor Cost of Living Adjustment (COLA) pending
completion of County labor negotiations.
• County personnel budget adjustments based on current cost projections
from the County’s Office of Budget Analysis.
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Integrated Behavioral Health Division: Central Wellness and Urgent Care Services
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FY16 MHSA Annual Update Planning Meeting
CSS A04 Plan: Central Wellness and Urgent Care ServicesProgram/Service Description
Overall Description:
CWBC - Serves uninsured and recently insured clients
MHUC - Provide mental health urgent services
Number of People Served FY2014-15:
CWBC 45,726 duplicated count
MHUC 9,623 duplicated count
# of Programs: 2
Total MHSA Funding: $8,808,438
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CSS A04 Plan: Central Wellness and Urgent Care ServicesProgram/Service Outcomes
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Outcomes:
CWBC - uninsured clients connected to insurance coverage
MHUC - Timeliness to access
Data:
CWBC - 43% of uninsured clients connected to insurance coverage
MHUC - Goal met = Level 1 & Walk-ins. No-show rate improved
Evaluations:
CWBC - Confirm with Decision Support
MHUC - Daily logs to track
Findings:
CWBC- Result from finance and decision support
MHUC- Goal for timeliness/access met; reduced no-show rate
IBH DivisionFY16 Initial Recommendations
Program changes related to outcomes and findings
CWBC - Redesign the program with an emphasis on mild to
moderate clients
MHUC - Level 1 referrals; No show rate
Additional Information:
CWBC - Maintain funding
MHUC - Maintain funding; review the possibility of creating two
mobile crisis teams
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IBH DivisionFY15 Approved and FY16 Proposal
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Component FY15 Approved FY16 Proposal Change
CSS $8,808,438 $8,619,434 ($189,003)
PEI $- $- $-
INN $- $- $-
WET $- $- $-
CFTN $- $- $-
Total* $8,808,438 $8,619,434 ($189,003)
% Change -2.2%
Initial Recommendations as of June 2015:
*MHSA Work Plan: CSS A04
FY16 Proposal includes:
• Placeholder for FY16 Contractor Cost of Living Adjustment (COLA) pending
completion of County labor negotiations.
• County personnel budget adjustments based on current cost projections
from the County’s Office of Budget Analysis.
Housing Division
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FY16 MHSA Annual Update Planning Meeting
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CSS HO01 Plan: Housing Options InitiativeProgram/Service Description
Overall Description: The Office of Supportive Housing coordinates the:
Work of the HUD Continuum of Care;
Development and maintenance of permanent supportive housing(PSH) and the intensive case management (ICM) provided to thehoused clientele;
Housing assistance and transportation (UPLIFT) services toindividuals needing emergency shelter, and transitional housing (TH);
Implementation of programs to reduce patients’ utilization of high-cost services.
Total # of Clients Served Annually: 5,132
# of Programs: 15
Total MHSA Funding: $2,640,908
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Housing DivisionProgram/Service Outcomes Identified Outcomes:
Continuum of Care: Implement new HMIS data system and Coordinated Assessment to facilitate tracking of homeless service data and client placement;
Permanent Supportive Housing: Consolidate gains of the Care Coordination Project by improving coordination to thereby reduce homelessness; expand the Step-Down services component to help clientele maintain housing;
Rapid Rehousing: Establish a comprehensive county-wide Homelessness Prevention strategy.
Cold Weather Shelter Program: Locate a site and implement shelter services in northern SCC; coordinate with County departments to implement the county-wide inclement weather program;
Housing Development: Establish and implement MHSA Housing Program fund and loan portfolio to expand capacity to identify, assess and process housing opportunities for the homeless;
High Utilizers: Expand implementation of Triage Tool and expand the dedicated social detoxification services for high need populations.
Data: See supplemental report
Evaluations: The Homeless Cost Study and the Point in Time count of the homeless
Findings: The evaluations emphasize the importance of developing more affordablehousing to house the chronically homeless, those individuals that utilize the most costlyservices in the County.
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Housing DivisionFY16 Initial Recommendations Program changes related to outcomes and findings:
Expand the new Help Management Information System to include the process initially designed for the Bed and Housing Exchange project.
Establish and implement the MHSA Housing Program Fund and work toward setting aside an ongoing allocation of MHSA and other funds for housing development, including new construction, acquisition,rehabilitation, master leasing and capitalized operating subsidies.
Establish comprehensive housing strategies (including assessment and data collection/ analysis) and increase housing opportunities by 1,000 to meet the needs of clientele served by Behavioral Health System: A/OA: 100 licensed RCFs, 500 supportive housing, 100 HP; F&C: 100 HP, 100 supportive housing, 100 RR.
Expand “Step-Down” services for Permanent Supportive Housing.
Consolidate administration of FSP Housing Flex Funds to support the development of a more comprehensive supportive housing system.
Modify OSH’s team so that intensive case management services leverage MediCal to the greatest extentpossible.
Initiate a peer-driven employment pilot program for individuals who are living in permanent supportive housing.
Additional Changes: None
Additional Funding: No funding beyond the previously allocated amount is needed to link the
Bed and Housing Exchange process to HMIS.
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Housing DivisionFY15 Approved and FY16 Proposal
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Component FY15 Approved FY16 Proposal Change
CSS $2,640,908 $ 2,651,398 $ 10,490
PEI $- $- $-
INN $- $- $-
WET $- $- $-
CFTN $- $- $-
Total* $2,640,908 $ 2,651,398 $ 10,490
% Change .99%
Initial Recommendations as of June 2015:
*MHSA Work Plan: CSS HO01
FY16 Proposal includes:
• Placeholder for FY16 Contractor Cost of Living Adjustment (COLA) pending
completion of County labor negotiations.
• County personnel budget adjustments based on current cost projections
from the County’s Office of Budget Analysis.
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FY16 MHSA Annual Update Planning MeetingAdditional Information
Please provide input/feedback through the use of the provided comment
form
For additional questions about the planning process: please contact
Jeanne Moral, MHSA Coordinator, at 408-885-6867;
MHSA Email Distribution List - If you are currently not part of the County’s
MHSA email distribution list and would like to be included please send
email request to [email protected]
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FY16 MHSA Annual Update Planning
Comments / Questions
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