Santa Clara CountySanta Clara CountyMental Health Services Act PlanningMental Health Services Act Planning

Stakeholder Forum #4Stakeholder Forum #4Wellness, Recovery and ResiliencyWellness, Recovery and Resiliency

May 20, 2005May 20, 2005

Department of Mental Health

ObjectivesObjectives

Provide Santa Clara County Provide Santa Clara County MHSA Stakeholders with a MHSA Stakeholders with a perspective on Mental Health perspective on Mental Health Wellness, Recovery and Wellness, Recovery and Resiliency for all agesResiliency for all ages

Celebrate work to date on MHSA Celebrate work to date on MHSA planningplanning

MHSA ComponentsMHSA Components

The MHSA addresses six components of building a better mental health system involving an extensive stakeholder process to guide policies and programs:

1. Community Program Planning

2. Services and Supports

3. Capital (buildings) and Information Technology

4. Education and Training (human resources)

5. Prevention and Early Intervention

6. Innovation

Planning PhasesPlanning Phases Engagement and CommitmentEngagement and Commitment

Invite Stakeholder Involvement Share Intent and Vision Lay Out Planning Landscape

Learning and AssessmentLearning and Assessment Learn Current System Learn Needs of Consumers, Stakeholders, Community Learn Best Practice Strategies to Meet Needs

Prioritization and PlanningPrioritization and Planning Establish Local Mission, Values & Transformation

Objectives Prioritize Local Needs Select Most Effective Strategies to Meet Local Needs

ImplementationImplementation Obtain State Approval Select Local Providers Initiate, Monitor and Evaluate Services

Board of Supervisors

State Dept. ofMental Health

BOS Committees(HHC, CSFC, PSJC)

County ExecutiveSCVHHS Exec. Dir

MHSA StakeholderLeadership Committee

Data, Technology,

Budget Work Group

Prevention & Early

InterventionWork Group

Children’s System of Care Work

Work Group

Adult/Older Adult

System of Care Work Group

Community Stakeholder Forums, Focus Groups, and Consumer Engagement Groups

Cultural Competency Readiness Forums Recovery/Self Help Readiness Forums

FocusGroup

FocusGroup

FocusGroup

FocusGroup

FocusGroup

Accountability Commission

Mental Health Board

Project Management

Team

Santa Clara CountyMHSA Planning

Structure

The Approach– The Approach– Lifespan FrameworkLifespan Framework

Determine and Prioritize Local Determine and Prioritize Local Mental Health Needs Across Mental Health Needs Across LifespanLifespan

Prevention

Early Intervention

Intervention

All Citizens Across Lifespan

Citizens in need

Unmet Need

Current Public MH System

Work Groups Age Work Groups Age GroupsGroups

1.1. Early Childhood 0-5 yearsEarly Childhood 0-5 years

2.2. School Age 6-15 yearsSchool Age 6-15 years

3.3. Transition Age 16-25Transition Age 16-25

4.4. Adults 26-59Adults 26-59

5.5. Older Adults 60+Older Adults 60+

The ApproachThe Approach

Establish System Structure and Establish System Structure and Stakeholder InvolvementStakeholder Involvement

Individual & Family

Provider Services

System Policy and

Management

Sta

keh

old

ers

System Performance: Expectations & Results

Provider Performance: Expectations & Results

Client Level Outcomes: Expectations & Results

Determining Critical ConcernsDetermining Critical Concerns

Health & Well

Being

Stable Home, Family, Social

Relations

Meaningful School, Work

Activity

Safe From Harm or

Harming in Community

Emotional Suffering SA Abuse Poor Health

Thriving With Mental Illness

Failing With Untreated and Under-treated Mental Illness

Homeless Adult Isolated Senior Removed Child

Housed Adult Connected Senior

Child at Home

Emotional Well Being SA Remission

Good Health

Jobless Adult Inactive Senior

School Failing Child

Jailed Adult Victimized Senior Delinquent Child

Employed Adult Active Senior

Child in School

Adult out of Jail Safe Senior

Child out of Trouble

Low Need

Hi Need

MHSA Planning Work to MHSA Planning Work to DateDate

Major Inreach and Outreach Campaign Major Inreach and Outreach Campaign regarding Critical Concerns and needs regarding Critical Concerns and needs through end of Maythrough end of May

Four Large Forums to address:Four Large Forums to address:– MHSA OrientationMHSA Orientation– Engagement and CommitmentEngagement and Commitment– Cultural Competency ReadinessCultural Competency Readiness– Wellness, Recovery & Resiliency ReadinessWellness, Recovery & Resiliency Readiness

Work Groups to address critical concerns of Work Groups to address critical concerns of five age groupsfive age groups

Inreach & Outreach Inreach & Outreach Heroes!Heroes!

Consumers, family members, Consumers, family members, providers, system and community providers, system and community partners have pledged to bring the partners have pledged to bring the voices of 29,000 SCC residents to the voices of 29,000 SCC residents to the planning process! planning process!

Input is pouring in!Input is pouring in!

Get ready for that MHSA Mgmt CD to Get ready for that MHSA Mgmt CD to hit the Top Ten charts!!!hit the Top Ten charts!!!

Hundreds Attend Hundreds Attend ForumsForums We have had three engaging and We have had three engaging and

informative forums, attended by informative forums, attended by between 100-200 at each forumsbetween 100-200 at each forums

Our cultural competency Our cultural competency readiness forum was amazing and readiness forum was amazing and brought tons of information about brought tons of information about our wonderful diverse community. our wonderful diverse community.

THANK YOU COMMUNITY!!!THANK YOU COMMUNITY!!!

Close to 150 Work Close to 150 Work Group MembersGroup Members

Have attended three half-day sessions Have attended three half-day sessions to:to:

Identify Identify critical concernscritical concerns related to unmet mental related to unmet mental health needs for five age groupshealth needs for five age groups

Identify potential Identify potential “focal” populations“focal” populations for each age for each age group impacted by the critical concernsgroup impacted by the critical concerns

Brainstorm client, family and cultural/community Brainstorm client, family and cultural/community strengths of those impactedstrengths of those impacted by critical concerns by critical concerns

Brainstorm Brainstorm system strengths & weaknessessystem strengths & weaknesses in in addressing the concerns of each age groupaddressing the concerns of each age group

MHSA Community MHSA Community Services and Supports Services and Supports (CSS) Plan(CSS) Plan

Update Published 5/18/05 on DMH Update Published 5/18/05 on DMH websitewebsite

CSS - Three Types of CSS - Three Types of FundingFundingDMH is making three types of funding DMH is making three types of funding available to counties. The three types are:available to counties. The three types are:

1. Full Service Partnership Funds – funds to provide necessary services and supports for initial populations

2. General System Development Funds – funds to improve services and infrastructure

3. Outreach and Engagement Funding – funds for those populations that are currently receiving little or no service

CSS Plan – Logic ModelCSS Plan – Logic Model

The CSS Plan Requirements are based on The CSS Plan Requirements are based on a logic model that links:a logic model that links:

1.1. Community issuesCommunity issues resulting from untreated mental resulting from untreated mental illness and a lack of services and supportsillness and a lack of services and supports

2.2. Mental health Mental health needsneeds within the community, within the community,

3.3. The identification of specific The identification of specific initial populationsinitial populations to be to be served based upon the issues and needs identified, served based upon the issues and needs identified,

4.4. The The strategies and activitiesstrategies and activities to be implemented, to be implemented, andand

5.5. The The desired outcomesdesired outcomes to be achieved. to be achieved.

Inability to be in a mainstream school environment

School failure

Hospitalization

Peer and family problems

Out-of home placement

Involvement in the child welfare and juvenile justice systems

Community Concerns – For Community Concerns – For Children, Youth and Some Children, Youth and Some TAYTAY

Community Concerns – Community Concerns – Some TAY, Adults and Some TAY, Adults and Older AdultsOlder Adults

Homelessness

Frequent hospitalizationsFrequent hospitalizations

Frequent emergency medical careFrequent emergency medical care

Inability to workInability to work

Inability to manage independenceInability to manage independence

IsolationIsolation

Involuntary careInvoluntary care

Institutionalization Institutionalization

IncarcerationIncarceration

Steps to Complete CSS Steps to Complete CSS Three-Year Plan – Three-Year Plan – Full Full ServiceService

1.1. Prioritize concerns by age groupPrioritize concerns by age group

2.2. Identify related needs & disparities Identify related needs & disparities

3.3. Identify populations most impactedIdentify populations most impacted

4.4. Determine strategies & activities to Determine strategies & activities to meet needsmeet needs

5.5. Determine expected outcomes to be Determine expected outcomes to be achievedachieved

CSS Three-Year Plan – CSS Three-Year Plan – System Development System Development FundsFunds

The funds will be available to improve services and infrastructure for the identified initial full service populations and for other clients with emphasis on reducing ethnic disparities. Examples: client and family services such as peer support,

education and advocacy services

mobile crisis teams

funds to promote interagency and community collaboration and services

funds to develop the capacity to provide values-driven, evidence-based and promising clinical practices.

CSS Three-Year Plan – CSS Three-Year Plan – Outreach and Outreach and EngagementEngagementRecognizes special activities needed to reach unserved populations with a priority on eliminating racial ethnic disparities. Examples: funding for racial ethnic community-based organizations

mental health and primary care partnerships

faith-based agencies

tribal organizations

health clinics

organizations that help individuals who are homeless or incarcerated and link potential clients to services

funds for clients and families to reach out to those that may be reluctant to enter the system

funds for screening of children and youth

school and primary care based outreach to children and youth who may have serious emotional disorders.

Next StepsNext Steps May 20, 2005 – Leadership Committee MeetingMay 20, 2005 – Leadership Committee Meeting

Introduction to process and roleIntroduction to process and role Review of work to dateReview of work to date Initial conversation on prioritization of critical concernsInitial conversation on prioritization of critical concerns

June 17, 2005 – Work Groups:June 17, 2005 – Work Groups: Complete initial summary of critical concerns, individual

strengths, system strengths and weaknesses, focal populations

Input to draft priority critical concerns Input to needs and disparities

June 24, 2005 – Leadership Committee June 24, 2005 – Leadership Committee Reviews community input to critical concerns

(inreach/outreach results); Reviews WG Summary Reviews draft of priority concerns by age group; Reviews initial needs and disparities data

Next Stakeholder Next Stakeholder ForumsForums June 24, 2004June 24, 2004

Review of Work to DateReview of Work to Date Will occur before Leadership CommitteeWill occur before Leadership Committee Place and time to be announcedPlace and time to be announced

July 15, 2005July 15, 2005 Best Practices ForumBest Practices Forum Will occur before Leadership CommitteeWill occur before Leadership Committee Place and time to be announcedPlace and time to be announced

Introduction of Introduction of PresentersPresenters

Kevin Campbell, Resiliency & Kevin Campbell, Resiliency & Discovery Discovery

Mark Ragins, M.D., Recovery Mark Ragins, M.D., Recovery

Dialog with PresentersDialog with Presenters

Breakout discussion Breakout discussion groups with each groups with each presenterpresenter

Forum ClosingForum ClosingOn to the May is Mental On to the May is Mental

Health Month Fair!!!Health Month Fair!!!

Thank You!!Thank You!!

Contact InformationContact Information

Nancy Pena, Ph.D., Director, MHD, 408-885-5783

Bruce Copley, Deputy Director, MHD 408-885-5773

Sheila Yuter, MHSA Coordinator, 408-885-3885

Santa Clara County MHD Website www.sccmhd.org

State Dept. Mental Health website www.dmh.ca.gov