+
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