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Placer MHSA Integrated 3 Year Planning—Further Conversations

July 1, 2014- June 31, 2017

The Big Picture… Review MHSA planning efforts & timeline

MHSA Program Plan update

Unspent funds process and funding update

Innovation discussion – New State update and potential new approach

+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 Draft

Plan

Steering Ideas

Asset survey

Determine which activities move forward

New Recommended programs

Staff mapsTo Budget

Eval.Current

Programs

Steering Rec.

Leadership Team decisional

Gaps

AprilMarchDec.

Sept

Oct. 2013

Framework For Priorities

Aug

“Survey”For Review

Process Decisions

Funding strategies

Sept.

Brainstorm

Innovation+

Planning

May/June

+New Ongoing Funding

Stigma UpdateFunding PictureProcess

Statewide Dollars Update

Need to support the statewide programs Continue stigma reduction

efforts Need to consider amount we

would support Past amount was $274k/yr. Recommend 5% - 7.5% of PEI

dollars or $135 - $202 k for next plan per year

Total Dollars for New Ongoing Process

*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 of New Ongoing Dollars

Program Area

NewOngoing Dollars

Add Reduced ActivityExpenditure

Subtract Activities that are Allocated Annual Funds

Total New Dollars for Process

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

+Process Flow for Decision on MHSA Fund Allocation

CSS/ PEI2014-17

Current Activity Review

CommunityReview Panel

Final Funding Decision CCW

Leadership

CCW Brainstorm

CCW Full Review

MHSA Eval

Team (count

y)

State OAC mandated Evaluation Team designed to assure objectivity

Reviewed reports of all activities & obtained clarifying information, as needed

Reviewed activities, NOT Providers

Current Providers of non-renewed activities either requested termination of activity or are aware of recommendation regarding its ineffectiveness in Placer

19 CSS Activities: 18 Recommend Renewal 1 Recommend Non-Renewal 2 Recommend Move to PEI

14 PEI Activities: 11 Recommend Renewal 3 Recommend Non Renewal

5 Large INN Activities: 3 Recommend Renewal to PEI 2 Recommend Renewal and move

to CSS

4 WET Activities:

4 Recommend Renewal

Current Activity Review (Complete 8/13)

Current Activity Review

CCW “Brainstorming” (Complete 10/12)

Small CCW Steering Groups with report back

Captured in a list form

Leadership Team grouped by population of focus and to the extent possible, grouped into “activity areas”

Complete list and “Activity Areas” will be provided to Community Review Panel

CCW Brainstorm

CCW Community Survey (Completed 4/13)45 Agency Respondents

Topics Included:Mental Health Services (20)17 provide some form of adult MH Service8 provide some form of child MH ServiceHousing (8)Transitional (6)Permanent (5)Supportive (5)Employment Services (11) Job Skills Training/Support (11)On the job support (6)

CCW Community Survey- April 2013 (con’t)

Education and Other Treatment Services (30)

LifeSkills

Independent Living/Youth Development

Parenting Programs

Substance Abuse/Co-Occurring Services (9)

Residential for those with SMI (3)

Outpatient for those with SMI (4)

Child/Adolescent Treatment (3)

Network of Care Analysis

Topics Include:

Behavioral Health and Wellness (63)

Housing/Homeless Services (27)

Educational Services

Substance Abuse/Co-Occurring Services (6)

Additional Resources for Community Review Panel

Existing CSS and PEI Plans

Description of existing CSS and PEI activities

MHSA Principles

CSS and PEI Principles and requirements

Budget Projections

=Priority list for additional and expansion dollars

Current Activity Review

CommunityReview Panel

Final Funding Decision CCW

Leadership

CCW Brainstorm

CCW Full Review

MHSA Eval

Team (count

y)

A Larger Conversation: Reflecting on Guiding PrinciplesWhere are we today/what could be improved?

Community Collaboration

Cultural competency/responsiveness

Individual and family driven

Wellness Focus including recovery and resilience

Integrated mental health system service experience and interaction

Outcome based program design

Innovation Conversation

Review MHSA guidelines and numbers $730,000 per year next cycle Similar to prior funding cycle

Where we are in conversation

Trying new approach (similar to last innovation process)

Move to decision

+New Innovation News

Current mini grant recipients Can re-apply to Innovation $’s

if responding to new question

Current large innovation programs recommendation ~$200k These activities will be funded

for new ongoing CSS/PEI funds Respond to RFP

Reflections on Innovation Process to Date

Started with ideas / programs and then would prioritize and map back to guidelines not working so well

Suggested a funding framework Larger grants to support ideas

Heard from you Mini grants are what people like Didn’t agree/like the funding options

presented, hard to determine when program priorities were unknown

Group Selects

one

Each program must choose at

least one

Increase access to underserved groups

Increase the quality of services, including better outcomes

Promote intra/interagency collaboration

We did this/do something else

Increase access to services

New mental health practice/ and approach

Change to an existing mental health practice/approach

New promising community-driven practice/approach

New promising approach that has been successful in non-mental health setting

CCW Group determinesInnovation Guidelines*

Individual organizationsSelect Program focus:

Recommended Approach

*Approach must be approved by

MHSOAC

New Funding Recommendations: 2 types 50/50 split of $730k total

Mini-grants (50% of funds) ~$365k

2 Large grants (50% of funds) ~$365k total

3 fewer grants than last time

Note: Dollar amount includes admin for foundation to administer grant

Next Steps

Review Priorities on CSS PEI from Community Review Panel

Discuss Any Identified New Issues or Support Leadership Recommendations based on Priorities

Write plan for public comment

Move to RFP process