Department of Mental Health

Santa Clara CountyMental Health Services Act PlanningStakeholder Forum #4Wellness, Recovery and ResiliencyMay 20, 2005 Department of Mental Health

Objectives • Provide Santa Clara County MHSA Stakeholders with a perspective on Mental Health Wellness, Recovery and Resiliency for all ages • Celebrate work to date on MHSA planning

MHSA Components The MHSA addresses six components of building a better mental health system involving an extensive stakeholder process to guide policies and programs: • Community Program Planning • Services and Supports • Capital (buildings) and Information Technology • Education and Training (human resources) • Prevention and Early Intervention • Innovation

Planning Phases • Engagement and Commitment • Invite Stakeholder Involvement • Share Intent and Vision • Lay Out Planning Landscape • Learning and Assessment • Learn Current System • Learn Needs of Consumers, Stakeholders, Community • Learn Best Practice Strategies to Meet Needs • Prioritization and Planning • Establish Local Mission, Values & Transformation Objectives • Prioritize Local Needs • Select Most Effective Strategies to Meet Local Needs • Implementation • Obtain State Approval • Select Local Providers • Initiate, Monitor and Evaluate Services

State Dept. of Mental Health Accountability Commission Board of Supervisors Mental Health Board BOS Committees (HHC, CSFC, PSJC) County Executive SCVHHS Exec. Dir MHSA Stakeholder Leadership Committee Project Management Team Data, Technology, Budget Work Group Children’s System of Care Work Work Group Adult/ Older Adult System of Care Work Group Prevention & Early Intervention Work Group Community Stakeholder Forums, Focus Groups, and Consumer Engagement Groups Focus Group Focus Group Focus Group Focus Group Focus Group Cultural Competency Readiness Forums Recovery/Self Help Readiness Forums Santa Clara County MHSA Planning Structure

The Approach– Lifespan Framework • Determine and Prioritize Local Mental Health Needs Across Lifespan Current Public MH System Intervention Unmet Need Citizens in need Early Intervention Prevention All Citizens Across Lifespan

Work Groups Age Groups • Early Childhood 0-5 years • School Age 6-15 years • Transition Age 16-25 • Adults 26-59 • Older Adults 60+

The Approach • Establish System Structure and Stakeholder Involvement System Policy and Management System Performance:Expectations & Results Stakeholders Provider Performance: Expectations & Results Provider Services Individual & Family Client Level Outcomes: Expectations & Results

Determining Critical Concerns Thriving With Mental Illness Low Need Emotional Well Being SA Remission Good Health Housed Adult Connected Senior Child at Home Employed Adult Active Senior Child in School Adult out of Jail Safe Senior Child out of Trouble Safe From Harm or Harming in Community Meaningful School, Work Activity Stable Home, Family, Social Relations Health & Well Being Emotional Suffering SA Abuse Poor Health Homeless Adult Isolated Senior Removed Child Jobless Adult Inactive Senior School Failing Child Jailed Adult Victimized Senior Delinquent Child Hi Need Failing With Untreated and Under-treated Mental Illness

MHSA Planning Work to Date • Major Inreach and Outreach Campaign regarding Critical Concerns and needs through end of May • Four Large Forums to address: • MHSA Orientation • Engagement and Commitment • Cultural Competency Readiness • Wellness, Recovery & Resiliency Readiness • Work Groups to address critical concerns of five age groups

Inreach & Outreach Heroes! • Consumers, family members, providers, system and community partners have pledged to bring the voices of 29,000 SCC residents to the planning process! • Input is pouring in! • Get ready for that MHSA Mgmt CD to hit the Top Ten charts!!!

Hundreds Attend Forums • We have had three engaging and informative forums, attended by between 100-200 at each forums • Our cultural competency readiness forum was amazing and brought tons of information about our wonderful diverse community. THANK YOU COMMUNITY!!!

Close to 150 Work Group Members • Have attended three half-day sessions to: • Identify critical concerns related to unmet mental health needs for five age groups • Identify potential “focal” populations for each age group impacted by the critical concerns • Brainstorm client, family and cultural/community strengths of those impacted by critical concerns • Brainstorm system strengths & weaknesses in addressing the concerns of each age group

MHSA Community Services and Supports (CSS) PlanUpdate Published 5/18/05 on DMH website

CSS - Three Types of Funding DMH is making three types of funding available to counties. The three types are: • Full Service Partnership Funds – funds to provide necessary services and supports for initial populations • General System Development Funds – funds to improve services and infrastructure • Outreach and Engagement Funding – funds for those populations that are currently receiving little or no service

CSS Plan – Logic Model The CSS Plan Requirements are based on a logic model that links: • Community issues resulting from untreated mental illness and a lack of services and supports • Mental health needs within the community, • The identification of specific initial populations to be served based upon the issues and needs identified, • The strategies and activities to be implemented, and • The desired outcomes to be achieved.

Community Concerns – For Children, Youth and Some TAY • 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 – Some TAY, Adults and Older Adults • Homelessness • Frequent hospitalizations • Frequent emergency medical care • Inability to work • Inability to manage independence • Isolation • Involuntary care • Institutionalization • Incarceration

Steps to Complete CSS Three-Year Plan – Full Service • Prioritize concerns by age group • Identify related needs & disparities • Identify populations most impacted • Determine strategies & activities to meet needs • Determine expected outcomes to be achieved

CSS Three-Year Plan – System Development Funds 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 – Outreach and Engagement Recognizes 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 Steps • May 20, 2005 – Leadership Committee Meeting • Introduction to process and role • Review of work to date • Initial conversation on prioritization of critical concerns • 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 • 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 Forums • June 24, 2004 • Review of Work to Date • Will occur before Leadership Committee • Place and time to be announced • July 15, 2005 • Best Practices Forum • Will occur before Leadership Committee • Place and time to be announced

Introduction of Presenters Kevin Campbell, Resiliency & Discovery Mark Ragins, M.D., Recovery

Dialog with Presenters • Breakout discussion groups with each presenter

Forum Closing On to the May is Mental Health Month Fair!!! Thank You!!

Contact 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

Department of Mental Health