+

Placer MHSA Integrated 3 Year Planning—Further Conversations

July 1, 2014- June 31,2017

The Big Picture… Review MHSA planning efforts & timeline

Recap last meeting Decisions made & New Programs Process update

Innovation discussion

+Review of Planning Elements & Requirements

3-year plan (2014 – 2017)

Based on unspent funds + estimated revenues from State

Stakeholder process Representatives from the County’s constituency groups

(CCW Steering) Involvement in: mental health policy, program planning &

implementation, monitoring, quality improvement, evaluation & budget allocations

Draft plan circulated for 30 days for public comment (Summer/Fall 2013)

Review of Campaign Structure

Four committees/Representatives: Promote Mental Health Awareness – Anno Nakai Outreach and Stigma Reduction—Jennifer Price MHSA Implementation – Janice Leroux Workforce, Education and Training(WET)—Sandy Cretney 2 Mental Health Authority Reps. – Maureen Bauman and

Richard Knecht Campaign Facilitators—Katrina Moser/Christi Meng

Leadership Team: Decisional Team, based on input and guidance from this CCW Steering committee

Current Process and Timeline

Target Pop.+ Outcomes

Outcomes&Target Pops.

Strategies &Programs Draft

Plan

Steering Ideas

Asset mapping

Target Pops served

Outcomes Recomm.

Recommended programs

Staff mapsTo Budget

Eval.Current

Programs

Steering Rec.

Leadership Team decisional

Gaps

AprilMarchDec.

Aug

Oct. 2013

Framework For Priorities

(GAPS)

July

Asset Map For Review

Process Decisions

Funding strategies

Sept.

Input on gap tool

Innovation+

Planning

May/June

Review of Current MHSA Elements

CommunityServices & Supports

Prevention & Early

InterventionInnovation

WET

Cap Fac. & Tech

Full Service Prt.

Systems Transf.

Crisis Triage

Lake Tahoe

Ready for Success

Bridges to Wellness

Bye Bye Blues

West Slope(PCF)

Tahoe(TTCF)

5 Large Projects

Housing

OngoingOngoing One-Time75% 20% 5%

+

Decision:Process to update MHSA plan and fund ongoing programs

Current Programs Process Decision Made

All Current

Programs

Meet State GuidelinesAnd County Outcomes ?

RecommendPrograms (At

existing Funded levels)

CCW SteeringReview

YES

CCW Leadership

(Final Decision)

Draft MHSA Plan

RFP after planIs approved

MHSA Eval Team

Programs needing more $’s would apply separately for unspent funds.

Include WET

Recommendations: 1) WET to be included in ongoing CSS program expenses.2) Ongoing programs -7% COLA next year and 2% annual increase thereafter3) PEI receives $300k of additional ongoing funds for RFP –worked into unspent RFP process

Contract DeliverablesOutcomes (qualitative and quant.)

YES

+

“Unspent Funds”

1) Funding Allocation Framework - Decision 2) Process - Revisions made Recommendation

Results inform the Annual Plan Update

CCW Leadership Committee Decisions for “unspent ” dollars framework + process

Planning cycle of 6 yrs. 3yr. renewal process w/evals. Higher level first 3 yrs. Lower level next 3 yrs

Include incentives for agencies that leverage other dollars—TBD

Current programs can apply for expansion funds

Capital Facilities and Housing $3m total for both, allocations

to be made as proposals come in.

Decisional: Allocation Unspent Dollars($3m for housing and facilities not shown)

Allocates more dollars in first three years and slightly less remaining three years

Requirements: CSS 51% or > to FSP and PEI 51% or > to 0-24 yrs. old.

5% to innovation programs--12/13 unpsent funds spread over six years

$3 million- for capital facilities + housing can occur within 10 yr timeframe (not shown).

2013

/201

4

2014

/201

5

2015

/201

6

2016

/201

7

2017

/201

8

2018

/201

90.00

0.50

1.00

1.50

2.00

2.50

3.00

WETCap. FacINNPEICSS

Decisional: Allocation Unspent Dollars($3m for housing and facilities not shown)

13/14 14/15 15/16 16/17 17/18 18/19

CSS 1.20 1.20 1.20 0.98 0.98 0.98

PEI 0.75 0.75 0.75 0.45 0.45 0.45

INN 0.26 0.26 0.26 0.26 0.26 0.26

Cap. Fac 0.25 0.00 0.00 0.00 0.00 0.00

WET 0.00 0.00 0.00 0.00 0.00 0.00

One Program Selection Process -- RevisionIncludes Unspent + PEI ongoing + Innovation MHSA

EvaluationCommittee

Request for Proposal

CCW Steering

CCW Leadership

Annual Plan

Update

Program identification

Process

• Gap ideas• Asset map• Funding allocations• Hospital data

Program StrategiesFramework

MHSA Criteria

• CSS: 51% > FSP• PEI: 51% > 0 – 24yrs• PEI early treatment.

• Fallback: volunteer committee

• Outcomes• Target pops.

Note: Unspent (6 yr. framework), PEI $300k(ongoing) + Innovation follows separate guidelines

Total Dollars for Process Unspent + PEI Ongoing + Innovation

Allocates more dollars in first three years and slightly less remaining three years

Requirements: CSS 51% or > to FSP and PEI 51% or > to 0-24 yrs. old.

$3 million- for capital facilities + housing can occur within 10 yr timeframe (not shown).

2013

/201

4

2014

/201

5

2015

/201

6

2016

/201

7

2017

/201

8 $-

$0.50

$1.00

$1.50

$2.00

$2.50

$3.00

$3.50

Innovation (total)PEI OngoingPEICSS

Total Dollars for Process Unspent + PEI Ongoing + Innovation

Allocates more dollars in first three years and slightly less remaining three years

Requirements: CSS 51% or > to FSP and PEI 51% or > to 0-24 yrs. old.

$3 million- for capital facilities + housing can occur within 10 yr timeframe (not shown).

2013/2014 2014/2015 2015/2016 2016/2017 2017/2018

CSS $1.20 $1.20 $1.20 $0.98 $0.98

PEI $0.75 $0.75 $0.75 $0.45 $0.45

PEI Ongoing $0.30 $0.31 $0.31 $0.32 $0.32

Innovation (total) $1.02 $0.71 $0.69 $0.69 $0.69

Total $3.27 $2.97 $2.95 $2.44 $2.44

Innovation

Move forward on our conversation

Review MHSA criteria

Review funding level – three-year timeframe

What would we want to experiment with

Innovation – Select A Primary Purpose

Increased access to underserved groups

Increase the quality of services (outcomes)

Promote interagency and community collaboration

Increase access to services

Can not be community capacity building – done before

+Innovation – Must Do At Least One of the Following

Introduce new mental health practice/ and approach

Make a change to an existing mental health practice/approach (new setting, community, etc.)

Introduce to the mental health system a new promising community-driven practice/approach or a practice/approach that has been successful in non-mental health setting

Innovation – May Affect Any One of the Following

Administrative governance, organizational practice, process or procedure

Advocacy

Education and Training

Outreach, capacity building and community development

System development

Public education efforts

Research

Services and interventions

+Innovationnumbers

13/14 14/15 15/16 16/17 17/18 18/19

Ongoing 0.45 0.45 0.43 0.43 0.43 0.43

Unspent 0.26 0.26 0.26 0.26 0.26 0.26

Total .71 .71 .69 .69 .69 .69

Note: 13/14 Ongoing Innovation funds are already allocated.

Innovation - Conversation

What do we want to experiment with? New practice Change Community promise

Look at gap ideas

How do we want to allocate the funds every three years Several large grants? Other?

Small group discussion Share

Next Steps

Update from today’s meeting

Continue MHSA planning update process