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Campaign
Steering Committee
Friday, November 30, 2007
10-1 pm
Roseville
• Welcome & thank you• Consumer Voice• Public Comment• Campaign Steering
Roster– Updates to approve
• Prevention Updates– Where we are– Guiding Principles– Prevention reminders
Agenda
• Recommendations– Priority populations
identified• Recommendations
– Allocation framework by focus
– Workgroups
• Public comment review • Wrap-up/next steps
Agenda (continued)
.
VOICE
Public Comment
Comments Welcome
3-minutes per comment
Steering Committee Roster:Request for Approval
• Consumer youth – Sam Stodolski
• Need 1 more consumer– Latino, jail, Tahoe
• Latino, Youth advocate, Tahoe– Emilio Vaca
Prevention Planning Review
PEI Planning Elements for Discussion
• Review decision making process– Role of Steering
• Affirm guiding principles• Approve initial priority
populations and community needs– Review process first
• Formalize work groups• Approve allocation/funding
framework
Planning Process
SteeringCommunity
(Tahoe, Auburn, Lincoln,Roseville)
Needs &
Assets
SteeringEstablish work groups, approve initial criteria & plan
County staffFinalizes decisionsCreates work plans
Latino Leadership
NativeAmerican
Data collection/Risk & Protective Factors
Workgroup#1
Workgroup#2
Workgroup#3
LatinoWorkgroup
Native American
Target needs and priorities
Steering
Reviews workgroup recs,formalizes recs.
RecommendingBody
Decision-making
RecommendingBody
PEI Guiding Principles•Cultural competence•Collaboration•Client / Family centered •Recovery /strength-based wellness focus•Co-occurring competent•Early intervention•Evidence based outcome focus•Integrated services•Accessibility
Affirm
Prevention Refresher
• Definition of prevention• Trajectories• Upstream emphasis
“An ounce of prevention is worth of pound of service”
-Anonymous
Review handout
Prevention
• Interventions that occur before the onset of a problem
• Can also mean interventions that prevent relapse, disability and the consequences of severe mental illness
• The Institute of Medicine restricts the definition to processes that occur before there is a diagnosable mental illness.
Examples of Protective Factors
FamilyFamily
Health careHealth care
CultureCulture
ReligionReligion
FriendsFriends
Restricted access Restricted access to lethal means to lethal means (suicide)(suicide)
Self-help Self-help skillsskills
Anger Anger management skillsmanagement skills
Work/volunteeringWork/volunteering
Examples of Risk Factors
Job lossJob loss
Lack of health careLack of health care
TraumaTrauma
Physical illnessPhysical illness
Alcohol/substance abuseAlcohol/substance abuse
Gay youthGay youth
Native American Native American youthyouth
Previous suicide attemptPrevious suicide attempt
Grils & young womenGrils & young women
Isolated elderlyIsolated elderly
DiscriminationDiscrimination
Classification of Prevention Interventions
• A universal preventive intervention is applicable or useful for everyone in the general population.
• A selective preventive intervention is targeted at individuals or subgroups whose risk of developing mental health problems is significantly higher than average.
Classification of Prevention Interventions
• An indicated preventive intervention is aimed at individuals who have some symptoms of mental health problems but whose symptoms are not yet severe or prolonged enough to meet diagnostic criteria.
Why Intervene Early?
Step 1: Identifying NeedsWho is at risk & for what
Steering and
Community Input sessions
What did you tell us?
• Steering: Who is at risk & for what: – Children & youth at-risk
• Poverty, uninsured, abuse, depressed, disabled, poor school performers, substance abuse, incarcerated
– Adults• Trauma, depressed, single
(divorced,widowed,separated)
– Seniors• Depression, drug abuse
Community Input Summary (Kings Beach, Lincoln, Auburn))
• Children– Neglect, lack of care &
security– Those with mentally ill
parents and/or substance abuse
• Youth– Antisocial/isolation, inverted
family structure,drugs, neglect, gangs,aggressive
• LGBT
– Transitioning, lack of job skills
– Incarceration
Who is at risk & for what:
Community Input Summary(Kings Beach, Lincoln, Auburn))
• Adults- Women (depression,
poverty, transp.)– Men (money, jobless,
discrimination)• Families
– Drugs, abuse,early sex, bullying,domestic violence, divorce
• Seniors– Isolated, depressed– Elder abuse, substance
abuse– Health
Who is at risk & for what:
Latino Leadership Input
• Children– School failure,
domestic violence
• Women, men & family– Substance abuse,
isolation/depression, fear of immigration, lack of medical care, incarceration, job loss
Who is at risk & for what:
Native NetworkInput
• All ages/gender at-risk• Family-centered, community
approaches– Preservation of cultural
knowledge and traditional health practices is top priority.
• At-risk for:– Historical trauma,
discrimination, poverty, homelessness,low educational attainment, lack of access to care
“Culture is Prevention”
Who is at risk & for what:
Summary of Community Needs
• Depression across all ages groups– Children, youth, adults,
seniors, homeless
• At-risk children and youth– School failure
– Juvenile delinquency
– Stressed families
• Underserved cultures– Access to care
– Stigma/discrimination
What is the Data Telling Us?
QuickTime™ and aTIFF (Uncompressed) decompressor
are needed to see this picture.
Refer to handout
The Good News:Protective Factors
• High educational levels– 68% some college or
higher
• Low violent crime• High graduation rates
– 91%
• High Quality Health Care– Low rate of uninsured
(3.5% kids)
• Low unemployment• Low poverty
Our Risk Factors
• Population growth 2nd highest in CA– Eldery
– Latino
• Above average suicide rates– 34 per 100,000 for (80-
84yrs.)
– 76% of all suicides are male
– 25% of all suicides ages 40-50
– Adolescents on par with State
Our Risk Factors
• Above average rate of child abuse calls– 20% Latino substantiated cases
• Above average alcohol and drug abuse– Hospital discharges
• 2nd to worst in State
– Juvenile arrests– Adult arrests (DUI, other
alcohol)– Accidents– 25% more liquor stores
• 100% youth in Tahoe request information on depression
Our Risk Factors
• Pockets of poverty– 8 schools have 65% or
more free/reduced lunch programs
– 6 areas identified:• North Auburn• Lincoln• Colfax• Central Roseville• Foresthill• Kings Beach
• Poverty increases risk of mental illness by 2x in Placer (see handout)
Most effective use of $
• The more upstream the more effective
• Shotgun approach will not work– Not a lot of $’s
• Need to focus
Most criticalareas to choose:
• Disparities in Access • Psycho-social impact of
trauma• At-risk children, youth
and young adult• Stigma & Discrimination• Suicide Risk
• Trauma exposed individuals
• First onset• Children, youth stressed
families• Children, youth school
failure• Children, youth juvenile
justice
Community Needs Priority Populations
Agreement/Approval
Proposed GeneralFunding Framework
• 0-25 yrs.• Disparities in Access
– Underserved cultures
• Depression/suicide
DiscussionAgreement/Approval
Recommended Workgroups
Children/Youth At- Risk
DepressionSuicide
Latino
NativeAmerican
Tahoe
Focus Areas
Disparities inAccess
DiscussionAgreement/Approval
Group Work by Jan 25Provide Recommendations
• Who is the target?• What are the outcomes?• Recommendation on prevention strategy:
–Universal, selective, etc.
Staff will assist
Public Comment Review
Recap of public comment process
Discussion
Public CommentProcess
Written:
Letter StaffResponds
SteeringReviews
2 weeks
Edits/ FinalResponse
Recommended Oral process:
PublicComment
Steering Listens
No formalResponse
DiscussionAgreement/Approval
Next Steps
• Complete community meetings
• Workgroups meet with staff assistance – Present targets and
outcomes
• Next Steering Meeting Jan. 25– 10-1pm CDRA, Auburn
• Happy New Year!
End
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