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Behavioral Health & Recovery Services Mental Health Services Act
Planning Meeting
February 27, 2015
MHSA Representative Stakeholder Steering Committee
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Welcome
and Introductions
MHSA Representative Stakeholder Steering Committee
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Introductions Recap of January 30
Stakeholder Meeting Present funding proposals and
PEI Restructuring Plan for consideration/Gradients of Agreement
---Break--- Gather input on ideas for
possible future funding/ Roundtable Exercise
Close
Meeting Agenda
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Reviewed BHRS Commitments to Long Term Change
Reviewed MHSA budget Presented highlights from FY
15/16 Annual Update /MHSA Programs – FY 13-14
Shared PEI Restructuring Plan Gathered input on MHSA projects Discussion on MHSA future
funding
Recap of January 30, 2014 Meeting
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Community Services and Supports (CSS)
Prevention and Early Intervention (PEI)
Workforce Education and Training (WE&T)
Capital Facilities/ Technological Needs (CF/TN)
Innovation
MHSA Components
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Prevention and Early Intervention (PEI) Statewide PEI Initiative - $ 90,000 (3% of allocation) Know the Signs Suicide Prevention Campaign Prevention strategies, training/outreach
Each Mind Matters Anti-Stigma Campaign Stigma reduction
Funding Proposals
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Prevention and Early Intervention (PEI) Program Revision: School Behavioral Health Integration
(SBHI) Align services using the School Behavioral Health
Consultation Model. Build and enhance a continuum of behavioral health
supports at school sites by focusing work in five areas: 1) teacher and staff support, 2) whole school support, 3) student support, 4) family support, and 5) crisis support.
PEI Restructuring Plan
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Prevention and Early Intervention (PEI) Program Revision: National Alliance for the Mentally Ill (NAMI) Program originally funded to provide In Our Own Voice and
Parents and Teachers as Allies school-based training. As NAMI program gained access to communities and
schools, the community requested additional NAMI training and education presentations.
To broaden impact/meet community needs, program will now provide all NAMI approved training and education. NAMI has had success in reaching communities with anti-stigma and mental health education.
PEI Restructuring Plan
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Prevention and Early Intervention (PEI) Program Revision: Friends are Good Medicine (FGM)
The program target population will focus on families of
adults with serious mental illness and/or with a recent hospitalization.
The program will add the additional strategy of outreach to families and connecting them to peer and community support.
There is no budget impact.
PEI Restructuring Plan
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Prevention and Early Intervention (PEI) Program to be Discontinued: Children Are People BHRS recommends ending the Children Are People
program as of June 2015. Even though the program experienced successful
outcomes, the program resources would be best utilized within the SBHI project where strategies are similar and align with PEI Regulations.
Budget transferred to SBHI budget.
PEI Restructuring Plan
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Prevention and Early Intervention (PEI) Program to be Discontinued: Faith/Spirituality-Based Resiliency and Social Connectedness
BHRS recommends ending county operated program. After program redesigns, it was found that the strategy is
not efficient as a stand-alone program. The Community Behavioral Health Outreach and
Engagement program will continue to engage faith/spirituality communities to increase behavioral peer and community supports for their members.
Budget transferred to Community Behavioral Health Outreach and Engagement
PEI Restructuring Plan
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Workforce Education and Training (WE&T) Training Costs - $150,000 Staff Training and Community Workforce Development Examples: Suicide Prevention Collaborative Documentation Trauma Informed Care Assertive Community Treatment Training High Intensity Homeless Outreach and Engagement Best Practices
Funding Proposals
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Innovation (INN) FSP Co-Occurring Disorders Project - $800,000 Focus on adults who have both serious mental illness
and co-occurring substance use disorder. Insure treatment/primary care is provided to address potential risks to reduce homelessness, criminal justice involvement, acute psychiatric hospitalizations, and institutionalization
Funding Proposals
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Technological Needs (TN) Evaluation Outcomes Funding - $400,000 Why? State requirements Report outcomes to
stakeholders 64 MHSA programs Program expansions and
additions Added 1 FSP Added 8 GSD and
O&E Expanded 6 GSD
What? Infrastructure Systems Engineer
Development Software Developer
Analysis/Presentation Staff Services
Coordinator
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Funding Proposals
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MHSA Representative Stakeholder Steering Committee
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Future Funding
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Examine current project outcomes
Examine current project sustainable funding
Incorporate MHSA stakeholder priorities
Include feedback from Board of Supervisors on priority areas
Context for Future Funding
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MHSA Stakeholder Meeting June 20, 2014
CSS, PEI, INN Population and Strategy Priorities Mental Health Adaptive Dilemma
Priorities
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CSS Population and Strategy Priorities
Population Strategy Points 1. Children/Youth 53 FSP - Full Service Partnership 28 GSD - General System Development 19 O&E - Outreach and Engagement 6 2. Adults 30 FSP 19 GSD 0 O&E 11 3. TAYA 7 FSP 7 GSD 0 O&E 0 4. Older Adults 7 FSP 6 GSD 0 O&E 1
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PEI Populations Priorities Population Points
1. Children/Youth 43 Underserved 0 At-risk 6 Exhibiting onset/MH issues 37 Families 0 2. Adults 26 Underserved 26 At-risk 0 Exhibiting onset/MH issues 0 Families 3. TAYA 21 Underserved 2 At-risk 10 Exhibiting onset/MH issues 9 Families 0 4. Older Adults 10 Underserved 7 At-risk 3 Exhibiting onset/MH issues 0 Families 0
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Innovation
Mental Health Adaptive Dilemma Points
1. Improving parental competency and social support for fathers
38
2. Improving the well-being of children, TAY, TAYA
35
3. Treatment options for people struggling with both substance abuse and mental illness
10
4. Connecting people receiving services to community based supports
9
5. Honoring and identifying more holistic approaches to well-being
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6. Connecting and linking underserved and diverse communities with resources
3
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Reduction in suicide rate Expanded efforts to deal with
homelessness/address perception that it is growing.
Stigma reduction approaches Reduction in incarceration Reduction in ER visits Prevention
BOS Priorities for Future Funding
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BOS Comments: Supervisors value stakeholder input. Supervisors want to insure that outcomes
are the focus of programs.
BOS Priorities for Future Funding
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Scenario #1 Expand existing
programs with demonstrated positive outcomes
Scenario #2 Generate ideas for
future funding - New proposals - New expansions
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Context for Future Funding
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Stakeholder Ideas Exercise/Roundtable Discussions
Future Funding
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Next Steps
What questions do
you have?
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Next Steps
Community Input on Annual Update 30-day public review and comment period March 24 - April 22, 2015 Informational outreach meeting - March 25, 2015 @
BHRS Main Conference Room, 1:30 p.m. Mental Health Board Public Hearing on April 23, 2015 @ 5 pm, BHRS Redwood Room Board of Supervisors Meeting - Adoption of Annual
Update - May 12, 2015 Update to MHSOAC within 30 days
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Next Steps
Meeting Feedback Form Next Meeting – April 10, 2015 (Tentative) Final Reflections/Questions
www.stanislausmhsa.com
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Thank you for your partnership!