california mental health planning council mental health planning council . behavioral health...

California Mental Health Planning Council

Behavioral Health Steering Committee December 13, 2016

CMHPC Office 1000 “G” Street, 4th Floor, Suite 450

Sacramento, CA 95814 916-323-4501

CMHPC Conference Room 10:00 to 11:00 a.m.

If unable to attend in person, call-in capability is available by dialing 1-866-742-8921 then code 5900167

Time Topic Presenter or Facilitator Tab 10:00 Welcome and Introductions Jane Adcock and All

10:05 Review Action Item Chart Susan Wilson and All A

10:10 Review and update Action Plan Susan Wilson and All

10: 20 Update on “Chat with Dorinda” progress Dorinda Wiseman and All B

10:35 Plan Next Steps for Discussion during General Session at the January 2017 Council Meeting

All

10:55 Public Comment Susan Wilson

11:00 Adjourn Susan Wilson The scheduled times on the agenda are estimates and subject to change.

Steering Committee Members: Lorraine Flores Noel O’Neill

Monica Nepomuceno Carmen Lee Steve Leoni Arden Tucker Susan Wilson

Consultant:

Bruce Emery, SAMHSA TA

Staff: Jane Adcock Dorinda Wiseman

of table

If reasonable accommodations are required, please contact Chamenique at (916) 323-4501 not less than 5 working days prior to the meeting date.

___A__ TAB SECTION DATE OF MEETING 12/13/2016

MATERIAL PREPARED BY: Wiseman

DATE MATERIAL PREPARED

11/16/2016

AGENDA ITEM: Review of the ‘Action Item’ Chart

ENCLOSURES: Action Item Chart

BACKGROUND/DESCRIPTION:

The Committee members are to review and discuss the Action Items.

CMHPC - BEHAVIORAL HEALTH STEERING COMMITTEE ACTION PLAN

Item Steps Outcome Critical Date(s)

By Whom Comment(s)

Name change in statute

-obtain support and education from the substance use disorder (SUD) treatment community -obtain bill sponsor -provide bill sponsor with current written legislative language and any recommended changes -effectively lobby/advocate to assist in passage of proposed bill

-received four written letters of support -Identify bill sponsor -Prepared bill language

-ongoing -11/2016-2/2017 1/2017 1/-6/2017

-Staff -Staff Council Members with connection(s) -All

Change of Operating Policies and Procedures

-Obtain most recent version of document -Establish/discuss internal and external processes contained in current P&P

-Distribute P&P to Committee for discussion -Identify changes that need to be made to change name and membership areas

-12/2016 3/2017

-Staff -Staff

Keep in mind that the CMHPC Planning Council retreat may change our current P&P.

Membership

-Personal chat with each member -Solicit membership for the Nomination Committee within the Executive Committee -Develop questions for chats

-Chats completed -Information from membership on connections to MH and SUD -Announcement will be made to the Executive Committee -Questionnaire completed

ASAP -12.23.2016

-Dorinda Wiseman -Jane Adcock -Jane Adcock

Responses will be used to inform membership selection NOTE: Jane asked for volunteers for the selection of the new chair elect, not for the membership. Proposed Questions:



By Whom Comment(s)

Susan Wilson Dorinda Wiseman

1) What is your connection with MH (self, family, friend, advocate, other)? 2) What is your connection with AOD (self, family, friend, advocate, other)? 3) What are your top 3 priorities for training and education for MH (Overview of MH; MH service needs of residents; CA service system for individuals with MH; future developments and projections of future service needs). 4) What are your top 3 priorities for training and education for AOD (Overview of AOD; AOD service needs of residents; CA service system for individuals with AOD; future developments and projections of future service needs).

CBHDA Appointment

-Connect with Kirsten Barlow to request another apt with a preference for individual from southern CA with SUD experience

-New appointment by CBHDA

12/2016

-Jane Adcock

-Jane Adcock emailed Kirsten; pending response

Marketing

-Obtain contract with consultant -Retreat to focus the mission and/or vision of the CMHPC -Complete name and mission change of the CMHPC.

Contract complete. Confirmed mission and vision for the CMHPC -Name and mission change is publicized

-ASAP -1/2017 -pending

-Staff -Staff -CMHPC membership Staff

-pending approval by DHCS -pending; the Executive Committee will discuss the steps to involve all Council and Staff -Press releases, Facebook, YouTube, community forums, etc.



By Whom Comment(s)

Participation in the development of grants to Substance Abuse and Mental Health Services Administration (SAMHSA)

-Request DHCS incorporate the Council into the SABG application and oversight process -Initially begin by reading the application to become familiar with the application -Incorporate rigorous involvement within the next three to five years.

-CMHPC is in partnership with DHCS in the submission of the SAMHSA grants.

-pending

-Staff -Council Members

Currently the SAMHSA grants for MH and for SUD are completed in different departments of DHCS and the CMHPC usually receives the grant application to review immediately prior to its submission.

DHCS involvement in the changes in CHMPC

-obtain support from DHCS

DHCS provided verbal support of the intent and efforts of the Council

Completed

-Jane Adcock

___B__ TAB SECTION DATE OF MEETING 12/13/2016

MATERIAL PREPARED BY: Wiseman

DATE MATERIAL PREPARED

12/02/2016

AGENDA ITEM: Update on “Chat with Dorinda” progress

ENCLOSURES: Chat responses

BACKGROUND/DESCRIPTION:

The Committee members are to review and discuss the responses obtained.

California Mental Health Planning Council Behavioral Health Steering Committee “Chat” Survey October – December 2016

Page 1 of 23

Name Date What is your connection with mental health (MH) (self, family, friend, advocate, other)?

What is your connection with alcohol and other drug (AOD) (self, family, advocate, other)?

What are your top three (3) priorities for training and education for MH? a) Overview of MH b) MH Service needs of residents c) California service system for individuals with MH d) Future developments and projections of future service needs

What are your top three (3) priorities for training and education for AOD? a) Overview of AOD b) AOD service needs of residents c) California service system for individuals with AOD d) Future developments and projections of future service needs

Additional Comment(s)

Person 1 10.28.16 via email

I am a family member and have a younger sibling that sent from free basing (yuppie crack), to prescription drugs. She also has a personality disorder. I grew up in South Central Los Angeles--crack devastated our community. Generational impact for communities, families and individual.

I am also a member of the State Bar's Lawyers Assistance Oversight Committee. I was appointed by Governor Brown as a family member. Our function is to ensure the operation of the program, as well as monitor the funding. The

As an ED for the Mental Health Commission, we have long been involved in trainings and conferences related to providing and improving services for this population.


Page 2 of 23






funding is used to provide mental health, substance/drug abuse and domestic violence counseling. I have been fortunate enough to bring awareness to the group about mental health.

Person 2 10.31.16 Son with Bipolar disorder

Several family members suffering with problems with AOD. I run an

1. Future developments and projections of future service needs 2. California service system for individuals with MH

1. Future developments and projections of future service needs

None.


Page 3 of 23






SUD Treatment Agency.

3. MH Service needs of residents

2. California service system for individuals with AOD 3. AOD service needs of residents

Person 3 10.31.16 Self Other: interest – wanting to learn more

1. Future developments and projections of future service needs 2. California service system for individuals with MH 3. MH Service needs of residents

1. AOD service needs of residents 2. California service system for individuals with AOD 3. Future developments and projections of future service needs

None.

Person 4 10.31.16 Advocacy, self and friends in the mental health community.

Family and other (work-related, advocacy and so forth).

1. California service system for individuals with MH

1. California service system for individuals with AOD 2. Overview of AOD

None.


Page 4 of 23






I have lifelong chronic depression.

2. Future developments and projections of future service needs 3. Overview of MH

3. Future developments and projections of future service needs 4. AOD service needs of residents

Person 5 10.31.16 Family member: my deceased mother. Self: in treatment since 33 y/o, on medication since my early 40’s. Other: music therapist by training, provider, administrator

Self: addiction to food, Treatment 12-Step. Family member: addiction to religion, did not seek treatment

1. Future developments and projections of future service needs 2. California service system for individuals with MH 3. MH Service needs of residents

1. Future developments and projections of future service needs 2. California service system for individuals with AOD 3. AOD service needs of residents

1998-2012 received extensive education and training four (4) times a year. Extensive knowledge of the Four Models of Integration. During 2013-2015, did not maintain the same level of exposure due to having retired. January 2016 – good experience, able to attend conferences relative to issues covered by the committee. Trauma-Informed


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care very useful. Overview of MH Programs in each county was the least effective for me. Presentations on specific programs dealing with the target population(s) is most effective. Presentations from beyond the county of the host county for the quarterly meeting would also be helpful.

Person 6 11.01.16 Family, advocate and other (retired psychiatric nurse, worked in MH field over 30 years, served on NAMI-CA 13 years

Advocate and other (worked as an RN for 3 years in a chemical dependency program; took

1. MH Service needs of residents 2. California service system for individuals with MH

1. AOD service needs of residents 2. California service system for individuals with AOD

None Concern that mental health will get forgotten or overshadowed.


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and NAMI National 7 years Boards, provide housing for persons with MI)

Chemical Dependency Certificate Course at CSU Bakersfield, worked in in-patient units)



Person 7 11.01.16 Family (daughter; lived experience as family member) and advocate (Youth and Family of youth); lock grant reviewer for many years (national)

Observer (youth and families I have worked with) and advocate (youth and transitional age)

1. California service system for individuals with MH 2. Future developments and projections of future service needs 3. MH Service needs of residents Note: we should get MH 101 Overview in PC

1. California service system for individuals with AOD 2. AOD service needs of residents* 3. Future developments and projections of future service needs *I’m not as versed in this area

Curiosity/concern: a) how will the Council adequately represent AOD without getting rid of valuable members of MH; b) the budget does not have room to expand; c) a seat/position should open up for a State rep from AOD, this should be anyway; d) we should look to SAMHSA for guidance, along


Page 7 of 23






Meeting on a continual basis

Note: we should get AOD 101 Overview in PC Meeting on a continual basis

with adjoining states (the nuts and bolts of how their councils integrated – what worked/didn’t work, what would have been done differently [come and present to the full Council]; e) how about additional staff (current and future staff connection with AOD); collaboration/information from NAMHPAC (history of major changes exists within NAMHPAC and PC, many are unaware of major changes and the processes that went


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into them) and/or SAMHSA Regional Representative Karen asked for me to include, “I’m sure the Committee has addressed all of these issues.” CA does not have representation at the national level (PC), “there is lived experience on this integration with SUD.”

Person 8 11.07.16 Son, Mom, self. I work in the field.

25 years in recovery from alcohol. I work at the Wilson Center –Substance Abuse

1) MH Service needs of residents 2) California service system for individuals with MH

1) AOD Service needs of residents 2) Overview of AOD

“Why was there not an actual LGBT slot on the Council?”


Page 9 of 23






Treatment and Prevention Services.

3) Future developments ad projections of future service needs

3) California service system for individuals with AOD

Person 9 11.07.16 Advocate for many, many years, prior to MHSA in 2004. “My background is in counseling psychology; provided direct services as well. Advocacy was the lace I was best suited for.”

Advocacy in the county. I was part a group that started a recovery community organization for AOD (and it was backed by the County Department of Mental Health). The Voices of Recovery is still in existence.

Overlap of priority: 1) Service for individuals/Future service needs-select data; identify the existing disparity. We need to be vigilant of cultural/linguistic needsto respond to the values of that culture; templates that have been created by the Counties are not imposed on communities, information

1) Overview of AOD - such as the funding streams 2) Population – Aging and Older Adults, Future Developments and the stigma between AOD and MH 3) AOD Service needs of residents/CA Service system for individuals with AOD It is intertwined; “engage and respect me, don’t confront me (reference to

Making sure sense of collaboration/appreciation for MH ad AOD; there is no wrong doer; understanding person’s culture and background; avoid language/approach that is alienating.


Page 10 of 23






and resources should come from the community.

some AOD treatment philosophies).”

Person 10 11.10.16 Family member, my father has PTSD and my brother is Bipolar; advocacy – for family and community (language and transportation barriers; father’s access to services, earlier in his life) at-large, current position with NAMI

My baby brother-we didn’t know of his MI. He turned to drugs, he was homeless for a couple of years. In the Hmong Community, you take care of one another, however my brother isolated from us; he was in a mental institution for a while; brother

1) Future developments and projections of future service needs 2) California service system for individuals with MH 3) MH Service needs of residents

1) Overview of AOD 2) AOD service needs of residents 3) California service system for individuals with AOD


Page 11 of 23






suffered with auditory hallucinations and paranoia, the drugs called his thoughts and paranoia. Family got into services, helpful with Bipolar

Person 11 11.14.16 Self, family, friend and other, Department of Education

Family 1) California service system for individuals with MH 2) Future developments and projections of future service needs 3) MH Service needs of residents

1) California service system for individuals with AOD 2) Future developments ad projections of future service needs


Page 12 of 23






3) AOD service needs of residents

Person 12 11.15.16 My Husband was diagnosed with Bipolar in 1970. I was dealing with his issues, I became an advocate.

None 1) California service system for individuals with MH 2) Overview of MH 3) Future developments and projections of future service needs

1) Overview of AOD 2) California service system for individuals with AOD 3) AOD service needs of residents

I have no objection to the integration, the concern with becoming visible to the Legislaturepossible backlash. Due to the OAC’s increased presence, the Legislature may decide/question, ‘why are we funding them’ or ‘why are we funding them if we have the


Page 13 of 23






OAC’ and in turn cut out state requirements, leaving the Council with only Federal duties. Realignment Act of 1991, three Council Bodies were sunsetted: the California Council on Mental Health, California Conference of Local Mental Health Directors and the Organization of Mental Health Advisory Boards.

Person 13 11.16.16 Self, life experience Friends, relatives 1) Overview of MH – especially the acronyms, terms, the law (abbreviations often used)

1) AOD service needs of residents 2) Overview of AOD

More education about “suicide prevention and what services are available” for those with financial limitations


Page 14 of 23






2) California service system for individuals with MH 3) Future developments and projections of future service needs


and are not part of an organized health system/plan.

Person 14 11.16.16 I’m the Director of a local non-profit mental health agency since 1984. I also have family.

Family, but also as a professional, we work with the dually-diagnosed in our program.

1) Future developments and projections of future service needs 2) California service system for individuals with MH 3) Overview of MH

1) California service system for individuals with AOD 2) Future developments and projections of future service needs 3) AOD service needs of residents

“I am interested in the changes in the funding mechanism; changes in Medi-Cal AOD side. At the local level it is not working well.” Also, interested in the certification of programs (process, requirements, etc.).

Person 15 11.17.16 Consumer since 1979. Advocate in Sacramento since 2002.

Family 1) Overview of MH 2) MH service needs of residents

1) Overview of AOD 2) Future developments and projections of future service needs

Addition to question #3: “The reason I did not choose ‘Future developments” is because of the ridiculous


Page 15 of 23






3) California service system for individuals with MH

3) AOD service needs of residents

number of years it takes for consultants, committees, studies, etc. The consumers never get the services. Consumers miss out on service due to bureaucratic process. There is only a _____ consumers’/family members are promised to be a part of input and inclusion. We’re missing the voice of the consumer/family member throughout the entire process, at every level.” Addition to question #4: It is “vitally important for the integration of MH and AOD. This should


Page 16 of 23






have happened years ago. Overview if very important. Either 1st time person will be exposed and review for those who are familiar.” “Utter distain for…it has been about nine (9) years…OAC has not been transparent, have not been honestly inclusive of consumers and family members, as well as, culturally sensitive. Their treatment of employees is deplorable. OAC’s use of MHSA Funds is not transparent, it frivolous, wasteful, unnecessary. I’m


Page 17 of 23






very happy funds went to DHCS.”

Person 16 11.18.16 Primarily as a provider. I am a Licenses Marriage and Family Therapist (LMFT). I have been in the industry for 30 years as a provider in California. I also have family member perspective.

Primarily as an administrator to a provider system. I am the Director for Behavioral Health in Trinity County for the past eight (8) years. I have an understanding of the AOD System. I have family member who have had experiences with substance

1) Overview of MH 2) California service system for individuals with MH 3) Future developments and projections of future service needs – “due to the changes coming down the pipe.”

1) Overview of AOD 2) California service system for individuals with AOD 3) Future developments and projections of future service needs

“Jane does a good job of vetting new members…Southern California, male, female, culturally. We do need a mix. She’s doing a good job of the mix. Carry on.”


Page 18 of 23






abuse/addiction issues.

Person 17 11.18.16 Government role as Assistant Deputy Director MH and SUD Services

Government role as Assistant Deputy Director MH and SUD Services

1) California service system for individuals with MH – “knowing how the system works and how its navigated.” 2) Future developments and projections of future service needs 3) MH Service needs of residents

1) California service system for individuals with AOD 2) Future developments and projections of future service needs 3) AOD service needs of residents

“There is a need to understand data and how that data can inform policy.”

Person 18 11.21.16 Consumer, advocate, family, friends and the Anti-Stigma Speakers Bureau – 2600

Family, friend, Speakers Bureau (Project 90) Residential

1) California service system for individuals with MH 2) MH Service needs of residents 3) Overview of MH

1) Overview of AOD 2) AOD service needs of residents

“There should be a plan to address more education and steering committees. We need to know more about what services are available


Page 19 of 23






presentations in 26 years

program for Alcoholics


)(MH with AOD) and what’s needed.”

Person 19 11.21.16 Family, friend, advocate, other, Executive Director of Community-based organizations providing mental health services. Currently, my firm provides mental health planning and evaluation throughout California.

Family, friend, advocate, other – directed non-profit provider for substance used treatment services. Currently, my firm does grant writing and evaluation for substance abuse programs.

1) Future developments and projections of future service needs 2) California service system for individuals with MH 3) Overview of MH

1) California service system for individuals with AOD 2) Future developments and projections of future service needs 3) Overview of AOD

“I really, really, really, really hope that the development of the Behavioral Council is an opportunity to engage, enhance and attract new blood into the Planning Council. We need to come up with some criteria and not just take anyone that applies. I’m concerned about the current membership.”


Page 20 of 23






Person 20 11.21.16 Other – Professional. I’ve worked in mental health for over 30 years. Currently work in the Correctional setting. I recognize the need for care while incarcerated, as well as successful transition to the community. Family member, first degree relative with serious mental health disorder. We experienced the frustration of attempting to obtain adequate care –

Family 1) California service system for individuals with MH 2) Future developments and projections of future service needs 3) MH Service needs of residents

1) California service system for individuals with AOD 2) Overview of AOD 3) Future developments and projections of future service needs

“I am not as well acquainted with various levels of AOD Treatment in the community. I would also like more information on how co-occurring disorders are treated.”


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disability, as well as, treatment.

Person 21 11.28.16 Other – provider and advocate

Other – advocate and family member

1) Overview of MH 2) MH Service needs of residents 3) Future developments and projections of future service needs

1) California service system for individuals with MH 2) Overview of AOD 3) AOD service needs of residents

Person 22 11.30.16 Self, family member, friends and advocate

Self, family member, advocate and friend

1) Overview of MH – “because things change” 2) MH Service needs of residents 3) Future developments and projections of future service needs

1) Overview of AOD 2) California service system for individuals with AOD – “I really don’t know about it.” 3) Future developments and projections of future service needs


Page 22 of 23






Person 23 12.02.16 Self, family and advocate. “I started a new job this week (Monday). I am the Director of a small organization that a division of Social Services. We are a Peer-Run Center. It’s my dream job, a dream come true.”

Self, family and other/professional. We deal with clients with co-occurring disorders

1) MH Service needs of residents 2) Future developments and projections of future service needs 3) California service system for individuals with MH

1) AOD service needs of residents 2) Future developments and projections of future service needs 3) California service system for individuals with AOD

Individual development is very important. Due to the election results “future development is important and of concern.”

Person 24 12.02.16 Other, I work for the Department of Rehabilitation (DOR). We have contracts with many county mental health

Other, DOR provides support to individuals with alcohol and substance use to get employed. I

1) Future developments and projections of future service needs 2) California service system for individuals with MH

1) Future developments and projections of future service needs 2) California service system for individuals with AOD

There is “value to have individuals to provide insight and time for questions and answers.” ‘The professional to express the challenges to providing services and the


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agenciesemployment and rehabilitation. I have a “family member with mental health issues over the years.”

have a family member with alcoholism.

3) MH Service needs of residents

3) Overview of AOD individual attempting to recover and those that have recovered. This helps to understand the service gaps. Where are we falling short in providing mental health services?’

Person 25 12.06.16 Person 26 Person 27 Person 28 Person 29

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