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Partnering with MHSA: The Next Generation of Successful Mental Health Interventions

Partnering with MHSA: The Next Generation of Successful Mental Health Interventions. Neuroscience Research in Action: Driven by Community Priorities Enhanced by Community Partnerships Shaping California ’ s Future. Community Engagement. Prevention & Early Intervention.

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Partnering with MHSA: The Next Generation of Successful Mental Health Interventions

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  1. Partnering with MHSA: The Next Generation of Successful Mental Health Interventions Neuroscience Research in Action: Driven by Community Priorities Enhanced by Community Partnerships Shaping California’s Future

  2. Community Engagement Prevention & Early Intervention Innovative Services Delivery & Public Policy Service Education Research Families Providers Clients California Behavioral Health Center Mental Health Workforce & Community Capacity Reducing Disparities Promoting Recovery Research & Evaluation Evidence-Based Practices Policy Development

  3. The Missing Link “In the years following Prop. 63, I’ve realized that the good work of the MHSA needed a firm pathway to neuroscience research and new interventions. The best outcomes are through research, counties and communities working together.“ Senate President pro Tem Darrell Steinberg

  4. Behavioral Health Centers of Excellencefor California University of California campuses at Davis and Los Angeles

  5. Behavioral Health Centers of Excellence for California

  6. Building on the success of the MHSA • In the past 10 years, our understanding of the mind and brain has increased dramatically • UC Davis and UCLA: pioneers in neuroscience research leading to discoveries that improve mental and behavioral health • UC Davis and UCLA: pioneers in translating research to community benefit and engaging the community in mental health services research and neuroscience with positive outcomes

  7. Partnering for Success • Partner with providers through the MHSA to meet the needs of our communities • UCLA and UC Davis established effective partnerships with LA and Sacramento counties • Bringing research to scale and create greater impact across the state, emphasizing prevention and early intervention.

  8. Los Angeles County “As Director of the Los Angeles County Department of Mental Health, I have directly observed the benefits of the Mental Health Services Act for improving services delivery and outcomes for patients with severe mental illness and applaud Senator Steinberg’s broad vision for legislation. A complementary … center … would provide the academic expertise and resources for partnering to bring to scale across California’s counties, evidence-based interventions for prevention, early intervention and treatment of mental disorders.” - Martin Southard

  9. Los Angeles County • Community Partners in Care (CPIC): Engaged 95 programs in South Los Angeles & Hollywood to implement depression care across primary care, mental health, substance abuse, social services, faith-based and other community-based programs. • Compared to technical assistance to programs, engaging whole communities improved mental health, physical activity and reduced homelessness and hospitalizations. • LAC DMH will use this as the basis for their “health neighborhood” program under expanded Medicaid. • Major programs in school-based intervention for child violence exposure, early intervention in teen suicide, psychosis, improving family education and support and services quality for bipolar, schizophrenia, child disorders.

  10. Leveraging UCLA Research for State Benefit • UCLA Semel Institute awarded $15 Million ARA grant for translational research, levering $2.5-5 million of MHSA funds. • CPIC: 116 community and academic leaders, 32 lead agencies and 95 participating programs, won the 2014 Association of Clinical and Translational Science “Team Science” Award—NIMH announced a competition for a national demonstration based on CPIC. UCLA announced as recipient 5/1/14; we will lever this $30 million with new state funds of $5-7 million to address mental health disparities in LAC/Orange/Riverside. • New pilot grants in complementary areas: youth suicide reduction/mental health stigma/youth school-based interventions for violence exposure/ homelessness/incarceration recidivism.

  11. UC Davis Community Partnerships in Prevention and Early Intervention • UC Davis (EDAPT Program) has provided prevention and early intervention services for early psychosis for 10 years, serving over 1,000 youth and families with high rates of school success and employment, and almost zero homelessness for our youth. • Selected by the Robert Wood Johnson Foundation for their national demonstration project for psychosis early identification and prevention (EDIPPP project).

  12. UC Davis Community Partnerships in Prevention and Early Intervention • Early Psychosis Program (SacEDAPT) is a unique embedded partnership between UC Davis and Sacramento County Mental Health to provide services, as funded through MHSA/Prop. 63. • This partnership has transformed the early diagnosis and therapy of serious brain and behavioral disorders such as schizophrenia in early teen years. • In 2014 new MHSA supported partnerships with Solano County and CBO’s in Napa and Placer Counties are bringing state of the art prevention and early intervention to a large swath of Northern California Communities.

  13. Leveraging UC Davis Research for State Benefit • UC Davis awarded $3.25 million in ARRA funds for the Center for Integrative Neuroscience Imaging. • Three world renowned interdisciplinary neuroscience centers (Center for Neuroscience, Center for Mind and Brain, M.I.N.D. Institute) with over $70 million dollars in basic and translational research funding. • Pilot programs for innovative interdisciplinary research from OVCR (Rise Initiative) and the CTSC. • UC Davis BRAIN Initiative Consortium, program building and pilot programs for interdisciplinary neuroscience tool development and discovery.

  14. Sacramento County • “We are very pleased with the results of SacEDAPT in Sacramento County. We are also pleased to lead the way for other counties in Northern California to implement this model of excellence.” - Uma Zykofsky, Sacramento County Mental Health Director

  15. Sustainable Partnerships • Members of vulnerable populations • Clients and families • Other campuses - University of California • California institutions (e.g., RAND) • Healthcare and community-based agencies • The Centers will promote partnerships and improve early consensus toward shared goals.

  16. Reducing Stigma • As proven with the MIND Institute at UC Davis for reducing stigma for people with autism. • Identifying mental health disorders as brain-based disabilities reduces stigma. • UCLA-LAC DMH implemented major stigma reduction programs; community collaborative have shifted community openness to mental health programs. • Will enhance and build on the existing campaigns funded by Prop. 63

  17. Solving Society’s Complex Problems • The Behavioral Health Centers will: • increase our understanding of how to address mental health disparities, early intervention in psychosis, and address other concerns such as violence, incarceration and recidivism • Leverage existing resources/new resources to greater benefit for California’s diverse under-resourced communities

  18. THE ASCENDING STAIRCASE OF NEUROSCIENCE RESEARCH & HEALTH PROMOTION community SOCIETY CULTURE & HEALTH CULTURE COMMUNITIES AT RISK HEALTH SERVICES POLICY KINSHIP PRIMATE SOCIAL BEHAVIOR INDIVIDUALS MIND-BODY & IMMUNITY HUMAN COGNITION & EMOTION BRAIN BRAIN IMAGING BRAIN PHARMACOLOGY & REWARD NERVE CIRCUITS NEUROSCIENCE OF LEARNING AND MEMORY NEUROSCIENCE OF NERVE CELL COMMUNICATION CELLS GENOMICS & NEURAL STEM CELLS MOLECULAR GENETICS AND NEUROCHEMISTRY MOLECULES DEVELOPMENTAL NEUROSCIENCE GENES NEUROBEHAVIORAL GENETICS

  19. Funding Request • $20 million will support basic infrastructure in neuroscience, seed grants, and 2-3 major initiatives (disparities, early psychosis, child violence and/or suicide prevention). • $15 million will support infrastructure in neuroscience, seed grants, and major initiative (disparities, early psychosis).

  20. Next Generation of SuccessfulBehavioral Health Interventions • UC Davis and UCLA have created a close partnership during this past year of discussions with Senator Steinberg • The Behavioral Health Centers for Excellence for California are committed to sharing our neuroscience research and collaborating with communities to promote best practices, and to improve outcomes, by building upon today’s policy initiatives including MHSA and ACA.

  21. Center for Healthcare Policy and Research Center for Reducing Health Disparities Imaging Research Center Center for Neuroscience MIND Institute Center for Mind and Brain Center for Visual Sciences Center for Health and Technology Alzheimer’s Disease Research Center UC Davis School of Medicine Departments e.g. Neurology, Psychiatry, Neurosurgery, Pediatrics 800-member Faculty Practice Group Betty Irene Moore School of Nursing California Telehealth Network UC Davis Medical Center Graduate Programs Clinical and Translational Science Center Institute for Population Health Improvement UC Davis Behavioral Health & Neurosciences Consortium Serving Inland Northern California and the San Joaquin Valley • More than $195 million in research funding • Total faculty: 1,342 , residents and fellows: 882 • Educating 800+ students in Schools of Health each year Based on 2012 data

  22. THE BRAIN IS A TRANSDUCER, LINKING THE INDIVIDUAL WITH THE WORLD Semel Institute UCLA: $170 million annually In sponsored research ACTION PERCEPTION SCHIZOPHRENIA: MANIC DEPRESSION TOURETTES ALZHEIMERS STRESS….ANXIETY….DEPRESSION… ….OBESITY…HEART DISEASE…SOME CANCERS AUTISM SPECTRUM DEVELOPMENT MATURITY DECLINE BRAIN DEVELOPMENT AND BRAIN DISORDER OVER THE LIFE CYCLE

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