Mental Health Services Act Overview

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Mental Health Services ActOverview

California Department of Mental Health

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Mental Health Services Act Overview

• Big Picture– What Is It?– What Will It Fund?– What Are The Steps of the Stakeholder

Process?

• Implementation– Next Few Months– What Is Next?

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Mental Health Services Act What Is It?

Transforms Mental Health Service System– Funds model programs for adults with disabling

mental illness– Closes gaps in children’s funding and helps to

keep children and youth at home– Creates ongoing Prevention and Early

Intervention Programs– Funds for Facilities, Human Resources,

Innovations, and Information Technology

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• Proposition 63 was passed by the voters in November 2004

• It’s now the Mental Health Services Act (MHSA)

• It became effective January 1, 2005

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• 1% increase in personal income tax for adjusted gross income over $1 million

• Funds to be used to expand services, not supplant other county or state funding

• Consumer share-of-cost based on existing sliding fee scale– Uniform Method for Determining Ability to Pay

(UMDAP)

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MHSA Components

1) Community Program Planning 2) Community Services and Supports3) Capital Facilities and Technological Needs4) Education and Training Programs5) Prevention and Early Intervention6) Innovation

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Community Program Planning• The purpose of Community Program Planning is

to provide a structure and process counties can use, in partnership with their stakeholders, in determining how best to utilize funds that will become available for the MHSA Community Services and Supports component.

• Consumers, family members and other stakeholders to participate in planning process

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Community Services and Supports• Provide funding for three areas:

– Full Service Partnerships– General System Development– Outreach and engagement

• Plan for services for four defined age groups:– Children and Youth– Transitional Age Youth (16-25)– Adults– Older Adults

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Capital Facilities (Proposed)– Purchasing land or buildings– Construction or rehabilitation costs for

buildings or office / meeting spaces – Adequate reserves for projects to cover gaps

in operating costs in future years– Related “soft”costs for development including

strategies to build community acceptance for projects

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Capital Facilities Goals (Proposed)• Produce long-term impacts with lasting benefits for

clients, such as reduction in hospitalization, incarceration, and the use of involuntary services, and increase in housing stability

• Increase the number and variety of community-based facilities supporting integrated service experiences for clients and their families

• Support a range of options that promote consumer choice and preferences, independence, and community integration

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Capital Facilities: Next Steps• Second Workgroup Meeting:

– Check web-site for draft document and updates at [email protected]

• Technical Assistance Documents: MHSA Housing Toolkit

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Mental Health Services Act What Is It?Information Technology

– Electronic information capture and distribution to improve services and mental health

• Using electronic system for improving service delivery, and access/security of mental health information

– Resource Management• Allocation, appropriation, funding stream and workforce

tracking, cost reporting, Medicaid claiming, billing, etc.

– Performance measurement / Accountability• Doing what we should do, and what we said we would do• Achieving what we set out to achieve

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Education and Training (proposed) • Focus—dedicated funding to remedy shortage of

qualified workforce• Expand outreach to multi-cultural communities,

increase diversity of workforce, promote web-based technologies and distance learning

• Training programs to promote inclusion of – Consumers and family members in the workforce – Cultural competency

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Education and Training (proposed)• County needs assessment compiled into statewide

summary– Addressing each professional and other occupational

category

• State develops 5-year education and training plan– Reviewed by Oversight and Accountability

Commission and the California Mental Health Planning Council

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Education and Training (proposed)• Pipeline/Recruitment

• Develop strategies to recruit high school students

• Training • Expand capacity of postsecondary education• Expand loan forgiveness and scholarships• Create a stipend program• Promote employment of mental health consumers and family

members

• Retraining• Train and retrain staff consistent with principles of the Act

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Prevention and Early Intervention (proposed)

• Purpose—prevent mental illnesses from becoming severe and disabling

• Outcomes—reduce duration of untreated severe mental illness

• State develops statewide program

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Prevention and Early Intervention (proposed)– Provide outreach and services to identify and treat

early signs of mental illness– Ensure access to medically necessary care– Reduce stigma and discrimination– Develop strategies to reduce negative outcomes

from untreated mental illness—suicide, incarcerations, school failure, homelessness, etc.

– Ensure timely access for underserved populations

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Innovation (proposed)• 5% set aside from

– Community Services and Supports– Prevention and Early Intervention

• Purpose– Increase access to underserved populations– Increase quality of services– Promote interagency collaboration– Increase access to services

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Mental Health Services Act What Will It Fund?

1/05-6/05

Next 3 years

Community Program Planning (5% of each component ongoing)

5%

Community Services and Supports* 55%

Capital and Technology 45% 10%

Education and Training 45% 10%

Prevention and Early Intervention* 20%

State Implementation 5% 5%* 5% is set aside from these two to fund Innovation

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Mental Health Services Act What Will It Fund?

• Estimated Funding– FY 04/05 $254M

– FY 05/06 $672M

– FY 06/07 $713M

– FY 07/08 $758M

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Mental Health Services ActWhat Are The Steps of the Stakeholder Process?

• DMH develops draft products• Stakeholders provide input• Revise and finalize procedures and requirements• Oversight and Accountability Commission review

and input• Local planning and review • State review/approval of local plans• Local implementation• Technical assistance, oversight and accountability

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Mental Health Services ActWhat Are The Steps of the Stakeholder Process?• Shorter-Term Strategies

– Consistent with vision and strategy– Shorter timeframes – Consistent with principles developed with

stakeholders– Examples

• California Outreach and Education Collaborative (COEC)• Network of Care, www.networkofcare.com• California Social Work Education Center (CalSWEC)• Consumer and Family Member Employment Initiatives

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Mental Health Services ActWhat Are The Steps of the Stakeholder Process?

• DMH values an effective stakeholder process• Communication—two-way

– In-person meetings with a facilitator

– Written communication—letters and email

• Email [email protected]

– Toll-free phone 800-972-MHSA (6472)

– Pre-meetings for consumers and families

• Training

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Mental Health Services ActNext Few Months

Community Planning Process• Continue process and provide additional

funding, if needed • Review county plan resubmissions for full

approval

Community Services and Support• Offer individualized Technical Assistance to

counties• State review/approval process beginning

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Technological Needs (to support performance measurement and increased efficiency)• Develop timely accountability system while moving toward

long-term vision• Implement advisory committees for Information

Technology and Performance Measurement

Capital Facilities• Intent is to support local MHSA plans, • Emphasis on housing and other critically needed facilities• Focus on leveraging

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Education and Training• Establish Advisory Committee • Obtain contractor to develop needs assessment and

5-year plan• Initiate consumer/family member employment projects

Prevention and Early Intervention• Obtain internal resources• Begin conceptualization

Short-Term Strategies consistent with principles• Pursue opportunities

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Mental Health Services Act What Is Next?

• Local plan development process in each county• State Department of Mental Health technical

assistance for counties that request this• California Institute for Mental Health regional

trainings• State Department of Mental Health review of

county plans

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Questions?