MHSA 30 Day Comment Period 2010

8/9/2019 MHSA 30 Day Comment Period 2010

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2010/11 ANNUAL UPDATE ENCLOSURE 1

Page 1 of 3

EXHIBIT LISTING AND INSTRUCTIONS

Exhibits Title

A County Summary SheetB County Certification

C Community Program Planning and Local Review ProcessC1 Implementation Progress Report on FY 08/09 ActivitiesD Previously Approved ProgramD1 Elimination of Program/ProjectE MHSA Summary Funding RequestE1 CSS Budget SummaryE2 WET Budget SummaryE3 CFTN Budget Summary

E4 PEI Budget SummaryE5 INN Budget SummaryF New Program/Project Budget Detail/NarrativeF1 CSS/WET New Program Description

F2 Capital Facilities New and Existing Project DescriptionF3 Technological Needs New and Existing Project DescriptionF4 PEI New Project DescriptionF5 INN New Program DescriptionG Local Prudent Reserve Funding RequestH Supplemental MHSA Housing Program Assignment Agreement


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2010/11 ANNUAL UPDATE

A B C C1 D D1* E E1 E2 E3 E4 E5 F** F1** F

Previously

A rovedNew

$ 1,628,800$

$ $

$ $

$ $

$ 282,300$

$ $

$ 1,911,100$

**Exhibit F - F5 is only required for new programs/projects.

Dates of 30-day public review comment period:

Date of Public Hearing*****:

Total

Component

To be submitted by March 31, 2010

*Exhibit D1 is only required for program/project elimination.

Date of submission of the Annual MHSA Revenue and

Expenditure Report to DMH:

5-May-10

This document is intended to be used by the County to provide a summary of the components included within this annual update or upd

provide the County with a listing of the exhibits pertaining to each component.

County:

For each annual update/update:

COUNTY SUMMARY SHEET

*****Public Hearings are required for annual updates, but not for updates.

***Exhibit G is only required for assigning funds to the Local Prudent Reserve.

Tuolumne

Exhibits

March 17, 2010 to April 16, 201

****Exhibit H is only required for assigning funds to the MHSA Housing Program.

CSS

WET

INN

PEI

TN

CF


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2010/11 ANNUAL UPDATE EXHIBIT B

COUNTY CERTIFICATION

County: _Tuolumne County_

County Mental Health Director

Name: Beatrice Readel, LCSW

Telephone Number: (209) 533-6245

E-mail: [email protected]

Project Lead

Name: Susan Sells, MHSA Coordinator

Telephone Number: (209) 533-6257

E-mail: [email protected]

Mailing Address: 2 South Green Street, Sonora, California 95370

I hereby certify that I am the official responsible for the administration of county mental healthservices in and for said county and that the County has complied with all pertinent regulations,laws and statutes for this annual update/update, including all requirements for the WorkforceEducation and Training component. Mental Health Services Act funds are and will be used incompliance with Welfare and Institutions Code section 5891 and Title 9 of the California Code ofRegulations section 3410, Non-Supplant.

This annual update has been developed with the participation of stakeholders, in accordancewith sections 3300, 3310, subdivision (d), and 3315, subdivision (a). The draft FY 2010/11annual update was circulated for 30 days to stakeholders for review and comment and a publichearing was held by the local mental health board of commission. All input has beenconsidered with adjustments made, as appropriate.

The County agrees to participate in a local outcome evaluation for the PEI program(s) identifiedin the PEI component.1

The County Mental Health Director approves all Capital Facilities and Technological Needs(CFTN) projects.

The County has complied with all requirements for the Workforce Education and Trainingcomponent and the Capital Facilities segment of the CFTN component.

The costs of any Capital Facilities renovation projects in this annual update are reasonable andconsistent with what a prudent buyer would incur.

The information provided for each work plan is true and correct.

All documents in the attached FY 2010/11 annual update/update are true and correct.

Beatrice Readel, LCSW _________________________________ _________________________________Mental Health Director/Designee (PRINT) Signature Date

1Counties with fewer than 100,000 residents, per Department of Finance demographic data, are exempt

from this requirement and may strike this line from the certification.


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2010/11 ANNUAL UPDATE EXHIBIT C

COMMUNITY PROGRAM PLANNINGAND LOCAL REVIEW PROCESS

Count NameCounty:Tuolumne

Date: March 15, 2010

Instructions: Utilizing the following format please provide a brief description of the Community ProgramPlanning and Local Review Processes that were conducted as part of this annual update/update per title 9 ofthe California Code of Regulations, sections 3300 and 3315.

Counties may elect to attach the Mental Health Board meeting minutes in which the annual update wasdiscussed if it provides additional information that augments the responses to these questions.

Community Program Planning

1. Briefly describe the Community Program Planning (CPP) Process for development of the FY2010/11 annual update/update. Include the methods used to obtain stakeholder input.

The Community Program Planning Process consisted of a range of focus groups requesting input

specific to Tuolumne Countys current Mental Health Services Act Community Services and Supports(CSS), Prevention and Early Intervention (PEI), Workforce Education and Training (WET), and theCapital Facilities and Technological Needs programs and activities for 2010/2011, along with updatesspecific to the current Tuolumne County MHSA components that are in place in fiscal year2009/2010.Presentations to NAMI Chapter members, Tuolumne County Behavioral Health Advisory Board, andthe Tuolumne County Mental Health Leadership Council were held in February, and a focus groupmade up of consumers participating at the Peer Help Lambert Center occurred in order to gatherconsumer, families of consumers input, along with other key stakeholders (consultants providingoutreach and engagement services to both Spanish-speaking families and Native Americans)..Priorities and discussions generated between 2004 and 2008 and documented from the CSS, PEIand WET planning processes were also revisited. For the PEI and WET components, input wasobtained through a large community forum with 70 in attendance; five community stakeholdermeetings averaging a total of 50 participants each; 45 focus groups and key informant interviews; and375 surveys completed. The CSS planning process resulted in excess of 1,100 individualsparticipating in the planning process and providing nearly 6,000 comments regarding mental healthneeds, impacts, and issues facing Tuolumne County in 2004/2005. Comments were also gleanedfrom current MHSA Leadership Council minutes and the 2009/2010 MHSA Annual Update Report.

2. Identify the stakeholder entities involved in the Community Program Planning (CPP) Process.

The following stakeholder entities were involved in Tuolumne Countys Community Program PlanningProcess for the MHSA FY 2010/11 Annual Update:

Tuolumne County Mental Health Leadership Council,Tuolumne County Behavioral Health Advisory BoardTuolumne County NAMI Chapter Board and MembersPeer Help Center staff,A focus group of consumers participating at the Peer Help Lambert CenterTuolumne County Behavioral Health staff and clinicians

3. If eliminating a program/project, please include how the stakeholders were involved and had theopportunity to participate in the decision to eliminate the program/project.

No programs were eliminated.


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Local Review Process

4. Describe methods used to circulate, for the purpose of public comment, the annual update orupdate.

The 30 day review was from March 17 to April 16, 2010. The Public Hearing will tentatively be heldon May 5, 2010 at 4:00 pm at The Tuolumne County Behavioral Health Department located at 105Hospital Road, Sonora, CA in the Community Conference Room.

5. Include substantive comments received during the stakeholder review and public hearing,responses to those comments, and a description of any substantive changes made to theproposed annual update/update that was circulated. The County should indicate if no

substantive comments were received.Community Input from presentations and focus groups:NAMI:

For peers to recover they need to take care of themselves and find happiness throughsecurity and comfort

Peers do not want to be treated like children they need to be treated with respect Need to help peers help themselves with compassion and patience Cabrini House (local board and care facility) staff need to be better connected to NAMI When are the SSI checks going up? If additional case management support was available - peers could have a more fuller, richer

life Peers need better support accessing local transportation Need more studio apartment housing made available for peers, as some peers cannot live

with others Shared housing could be an option for some consumers, as long as a House Manager is in

place and peers are compatible Peers need help with getting warrants cleared up, paying off licensing fines, and clearing up

fines with banks Housing and utility subsidies needed to help consumers live independently Consumers living in NAMI housing receiving no case management support, and 4 of the 9 are

currently in crisisTuolumne County Behavioral Health Advisory Board/MHSA Leadership Council:

There are no services available in county for mentally ill with insurance Need to improve Behavioral Healths website for laypersons and physicians to better access

local private therapists for residents with insurance and Medi-Cal Job skill training programs are critical for peers, as well as help learning to food shop and

budget Need to provide increased FSP services to elderly in our community Concern that due to budget crisis some MHSA funds are being funneled into core services,

which means funds for original MHSA programs and services are being divertedConsumer Focus Group:

Access to transportation is critically needed in our county


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Some Peers are fearful of getting a job, and having to get off SSI benefits It is important to get people off the street so that they can gain their independence and feel

worthy and have something to be proud of in their lives It is important that Peers have quick access to their medications when needed

More space is needed for Peers to gather as Lambert Center too small and Peer Programsare growing Need to get clinicians and case managers back so Peers have someone to talk to like before

budget cuts when problems occur The only person that can fix Peers are themselves with a little assistance Space is too limited at the Lambert Center There is less access to services (like showers every day) for Peers since Peer Help Center

activities moved to the David Lambert Homeless Center due to budget cuts as services onlyoffered now in the morning

Some Peers have to wait three to four days for a shower Need case managers who are trained Peers to help Peers identify specific needs

(shopping/budgeting) and help with transportation and getting organized to help Peers helpthemselves Need to provide more support to help Peers become less dependent on systems more

reliant on themselves - teach life skills to help Peers tap into their own personal strengths andresources

There is an informal Peer Support list with phone numbers that Peers from Center havedeveloped to help those in crisis and this list is used a lot if a Peer in needing someone totalk with this has cut back on the need for emergency crisis support from Behavioral Healthstaff and emergency room staff at local hospital

There is a big increase of Peers participating at the Center in the morning very crowded -with an average of 38 Peers each day

It takes a long time for Peers to trust when new to Center Youth who transition out of Teen Center due to age should be encouraged to participate at the

Peer Help Center as many could benefit from the Peer run support groups, support andservices

Columbia College CASRA-based classes are important (fast paced and demanding in a goodway) and should not be cancelled like what happened this last semester there are currentlyfourteen Peers who cant finish Certificated Programs as College refuses to continue to offerclasses next semester unless class is full this has put many students in a terrible position

College classes help Peers to better understand themselves and their mental illness,communicate better, and become better listeners as clinical world has misdirected Peers withincorrect information for years

Continuing the college classes is very important! Often times when you are trained to provide Peer Counseling support and help reflect backwhat the troubled Peer shares then often the Peer ends up discovering their own solutions totheir problems

The skills learned from college classes are very important to peer recovery Would like to see Peers trained at Columbia College in nursing skills

Staff: Peers deserve ongoing training to provide support to peers in crisis Case managers are needed to support peers, families of peers and current staff at Behavioral

Health - as staff cut back so severely due to budget cuts that they cant reach peers until theyhave reached crisis level


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2010/11 ANNUAL UPDATE EXHIBIT C1IMPLEMENTATION PROGRESS REPORT

ON FY 08/09 ACTIVITIES

County: TuolumneDate: March 15, 2010

Instructions: Welfare and Institutions Code section 5848 specifies that DMH shall establish requirements for the contentof the annual update and updates including reports on the achievement of performance outcomes for services. Provide

an update on the overall progress of the Countys implementation of the MHSA including CSS, PEI and WET componentsduring FY 2008/09.

CSS, WET and PEI

1. Briefly report on how the implementation of the MHSA is progressing: whether implementation activities aregenerally proceeding as described in the Countys approved Plan, any key differences, and any majorchallenges.

Tuolumne Countys Community Support Services, Prevention and Early Intervention and WorkforceEducation and Training components are proceeding well, and overall the activities under each of thethese components are on track based on milestones/timelines, goals and objectives. No keydifference from the original components currently exists.

One change with no impact to the original approved CSS Outreach and Engagement ServicesProgram activities was the change in funding for the Teen Drop-In Center (which targets transitionalage youth) this very successful activity is now funded with other Tuolumne County BehavioralHealth Department funds, and not MHSA CSS support. The Teen Drop-In Center will continueongoing with no changes as a very valuable service we offer in our community. Funds saved fromchanging the funding for Teen Drop-In Center will be used to strengthen and enhance the MobileCrisis Outreach Team Activity (also under the CSS Outreach and Engagement Program section).

The major challenge to MHSA Programs is that in October 2008 we lost over 3 million dollars inrevenue from a high of @ 10 million. This was primarily due to cut backs at the state level. At the end

of December 2009 we had laid off 22 staff from administration to line staff. This reduced ourDepartment from 76 to 22 staff. A second challenge included the additional work and time needed tocreate fair and equitable Request for Qualification (RFQ) guidelines for selection of contractedcommunity agencies to provide the range of services under the PEI Programs. Numerous agenciesparticipated in the RFQ process, and appropriate contractors were selected in a timely fashion. Athird challenge with the Workforce Education and Training component was implementing both theMSW Program at CSU Sacramento, and the CASRA-based Certificate Programs at ColumbiaCommunity College. These programs are up and running successfully.

2. Provide a brief narrative description of progress in providing services to unserved and underservedpopulations, with emphasis on reducing racial/ethnic service disparities.

All Tuolumne Countys MHSA components target and provide services to unserved and underservedpopulations: CSS Outreach and Engagement Services provide specialized care through contractswith culturally and linguistically appropriate providers for activities to the Native American population,Hispanic population, and underserved seniors that are at risk of losing their housing or at risk of beingmoved to higher levels of care. CSS Full Service Partnerships Program provides activities for 21+clients with the ability to provide up to 40 slots, dependent on severity. Those targeted for FSPsupport include individuals with serious mental illness who are homeless or at risk for homelessnessand/or have historically been high users of crisis-based services including hospital, mobile crisis,emergency rooms and incarceration, and who have been unserved or underserved by other mentalhealth programs. All age groups and ethnicities have been targeted since the inception of the FSPProgram. Tuolumne Countys PEI, CSS Outreach and Engagement and WET Programs provide


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services to both unserved and underserved populations (i.e. Spanish speaking and Native Americanresidents; consumers; foster parents, LGBT residents, and Veterans): 1)A consultant was hired 10months ago as the bi-lingual parent educator for Tuolumne County Behavioral Health. This consultantcontinues to provide ongoing Nurturing Parenting Education classes for Spanish speaking parents ofyoung children, along with providing outreach, information and referral and case management

support to Spanish speaking families in Tuolumne County.2) the Bullying Prevention activity reachesall students in one school district where the Me-Wuk Native American Rancheria resides; 3) theSuicide Prevention training funds are being used to train two consumers as training of trainers inQuestion Persuade and Refer (QPR) Suicide Prevention Program; 4) PEI funds are supporting a sixweek support groups and education each year for new foster parents in the community 5) In thesummer of 2009, LGBT-TRISTAR in San Francisco provided at no cost two community and staffworkshops for a total of forty-three participants. These workshops included a basic introduction to theLGBT community and its diversity, the issues, challenges and opportunities that are associated withproviding prevention, treatment and recovery support services to LGBT residents. 6) Two staff fromour department attended a training titled Another Kind of Valor in June, 2009, and then provided aninservice training to department staff that addressed Post Traumatic Stress Disorder (PTSD), and

how best to assist emotionally damaged Veterans returning to civilian life.3. Provide the following information on the number of individuals served:

CSS PEI WETAge Group # of

individuals# of individuals(for universalprevention, useestimated #)

Funding Category # ofindividuals

Child and Youth 57 668 Workforce Staff SupportTransition Age Youth 90 7 Training/Technical Assist.

Adult 2338 229 MH Career Pathway

Older Adult 629 6 Residency & Internship

Race/Ethnicity Financial IncentiveWhite 2535 711

African/American 62 17 [ X ] WET not implemented in 08/09Asian 30 9Pacific Islander 2 2Native 62 18Hispanic 342 137Multi 59 4Other 22 12

Other Cultural GroupsLGBTQ Infor. not

available43

OtherPrimary Language

Spanish 42 28

VietnameseCantoneseMandarinTagalogCambodianHmongRussianFarsiArabicOther 3072 882

PEI


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ON FY 08/09 ACTIVITIES4. Please provide the following information for each PEI Project:

a) The problems and needs addressed by the Project.b) The type of services provided.c) Any outcomes data, if available. (Optional)d) The type and dollar amount of leveraged resources and/ or in-kind contributions (if applicable).

PEI Project #1: Early Childhood Education Program:

The PEI Planning input indicated that the top priority in our county was the need to increase familysupport, education and counseling for parents of at-risk children. Programs and Services selectedand implemented under this program include:Early Childhood Education Activity: The Early Childhood Education activities started up in April,2009. Nurturing Parenting, a multi-level parenting and family support strategy to prevent severebehavioral, emotional and developmental problems in children by enhancing the knowledge, skillsand confidence of parents, is being implemented by a team from Tuolumne County BehavioralHealth Department (mental health case manager/therapist), Infant Child Enrichment Services, anda bi-lingual parent educator. No classes or counseling services were held in the brief three monthsof start up in 2008/2009.Bi-lingual Parent Educator: A consultant was hired as the bi-lingual parent educator for

Tuolumne County Behavioral Health in April, 2009 to provide ongoing life skills classes at theAmador-Tuolumne Community Action Agencys (A-TCAA) Family Learning Centers (FLC) inTuolumne City, for Spanish speaking parents of young children each year. In addition, thisconsultant was hired to provide outreach, information and referral and case management activitiesto Spanish speaking families in Tuolumne County. The case management support includesdevelopment of an individualized needs identification and goal setting plan (IP) for each family, andadvocacy as required to assist in navigating support services, including assisting with forms,translation, etc. Contractor provided services to 8 families by the end of the first three monthperiod of start up in 2008/2009.Tuolumne County Office of Education Consultation Support: The Tuolumne County Office ofEducations Friendship Program team (a School Special Education Psychologist and School

Readiness Educator) provides specific and unique on-site consultation and follow up coaching topreschool and Head Start teachers, Head Start Family Advocates and parents to assist in theidentification and long range management of children with behavioral health problems. Thisspecialized team provided 25 parent consultations this spring, 2009 which included 33 childrenwho received support through the parent consultations. In addition the team provided 15 classroomteacher consultations that impacted 316 children by the end of the first three month period of startup in 2008/2009.Lilliput Childrens Services Foster Parent Activities: Lilliput Childrens Servicesprovided a sixweek Foster Care/Adoptive Parent Education/Training, for 22 parents by the end of the first threemonth of start up in 2008/2009. In addition funds were provided to co-sponsor the annualcommunity training (Community Connections) for foster care and adoptive parents of young

children. Fifty-two persons attended this workshop in 2009, held at Columbia College.Leveraged resource as follows: Funding for the Early Childhood Education PEI activities havebeen leveraged with existing parenting education prevention services currently funded byTuolumne County First Five Commission funds.PEI Project #2 School Based Violence Prevention ProgramThe PEI Planning input from survey results indicated that both community/domestic violence andschool failure or drop-out were considered a high priority to address for youth, and families ofyouth 6 to 17 years old. Schools were identified as one of the top three most effective communitysettings where prevention and early intervention services should be offered. Activities and Servicesselected and implemented under this section include:


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and community partners and shall be used to support projects that utilize trainingmethods that have demonstrated the capacity to increase community skills and promotepositive outcomes consistent with the MHSA and PEI guidelines. Approval of specificprojects selected will be approved in advance with the Department of Mental Health.


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2010/11 ANNUAL UPDATE PREVIOUSLY APPROVED PROGRAM

Teen Drop-In-Center: Outreach activities are provided to the transitional age youth through a Teen Droutreach and support to at-risk teens through a Teen Drop-In Center every Monday night. Teens are psocialize, receive support and practice self-help skills. Attendance continues at an average of 25 youthHomeless Outreach: Training occurred in 2008/2009 for all CSS staff in homeless outreach (as a priPrograms). Homeless outreach, which involves resourcing and supporting homeless individuals acrossfunded programs and activities.

Existing Programs to be ConsolidatedNo. Question Yes No1. Is this a consolidation of two or more existing programs? If yes, answer question #2; If no, ans

2. Will all populations of existing program continue to be served? If yes, answer question #3; If no, com3. Will all services from existing program continue to be offered? If yes, answer question #4

If no, complete Exh. F1

4. Is the funding amount 15% of the sum of the previouslyapproved amounts?

If yes, answer question #5 and compIf no, complete Exh. F1

5. Description of Previously Approved Programs to be consolidated. Include in your description:a) The names of Previously Approved programs to be consolidated,b) Describe the target population to be served and the services/strategies to be provided (include targeted age, ge

by the population to be served)., and

c) Provide the rationale for consolidation.


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Prevention and Early InterventionNo. Question Yes No1. Is this an existing program with no changes? If yes, complete Exh. E4; If no, answe

2. Is there a change in the Priority Population or the CommunityMental Health Needs?

If yes, completed Exh. F4; If no, answ

3. Is the current funding requested greater than15% of thepreviously approved amount? If yes, complete Exh. F4; If no, answe

4. Is the current funding requested greater than 35% less of thepreviously approved amount?

If yes, complete Exh. F4; If no, answe

5. Describe the proposed changes to the Previously Approved Program and the rationale for those changes.

5a. If the total number of Individuals to be served annually is different than previously reported please provide revised e

Total Individuals: _______ Total Families: ______

If the total number of clients by type of prevention annually isdifferent than previously reported please provide revisedestimates:

Universal Prevention Selective/Indicated P

Total Individuals:

5b.

Total Families:Existing Programs to be ConsolidatedNo. Question Yes No1. Is this a consolidation of two or more existing programs? If yes, answer question #2; If no, answ

2. Is there a change in the Priority Population or the CommunityMental Health Needs?

If no, answer question #3; If yes, comp

3. Will the consolidated programs continue to serve the sameestimated number of individuals?

If yes, answer question #4; If no, comp

4. Description of Previously Approved Programs to be consolidated. Include in your description:a) The names of Previously Approved programs to be consolidated,

b) How the Previously approved programs will be consolidated; andc) Provide the rationale for consolidation


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InnovationNo. Question Yes No This component still in plannin1. Is this an existing program with no changes If yes, complete Exh. E5; If no, answ

2. Is there a change in the essential purpose? If yes, complete Exh. F5; If no, answ3. Is there a change to the learning goals? If yes, complete Exh. F5; If no, answ

4. Are two existing programs being consolidated? If yes, complete Exh. F5; If no, answ5. Is the funding requested 15% of previously approved

amount?

If yes, answer question #6 and comp

6. For all existing programs expanded or reduced, the County should describe the proposed changes to the most recfor the changes.


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FY 2010/11

Tuolumne

No.Full Service

Partnerships

(FSP)

General

System

Development

Outreach and

Engagement

MHSA

Housing

Program

Children and

Youth

1. $1,412,170 $719,930 $436,111 $256,129 $254,191

2. $0

3. $04. $0

5. $0

6. $0

7. $0

8. $0

9. $0

10. $0

11. $0

12. $0

13. $0

14. $0

15. $0

16. Subtotal: Programsa/

$1,412,170 $719,930 $436,111 $256,129 $0 $254,191

17. Plus up to 15% County Administration $216,630

18. Plus up to 10% Operating Reserve $0

19. $1,628,800

1. $0

2. $0

3. $0

4. $0

5. $0

6. Subtotal: Programsa/

$0 $0 $0 $0 $0 $0

7. Plus up to 15% County Administration $0

8. Plus up to 10% Operating Reserve $0

9. $0

10. $1,628,800

a/ Majority of funds must be directed towards FSPs (Cal. Code Regs., tit. 9, 3620, subd. (c)). Percent of Funds directed towards FSPs= 5

Additional funding sources for FSP requirement:

CSS State General

Fund

Other State

Funds

Medi-Cal FFP Medicare Other

Federal

Funds

Re-

alignment

$0 $0 $0 $0 $0 $0 $0Total Mental Health Expenditures:

Other Funding Sources

CSS Majority of Funding to FSPs

County must provide the majority of MHSA funding toward Full Service Partnerships (FSPs). If not, the county must list what additional funding sources and amount to be used

match the Annual Cost Report. Refer to DMH FAQs at http://www.dmh.ca.gov/Prop_63/ MHSA/Community_Services_and_Supports/docs/FSP_FAQs_04-17-09.pdf

Total MHSA Funds Requested for CSS

Subtotal: New Programs/County Admin./Operating Reserve

Previously Approved Programs

Tuolumne Cty CSS Work Plan

Subtotal: Previously Approved Programs/County Admin./Operating

Reserve

New Programs

CSS BUDGET SUMMARY

EstimatCSS Programs

Name

County:

FY 10/11

Requested

MHSA Funding

Estimated MHSA Funds by Service Category


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FY 2010/11

Tuolumne Date:

No. Name UniversalPrevention

Selected/

IndicatedPrevention

EarlyIntervention Children andYouth TransitionAge Youth

1. PEI County Workplan $240,130 $240,130 $195,130 $15,000

2. Training, TA, and Capacity Building $7,300 $7,300

3. $0

4. $0

5. $0

6. $0

7. $0

8. $0

9. $0

10. $0

11. $0

12. $0

13. $014. $0

15. $0

16. Subtotal: Programs $247,430 $247,430 $0 $0 $195,130 $15,000

17. Plus up to 15% County Administration $34,870

18. Plus up to 10% Operating Reserve

19. $282,300

1. $0

2. $0

3. $0

4. $0

5. $0

6. Subtotal: Programs $0 $0 $0 $0 $0 $0

7. Plus up to 15% County Administration 8. Plus up to 10% Operating Reserve

9. $0

10. $282,300

Total MHSA Funds Requested for PEI

Note: Previously Approved Programs that propose changes to Key Community Health Needs, Priority Populations, and/or funding as described in the Information Notice are c

Previously Approved Programs

Subtotal: Previously Approved Programs/County

Admin./Operating Reserve

New Programs

Subtotal: New Programs/County Admin./Operating Reserve

PEI BUDGET SUMMARY

County:

PEI ProgramsFY 10/11

RequestedMHSA Funding

Estimated MHSA Funds by Type of Estimated MHSA Fu


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2010/11 ANNUAL UPDATE

3 / 15 / 2010

Current/Most Recent Annual Funding Level Request

A. Total CSS Annual Funding Level for Services (Does not include Operating Reserve,

$1,412,170

B. Less: Total Non-Recurring Expenditures CSS (Describe in K). This should

- $177,000

Non-recurring expenditures should be described in Section K below.

C. Plus: Total Administration CSS + $216,630

Enter the total administration funds requested for CSS from E1.

D. Sub-total $1,451,800

E. Maximum Local Prudent Reserve (50%) $725,900

F. Local Prudent Reserve Balance from Prior Approvals $804,348

Enter the total amounts previously approved through Plan/updates for the Local Prudent Reserve.

Amounts Requested to Dedicate to Local Prudent Reserve

G. Plus: CSS Component

Enter the Sub-total amount of funding requested from CSS. Consistent with Welfare and Institutions Code section 5892,

FY 2010/2011 Unapproved CSS Funds $ $0

Unexpended CSS Funds $ $0


Unexpended CSS Funds $ $0


Unexpended CSS Funds* $ $0

FY 2007/08** Unapproved CSS Funds $ $0

Unexpended CSS Funds* $ $0

H. Total Amount Requested to Dedicate to Local Prudent Reserve

Enter the sum of lines G.

I. Local Prudent Reserve Balance $804,348

Enter the sum of F and G.

EXHIBIT G

LOCAL PRUDENT RESERVE FUNDING REQUEST

Enter 50%, or one-half, of the line item D sub-total. This is the estimated amount the County must

achieve and maintain as a Local Prudent Reserve by June 30, 2011, pending exceptions noted in J.

Date:

Enter totals from Exhibit E1 "Total MHSA Funds Requested for CSS"

County: Tuolumne

Prudent Reserve, or Administrative Cost)

subdivision (b), an amount equal to 20 percent (20%) of the average amount of funds allocated to each County for the

not exceed non-recurring expenditures for new programs.

Subtract any identified non-recurring expenditures for CSS included in A above.

previous five years may be irrevocably redirected from the CSS Planning Estimate to fund the Countys Local Prudent

Reserve , Capital Facilities and Technological Needs and Workforce and Education and Training. The 20% limit does

apply to FY 2007-08 CSS funds.

* This amount should be consistent with the amount listed on the FY 08-09 Revenue and Expenditure Report, Enclosure 8, Total

Unexpended Funds line.

**Only applies to CSS planning estimates augmentation funds released pursuant to DMH Info. Notice 07-21, as the FY 07/08

Planning Estimate for CSS is scheduled for reversion on June 30, 2010.


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J. Local Prudent Reserve Shortfall to Achieving 50% $78,448

Non-recurring expenditures are expenditures that are allowable but will not be repeated annually. If a program/project

includes non-recurring expenditures, the County should provide an itemized list of these expenditures.

Housing, Other wrap, transportation subsidies, program supplies, community consultants, promotion

K. Description of all non-recurring expenditures CSS


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Tuolumne County Behavioral Health

Mental Health Services ActAnnual Update Report for 2010/2011

30 Day Public Comment FormMarch 17, 2010 to April 16th, 2010

PERSONAL INFORMATION (optional)

Name: ________________________________Agency/Organization: ________________________________

Phone Number: ____________ Email address______________Mailing address:

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MY ROLE IN THE MENTAL HEALTH COMMUNITY__Client/Consumer__ Family Member__ Education__ Social Services__ Service Provider__ Law Enforcement/ Criminal Justice__ Probation__ Other (specify) _________________

WHAT DO YOU SEE AS THE STRENGTHS OF THE PLAN?IF YOU HAVE CONCERNS ABOUT THE PLAN, PLEASEEXPLAIN:______________________________________

_______________________________________________

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Tuolumne County Administration Center (Mailing Address:) 2 South Green Street

Sonora, CA 95370 Phone: 209/533-6245 Fax: 209/588-9563

Documents

MHSA 30 Day Comment Period 2010