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New Mountains to Climb – MHSA Funding for PEI Helping AOD Treatment and Prevention Providers Access MHSA Funding for Prevention and Early Intervention Department of Alcohol and Drug Programs Office for Co-Occurring Disorders. Presentation Purpose.

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  1. New Mountains to Climb – MHSA Funding for PEIHelping AOD Treatment and Prevention Providers Access MHSA Funding for Prevention and Early InterventionDepartment of Alcohol and Drug Programs Office for Co-Occurring Disorders

  2. Presentation Purpose • Provide background on the Mental Health Services Act (MHSA) and its Prevention and Early Intervention (PEI). • Share specific thinking about how AOD treatment & prevention providers might partner with county mental health to access MHSA funds to support the success of vulnerable children and families. • Give additional key background info on program “strategies” for PEI funding

  3. The Funds under the MHSA Prevention/Early Intervention (PEI) Are Our Last, Best Chance for MHSA Funding for AOD Stakeholders • AOD stakeholders were mostly left out of the input and planning process for Community Services & Supports (CSS). • Under the MHSA, new funding will become available to counties for PEI efforts based on specifically approved local county plans. • The MHSA planning process is at the county level NOW!

  4. EstimatedTotal MHSA Funding • FY 04/05 $254 Million (6 months) • FY 05/06 $902 Million • FY 06/07 $930 Million • FY 07/08 $1.06 Billion • FY 08/09 $1.4 Billion Looks like big money... but the reality is – • Many counties experience significant fiscal shortfall in the rest of the County Mental Health (CMH) budget. • No supplantation (use of MHSA funds to pay for already existing program services) is allowed.

  5. Over the next three years, the PEI Component of MHSA funding will total 20% of the total MHSA funding! BUT...

  6. What can AOD Providers do to secure local PEI funding? AOD providers must take an active role in planning for local MHSA-funded programs that they care about. The PEI component of the MHSA offers new possibilities for supporting AOD treatment and prevention services programs.

  7. Prevention and Early Intervention: A New Dawn for the Mental Health Vision

  8. PEI Broadens the Concept of Mental Health Services • Creates new roles for the mental health community. • Reaches out to new delivery systems and service providers. • Addresses potential emotional issues or mental illness at the earliest stages – before mental illness diagnosis.

  9. What might PEI programs offer us? • A chance for AOD prevention/treatment providers to access MHSA funding to educate AOD clients/populations at risk for suicide about warning signs and drug risks for suicide. • Funding to provide preliminary mental illness identification/assessment. • Outreach to new communities by working with the county mental health programs. • A way to demonstrate the value of AOD treatment as a way to prevent traumas that can lead to mentalillness.

  10. Examples of possible new MHSA-funded directions for AOD treatment/prevention: • Provide funding for other prevention programs that address shared (ADP & DMH) risk factors, such as trauma. • Encourage counties to include co-occurring disorders (COD) populations as one of the underserved groups. • Include women’s and perinatal treatment programs as part of prevention services for their children.

  11. How can the AOD community have input in the MHSA PEI plans? • Stakeholders can contact their local county mental health or behavioral services departments to find out how to get information on the local MHSA PEI planning process and meetings. • As stakeholders, prevention/treatment providers can work at the county level – where all State PEI “requirements” serve as recommendations, not requirements – to influence local plans.

  12. Let your voice be heard! Contact your county mental health or behavioral services department to make sure your county knows that you are an interested stakeholder! The PEI Guidelines state,“...counties shall ensure that on-going stakeholder committees and key stakeholders are informed and directly involved regarding recommendations for this component.”

  13. COLLABORATION is KEY • The MHSA strongly encourages collaboration among community elements in order to deliver services more widely. • At the county level, proposals that involve the backing of multiple partners are more likely to receive attention. • By reaching out to schools, juvenile justice, family services, etc. AOD providers can develop new and valuable programs and partnerships.

  14. Identify & Meet with Possible Program Partners to Develop Ideas PEI Guidelines indicate likely collaborations: • Because of the emphasis on youth, schools youth service groups are excellent partners for prevention programs. • Because of the emphasis on trauma, family services agencies can benefit from partnerships with treatment providers. • Juvenile justice addresses multiple criteria.

  15. Steps in the MHSA Process • Previously, public conference calls and stakeholder information & input workshops • Late September, release of the final PEI guidelines and resource materials: DMH Info Notice 07-17 at http://www.dmh.ca.gov/DMHDocs/2007_Notices.asp#N0719 • Ongoing, counties undertake the input and planning process for local PEI programs • Dec.? Jan.? Feb.? (after planning) counties submit their plans to the State for review. • Subsequently, 2008 and ongoing, county plan approval and/or plan & contract amendment. • 2008 and Beyond, implementation of planned programs. • Future years, PEI programs and planning continue indefinitely on three-year cycles, staggered for different counties for a more even process.

  16. Alcohol and Other Drug stakeholder involvement should be ongoing! • Becoming familiar with your local county’s planning process and meeting schedule. • Collaborating with others to develop programs. • Giving written comments and/or attending county planning and stakeholder input meetings. • Continuing to participate in the local planning process (both for the creation of the county plan and, possibly, later amendment of it).

  17. What is the MHSA emphasizing in the planning requirements? The program plans must address the nine PEI components, especially – • California’s Five Key Community Mental Health Needs – see page 5 of the Proposed Guidelines: http://www.dmh.ca.gov/DMHDocs/docs/notices07/07_19_Enclosure1.pdf . • Priority Age – Age 0 to 25 must be the focus for 51% of all funding. • Priority Populations (See next slide.) • Specific recommended strategies, goals, principles, outcomes, evaluation & process.

  18. The MHSA emphasizes “Priority Populations” • Underserved cultural populations, including ethnically/racially diverse • Children/Youth in Stressed Families AND • Children/Youth at risk for School Failure AND • at risk of Juvenile Justice Involvement • Trauma-Exposed (traumatic events or prolonged traumatic conditions – grief, loss, violence, parental neglect, etc.)

  19. How can I find likely program “strategies” that could qualify for local PEI funding? • ADP has identified a list of evidence-based strategies that meet PEI guidelines. • These strategies and other PEI information are available through the COD website: http://www.adp.ca.gov/COD/index.shtml

  20. Stakeholders will most likely have an impact on county plans if they fit their comments to the relevant parts of the nine PEI components. For example...

  21. Some strong MHSA PEI Plan Criteria for AOD Prevention/Treatment Community • (criterion c.) Reduction of Disparities – focus on underserved COD population • (criteria d. & e.) Stigma & Discrimination Reduction – for the mentally ill (COD clients) by integrating “first onset” treatment at substance abuse facilities • g. Integrated and Coordinated Systems – family services & substance abuse • i. Optimal Points of Investment –especially for youth prevention services • k. Non-Traditional Mental Health Settings

  22. What can we all do to help? • Disseminate information on the MHSA process and opportunities to other providers and potential program partners. • Provide background information, data, evidence-based practices, and talking points to your potential partners and to county decision makers. • ADP planning is underway for these and further activities.

  23. AOD stakeholders must work assertively to incorporate substance abuse concerns into the county PEI plans! • The chance for county input has already started – and accelerates now with the Sept. releases of the PEI “requirements”. • You may not automatically receive all information about the planning process. • Other county planners may not share “our” interpretation of the Principles & Criteria. • The “old way” of doing things looks easier!

  24. Together, we can climb those mountains and help secure MHSA PEI funding for AOD treatment and prevention providers! The Office for COD is here to help....

  25. Get more info on Co-Occurring Disorders (COD) issues... • The COD E-Circular is a new free service from the Department of Alcohol and Drug Programs. • The COD E-Circular will be periodically emailed to subscribers with updates and helpful information on COD • Subscribe! Send an email, subject “E-Circular” to CODInfo@adp.ca.gov. Include your name, organization/program, and a phone number with area code.

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