+

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)

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 WellnessBye Bye Blues

West Slope(PCF)

Tahoe(TTCF)

5 Large Projects

Housing

OngoingOngoing One-Time75% 20% 5%

+

Recap of Decisions made:

2011

/2012

2012

/2013

2013

/2014

2014

/2015

2015

/2016

2016

/2017

2017

/2018

2018

/2019

$0

$5,000,000

$10,000,000

$15,000,000

$20,000,000

$25,000,000

Forecast of Total Placer MHSA Dollars

Current Programs Process Decision Made in April

All Current

Programs

RecommendPrograms (At

existing Funded levels)

CCW SteeringReview

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

Notes: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

ProgramDeliverablesOutcomes (qualitative and quant.)

YES

Total Current Program Dollars Current Ongoing Process

• WET is included in CSS, includes COLA of 7% in 13/14 and 2% thereafter• $300k of “new” PEI ongoing is not included in above process but will be included in “unspent process”

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

CSS $5.4 $5.8 $5.9 $6.0 $6.1 $6.2

PEI $1.2 $1.8 $1.7 $1.7 $1.7 $1.7

Program Selection Process Decision Made in May*Includes Unspent + PEI ongoing + Innovation

Community ProgramReview Panel

Request for Proposal

CCW Steering

CCW Leadership

Annual Plan

Update

Program identification

Process• Gap ideas• Asset map• Funding allocations• Hospital data• Innovation priorities

Program StrategiesFramework

MHSA Criteria

• CSS: 51% > FSP• PEI: 25% > 0 – 24yrs• WET, Housing, Facilities

• Outcomes• Target pops.

Note: * Includes unspent (6yr. Funding framework), PEI $300k(ongoing) + Innovation * $3 million- for capital facilities + housing - decision by 2018

Total Dollars for Process Unspent + PEI Ongoing + Innovation

PEI & CSS - allocates more dollars in first three years and slightly less remaining three years

Requirements: CSS 51% or > to FSP and PEI 25% or > to 0-24 yrs. old.

$3 million- for capital facilities + housing decision to occur by 2018.

’13/14 ’14/15 ’15/16 ’16/17 ’17/18 ’18/19CSS Unspent $1.20 $1.20 $1.20 $0.98 $0.98 $0.98

PEI Unspent $0.75 $0.75 $0.75 $0.45 $0.45 $0.45

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

Innovation $.71 $0.71 $0.69 $0.69 $0.69 $0.69

Total $2.96 $2.97 $2.95 $2.44 $2.44 $2.44

+Tahoe Priorities Increase awareness of

underserved pops. LGBTQ, disabilities, TAY,

PPD Increase non-therapy and

therapy alternatives for youth (natural setting)

Increased coordination and community wide prevention around suicide (warning signs)

Decrease stigma and discrimination

Culturally competent therapy for Latino pop.

Mental health & substance abuse services for under and uninsured

Homeless support – strategies*

Intervention and supports for children and families (those with and without mental illness)

Adequate crisis response with follow up services

Innovation

Review MHSA guidelines and numbers

Recap ideas from last meeting Mapped to Innovation

guidelines Recommendations from

Leadership Committee Group work prioritization

+Innovation- Available Dollars

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

+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

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 - New Mental Health Approaches

Services to incarcerated adults upon release

First Hospitalization/ First Onset/Early Response

Mobile Response Unit Transportation Resources

Innovation – Making Changes to Existing Programs or Services

Peer Support/Wellness Recovery Action Plan

Leasing available space in churches or other buildings

Peer Run Board and Care Transition Age Youth

Housing Mental Health integrated

with Acute Health

Innovation – Introduce Community Driven Practices to Mental Health

Community Garden Cooking Café Respite Services Art Center Operational Support for

Transition Age Youth Center Other work

program/business opportunity

Innovation – Concepts that are better met through PEI or other funding sources

Homeless Shelter Services for Jail Population Suicide Prevention

Innovation – LeadershipRecommendation

Focus on one to three initiatives 1 large initiative ($350,000)

+ 2 small ($175,000 each) 3 similar initiatives

($233,000 each) 2 initiatives ($350,000 each)

Exercise: Select top funding initiative

from above Relative to brainstorm list,

pick top three priorities

Next Steps Move Innovation

priorities into the process

August MHSA program recommendations