Download - Mental Health Services Act
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Mental Health Services Act
Steering Committee Meeting
August 4, 2008
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Sharon Browning
Welcome
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William Gonzalez
Consumer Perspective
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Mary Hale
Local / State Updates
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Kate Pavich
MHSA Updates / Capital Facilities
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Capital Facilities-Technological Needs
Component Proposal was submitted to DMH on 7/17.
DMH review team has completed the administrative process and will be moving our proposal on to the next level of review and approval. DMH will send “points of clarification” by 9/17/08. Proposal will be approved after all questions are answered.
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401 S. Tustin Renovation Architect and selected consultants have begun
validation study Civil Engineer has begun topographic research A Geotechnical Engineer has begun site
investigation Hazardous Material crew has begun fieldwork Conditional Use Permit for a residential
psychiatric facility was verified
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Architecture and Planning
Alexander + Hibbs AIA, INC.1200 N. Jefferson St. Suite AAnaheim, CA 92807Tel: (714) 630-3686Fax: (714) 630-3687www.alexanderandhibbs.com
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401 S. Tustin Programming
Mission Statements have been drafted for the Crisis Residential Program, Wellness /Peer Support Center and Vocational Training Program
Request for Proposal for the Wellness Center was released on 7/16
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401 S. Tustin Programming Space requirements for all three programs
were reviewed Discussed ways to incorporate “green”
activities into the project which will be constructed as energy efficient/ environmentally friendly as possible
HCA staff and architects toured a children’s crisis residential program and Transitional Age Youth program to develop design ideas and recommendations
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DMH Information Notice 08-21
Funding Augmentation $28,308,300 increased to $37,202,800
Request for Capital Facilities
Pre-Development Funds
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PEI Review
CSS / PEI – Orange County
PEI Roundtable 7/28/08 - 7/29/08
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Resilience – A Key Element in PEI
Valuable model to evaluate how programs will engage the resilient nature of the folks we are hoping to serve and how will protective factors critical to health be employed in these programs. These protective factors are:
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Caring Relationships
Consistently “being there” Showing compassion, interest, and
acceptance Listening to what is expressed Having patience Being trustworthy
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Setting High Expectations
Expressing belief in people’s resilience Showing respect, firm guidance and
support Providing structure Remaining strengths-focused Reframing
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Meaningful Participation
Creating a safe place for expression, inclusion and choices
Allowing everyone to have a voice Participant-driven Caring for others Peer Support
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Protective Factors
These protective factors should be at the heart of our PEI efforts whether it’s community collaboration, individual/family driven programs, systems change, recovery programs, evidence based practices, or cultural competence
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“Bringing Young People to the Policy Table”
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Prevention Question:
“How can the education, foster care and juvenile justice systems be improved to support young people’s own efforts to maintain their mental health?”
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Youth Recommendations
#1 Long-Term Relationships with Adults
#2 Make Meds Make Sense
#3 Confidentiality
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Youth Recommendations:
#4 Culturally Positive Environments
#5 Youth Voice
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Intervention Question:
“What kind of interventions change the mentality of young people who have experienced trauma, so they don’t repeat the abuse and self-abuse they learned as coping tools?”
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Youth Recommendations:
#1 Cultivate Personal Interests
#2 Fix the Situation, Not Just the Kid
#3 Good Information
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Youth Recommendations:
#4 Avoid Labels and Stigma
#5 Role Models
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Young People Matter
“Kids can walk around trouble if there is someplace to walk to, and someone to walk with.”
Tito in Urban Sanctuaries(Milbery, McLaughlin et. al)
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Listening
“I believe all any of us really wants is to feel truly and deeply heard, seen, acknowledged, and allowed to be ourselves.”
Jon Wilson
Hope Magazine (#40) 2003
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Kimari Phillips
PEI Community Survey Updates
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Survey Dissemination Mailed over 3,000 surveys to OC
organizations and community members
Handed out over 5,000 surveys throughout OC at meetings, clinics, community based organizations, etc.
E-mailed announcements regarding the online surveys (including a hyperlink for easy access)
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390 Organizational Surveys Received72.6% Print (n = 283)
27.4% Online (n = 107)
1,564 Community Surveys Received81.5% Print (n = 1,275)
18.5% Online (n = 289)
Community Survey Language84.7% English (n = 1,325)
11.7% Spanish (n = 183)
3.6% Vietnamese (n = 56)
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Information Gathered from Organizational Providers in OC
Types of organizations serving OC community (potential PEI partners)
Types of PEI services provided by respondents Percent of annual budget allocated to PEI Resources needed by OC providers to deliver
PEI services Satisfaction with amount & accessibility of PEI
services in OC Opinions regarding:
Priority goals/needs for PEI in OC How OC can best deliver PEI services to
underserved populations
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Information Gathered from OC Community (Residents/MH Consumers)
Demographic info (age, gender, race/ethnicity, annual household income, home ZIP code)
Satisfaction with amount & accessibility of PEI services in OC
Opinions regarding: Populations in greatest need of PEI in OC Priority PEI issues in OC communities Most effective settings for identifying OC
residents with a need for PEI services Best approaches for addressing PEI in OC
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Race/Ethnicity of Community Respondents (n=1,514)
1.4% 0.9%
50.2%
12.2%
26.9%
3.5%5.0%
0%
10%
20%
30%
40%
50%
60%
White
/Cau
casi
an
Hispan
ic/L
atin
o
Asian
Black
/Afri
can A
mer
ican
Amer
Indi
an/N
ativ
e Am
er
Pacifi
c Is
land
er
OTHER / M
ULTIPLE
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Community Respondents’
Average Age (n=1,476)
43.5 years (15-91 yrs)
Gender (n=1,531)
66.8% Female33.1% Male
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AverageAnnual Household Income (n=1,429)
38.0%
32.0%
17.1%
12.9%
< $25,000 $25,000-$74,999 $75,000-$124,999 $125,000+
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There are enough existing PEI resources and services.(n=382 provider & n=1,512 community responses, averages=1.72 & 2.25on a 5-point scale, where 1=Strongly Disagree, 5=Strongly Agree)
0%
10%
20%
30%
40%
50%
60%
70%
StronglyDisagree
SomewhatDisagree
NeitherAgree NorDisagree
SomewhatAgree
StronglyAgree
Organizational
Community
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There is enough information available about how to find and access existing PEI resources and services.(n=387 provider & n=1,527 community responses, averages=1.86 & 2.29 on a 5-point scale, where 1=Strongly Disagree, 5=Strongly Agree)
0%
10%
20%
30%
40%
50%
StronglyDisagree
SomewhatDisagree
NeitherAgree NorDisagree
SomewhatAgree
StronglyAgree
Organizational
Community
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Community Opinions Regarding Priority Populations for PEI in OC(n > 1,500, averages on a 5-point scale, where 1=Very Low Need, 5=Very High Need)
High to Very High Need for PEI
4.44.2 4.1 4.1
0
1
2
3
4
5
Risk for Suicide Serious Signs of MI Facing Trauma Youth in StressedFamilies
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Community Opinions Regarding Priority Populations for PEI in OC (n > 1,500, averages on a 5-point scale, where 1=Very Low Need, 5=Very High Need)
Moderate to High Need for PEI
3.98 3.97 3.92 3.75
0
1
2
3
4
5
Family History ofMI &/or SA
Underserved byMH Svcs
Risk of SchoolFailure
Risk of Arrest/Jail
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(slide 1 of 2) Opinions Regarding Priority PEI Goals/Needs
REDUCTION OF…
0%
10%
20%
30%
40%
50%
Organizational
Community
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(slide 2 of 2) Opinions Regarding Priority PEI Goals/Needs
REDUCTION OF…
0%
10%
20%
30%
40%
50%
MH S
tigm
a
Arrest
& J
ail
Remov
al of C
hildr
en
Unem
ploy
men
t
Milit
ary
Vet P
robs
OTHER: S
A, Und
svd,
Srs
Organizational
Community
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Other Written PEI Goals/Needs
Dual Diagnosis/Substance Abuse (16.8%): eg, substance abuse/addiction; problems due to prenatal drug
exposure; self medicating; rehab Underserved & Lack of Services/Access (14.5%):
eg, access to care/Rx at low/reasonable cost; more bilingual/bicultural staff; working poor; eligibility for SSI/SSDI, Medi-Cal/Medicare, MSI, Mental Health
Seniors/Older Adults (13%): eg, elder neglect/abuse; senior homeless; isolated at risk elderly;
lack of services for elderly; stigma particularly affects older adults
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Community Opinions Regarding Effective Settings for Identifying OC Residents Needing PEI Services
30.6%
44.1%
36.6%
34.3%
26.0%
48.7%
0%
10%
20%
30%
40%
50%
60%
Schools DoctorOffices &
Clinics
SocialServices
Healthcare:Hospitals,
SNF
CommunityBased Orgs
LawEnforcement
& Legal
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Community Opinions Regarding Effective Settings for Identifying OC Residents Needing PEI Services
12.2%
1.5%
7.5% 6.6% 6.2%
0%
10%
20%
30%
40%
50%
60%
Un/employmentCtrs
In-home Faith-based Orgs Workplaces OTHER:Neighborhood,
Media
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Community Opinions RegardingBest Strategies for Addressing PEI in OC
39.3% 38.2%
9.1%
46.5% 45.7%
3.6%
0%
10%
20%
30%
40%
50%
60%
Early
Scr
eenin
g, Dx,
Tx
Train
ing fo
r Pro
fess
ional
s
I & R
@ D
iver
se S
ettin
gs
Paren
t Educ
/ Suppor
t Svc
s
Work
-bas
ed P
rogr
ams
OTHER: Colla
b, Housi
ng, P
H
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Other Written PEI Strategies
Collaboration & Expanded Services (31.6%): eg, connect with Prop 10 services particularly with/for 0-5 yrs of age;
locate better funding for existing programs; use more Spanish speaking staff; more clinics; support non-profit orgs
Housing & Placement for Recovery/Homeless (22.8%): eg, implementation of AB 1421; additional facilities - inpatient and
outpatient - for treatment; do not turn people with mental issues out on street; homeless outreach; long term care in SNF
Public Education & Media Campaigns (19.3%): eg, increase public awareness via media (newspapers, bus stops, TV,
radio, Internet “pop-ups,” MySpace, YouTube, etc); advertisements; public mailings; life skills training
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Community Suggestions for Expansion of PEI
At the Provider Level:1. Expanded MH Services
(78.0% of suggestions)
2. Priority PEI Settings (67.6%)
Schools, Residential Tx/ Rehab, Resource Centers, Doctor Offices/Clinics
3. Priority PEI Populations (52.7%)
Children & Youth, Substance Abusers, Homeless, Seniors/Older Adults
4. Professional Training (49.7%)
5. Early Identification of MH Problems (43.2%)
To Meet Consumer Needs:1. Community Programs
(53.9% of suggestions)
2. Family/Caregiver Resources (34.9%)
3. Public Knowledge (29.2%)
4. Counseling Resources (27.0%)
5. Culturally Competent Resources (19.4%)
6. Access to Services (19.1%)
7. Crisis Management (17.0%)
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Organizational Suggestions for Expansion of PEIAt the Provider Level:1. Expanded MH Services
(45.6% of suggestions)2. Priority PEI Settings
(44.2%) Schools, Resource Centers,
Doctor Offices/Clinics, Faith Based Organizations
3. Priority PEI Populations (38.8%)
Children, Transitional Age Youth, Seniors/Older Adults, Homeless
4. Early Identification of MH Problems (22.4%)
5. Professional Training (19.0%)
To Meet Consumer Needs:1. Access to Services (46.3%
of suggestions)
2. Community Programs (23.8%)
3. Family/Caregiver Resources (20.4%)
4. Culturally Competent Resources (14.3%)
5. Counseling Resources (11.6%)
6. Public Knowledge (11.6%)
7. Crisis Management (6.1%)
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COMBINED Suggestions for Expansion of PEIAt the Provider Level:1. Expanded MH Services
(71.4% of suggestions)2. Priority PEI Settings
(62.9%) Schools, Resource Centers,
Doctor Offices/Clinics, Residential Tx/Rehab
3. Priority PEI Populations (49.9%)
Children & Youth, Substance Abusers, Homeless, Seniors/Older Adults
4. Professional Training (43.5%)
5. Early Identification of MH Problems (39.0%)
To Meet Consumer Needs:1. Community Programs
(47.8% of suggestions)2. Family/Caregiver
Resources (32.0%)
3. Public Knowledge (25.7%)
4. Access to Services (24.6%)
5. Counseling Resources (23.9%)
6. Culturally Competent Resources (18.4%)
7. Crisis Management (14.8%)
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For more information regarding methods used for data collection, preliminary analyses, or this summary of results …
Contact:Kimari Phillips, MA, CHESResearch Analyst, OC Health Care AgencyOffice of Quality Mgmt – Planning & Research
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Alan Albright
PEI Sub-Committee Meetings
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