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Placer MHSA Integrated 3 Year Planning—Further Conversations

July 1, 2014- June 31, 2017

Agenda

Review Placer’s MHSA planning Process and Decisions

Review and Discuss Request for Proposals process / framework

Next steps

+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 (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)—Lisa Sloan 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

Review of Current MHSA Elements

CommunityServices & Supports

Prevention & Early

InterventionInnovation

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-Time (CSS)75% 20% 5%

WET

Current Process and Timeline

Target Pop.+ Outcomes

Outcomes&Target Pops.

Strategies &Programs/RFP

frameworkDraft Plan

Steering Ideas

Asset survey

Determine which activities move forward

Framework for programs

Staff mapsTo Budget

Eval.Current

Programs

Steering Rec.

Leadership Team decisional

Gaps

AprilMarchDec.

Sept

Nov. 2013

Framework For Priorities

Aug

“Survey”For Review

Process Decisions Funding

strategies

Oct.

Brainstorm

Innovation+

Planning

May/June

The Progress We’ve Made

MHSA Program Update Most programs Continue Four CSS & PEI programs Ending

Ongoing Funds (Additional 2014 dollars) CSS - $4.2m PEI - $1.5m Innovation - $730k

Community Review Panel Reviewed CCW Brainstorming/Survey

and Prioritized Needs CCW Leadership Has Reviewed

Recap of Progress Made

Innovation – Historical Programs Lg. Innovation programs move to

ongoing CSS and PEI Mini grant recipients can reapply and/or

to CSS/PEI RFP

New Innovation Programs: 3 yrs. at $730k/per year OAC recommends we connect these to

“Mental Health” more concretely Focus areas:

#1 Increase access to underserved SC voted in August

Total Dollars for 2014-17

*Note for Innovation Dollars•$325k recommended to fund current large innovation programs ($200k PEI and $125k CSS)

Ongoing Dollars

Current Expenditures 13/14

New Ongoing Dollars

Total Dollars

CSS $5.2 million $4.2 million $9.4 million

PEI $1.2 million $1.5 million $2.7 million

Innovation* $700 thousand $730 thousand $730 thousand

Allocation for 2014-17 Plan

Program Area

NewOngoing Dollars

Unallocated CSS/PEI (2013) Dollars

Allocated Annual Funds for Existing Approved Activities

Total Dollars for Plan/Program

CSS $4.2 m $60k $125k Lg. Innovation$380k WET$1m cap fac./IT$1.5m total

$2.76m

PEI $1.5 m

$240k $150k Stigma$200k Lg. Innovation$350k total

$1.39m

Innovation $730k N/A $730k $730k

Total Dollars for All Programs Next Three Years

Ongoing Dollars

New Ongoing Expenditures 14/15

New Ongoing Dollars

Total Program Dollars 14/15 -16/17

CSS $5.14 million $4.26 million $9.4 million

PEI $960 thousand $1.74 million $2.7 million

Innovation $700 thousand $730 thousand $730 thousand

+Community Services and

Supports Full Service Partnership (FSP) Funds:

To provide all the mental health services and supports a person wants and needs to reach his/her goal(s)

General System Development Funds (System Transformation):

To improve mental health services and supports for people who receive mental health services

Outreach and Engagement Funds:

To reach out to people who may need services but are not getting them

+Community Services and

Supports

Service Requirements

FSP services must be at least 51% of CSS component allocation (Placer planning for 55%)

Each county must plan for each age group in their populations to be served: Child/Youth; Transitional Age Youth, Adult, and Older Adult.

Services cannot be used to address a primary substance abuse diagnosis

Evaluation and Outcomes

+Full Service Partnership

Qualifications for FSP enrollment:

Seriously Emotionally Disturbed (SED) Children

SED Transition-Age Youth (youth 16 years to 25 years old)

Seriously Mentally Ill (SMI) Adults

SMI Older Adults (an adult 60 years or older)

+Prevention and Early Intervention

PEI services are directed to reduce the likelihood of serious mental illness and its negative consequences for individuals and communities at elevated risk

Prevention

Activities and interventions to bring about mental health and related functional outcomes for individuals and members of groups or populations whose risk of developing a serious mental illness

Early Intervention

Early Intervention is directed toward individuals and families for whom a short-duration (usually less than 18 months), relatively low-intensity intervention is appropriate to measurably improve a mental health problem or concern very early in its manifestation, thereby avoiding the need for more extensive mental health treatment or services; or to prevent a mental health problem from getting worse

+Prevention and Early Intervention

Service Requirements

At least 51% of funds share be directed toward those 0-25 years old.

Each activity shall address access and linkage to treatment and timely access to services for underserved populations.

Services shall be provided in convenient, accessible, acceptable, and culturally appropriate settings.

Evaluation and Outcomes

Current Activity Review

CommunityReview Panel

Final Funding Decision CCW

Leadership

CCW Brainstorm

CCW Full Review

MHSA Eval

Team (county)

+Community Review Panel Update

Meeting convened on Sept 25th

Priorities Identified (not in any specific order) Accessibility Peer Lead/Peer Support Housing Direct Services

Leadership Team convened to discuss implications to MHSA Plan

MHSA and RFP Framework developed

+Update from Leadership-MHSA Framework

CSS- Moved 2 Innovation Activities; Combined workplans; created new workplan; added previously agreed activities; and additional activities

PEI- Moved 2 Innovation Activities; Moved 2 CSS Activities; Created 2 new workplans (addresses mandated activities); and additional activities

General RFP Requirements

Community Services and Supports

Prevention and Early Intervention

+RFP Requirements

All activities must tie directly to those with mental health disorders or those at risk (will be defined)

How to measure baseline and improvement- what tools, what do they measure, how frequently

What is intended outcome (that will be measured)

Evaluation plan and costs

What are specific interventions

Accessibility (address after hour options, home visiting, geographic considerations, disability access, etc.)

+RFP Requirements

What is target group (identify in RFP if there are specific target groups either required or preferred)

How, as course of business, MH awareness and stigma reduction is addressed (may request small funds for specific events, etc.)

Leveraging of funds and partnerships with community and county services

Next Steps

December Draft plan Holiday gathering

January Final plan – public

comment

February RFP process begins