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Steering Committee
Friday, April 27, 2007
10-1 pm
Roseville
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• Welcome & Introductions– Voice from community– Time and location for future meetings
• Review of Campaign for Community Wellness
• MHSA Plan and report update
• What more needs to be done– Decision for CSS dollars
Agenda
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Steering Committee Meeting time and location
Who is missing today?
What time works best?
Suggested locations?
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Integrating. Coordinating. Collaborating.
Campaign for Community Wellness
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Coordination
Transformation
Consumer Voice
Underserved
Awareness
Campaign for Community Wellness
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Approaches– Co-occurring competence– Client/family centered– Recovery-oriented – Cultural competence– Collaborative
Reduce StigmaRecovery FocusedImproved Outcomes
Campaign for Community Wellness
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Campaign for Community Wellness
Integrated approachShared resourcesCollective outreachImproved service deliverySystem transformation
CommunityConsumersCBO, Faith
Gov’t, Service
MHSASAMHSA
$2.2m$1.4m
Community Services & Supports funds
Campaign for Community Wellness-Phase I
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CrisisTriage
Steering Committee
Transition AgeYouth
AdultOlder Adult
Lake Tahoe
Children
SystemChange
Co-occurring/Cultural Comp.
Children, Youth, Adults, Older AdultsLatino, TAY, Native American
Voice MH BoardVoice/Direction
System Transformation
Full-servicePartnerships
Youth Consumer Family
Elements of the Campaign
Severely Emotionally DisturbedSevere Mental Illness
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Mental Health Services Act
Implementation Progress Report
Feb. – Dec. 2006
Comments
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Report Distribution Process
• Date published – 4/18• English and Spanish version• Posted on
– Placer County website– Sent to
• Copies to: Libraries, cities, private providers, Family Resource Centers, Welcome Center
• Families, consumers, partners, client council• Placer Collaborative Network, Board of
Supervisors, City Council members• All local papers
• Press release submitted
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Report Highlights
Rally Around Families Together (Children)– SMI children at risk of out-of-home placement
– 5 of 18 slots filled
Placer Transition Age Youth (16-17)– Most at risk due to SMI, history of hospitalization, out-
of-home placement, co-occurring substance abuse, or incarceration
– 13 of 22 slots filled
– Those less at risk receive case management and referral services
Transition AgeYouth
AdultOlder Adult ChildrenFull-servicePartnerships
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Report Highlights
Whatever It Takes Team (Adults)– Living in locked setting, or frequently hospitalized
– Incarcerated
– All 24 slots filled
Older Adult Full Service Partnership– Support to live independently
– 3 of 22 slots filled, slow to start due to staff recruiting
Transition AgeYouth
AdultOlder Adult ChildrenFull-servicePartnerships
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Report HighlightsCrisisTriage
Lake TahoeSystemChange
Co-occurring/Cultural Comp.
System Transformation
System Transformation– Improving system capabilities for those with mental illness
& substance abuse
– Resiliency and recovery-oriented, culturally competent
– Consumer Council and Welcome Center
– Increased outreach to Latino and Native American communities
– Hiring of consumer and family members
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Report Highlights
Crisis Triage– Crisis response teams now in place
– Same day, next day• More immediate, short-term crisis resolution• Goal to reduce hospitalizations
Lake Tahoe System Development– Improve access to culturally competent care in Lake
Tahoe
– Hiring of bilingual/bicultural staff
– Partnership with FRC staff for more outreach
– Coordination of services
CrisisTriage
Lake TahoeSystemChange
Co-occurring/Cultural Comp.
System Transformation
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Key Accomplishments to Date
• One of the first County’s to be up and running with MHSA funds
• Reduced number of adults living in locked institutions 33%
• Welcome Center averages 50 visitors a day• Integrating with other initiatives (SAMSHA)• Same day/next day – immediate response
– # (report)• Consumers hired # • Established Native American Council• Established a local private Board and Care to
provide appropriate housing
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Lessons Learned
Adult Full-Service Partnership• Slots filled from locked institutions
• Need to outreach and fill slots for Latino, Native American and forensic population
Latino and Native American populations• Increased bilingual/bicultural staff
• Now have Native American Council
• Need to work on building outreach capacity to Latino Community
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Lessons Learned
Crisis Triage• Have had wait times for services-improve
access to services and decrease wait time
Tahoe• Not getting comprehensive services due to
geographic challenges
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Discussion Around Year 1 Progress
Questions
Comments
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What More Needs to be Done?
Recommendation for CSS funding
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Factors To Consider
• Governor’s proposal to eliminate Funding for Homeless Program (AB 2034)
• System transformation of core services is limited by resource challenges
• At least 51% of total funds need to go to full-service partnership
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CrisisTriage
Steering Committee
Transition AgeYouth
AdultOlder Adult
Lake Tahoe
Children
SystemChange
Co-occurring/Cultural Comp.
SED,SMI Children, Youth & Adults, O.AdultsLatino, TAY, Native American
Voice MH BoardVoice/Direction
System Transformation
Full-servicePartnerships
Youth Consumer Family
Recommendations for Additional CSS funds of $881,000
Homeless
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Contingency Plan
If the governor eliminates AB 2034 funding we recommend targeting the homeless population with the new monies
Homeless100%
If AB2034 is maintained . . .
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Recommendations - Detail
VoiceYouth Consumer Family
CrisisTriage
Greater outreach to the underserved (building team)
Improve access & urgent services Psychologist and psychiatrist consultation for primary care
Double adult full-service partnership slots (24 more) for underserved populations (Latino, Native American, forensic)
Adult40%
Lake Tahoe Expand full-service partnership geographically
25%
20%
15%
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Discussion
Questions
Individual and Group work
• Recommendations for $881,000
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Steering Committee Timeline
April May June July
Meeting 4/27 Overview workforce $’sMeeting timeCSS Decision
If no decision
•Ad hoc meetings for Education/Training input
Mental Health Day volunteers
Formal Steering Committee meeting
Meeting: Date?
Overview of PE/I & Housing $’s
Education/Training Funding Decision
CSS $’s arrive
Aug.
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Public Postings & Approvals
Send CSS decision to State for approval 6/15
June April May July
Post MHSA report 4/18
Mental Health Board meeting 5/21(1 week to get report comments in)
CSS decision operationalized & posted 5/15
Educ./Training decision operationalized & posted
Aug.
Send Educ./Training decision to State
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Next Steps
• May & June Meeting – Time & location
• Public Hearing on MHSA Report: May 21, 2007
• Planning for Recommendations on Education/Training funding
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Information Page
• Questions: Michele Zavoras– [email protected]
– Phone –530-889-7244
• Website: http://www.placer.ca.gov/hhs
/adult/MHSA.aspx
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End of Presentation
Following slides are to support handouts
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New CSS Funding Guidelines
Education & Training
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CommunityService & Supports
Guidelines published
Early Intervention &
Prevention
No guidelines yetLimited Information
Phase 1$2.2M for 3 years
New money: + $881KTechnology
Education & Training
Housing
InnovativePrograms
MHSA Funding Plans (6)
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Overview: Workforce Education & Training
• Training– Staff support consistent with MHSA principles– Mental Health Career Pathway programs targeting
consumers and family members
• Residency and internship programs – Attract licensed providers
• Financial incentives – For current and prospective public mental health
employees – For degrees and licenses with emphasis on
developing a more culturally diverse workforce