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COUNTY of SANTA CLARA BEHAVIORAL HEALTH BOARD PUBLIC MEETING Full Behavioral Health Board, Monday, April 09, 2018 (12:00 – 2:00 PM)

Narvaez Behavioral Health Center, 614 Tully Road - San José, CA 95111 map link

*Action may be taken on any item posted on the agenda*

Contact Llolanda Ulloa with questions at 408.793.5677

AGENDA

For meeting materials go to http://sccgov.iqm2.com/Citizens/Calendar.aspx?View=Calendar

1. 12:00 Call to Order:

a. Roll Call b. Welcome

2. Public Comment: The public may comment on any item of public interest within the jurisdiction of the Behavioral Health Board. In the

interest of time and equal opportunity, speakers are requested to observe a 3-minute maximum time limit (subject to change at the Chair’s direction). In accordance with the Brown Act, if a member of the public addresses an item not on the posted agenda, no response, discussion, or action on the item may occur. Time will be provided for Public Comment on the posted Agenda as they occur during the meeting. Request to Speak Form is available on the table by the entrance. Please turn in to the Behavioral Health Board Liaison.

3. Approve or Modify 4/09/18 Agenda Order: a. Accept 3/12/18 BHB Meeting Minutes

4. Report from Supervisor Cindy Chavez/Betty Duong:

5. Chair’s Report/Update: Gary Miles

a. Introduction of new BHB Member, Rev. Patrick Fitzgerald b. Ethics Training by BHB Members is mandated c. Behavioral Health Board Members’ Term will end June 30, 2018

6. Announcements:

a. The MHSA Three Year Plan Public Hearing by the BHB has been moved to June 11, 2018.

7. Presentation: Josefa Chaboya de Narvaez Behavioral Health Clinic a. LouMeshia Brown, Health Care Program Manager b. Gerald Domended, Supervisor

8. Behavioral Health Services Director’s Report: Toni Tullys, MBA

9. Contractor’s Association of SCC, (BHCA-SCC) Report: Elisa Koff-Ginsborg

10. Discussion and Action Items a. To discuss and consider merging subcommittee meetings to reduce membership absence, lack of

quorum, and to improve meeting quality and public participation. Reference Statistics Attached (from 3/12/18 BHB Meeting)

b. To review and discuss mission statements, vision statements and goals for Behavioral Health Board and BHB-Subcommittees

c. To approve Pontious, Klein and Ojakian as the 2018 BHB Nominating Committee d. To discuss and appoint a BHB Information and Outreach committee e. Consent Calendar from 3/23/18 BHB-Executive Committee

To assign Rev. Patrick Fitzgerald to the BHB-System Planning & Fiscal Committee To assign Gary Miles as Alternate for BHB-System Planning & Fiscal Committee – Representation

at BHB-Executive Committee.

Behavioral Health Board Members: Gary Miles (Chair), Joel Wolfberg (1st Vice Chair), Charles Pontious (2nd Vice Chair), Larry Blitz, Mary Crocker Cook, J. Patrick Fitzgerald, Teresa Gallo, Robert Bob Gill, Marsali Hancock, Thomas Jurgensen, June Klein, Wesley Mukoyama, Victor Ojakian, Rev. Evelyn Vigil, and Supervisor Cindy Chavez, Board Delegate.

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To move the CA Auditor Report Mental Health Services Act 2017-117 to the BHB-SP&FC starting April 9, 2018 meeting.

To withdraw BHB-Older Adult Motion: The BHB-Older Adult Committee recommends to the full BHB that Behavioral Health Services Department Director give their contribution of $250,000 to CalMHSA for stigma and discrimination reduction; student mental health and suicide prevention initiatives

11. Behavioral Health Board Standing Committee Updates – Possible Action Items

a. Adult System of Care: Crocker Cook, Jurgensen, and Pontious b. Cultural Competence Advisory: Mukoyama, Gill, Klein, and Vigil c. Family, Adolescents and Children: Hancock, and Gallo d. Older Adult: Ojakian, Wolfberg and Mukoyama e. System Planning & Fiscal: Blitz and Miles f. Ad-Hoc Committees Updates

BHB Recruitment Ad-Hoc Committee Update (Mukoyama, Pontious and Wolfberg) Legislation Update by Victor Ojakian BHB-Community Heroes Planning Committee Update by Klein BHB-Bylaws Subcommittee Update

12. 2:00 Adjournment: The next BH Board meeting is calendared for May 14, 2018, at Downtown Mental

Health Center, 1075 E. Santa Clara Street, San Jose. ALL Behavioral Health Board and BHB-Subcommittee meetings are public meetings; welcome!

In compliance with the Americans with Disabilities Act, those requiring accommodation for this meeting should notify SCC Behavioral Health Board Support Liaison Llolanda Ulloa 24 hours prior to the meeting by email at Llolanda.Ulloa@hhs.sccgov.org or at: (408) 793-5677, TDD (408) 993-8272.

COMMUTE ALTERNATIVES: The Board of Supervisors encourages the use of commute alternatives including bicycles, carpooling, and hybrid vehicles. Bicycle parking racks are NOT available at this location. Public transit access is available to and from Narvaez Mental Health Clinic., 614 Tully Road, San José, California by VTA bus lines 22, 23, and 73. For trip planning information, contact the VTA Customer Service Department at 408-321-2300 Monday through Friday between the hours of 6:00 a.m. to 7:00 p.m., and on Saturday from 7:30 a.m. to 4:00 p.m. Schedule information is also available on the web at www.vta.org. Any disclosable public records related to an open session item on a regular meeting agenda and distributed by the County to all or a majority of the BHB-Executive Committee less than 72 hours prior to that meeting are available for public inspection at Behavioral Health Services Department Administration, 828 S. Bascom Avenue, Suite 200, San Jose, CA during normal business hours, as well as online at http://sccgov.iqm2.com/Citizens/Calendar.aspx?View=Calendar.

All meetings are open to the public. You are welcome and encouraged to attend.

Day of the Month Upcoming Meetings

Board and Subcommittee Meeting location: 1075 E. Santa Clara Street, 2nd Floor

San José, CA 95116 1st Friday 4/06/2018 9:00-11:00 am BHB-System Planning & Fiscal Committee 2nd Monday 4/09/2018 9:00-10:30 am BHB-Older Adult Committee 2nd Monday 4/09/2018 12:00-2:00 pm Behavioral Health Board 2nd Thursday 4/12/2018 2:00-4:00 pm BHB-Family, Adolescents and Children’s Committee 3rd Thursday Does not meet this month BHB-Adult System of Care Committee 3rd Monday 4/16/2018 12:00-2:00 pm BHB-Cultural Competence Advisory Committee

4th Friday 4/27/2018 10:00 am-12:00 pm BHB-Executive Committee

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COUNTY of SANTA CLARA BEHAVIORAL HEALTH BOARD PUBLIC MEETING Full Behavioral Health Board, Monday, March 12, 2018

Downtown Mental Health Center ~ 1075 E. Santa Clara Street, 2nd Floor; Training Room 3

San José, CA 95116

MINUTES

For meeting materials go to http://sccgov.iqm2.com/Citizens/Calendar.aspx?View=Calendar

1. Call to Order: Chair Gary Miles called the meeting to order at 12:07 pm.

a. Roll Call: Ms. Ulloa called roll. Present: Gary Miles, Joel Wolfberg, Charles Pontious (left at 2:01 pm), Mary Crocker Cook,

Teresa Gallo, Robert (Bob) Gill, Thomas Jurgensen, Wesley Mukoyama, Victor Ojakian, and Evelyn Vigil (left at 2:22 pm). • A quorum was present during the entire meeting.

Absent: Larry Blitz, J. Patrick Fitzgerald, Marsali Hancock, June Klein and Supervisor Cindy Chavez.

b. Welcome: Chair Miles welcomed everyone and thanked them for attending the meeting.

2. Public Comment: Corinne Collins, Stacy Duffy Psy.D and Sophia Huang representing South Bay Project Resource (SBPR) is an agency inspired by the Bay Area Hearing Voices Network. SBPR provides support for peers and families dealing with psychosis. SBPR is a network that informs people of what sources are available through workshops and support groups. SBPR will sponsor a “Families FIRST”—Cognitive Behavioral Therapy for psychosis Skills workshop for families on Saturday, April 7, 2018 10:00 am. – 5:00 pm. at Cypress Community Center, 403 South Cypress Avenue, Rm. 6 in San José. The event is free & open to the public. Kate Hardy, Clinical Psy.D, Co-Director, INSPIRE Clinic Dept. of Psychiatry and Behavioral Sciences Stanford University School of Medicine will be the guest speaker. For more information e-mail Southbayprojectresource@gmail.com or, visit our website at www.southbayprojectresource.org for more information and upcoming events.

3. Approve or Modify 3/12/18 Agenda Order: Motion: Pontious, Second: Vigil; to amend the agenda by beginning the meeting with a moment of silence for mental health workers who lost their lives this past week. Vote: Passed with an amendment to the agenda. A moment of silence was held in honor of the mental health providers who died this past week. a. Accept 2/12/18 BHB Meeting Minutes Motion: Ojakian, Second: Gill; to approve the 2/12/18

meeting minutes as submitted. Vote: Passed.

4. Report from Supervisor Cindy Chavez/Betty Duong: None

5. Chair’s Report/Update: Gary Miles a. The BHB has installed a new BHB Member, Rev. J. Patrick Fitzgerald. b. Reminder: Form 700 is to be filed by all BHB members. c. BHB Subcommittee Goals for FY 18/19 need to be developed and emailed to Chair Miles and Ms.

Ulloa by 3/16/18. d. Subcommittees also need to review their Mission Statement and notify Chair Miles and Ms. Ulloa by

3/16/18. Subcommittee Mission Statements should be aligned with the purpose of the committee and BHB.

6. Announcements: a. Hola Mahalla will take place on 3/18/18, 10:00 am-5:00 pm at the Sikh Temple, 3636 Gurdwara Ave

in San Jose. This is a free event open to the public.

Behavioral Health Board Members: Gary Miles (Chair), Joel Wolfberg (1st Vice Chair), Charles Pontious (2nd Vice Chair), Larry Blitz, Mary Crocker Cook, J. Patrick Fitzgerald, Teresa Gallo, Robert Bob Gill, Marsali Hancock, Thomas Jurgensen, June Klein, Wesley Mukoyama, Victor Ojakian, Rev. Evelyn Vigil, and Supervisor Cindy Chavez, Board Delegate.

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b. BHB Member Mary Crocker Cook commented on an article in the San Jose Mercury News dated March 11, 2018. The article mentioned that a State audit indicates county and local agencies sat on 2.5 billion Mental Health Services Act (MHSA) dollars, letting it accumulate $80 million in interest. California voters approved a one percent income tax on millionaires in the hopes of fixing the state’s mental health crisis. According to a State Audit by the end of the 2015-2016 fiscal year, $1.5 billion had been amassed from the measure. The state then allocated $1.4 billion to 59 local mental health agencies.

c. National Alliance for Mental Illness (NAMI) will hold their monthly General Meeting, 3/13/18, 7:00- 9:30pm at Good Samaritan Hospital, 2425 Samaritan Drive, San Jose. Ky Le, Director of Supportive Housing for the County will be presented with the NAMI Community Merit Award, followed by our speaker Lara Gregorio, LCSW and Director of Clinical Initiatives at 7 Cups of Tea from 7:30-8:30.

d. The Community Living Coalition would like to be agendized to the BHB meeting agenda to give an update on their work.

e. At the 2/27/18 Board of Supervisors Meeting, Supervisor Dave Cortese mentioned reviewing guns in relationship to mental health conditions. Three focus topics were highlighted: Direct County Counsel to prepare a resolution reaffirming the county's efforts to prevent gun

related deaths and mass shootings and to formally endorse the efforts of "March for Our Lives" and similar movements currently underway to protect children.

Direct the County Executive's Office and the Behavioral Health Department to work with the Board of Supervisors to convene a Gun Violence and Mental Health Summit within the next 60 days, modeled after the successful 2011 Older Adult Summit. Among other issues, the summit should address the need to create a process whereby individuals who have severe mental health diagnosis are precluded or discouraged from acquiring firearms in Santa Clara County.

Direct County Counsel to provide further legal analysis on how the county might use its police power and land use authority to require that certain mental health information be flagged as part of background checks for firearms purchases and transfers in SCC.

f. Mental Health Services Oversight and Accountability Commission (MHSOAC) is leading an effort to develop a statewide suicide prevention strategic plan that reduces suicide, attempted suicide, and improves outcomes for survivors and their families. The first MHSOAC Suicide Prevention Subcommittee is scheduled to meet 3/16/18 (1:00-4:00 pm) at the McConnell Foundation, 800 Shasta View Dr., Redding.

g. Mean Girls & Boys Grow UP: Understand & Respond to Older Adults Who Bully workshop by Institute on Aging will take place on 3/15/18 (10:00 am-12:00 pm) at Santa Clara Social Services Auditorium, 333 West Julian St., San Jose. The event is free, but reservations are required. CEU’s are available.

h. Chinese American Coalition for Compassionate Care will host the Healthcare Professional Forum, 3/16/18 (12:00–3:30 pm), El Camino Hospital, 2500 Grant Rd., Mountain View.

i. The 2018 Spring Rebuilding Day sponsored by Rebuilding Together for Silicon Valley will be renovating 25 homes and five non-profit agencies on April 28, 2018. To volunteer go to www.rebuildingtogethersv.org.

j. The 16th Annual Bus Trip for Education, which will be on May 15, 2018. Register for the annual visit to Sacramento to connect public education advocates with State Legislators who make decisions about our schools and how they are funded. The Bus Trip is sponsored by Dave Cortese and the Silicon Valley Education Foundation. Bus Trip participants gain an in-depth knowledge of public education issues ranging from grades K-12 to community colleges and four-year universities. Interested parties should be at VTA Transit Center at Eastridge Mall, 2200 Eastridge Loop, San Jose at 6:00 am, buses leave at 6:30 am and return to the same location around 5:00 pm. A light breakfast and lunch will be provided. Registration is available on the Bus Trip for Education webpage at www.https://www.sccgov.org/sites/d3/events/sac/Pages/Sacramento-Bus-Trip.aspx or contact Vanessa Turner at 408-299-5030 or email Vanessa.Turner@bos.sccgov.org.

k. David Mineta, Executive Director, Momentum and Gary Montrezza, Executive Director, Pathways Society presented to the BHB-Adult System of Care Committee Meeting on 3/15/18 about ‘The important role non-profit agencies play in the continuum of care in Santa Clara County’.

l. The Healthcare Stakeholders Committee will meet on services for older adults in general; Gardner will present, 3/21/18 at 3:00 pm.

7. Presentation on MHSA: SLC Community Program Planning and FY 18-20 MHSA Three Year Draft Recommendations - presented by Roberta Chambers, Psy.D from RDA. a. Dr. Chambers will focus on the results of the MHSA Needs Assessment and Program Planning. b. Background Information

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Resource Development Associates (RDA) was hired to provide consulting services to the Behavioral Health Services Department (BHSD) and review the accomplishments and what remains to be done to move forward 10 years post Mental Health Services Act (MHSA) implementation.

c. Accomplishments and Influences New department leadership Longstanding community partnerships HealthLink Electronic Health Record (EHR) Implementation Call Center Redesign Drug Medi-Cal Waiver Implementation Whole Person Care Pilot Project Changes to Federal Regulations-MediCal Managed Care Final Rule (“Mega Regs”) New MHSA Prevention and Early Intervention (PEI) and Innovation (INN) regulations

d. Project Purpose Assess and identify opportunities that strengthen the MHSA-funded Continuum of Care Provide services across the lifespan, in a way that is trauma informed, culturally responsive,

recovery oriented and promotes personal and public safety Ensure that people have access to the full spectrum of mental health and co-occurring services

in the communities in which people live, at the time in which they are most needed Maximize every opportunity to engage people in the appropriate level of care, ensure smooth

transitions for people to move between levels of care, and promote sustained participation in mental health services

Promote a culture of working together to proactively support people who are under-served, or inappropriately served using services and interventions that are likely to be helpful.

Align resources and investments to community needs and priorities in ways that promote accountability and sustainability across the service continuum.

e. Needs Assessment Overview Structure

• Levels of Care • Capacity

Process Resources Data Sources

• Quantitative • Qualitative • Benchmarking and best practices review

f. MHSA Summary Community Services and Supports (CSS)

• CSS in Santa Clara County • FY15-16 MHSA Expense: $41.6 million • Consumers served in FY15-16:15,352

Prevention and Early Intervention (PEI) • FY15-16 MHSA Expense: $15.5 million • Consumers served since FY11-12: 41,013

g. MHSA Implementation Accomplishments

• Created Full Service Partnerships for children, youth, adults, and older adults with intensive mental health (MH) issues

• Placed mental health services where children already are through school-linked services • Strengthened partnerships with the faith-based, physical health, and justice communities • Prioritized under and inappropriately served consumers and families

Areas for Growth • Aligning capacity to demand • Prioritizing those with the highest level of need and determining appropriate level of care

and care transitions • Working to promote and sustain service engagement • Responding to new PEI regulations • Improving coordination, collaboration, and accountability

h. Children, Youth, and Families

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Children’s Services Landscape • SCC BHSD provided services for 11,950 children and youth

o Kid Connections 0-5 o School-Linked Services o Katie A. and Juvenile Justice MH services o FSP and other outpatient mental health services o Crisis and emergency services

• Level of Care Analysis Children and TAY o 185 children served o $22,162 annual cost per child o 277 youth served o $15,700 annual cost per youth

• Children’s FSP could benefit from ∽100 additional spots. • TAY FSP could benefit from additional capacity and resources

i. Adults and Older Adults SCC BHSD serves approximately 16,500 adults and older adults annually across a variety of

levels of care. Approximately 25% of adults and older adults only access crisis services. Older Adults Issues

• Isolation continues to be a primary issue for older adults as well as caregiver fatigue. • Intersections between depression, early dementia, and physical health concerns make

serving older adults more challenging, specifically in residential environments. • Many older adults are seeking services in culture-specific settings.

j. Specialty Populations Over Reliance on 5150 and crisis response Access and service authorization processes Stigma, discrimination, current events and political climate Reasonable mistrust in government Reduced service access and increased likelihood of crisis

k. Dr. Chambers gave statistical data and spoke about key findings and recommendations that were made by RDA. She also conducted an in-depth question and answer discussion session with BHB members and meeting attendees. The entire presentation can be found on the BHB Webpage in the agenda packet or contact Llolanda Ulloa (408.793.5677) of email Llolanda.Ulloa@hhs.sccgov.org.

8. California Association of Local Behavioral Health Boards & Commissions (CALBHB/C): Board Member

Resources & Mental/Behavioral Health Issues/Successes (10 min.) a. Theresa Comstock, CALBHB/C President, www.calbhbc.com informed the BHB that there are 59

Boards and Commissions of Mental Health/Behavioral Health in the State. BHB resources available; responsibility of BHB members on how to advise the BHSD and the County Board of Supervisors. BHB members can get additional information through the CALBHB/C newsletter.

b. The quarterly meeting of the CALBHB/C-with the Planning Council and with CIBHS, CALBHB/C Bay Area Regional Meeting, 4/20/18 and CIBHS Mental/Behavioral Health Board Training on 4/21/18 at 21 Hotel Pullman, 223 Twin Dolphin Drive, Redwood City. The information learned at the meetings would be reported back to the County Behavioral Health Boards and Commissions.

9. Behavioral Health Services Director’s Report: Toni Tullys, MBA

a. SCC has organized a workgroup to review MHSA spending plans, reserves and projected revenue flows and identify gaps.

b. Director Tullys commented on today’s MHSA Presentation by Ms. Chambers. The elements presented on the new services have well defined outcomes.

c. The 2/26/18 HealthLink implementation is going well . and any problems are being addressed. The key performance indicators are being monitored to determine the registration process. Most of the numbers are above expected; however HealthLink data goes into NetSmart and there was a disconnect with this data getting entered into NetSmart. The HSR staff who do the registration in Health Link also do the registration in NetSmart. This process is being done first in the mental health area, and we hope to have a resolution when SUTS goes live on 5/21/18. Implementation with CBO’s will follow.

d. LouMeisha Brown, Health Care Program Manager II of Narvaez Clinic, and her team have worked tirelessly to get the clinic operational.

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e. RDA will do an assessment in the Criminal Justice Behavioral Health Court and as well as in the community and provide recommendations to BHSD.

f. There is a need for an estimated 1200 housing units and BHSD is working closely with Ky Le, Director of the Office of Supportive Housing to find solutions.

g. BHSD is actively working on several Innovation Projects which include g Faith Based in Criminal Justice Head Space Model with Stanford Psychiatric Emergency Response Teams (PERT)

h. Crisis Residential Facilities are operational. BHSD will have seven mobile crisis teams running very soon.

i. Muriel Wright Center will be finalized by 3/2018. BHSD expects the work to begin around 4/1/18. j. The Triennial Audit will take place 4/23/18. 150 new policies being developed in an effort to meet

the new Mega Rules. k. Director Tullys and Paul Lorenz are working together on the Children’s Acute Psychiatric Center. l. Director Tullys would like Alice Naglee-Mugler to present on the Transformation 2020 (T2020)

project. m. The BOS has requested a meeting on guns and mental illness issues tentatively on April 21, 2018.

10. Contractor’s Association of SCC, (BHCA-SCC) Report: Elisa Koff-Ginsborg

a. Ms. Koff-Ginsborg stated the NAPA CBO’s feel unsupported by the County and Community Partnerships.

b. She thanked Director Tullys and BHSD Senior Leadership team for the time she spent with CBO’s discussing their issues. An email was forwarded to Ms. Ulloa and will be forwarded to BHB members.

c. Changes are in place to improve the client experience. Over the past few years the department’s annual budged received new resources for staffing while CBO’s have had an increase in their cost to business. The cost for 2015-2018 on mandated QA/QI outcome and evaluation went up 42%. EHRs increased 22% during that time while the COLA increase was 6%. CBOs do not have the needed funds to provide the services that the clients deserve. Ms. Koff-Ginsborg gave statistical data to support the CBO’s concerns.

d. More discussion will take place on these topics at a future meeting.

11. Discussion and Action Items a. To discuss and consider merging subcommittee meetings to reduce membership absence, lack of

quorum, and to improve meeting quality and public participation. Reference Statistics Attached - Tabled

b. Motion from Older Adult Committee: Motion: Mukoyama, Second: Ojakian; to encourage support of the California Senior Legislature’s proposal by Senior Assembly Member Shirley Krohn, Senator Allan Bortel and Senior Senator Wesley Mukoyama to create Geriatric Behavioral Health State Level Position. Vote: Passed

c. To Assign Rev. J. Patrick Fitzgerald to a Subcommittee - Tabled d. Motion from the BHB-Selection Committee: The BHB Selection Committee recommends for the SCC

BHB to endorse their recommendation to recognize the following Community Heroes: Agency - ACT for Mental Health, Wanda Alexander Consumer - Stephanie Rideau Educator - Joyce Chu, PhD Elected Official - Supervisor Joe Simitian and Senator Jim Beall Faith Based – Rev. Tony Williams Family Member – Virginie (Gini) Mitchem Mover and Shaker – Dr. Philippe Rey Young Mover and Shaker – Nadia Ghaffari (new category) Program – Alum Rock Counseling Center Prevention Early Intervention Volunteer – Jason Noriega and Celestine (Cella) Thomas

Motion: Ojakian, Second: Crocker Cook: Vote: Passed e. Consent Calendar from 2/23/18 BHB-Executive Committee

To reptace Chartes Pontious with Mary Crocker Cook from the BHB-Recruitment Committee forfuture apptications review. Current members: Pontious, Mukoyama and Wotfberg-yet to do one

review.To accept changes to the BHB-CCAC mission statement "We achieve this by studying the

cultural attributes that affect our ability to reach and serve our community members supported

by the Behavioral Heatth Board and recommend improvements to programs and services toachieve better outcomes in atl communities"To request the BHSD Adutt/Otder Adutt Division to review and promote better affordablehousing for seniors, better integration of mental heatth and behavioral heatth services withother heatth seryices and better promote/coordinate supportive housing services.

Motion: Ojakian, Second: Wotfberg; to ctose motions 149,154,155, 156 and 157. Motion 153

remains open.Vote Passed.

12. Behavioral Health Board Standing Committee Updates - Possible Action ltemsa. Adult System of Care: Crocker Cook, Jurgensen, and Pontious

. The ASOC Committee wi[[ meet on 3115/18b. Cutturat Competence Advisory: Mukoyama, Gill, Klein, and Vigit

. Presentation on Mentat Heatth and Substance lssues Regarding the LGBTQ Community, Cassie

Blume, Director of LGBTQ Programs Famity & Chitdren Services of Silicon Vattey and Peter

Gotdbtum, PhD, MPH, Project Manager, Project Trust, San Francisco Theotogical Seminary atthe 3119 /18 meeting.

c. Family, Adolescents and Chitdren: Hancock, and Gatto - Cancetledd. Otder Adutt: Ojakian, Wotfberg and Mukoyama - None

e. System Planning & Fiscat: Btitz and Mites. Deputy Director Dr Deane Wiley presented on Penetration of Service

f . Ad-Hoc Committees UPdates

' BHB Recruitment Ad-Hoc Committee Update (Mukoyama, Pontious and Wotfberg) - None. Legislation Update by Victor Ojakian

. See handout from Mr. Ojakian.o AB 2843 was discussed.

. BHB-Community Heroes Planning Committee Update by Ktein. The scheduled meeting did not take place.o Each BHB member witt introduce a Hero. Ms. U[[oa witl provide more information.

. BHB'Bytaws Subcommittee Update - None

13. Adjournment: The meeting adjourned at 2:30 pm. The next BH Board meeting is catendared for April

9,i018, at Narvaez MentaLHealth Center, 614 Tully Road - San José, CA *Note location rotation.

These minutes are submitted by:

Uttoa, .B

Llolanda. Ultoa@hhs. scceov. orsOffice: (408) 793-5677 or Cell:

DB/tu

Liaison/ www.sccbhd.ore(408) 316-8454

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Belravioral Heallh Services

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COUI\TY Of SAI\TA CLARA BEHAVIORAL HEALTH BOARD PT]BLIC MEETINGFull Behavioral Health Board, Monday, March 12,2017 (12:00 - 2:00 PM)

Downtown Mental Health Center - 1075 E. Santa Clara Street, 2nd Floor; Training Room 3

San José, CA 95116*Action may be taken on any ìtem posted on the agenda*

Contact Llolanda Ulloa with questions, 408-793-5677

Sign-In Sheet

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Updated 3/12/18

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lf you wish to address the Board/Commission, please fill out this form and place it in the container provided.

DATE: March a2, 2oL8For lssue I Against lssue n Neutralp

AGENDA ITEM NO. 2*Written comments for the record only n

ORGANIZATION (OPTIONAL): South Bag Project Resource (SBPR). Bag Area Hearíng Voices

Network (BAHVN) ís físcal agent.

ADDRESS https://southbagprojectresource.org/ , http://www.bagareahearíngvoíces.org/

lf you want to provide written comments for the record only, and you do NOT wish to address the Board/Commission orally, please write comments below:

Mission

South Bay Project Resource represents a

paftnership between family members,

peers, clinicians and other stakeholders

in the South Bay with a commitment to

i m provi n g psychosis- related su p ports, wo rki n g fo r

social change, and increasing public awareness

of the diversi$ of approaches to distressing experi-

ences and disability.

South Bay Project Resource draws its inspiration

from a range of national and international psycho-

sis-related projects a nd approaches, i nclud i ng

family systems theory, the international hearing

voices movement, intentional peer support,

trauma-informed care, and mindfulness and

compassion-based intervention. Based in one

of the most ethnically diverse parts of the United

States, we also emphasize fundamental connec-

tions between culture, distress and healing.

Santa Glara GountyGrisis, Help & Referral Lines

Emergencies.... ..........................9-1- 1

Request a 'ClT Officer" (Crisis lntervention Trained)

Suicide and Crisis Hotline

24hours/TdaysaweekToll-free........... ....... I-855-278-4204Website: wì¡vw.sccbhd.orglsuicideDrevention

Emergency Psychiatric Seryices. ...... 1-408-885-6100lnpatient care available 24-HR /7 DAYS a week

871 Enborg Lane, San José, 95128

Mental Health UrgentCare...... ........ 1-408-885-7855Walk-in outpatient crisis clinic8:00 n.m. - 10:00 e.m., 7 days a week

871 Enborg Lane, San José, 95128

Mental Health Call Center

Toll-fiee........... ....... 1-800-704-09000r.................... ....... 1-408-885-5673Website: www.sccbhd.orÉ

Uplift Family Services (formerly EMQ FamiliesFirst)

On-site intervenlion,24 hours, 7 days a week, for any child under 18 in

Santa Clara Coung who is ¡n acute psychological crisis.Mobile Crisis Pr0gram........... .......... 1-408-379-9085Toll-free........... ................877-4l-CRlSlS (412-7474)Website: http://uoliftfs.orqlseruices/crisis/

NAMI Santa Clara County 1-408-453-04001 150 South Bascom Ave., Suite 24, San José, CA 95128M - F 10:00 l.tvr. - 2:00 p.ur.

Website: www.namisantaclara.orÍ

Bay Area HeadngVoices Network (BAHVN)

Website: httn:íwww.bayareahearingvoices.orgl

REACH 1-855-2REACHUS ( 1-855-273-2248)Emai1................ ....info@reach4scc.org(Raising EarlyAwareness & Creating Hope)

Webs¡te: www. reach4scc.org

Early psychosis prevention program in Santa Clara Coung for ages10 - 25 years old.

Prodrome and Early Psychosis Program Network (PEPPNÐWebsite: https:/,/med.stanfotd.edu/peppnet. html

Early Psychosis lnteruention (ElP) Program Directory in the U.S.

INSPIRE Clinic, Dept. of Psychiatry and Behavioral Sciences, Stanfo¡d

University School of Medicine and Stanford Health Care

INSPIRE Clinic,. ..........650-498-9111

Website: htto://med.stanford.edu/psychiatry/natient carelinsoire.htmlProvides comprehensive care: medication management, therapy,psychosocial evaluations) for people at fisk for and with psychosis with a

recovery-oriented philosophy.rev- 02-09-l 8

rtARri¡8 ll0rtr$iltTtT0Rt('-r.:,,*rt:-:

SOUTH BAY

Website

E-mail

PROfECT RESOURCC

Our Approach Support GrouPs ProÉtams

Questions about psychosis or voices? Feel like

someone you know is slipping through the cracks?

Unsure how to help or what to do?

South Bay Project Resource was created to address a series

of major gaps facing people with psychosis and theirfamilymembes in the South Bay and beyond. These include out-

dated or misleading information about psychosis, lack of

access to important treatments and interventions-

including emerging best practices in the psychosocial

treatment of psychosis, and outreach and anti-stigma and

discdmination efforts that often failto address the

institutiona I and structural barriers that far too many youth

and adults with psychosis face.

Our group approaches psychosis as a diverse, multi-faceted

set of experiences with complex and variable causes. These

include socioenviromentalfactors such as ethnicity and

ethnic density, childhood adversity, and poverty as well as

genetic, epigenetic and biological factors. We view healing

from psychosis as an equallyvariable and complex process

that depends notjust on symptom reduction, but on the

integration of experiences and diagnosiswith personal and

cultural identities, the recovery of valued social roles, and

independent living.

ln addition to increased supports for peers and family

members, we see structural change as central to improving

the lives of those with mental health challenges' Ïhese

include substantive attempts to acknowled$e and address

structural discrimination i ncl uding i nca rceration (or the

criminalization of mental illness), and educational and

vocational disparities that stem from policies and practices

which work to exclude those with a history of psychiatric

disabilities.

We also recognize that psychosis does not affect all

communities equally and thatthe relationships between

culture, race and psychosis are often very complex. ln

general, families and peers from under-represented

minori$ groups face serious mental health disparities both

in treatment and with respect to the validation of different

cultural explanations of (and approaches to) psychosis and

related experiences.

Voices, Visions, and Realities:Support Group for Families, Friends, and

Garegivers

SAN 'OSEWhen: Last Wednesday of the month, 7:00 p'tvl. - 8:30 p'u.

Where: Cypress CommunitY Center

Room 1

403 South Cypress Avenue

San Jose, CA 95117

Voices, Visions, and Realities:

Support Group for Peers

SANTA CLARAWhen: LastWednesdayof the month,6:00 p.vl' - 7:30 p.tvt

Where: Santa Clara City Library

Sycamore Conference Room

2635 Homestead Road

Santa Clara, CA 95051-5322

For the most current, days, time, and location before

attending, please visit our Website

www.so uth bavp f o iectf eso u f Ge.o lg

Psychosis SummitPsychosis Summit is SBPR's 2017 initiative aimed

towards strategically raising awareness on treatment

methodologies, and support approaches, for helping

peers dealing w¡th psychosis and thei r families.

Workshops/LecturesFree public lectures by prominent local and interna-

tional experts whose work focuses primarily

on psychosis. Past and upcoming speakers include:

Nevlones, PhD Founder, BayArea HearingVoices Network

Debra lampshire Chairperson of ISPS-NZ, Professional Teaching

Fellow at University of Auckland's Centre for Mental Health Research in

the School of Nursing, and a consumer educator through Auckland

District Health Board

Sir Robin MacGregø Murray Professor of Psychiatric Research'

lnst¡tute of Psychiatry, K¡ng's College, London

Addan Gamp (aka Adrian Bernard) Manager 2no Story Peet Respite

House, Encompass Community Sewices, Santa Cruz C0unty

Dr. Ianya M. Luhrmann, PhD Department at Stanford Universi$'

Watkins University Ptofessor, Anthrcpology Depaftment

Judith M. Ford, PhD UC San Francisco, Professor, Department of

Psychiatry; Co-Director, Brain lmaging and EEG Lab

Kate V. Hardy, PsyD Sta nfo rd U niversity, Cl inical Assistant Ptofessor,

Psychiatry & Behavioral Sciences

Will Hall, MA, DiplPW, PhD Candidate Maastricht University' is a

therapist, teacher, and community development worker

TrainingsRory Mann¡ng, PhD CNVC Ceftified Trainer, Nonviolent Communica-

tion

Dina Tyler & Kenneth Kozi Anington Certified eCPR Trainer Emotional

CPR training

Ron Coleman & Karen Taylot Directors, Work¡ngto Recovery Ltd. UK

PsychosisSummit

"Preoarino for Recovem How Do We Make Sure All of Us are Ready for Recov-

erv iomrñunitv?" workihop w'th Karen Taylor and Ron Coleman, from Working

to'Recovery, UÎ, and SBPd volunteers at the Cubberley Community Center,

Palo Alto,September 28, 2017.

ruM ry'p

2018 BHB Heroes Awards

The BHB Heroes Awards Selection Committee met on2.24.L8 to review applications, and to finalize the

recipients of this year's Heroes Awards. Twelve individuals have been selected to receive awards in 9

categories; 2 awards will be given for Mover and Shaker, Elected Official, and Volunteer.

The full BHB is expected to finalize the list of awardees with a voice vote on 3.12.18.

|l'l04

Outline for State Behavioral Health Geriatrician

L. Seniors in Santa Clara County in 2015 was approximately L2o/o of the population.By 2030 it will have increased to 20o/o of the population a total of 43L,843.

2. Santa Clara County Behavioral Health does not have an Older Adults Division dueto lack of funding from the State. Many counties in California do nothave OlderAdults Divisions and their programs are mixed with the Adult Division.

3. Because Older Adults have specific and unique problems in Behavioral HealthTreatment including physical diseaselinchxli*g cognitive disorders and thehighest rate of suicide, we of the Oldei Adults Committee recommend thefollowing:

4. A proposal by the California Senior Legislature requesting that the State ofCalifornia hire a Behavioral Health Geriatrician to provide education andresources to the counties of California has been presented to State Senator fimBeall for consideration as a Legislative Bill.a) We recommend that the Behavioral Health Board support a motion to

endorse this proposal bythe California Senior Legislature and;b) Pass it on to the County Board of Supervisors for support and endorsement in

a letter written by the President of the Behavioral Health Board.

0\

ñtrlt^ûU

State California 2018 Legislation

AB 1436 (Levine) clinician suicide prevention training: Require six hours of suicide assessment and

intervention training for clinicians licensed by the Board pf Behavioral Sciences.

AB Lg27 (Bonta) Gun Suicide Prevention: individuals experiencing suicidal thoughts can voluntarily and

confidently add their name to the California Do Not Sell List.

482639 (Berman)Pupilsuicide prevention policies: evidence-based training: California Department of

Education to identify one or more evidence-based suicide prevention trainings that county offices of

education would disseminate to LEAs. Funding would be from annual Budget Act or another statutes

appropriation.

AB 2333 (Wood) Office of Emergency Services: Trauma Support. Would establish a mental health

Deputy Director within the Governor's Office of Emergency Services (OES), who would prepare for and

coordinate trauma-related support.

SB 906 (Beall/Anderson) Peer Provide Certification: This would set up a certification requirement for

mental health peer providers. Research demonstrates that use of qualified peer support specialists has

measurable benefits to clients.

AB 2390/AB 2391 (Harper) and SB 972 (Portantino) Student ldentification cards - suicide prevention

telephone number: high school or university/college student identification cards will include the

National Suicide Prevention Lifeline, Crisis Text and local non-emergency, if no available campus police

or security, numbers.

A82843 (Gloria) Mental Health Services Fund: Enact legislation that would require a county that

receives reallocated funds from the Mental Health Services Fund to spend those funds within 2 years of

adopting an expenditure plan for those funds. lt would further state the intent of the Legislature that

any funds not expended by a county within those 2 years would revert to the Mental Health Services

Fund to be redistributed to cities within that county.

SB 968 (Pan) Postsecondary education: mental health counselors: Require one full-time equivalent

mental health counselor per 1,000 students at each California college/university per state and federal

law.

%

JOSEFA CHABOYA de NARVAEZ BEHAVIORAL HEALTH (NBH)

OUTPATIENT CLINIC

LOUMESHIA BROWN, M.A., LMFT

Welcome to Santa Clara County Behavioral Health Services Department (BHSD)

In partnering with clients, families and communities to create culturally competent opportunities for Hope, Wellness and Recovery, the Behavioral Health Services Department is committed to serving, improving and making a difference in the lives of Santa Clara County residents diagnosed with mental illness.

Recovery from mental illness is a realistic goal and the Behavioral Health Services Department supports individuals and families in achieving this goal.

BHSD PARTNERS WITH COMMUNITY-BASED ORGANIZATIONS AND NON-PROFIT ORGANIZATIONS TO PROVIDE OUR CLIENTS THE HIGHEST QUALITY OF CARE.

NARVAEZ Behavioral Health

Narvaez Behavioral Health is designated a culturally proficient site providing services to primarily the adult and older adult Latino and Vietnamese populations of Santa Clara County who have a severe mental illness. The focus of the program is to provide the services within the cultural community of the consumer utilizing appropriate intervention methods.

The staff, which includes clerks, licensed social workers, licensed marriage and family therapists, psychiatrists, rehabilitation counselors, peer workers and community workers, is bilingual and/or multi-lingual in Spanish, Vietnamese, Cambodian, Punjabi, and Hindi. The staff work in treatment teams with the consumer to provide a multi-disciplinary perspective in developing the course of treatment.

GOALS OF NARVAEZ BEHAVIORAL HEALTH

To improve the Quality of Life for each client by accomplishing the following: Increase Level of Functioning and Reduce Symptoms

Provide quality services and improve outcomes

Increase access to services to the county and underserved groups

Increase self help and consumer/family involvement

Reduce stigma and discrimination

Reduce and prevent suicide risk

Reduce homelessness and increase safe permanent housing

Reduce incarceration rates and criminal justice involvement

Transition to Lower Level of Care

NARVAEZ CLIENT SERVICE SNAPSHOT

Client Service Provision Currently services 500 clients

Service Capacity up to 720 clients

Client Demographics Languages spoken: English, Spanish, Vietnamese, Cambodian, Russian, Hmong,

Ethnicity: Vietnamese, Hispanic, White, African American, Cambodian, Philipino

Most common clinical presentations treated: Psychotic, Schizophrenia, Trauma, Depression

NARVAEZ TEAM

Interdisciplinary Clinical Team consists of: 5 Clinicians (1 LMFT, 3 LCSW, 1 ASW)

3 Psychiatrists

3 Rehabilitation Counselors

1 Licensed Psychiatric Technician

1 Community Partner (shared with CalWORKS program)

1 Peer Support Worker

Clerical Team consists of: 1 Health Services Office Supervisor

3 Health Services Representatives

LANGUAGES OFFERED

English

Spanish

Vietnamese

Cambodian

Tagalog

Farsi

Punjabi

If a language is not available, a translator is provided

FULL SCOPE OF SERVICES

Psychiatric evaluation

Medication supportive services

Annual mental health assessment

Ongoing treatment planning and review

Ongoing mental health and rehabilitative services

Case management

Wellness and Recovery Medication Services ( W.A.R.M.S.)

Documentation support

Housing referrals

Individual therapy

Group therapy

Peer support

Crisis intervention

Assessment for 5150 evaluation

CRITERIA FOR FULL SCOPE SERVICES

Be 18 Years of age

Be a resident of Santa Clara County

Be enrolled in Medi-cal or Medicare

Referred by the County’s Behavioral Health Call Center

Experiencing mental health symptoms (Chronic, Mild to Moderate)

Meet medical necessity

MEDICATION SUPPORTIVE SERVICES

3 Psychiatrists

1 Licensed Psychiatric Technician

Opportunity to meet with psychiatrist and explore medication support.

MediPlex – Ambulatory services, Urgent Care, Pharmacy

CASE MANAGEMENT

Liaison between client and doctor

Advocacy support

Social Support

Assistance with benefits (GA, SSI, SSDI)

Linkages to community resources

Referrals to crisis residential and community

partners

PCP Referral

Transportation for Clients

Linkages to community resources (Food Bank,

Clothing)

Linkages to service and community providers

(Specialty Doctors, Labs)

Assist with follow up care for medical

appointments

Process of providing documentation/paperwork for psychiatrist to review and complete

Role of Point Person

THERAPY SERVICES

Solutions Focus Approach

Therapy sessions based on clients’ needs

Rehabilitative Counseling

Supportive Counseling

Motivational Interviewing

Client Driven

Strength Based

WELLNESS AND RECOVERY MEDICATION SERVICES (W.A.R.M.S)

Psychiatric evaluation

Medication support every 4-12 weeks from psychiatrist and licensed psychiatric technician

Annual mental health assessment

Ongoing treatment planning

Limited case management

CRITERIA FOR W.A.R.M.S

Client is stable in a community housing for six to twelve months (independent and board & care)

No inpatient hospitalization for a period of twelve months

Stable community support system (family, friends, peer, and relationship)

MORS score of 6 and 7 depending on the client’s functional abilities

Minimal case management/supports

Client is not conserved or utilizing supplemental patch

Meets criteria for full scope services

WELLNESS AND RECOVERY GROUPS

Strength Based Approach

Rehabilitative & Life Skills Groups

Social Support Group

Wellness Group

PHARMACY AND PRESCRIPTION REFILLS

Assistance with obtaining medication refills from doctors and available pharmacies

•Enborg Lane Pharmacy • 2221 Enborg LN; San Jose, CA 95128

• (408) 885-4100

•Better Health Pharmacy

• 725 East Santa Clara St #202 San Jose, CA 95112

• (408) 794-0564

FOLLOW UP CARE

Rescheduling appointments

Checking in on clients

Assist with follow up care appointments

PEER SUPPORT

Develop and promote wellness and recovery groups

Provide supportive assistance in behavioral health services

Provide resources on peer support services

Advocacy for peers

Linkage to community services

Promote wellness and fight stigma

CRISIS SUPPORTContacting 911 in the event of an emergency

Requesting for Crisis Intervention Team (CIT) OFFICER

5150 Evaluation and Assessment for referral to Emergency Psychiatric Services

Reaching out to support system

Suicide Prevention and Crisis Hotline: 1-855-278-4204 (Available 24 hours/7 days a week)

Santa Clara County Behavioral Health Call Center 1-800-704-0900

Mental Health Urgent Care: 408-885-7855

Mobile Crisis 1-800-704-0900

NBH GENERAL INFORMATION

Hours of Operation: Monday-Friday 8am-5pm

NMH Address: 614 Tully Road, San Jose, CA 95111

Phone: (408) 494-1561

Parking Available

GRIEVANCE & APEALS

The Quality Improvement Program oversees program compliance toall local, State, and Federal Guidelines for quality of care,certification, and utilization management.

Phone: (408) 793-5894

www.sccgov.org/sites/bhd/info/grievance/

RESOURCESNAMI - National Alliance for Mental Illness

Mental Health Advocacy Project (MHAP)

Department of Rehabilitation Employment Services

Narvaez Social Wellness Groups

Zephyr Self-Help Center

LGBTQ Support

GATEWAY

211

Office of Family Affairs

https://www.sccgov.org/sites/bhd

Referral to community services and programs

Shelter referral

HEALTHCARE RESOURCES

MEDI-PLEX – Primary Care Provider referral

Valley Connect: Hotline for medical and specialty services at Valley Medical Center

Other Mental health ClinicsCentral Wellness & Benefits Center

2221 Enborg LaneSan Jose, CA 95128Phone: 1 (408) 885-6220

Downtown Behavioral Health

1075 E. Santa Clara StreetSan Jose, CA 95116Phone: 1 (408) 792-2100

Meetings of the BHB & BHB Subcommittees

# of Meetings FY 2017 -18

As of 2/21/18

# of No Quorum

FY 2017 -18 As of 2/21/18

# of Mtgs. Cancelled

As of 2/21/18

# of Meetings FY 2016 -17

As of 2/21/18

# of No Quorum

FY 2016 -17 As of

2/21/18

# of Mtgs. Cancelled

As of 2/21/18

BHB 6 1-Jan. 0 10 Late12:42 pm-April

0

BHB-OAC 6 0 0 10 0 1-Jan. BHB-SP&FC 6 1-Jan. 1-Oct. 10 L-Mar. 1-

Jun. 1-Apr.

BHB-FACC 6 0 2-Feb. & Oct.

10 5-Jun., Apr., Mar., Feb.

& Sep.

2-May & Jan.

BHB-ASOC 4 1-Sep., L-Aug. 1-Jan. 6 L-Sep. 0 BHB-CCAC/MAC

5 1-Jan. L-Oct. & Nov.

0 10 4-Jun., May, Mar., &

Nov. 2 L-Apr. &

Feb.

0

BHB-EC 6 1-Jan. 1-July 10 2-Feb. & Aug.

0

BHB-Tours 1 0 0 1 0 0 BHB-Public Hearings

1 0 0 1 0 0

Retreat 1 0 0 0 0 0

1

Mission Statements as of April 9, 2018

Behavioral Health Board

The Behavioral Health Board of the County of Santa Clara is composed of members of the community at large, clients and family members of clients of the behavioral health system. The board’s mission and duties are established in the Welfare & Institutions Code 5604.2 and county law (see Chapter VII, Sections A18 – 141 and A18 - 142). The duties include: review and evaluation of the community’s behavioral health needs, facilities and special problems; advising the Board of Supervisors and the County behavioral health director as to any aspect of the County behavioral health program; and, submitting an annual report to the Board of Supervisors on the needs and performance of the County’s Behavioral Health System.

Act as a forum for clients, families and other constituents about the needs and quality of services for the mentally ill.

Work with the director and staff of the Mental Health Department as an advisor to provide input for planning programs and budgets prior to final decisions.

Provide to the Board of Supervisors an annual report of the Department of Mental Health. Communicate to the Board of Supervisors as necessary in an ongoing dialogue.

Make specific recommendations to assist the Board of Supervisors in making decisions concerning mental health services.

Collect, review, and evaluate information about delivery of care for the mentally ill provided by the Mental Health Department in order to understand and evaluate services to clients that promote recovery, maintenance and return to the community.

Promote outreach and education about mental health services. As informed stakeholders, communicate pertinent information leading to desired public

policy outcomes at local, state and federal levels. Gain an understanding of the etiology, diagnosis, treatment, and advancements in the field

of mental health. Recognize people and organizations that have contributed to mental health.

BHB-Adult System of Care Committee The Adult System of Care meeting provides a forum for the BHSD Divisions and other agencies which comprise the BHB-ASOCC to meet in the presence of the public and BHB

2

representatives to share information, review plans and issues of common concern with the goal of continuing to improve the services they provide to citizens of Santa Clara County.

BHB-System Planning & Fiscal Committee

“The mission of the System Planning and Fiscal Committee is to review, inform, and make recommendations to the SCC Behavioral Health Board and the Behavioral Health Department regarding the legal, fiscal, service delivery and accountability structures of the public behavioral health system for the purpose of supporting the highest quality of public behavioral health care to Santa Clara County service recipients. This is accomplished through planned public study sessions and presentations, in coordination and collaboration with the Executive Committee and other committees of the Behavioral Health Board. The objective is a transparent and community informed process that leads to effective and efficient service delivery.”

BHB-Family, Adolescents and Children’s Committee

The mission of the Family, Adolescents, and Children's Committee is to see all Santa Clara County children, youth, and their families thrive. Duties include: (1) review and evaluate their behavioral health needs, facilities, and special challenges; (2) advise county leaders regarding programs; and, (3) submit annual reports on the County’s Behavioral Health System’s performance.

BHB-Older Adult Committee

The OAC focuses on mental health and substance abuse issues for older individuals (60+). Committee members continued to advocate and express the need for older adult behavioral health services. There is a belief that older adults have distinct characteristics and needs different from other age groups and that funding and services for older adults needs to recognize these difference and provide services accordingly. Training is needed in older adult treatment and prevention and encourage collaboration with other older adult providers.

Behavioral Health Board-Executive Committee

SAME as Behavioral Health Board; with the purpose: to advise the Behavioral Health Board

BHB-Cultural Competence Advisory Committee

Santa Clara County Behavioral Health Board Cultural Competency Advisory Committee advocates for the service needs of the diverse community groups by engaging the communities in sharing their concerns, needs and goals to be considered by the Behavioral Health Board.

1

Behavioral Health Board and BHB-Subcommittee Goals for FY 18-19 – Due by 3/16/18 for discussion at 3/23/18 BHB-EC Meeting

Behavioral Health Board Pending

BHB-Adult System of Care Committee a. Review integration of former SUTS and Mental Health into BHSD with emphasis on

integrating of BH and Criminal Justice System. b. Review and evaluate current county strategy for recovery peer support integration into the

BHBD with employment and housing emphasis. BHB-System Planning & Fiscal Committee

Pending

BHB-Family, Adolescents and Children’s Committee

1. Review and evaluate the behavioral health needs, facilities, and special needs: a. Access to behavioral health services via schools b. Compliance and interposable electronic health care records for adolescent

behavioral health, Headspace. 2. Advise county leaders regarding programs:

a. Headspace technology and policy in-kind services from nationally recognized thought leaders.

3. Submit an annual report on the County’s Behavioral Health System’s performance: a. White paper will be written to document how the county succeeded in meeting

privacy and confidentiality requirements and data Interoperability with headspace and other projects.

BHB-Older Adult Committee

The Committee’s goal is to have Santa Clara County’s behavioral health providers to describe their services and indicate where our county is lacking in serving our senior population. The goal is to understand where there are gaps in behavioral health services to senior residents and make recommendations based on that.

Behavioral Health Board-Executive Committee

Pending

BHB-Cultural Competence Advisory Committee

1: Discuss Strategies and goals to respond to “the assault on minorities of color, age and LGBTQ populations in a Behavioral Health Cultural Competent Context.” 2: Discuss and learn from cultural competent agencies including Faith Based organizations outside of Behavioral Health how to connect and collaborate with Behavioral Health. 3. Learn how to respond to the minority ethnic and LGBTQ disparities in the jail and jail diversion communities in a Behavioral Health context. 4 Identify family support services for raising LGTB children and youth