Campaign for Community Wellness

Steering Committee

February 28, 2007

3-5 pm

Agenda

• Welcome• Stories on Innovation & Resiliency• Overview of Campaign for Community

Wellness • Accomplishments to date

– Innovations in System Transformation

• Review role of steering committee– Decision making process

– Identified priorities

Agenda (continued)

• State-of-the-State (MHSA)– New monies

– AB2034 issues

– Funding patterns

• Recommendations

• Actions for next time 4/25– How to spend new monies

– Review annual report and comment

Campaign for Community Wellness

Integrating. Coordinating. Collaborating

Campaign for Community Wellness

• Coordination

• Transformation

• Consumers voice

• Underserved• Awareness

Campaign for Community Wellness

• Approaches– Co-occurring competence– Client/family centered– Recovery-oriented – Cultural competence– Collaborative– Early Intervention– Evidence Based Outcome Focus– Integrated Services– Accessibility

Reduce StigmaRecovery Focused

Campaign for Community WellnessPhase I

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

Elements of the Campaign

CrisisTriage

Steering Committee

Transition AgeYouth

AdultOlder Adult

Lake TahoeTransform.Co-occurr.

Children

SystemChange

SED,SMI Children, Youth & Adults, O.AdultsLatino, TAY, Native American

Voice MH BoardVoice/Direction

System Transformation

Full-servicePartnerships

Youth Consumer Family

Campaign for Community Wellness

Vision

Current Vision

• Welcoming / accessible• Community collaboration• Consumer and Family driven• Providers have competence and leadership• Cultural competence• Co-occurring competence• Stigma is reduced• Mental health is a public priority• Mental health care is evidence based

System Transformation

Stories of Innovation

Co-occurring

• Co-occurring: substance abuse & mental health disorders

• Elements of change:– Change Agents

– Doctor Consultation Team

• Dr.’s Minkoff & Cline • Consumers involvement• Trainings

Listening Well• Recovery

through stories• Consumer

voice• Awareness• Reduces

Stigma

Network of Care

• A resource guide

• Individual Wellness Recovery Plan

• Maintained by PCN

www.placer.networkofcare.org

Welcome Center

• An outreach and support center

• Located at former DeWitt Center diner in Auburn

• Consumer guided design of services

• Client Council

Crisis Triage Same Day/Next Day

• Sutter Roseville Medical Center

• Reduction in hospitalizations

• Responsive to needs of consumer

• Avoids relocation in times of crisis

Role of Steering Committee

Decision making process

Review priorities

Steering Committee

Client/family

Native American community

Latino community

Children

Youth

Adult

Older Adult

Disabled

Tahoe

Education

Housing

Vocational Community Partner

Law enforcement

Faith

Business

County

Role of Steering Committee

CampaignSteering

Committee

Review Gaps, Successes

Barriers

Allocationfor new MHSA

monies

Ideas to supportCampaign

goals

Reports, Priorities,Outcome trackingPlanning , Feedback

HHS operationalizesrecommendations

Leveraging ResourcesBuilding PartnershipsCreating Awareness

Consensus (fallback to vote)

Review Prior Recommendations

• Maureen/Lynn , not sure there is an easy list here. . . .?

State-of-the-State

MHSA Funding Update

AB2034

Funding Streams

MHSA Funding Plans (6)

CommunityService & Supports

Guidelines forthcomingDiscussion for next meeting

Early Intervention &

Prevention

No guidelines yetLimited Information

Phase 1$2.4M for 3 years

+ $881K

TechnologyEducation &

Training

Housing InnovativePrograms

Changes to AB2034

• Governor proposing to eliminate AB2034 funds

• Total possible cut of $780,000

• When will decision be made??

Placer CountyGaps in Funding

-

100

200

300

400

500

600

700

Population HHS Budget

Public Assistance

County Budget

‘00/01

‘05/06

• Population: +28 %

• HHS Budget: (-)%

• Public Assistance (-)%

• County Budget: + 145%

In last 6 years. . .

As County Dollars Shrink . .

Realignment funds

Medi-cal

$’s

$’s

Note: Decline occurs when adjusted for inflation and population growth.

What Does it Mean for the Wellness of our Community?

Recommendations

Supporting A Continuum of Care

Severe High Risk Episodic Supportive

SpecialtyPrograms15 : 1

IntensiveCommunityBased Services

Peer to PeerLow IntensityCommunity Based Services

Primary Care Physicians

Full-servicePartnerships

Eg???. Self managingHealth mgmt.Recovery maint.

MedicationCounselingMedical careEducationReferrals

Steering Committee Timeline

Feb. March April May June

Review Materials

Decision:How to allocate $881K?

Publish/review:Annual Report

Steering Committee

Steering Committee

(Prev/early intervention)

Steering Committee(role, update)

Actions

Meetings

Activities Mental HealthAwareness Month

Submit:Annual Report