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PLUMAS COUNTY MENTAL HEALTH. Shared files/MHSA/07 workforce development MHSA plan/final WET Application revision #2 3 26 08.doc 1 EXHIBIT 1: WORKFORCE FACE SHEET MENTAL HEALTH SERVICES ACT (MHSA) WORKFORCE EDUCATION AND TRAINING COMPONENT THREE-YEAR PROGRAM AND EXPENDITURE PLAN, Fiscal Years 2006-2007, 2007-08, 2008-09. County: Plumas County Date: March 26, 2008 This County’s Workforce Education and Training component of the Three-Year Program and Expenditure Plan addresses the shortage of qualified individuals who provide services in this County’s Public Mental Health System. This includes community based organizations and individuals in solo or small group practices who provide publicly-funded mental health services to the degree they comprise this County’s Public Mental Health System workforce. This Workforce Education and Training component is consistent with and supportive of the vision, values, mission, goals, objectives and proposed actions of California’s MHSA Workforce Education and Training Five-Year Strategic Plan (Five-Year Plan), and this County’s current MHSA Community Services and Supports component. Actions to be funded in this Workforce Education and Training component supplement state administered workforce programs. The combined Actions of California’s Five- Year Plan and this County’s Workforce Education and Training component together address this County’s workforce needs as indicated in Exhibits 3 through 6. Funds do not supplant existing workforce development and/or education and training activities. Funds will be used to modify and/or expand existing programs and services to fully meet the fundamental principles contained in the Act. All proposed education, training and workforce development programs and activities contribute to developing and maintaining a culturally competent workforce, to include individuals with client and family member experience who are capable of providing client- and family-driven services that promote wellness, recovery, and resiliency, leading to measurable, values-driven outcomes. This Workforce Education and Training component has been developed with stakeholders and public participation. All input has been considered, with adjustments made, as appropriate. Progress and outcomes of education and training programs and activities listed in this Workforce Education and Training component will be reported and shared on an annual basis, with appropriate adjustments made. An updated assessment of this county’s workforce needs will be provided as part of the development of each subsequent Workforce Education and Training component. County Mental Health Director: Street Address (or, PO Box): 270 County Hospital Rd., Suite 109 Printed Name: John Sebold Quincy, CA 95971 Phone # 530-283-6307 Fax #: 530-283-6045 Signature: E-mail address: [email protected] Contact Person’s Name: Pat Leslie Phone #: 530-283-6307Fax #: 530-283-6045 E-mail: [email protected]

PLUMAS COUNTY MENTAL HEALTH. EXHIBIT 1: WORKFORCE … · D. Managerial and Supervisory: County (employees, independent contractors, volunteers): CEO or manager above direct supervisor

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Page 1: PLUMAS COUNTY MENTAL HEALTH. EXHIBIT 1: WORKFORCE … · D. Managerial and Supervisory: County (employees, independent contractors, volunteers): CEO or manager above direct supervisor

PLUMAS COUNTY MENTAL HEALTH.

Shared files/MHSA/07 workforce development MHSA plan/final WET Application revision #2 3 26 08.doc 1

EXHIBIT 1: WORKFORCE FACE SHEET

MENTAL HEALTH SERVICES ACT (MHSA) WORKFORCE EDUCATION AND TRAINING COMPONENT THREE-YEAR PROGRAM AND EXPENDITURE PLAN, Fiscal Years 2006-2007, 2007-08, 2008-09. County: Plumas County Date: March 26, 2008 This County’s Workforce Education and Training component of the Three-Year Program and Expenditure Plan addresses the shortage of qualified individuals who provide services in this County’s Public Mental Health System. This includes community based organizations and individuals in solo or small group practices who provide publicly-funded mental health services to the degree they comprise this County’s Public Mental Health System workforce. This Workforce Education and Training component is consistent with and supportive of the vision, values, mission, goals, objectives and proposed actions of California’s MHSA Workforce Education and Training Five-Year Strategic Plan (Five-Year Plan), and this County’s current MHSA Community Services and Supports component. Actions to be funded in this Workforce Education and Training component supplement state administered workforce programs. The combined Actions of California’s Five-Year Plan and this County’s Workforce Education and Training component together address this County’s workforce needs as indicated in Exhibits 3 through 6. Funds do not supplant existing workforce development and/or education and training activities. Funds will be used to modify and/or expand existing programs and services to fully meet the fundamental principles contained in the Act. All proposed education, training and workforce development programs and activities contribute to developing and maintaining a culturally competent workforce, to include individuals with client and family member experience who are capable of providing client- and family-driven services that promote wellness, recovery, and resiliency, leading to measurable, values-driven outcomes. This Workforce Education and Training component has been developed with stakeholders and public participation. All input has been considered, with adjustments made, as appropriate. Progress and outcomes of education and training programs and activities listed in this Workforce Education and Training component will be reported and shared on an annual basis, with appropriate adjustments made. An updated assessment of this county’s workforce needs will be provided as part of the development of each subsequent Workforce Education and Training component. County Mental Health Director: Street Address (or, PO Box): 270 County Hospital Rd., Suite 109 Printed Name: John Sebold Quincy, CA 95971 Phone # 530-283-6307 Fax #: 530-283-6045 Signature: E-mail address: [email protected] Contact Person’s Name: Pat Leslie Phone #: 530-283-6307Fax #: 530-283-6045 E-mail: [email protected]

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PLUMAS COUNTY MENTAL HEALTH.

Shared files/MHSA/07 workforce development MHSA plan/final WET Application revision #2 3 26 08.doc 2

TABLE OF CONTENTS Page EXHIBIT 1: WORKFORCE FACE SHEET......................................................................................................... 1 EXHIBIT 2: STAKEHOLDER PARTICIPATION SUMMARY............................................................................. 3 EXHIBIT 3: WORKFORCE NEEDS ASSESSMENT

I. A Unlicensed Mental Health Direct Service Staff…………………………………………………… 4 B. Licensed Mental Health Staff……………………………………………………………………… 5 C. Other Health Care Staff……………………………………………………………………………… 6 D. Managerial & Supervisory Staff…………………………………………………………………… 7 E. Support Staff………………………………………………………………………………………… 7 F. Total Public Mental Health Population……………………………………………………………. 8

II. Positions for Consumers and family members……………………………………………………………………. 9 III. Language Proficiency……………………………………………………………………………………………… 9 IV. Remarks…………………………………………………………………………………………………………… 10 EXHIBIT 4: WORK DETAIL

A. Workforce staffing support – Coordination of WET……………………………………………………… 11 B. Training and Technical Assistance – Clinical Competence ..………………………………………..... 13 B. Training and Technical Assistance – Develop Leaders ……………………………………………… 15 C. Mental Health Career Pathway Programs……………………………………………………………… 16 D. Residency and Internship………………………………………………………………………………… 17 E. Financial Incentives – Develop Consumers …………………………………………………………… 18 E. Financial Incentives – Scholarships & Stipends ………………………………………………………… 19

EXHIBIT 5: ACTION MATRIX.......................................................................................................................... 20 EXHIBIT 6: BUDGET SUMMARY...................................................................................................................... 21

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Shared files/MHSA/07 workforce development MHSA plan/final WET Application revision #2 3 26 08.doc 3

EXHIBIT 2: STAKEHOLDER PARTICIPATION SUMMARY Counties are to provide a short summary of their planning process, to include identifying stakeholder entities involved and the nature of the planning process; for example, description of the use of focus groups, planning meetings, teleconferences, electronic communication, and use of regional partnerships.

The comprehensive planning process Plumas County undertook in 2005 toward developing the Community Services and Supports (CSS) components of a Three-Year Program and Expenditure Plans do provide a foundation. Plumas County revisited the identified community needs and the workgroup priorities. Additional input was requested from stakeholders (staff) who have experience, interest, or expertise in workforce development. Plumas County’s process, in summary, involved: 1. Program and administrative staff from county mental health met for assignment of tasks (September 2007); 2. County Directors of Social Services and Human Resources were met with, to obtain information from their area of expertise in labor law, union “meet and confer” and successful models implemented in Plumas County. 3. A stakeholder written survey was conducted. The intent of the survey was to get input from all (client employees, office support, paraprofessionals, therapists, and administrators). The survey was administered to Plumas County Mental Health employees that worked during a two week period (October 2007). Survey responses are classified in three main categories: training and technical assistance; internship program development; and educational financial incentive program development. 4. Additional communications, mostly electronic format, did occur with stakeholders once their interest was sparked; 5. Analysis of data: raw data was compiled and summarized by a program manager; 6. incorporation of ideas gained from the MHSA Prevention and Early Intervention planning efforts, which were occurring simultaneously. 7. the PCMH management team held a planning meeting to review the data results and develop course of action and discuss development of capacity; 8. quality assurance committee (December 2007); 9. development of application document (December 2007 & January 2008); 10. local review, first by staff (stakeholders) and then 30 day public comment process (January/February 2008); 11. review of public comments and possible modifications of draft application; 12. public hearing (February 2008); and 13. submit to the state department of Mental Health.

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PLUMAS COUNTY MENTAL HEALTH.

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EXHIBIT 3: WORKFORCE NEEDS ASSESSMENT I. By Occupational Category – page 1

Race/ethnicity of FTEs currently in the workforce – Col. (11)

Major Group and Positions

Estimated

# FTE

authorized

Position hard

to fill?

1= Yes;

0=No

# FTE

estimated to

meet need in

addition to #

FTE authorized

White/Ca

ucasian

Hispanic/

Latino

African-

American/

Black

Asian/Pac

ific

Islander

Native

American

Multi race

or other

# FTE

filled

(5)+(6)+

(7)+(8)+

(9)+(10)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

A. Unlicensed Mental Health Direct Service Staff:

County (employees, independent contractors, volunteers):

Mental Health Rehabilitation Specialist

Case Manager/Service Coordinator 6 1 1 5 1 6

Employment Services Staff 2 1 1 1 2

Housing Services Staff 7 1 3 1 1 2 7

Consumer Support staff 2 0 2 2

Family Member Support Staff 0 1 0.2

Benefits/eligibility specialist

Other Unlicensed MH Direct Service Staff – respite 0.25 0.25 0.25

Sub-total, A (County) 17.25 4 1.2 11.25 3 0 0 1 2 17.25

All Other (CBOs, CBO sub-contractors, network providers and volunteers):

Mental Health Rehabilitation Specialist

Case Manager/Service Coordinator

Employment Services Staff

Housing Services Staff

Consumer Support staff

Family Member Support Staff

Benefits/eligibility specialist

Other Unlicensed MH Direct Service Staff

Sub-total, A (All Other) 0 0 0 0 0 0 0 0 0 0

Total, A (County and All Other): 17.25 4 1.2 11.25 3 0 0 1 2 17.25

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Shared files/MHSA/07 workforce development MHSA plan/final WET Application revision #2 3 26 08.doc 5

Exhibit 3: WORKFORCE NEEDS ASSESSMENT I. By Occupational Category – page 2

Race/ethnicity of FTEs currently in the workforce – Col. (11)

Major Group and Positions

Estimated

# FTE

authorized

Position hard

to fill?

1= Yes;

0=No

# FTE

estimated to

meet need in

addition to #

FTE authorized

White/Ca

ucasian

Hispanic/

Latino

African-

American/

Black

Asian/Pac

ific

Islander

Native

American

Multi race

or other

# FTE

filled

(5)+(6)+

(7)+(8)+

(9)+(10)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

B. Licensed Mental Health Staff (direct service):

County (employees, independent contractors, volunteers):

Psychiatrist, general 0.23 1 0.23 0.23

Psychiatrist, child/adolescent

Psychiatrist, geriatric

Psychiatric or Family Nurse Practitioner

Clinical Nurse Specialist

Licensed Psychiatric Technician 1 1 1 1

Licensed Clinical Psychologist

Psychologist, registered intern (or waivered)

Licensed Clinical Social Worker (LCSW) 2 1 1 1

MSW, registered intern (or waivered)

Marriage and Family Therapist (MFT)

MFT registered intern (or waivered) 4.6 1 1 4.6 4.6

Other Licensed MH Staff (Direct service)

Sub-total, B (County) 7.83 4 1 5.83 1 0 0 0 0 6.83

All Other (CBOs, CBO sub-contractors, network providers and volunteers):

Psychiatrist, general

Psychiatrist, child/adolescent

Psychiatrist, geriatric

Psychiatric or Family Nurse Practitioner Clinical Nurse Specialist Licensed Psychiatric Technician Licensed Clinical Psychologist Psychologist, registered intern (or waivered) Licensed Clinical Social Worker (LCSW) MSW, registered intern (or waivered) Marriage and Family Therapist (MFT) MFT registered intern (or waivered) Other Licensed MH Staff (Direct service)

Sub-total, B (All Other) 0 0 0 0 0 0 0 0 0 0

Total, B (County & All other): 7.83 4 1 5.83 1 0 0 0 0 6.83

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PLUMAS COUNTY MENTAL HEALTH.

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Exhibit 3: WORKFORCE NEEDS ASSESSMENT I. By Occupational Category – page 3

Race/ethnicity of FTEs currently in the workforce – Col. (11)

Major Group and Positions

Estimated

# FTE

authorized

Position hard

to fill?

1= Yes;

0=No

# FTE

estimated to

meet need in

addition to #

FTE authorized

White/Ca

ucasian

Hispanic/

Latino

African-

American/

Black

Asian/Pac

ific

Islander

Native

American

Multi race

or other

# FTE

filled

(5)+(6)+

(7)+(8)+

(9)+(10)

(1) 2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

C. Other Health Care Staff (direct service):

County (employees, independent contractors, volunteers):

Physician

Registered Nurse 1 1 1 1 1

Licensed Vocational Nurse

Physician Assistant

Occupational Therapist

Other Therapist (e.g. physical, recreation, art, dance)

Other Health Care Staff (direct service, to include

traditional cultural healers)

Sub-total, C (County) 1 1 1 1 0 0 0 0 0 1

All Other (CBOs, CBO sub-contractors, network providers and volunteers):

Physician

Registered Nurse

Licensed Vocational Nurse

Physician Assistant

Occupational Therapist

Other Therapist (e.g. physical, recreation, art, dance)

Other Health Care Staff (direct service, to include

traditional cultural healers)

Sub-total, C (All Other) 0 0 0 0 0 0 0 0 0 0

Total, C (County & All Other): 1 1 1 1 0 0 0 0 0 1

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Exhibit 3: WORKFORCE NEEDS ASSESSMENT I. By Occupational Category – page 4

Race/ethnicity of FTEs currently in the workforce – Col. (11)

Major Group and Positions

Estimated

# FTE

authorized

Position hard

to fill?

1= Yes;

0=No

# FTE

estimated to

meet need in

addition to #

FTE authorized

White/Ca

ucasian

Hispanic/

Latino

African-

American/

Black

Asian/Pac

ific

Islander

Native

American

Multi race

or other

# FTE

filled

(5)+(6)+

(7)+(8)+

(9)+(10)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

D. Managerial and Supervisory:

County (employees, independent contractors, volunteers):

CEO or manager above direct supervisor 1 1 1 1 0 1

Supervising psychiatrist (or other physician)

Licensed supervising clinician 1 1 0.1 1 1

Other managers and supervisors 2 1 2 2

Sub-total, D (County) 4 3 1.1 4 0 0 0 0 0 4

All Other (CBOs, CBO sub-contractors, network providers and volunteers):

CEO or manager above direct supervisor

Supervising psychiatrist (or other physician)

Licensed supervising clinician

Other managers and supervisors

Sub-total, D (All Other) 0 0 0 0 0 0 0 0 0 0

Total, D (County & All Other) 4 3 1.1 4 0 0 0 0 0 4

E. Support Staff (non-direct service):

County (employees, independent contractors, volunteers):

Analysts, tech support, quality assurance 1 1 1 1

Education, training, research

Clerical, secretary, administrative assistants = Fiscal

Technicians and Office Assistants

5 0 3 3.5 3.5

Other support staff (non-direct services) -= Drivers 0.67 1 0.67 0.67

Sub-total, E (County) 6.67 2 3 5.17 0 0 0 0 0 5.17

All Other (CBOs, CBO sub-contractors, network providers and volunteers):

Analysts, tech support, quality assurance

Education, training, research

Clerical, secretary, administrative assistants = Fiscal

Technicians and Office Assistants

Other support staff (non-direct services) -= Drivers

Sub-total, E (All Other) 0 0 0 0 0 0 0 0 0 0

Total, E (County & All Other): 6.67 2 3 5.17 0 0 0 0 0 5.17

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PLUMAS COUNTY MENTAL HEALTH.

Shared files/MHSA/07 workforce development MHSA plan/final WET Application revision #2 3 26 08.doc 8

Exhibit 3: WORKFORCE NEEDS ASSESSMENT I. By Occupational Category – page 5 GRAND TOTAL WORKFORCE (A+B+C+C+E)

Race/ethnicity of FTEs currently in the workforce – Col. (11)

Major Group and Positions

Estimated

# FTE

authorized

Position hard

to fill?

1= Yes;

0=No

# FTE

estimated to

meet need in

addition to #

FTE authorized

White/Ca

ucasian

Hispanic/

Latino

African-

American/

Black

Asian/Pac

ific

Islander

Native

American

Multi race

or other

# FTE

filled

(5)+(6)+

(7)+(8)+

(9)+(10)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

County (employees, independent contractors,

volunteers):

36.75 14 7.3 27.25 4 0 0 1 2 34.25

All Other 9CBOs, CBO sub-contractors, network

providers and volunteers)

0 0 0 0 0 0 0 0 0 0

GRAND TOTAL WORKFORCE (County & All

Other)

36.75 14 7.3 27.25 4 0 0 1 2 34.25

F. TOTAL PUBLIC MENTAL HEALTH POPULATION Race/ethnicity of individuals planned to be served – Col. (11)

White/Ca

ucasian

Hispanic/

Latino

African-

American/

Black

Asian/Pac

ific

Islander

Native

American

Multi race

or other

# FTE

filled

(5)+(6)+

(7)+(8)+

(9)+(10)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)

F. TOTAL PUBLIC MH POPULATION Leave blank 570 2 16 5 16 44 653

80 individuals failed to report race/ethnicity, per the Kingsview database report of 1/1/07 through 12/31/2007 and are not included in

the totals above.

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EXHIBIT 3: WORKFORCE NEEDS ASSESSMENT

II. Positions Specifically Designated for Individuals with Consumer and Family Member Experience:

Major Group and Positions

Estimated

# authorized and to be filled by

clients or family members

Position hard to fill with

clients or family members?

(1=yes; 0=No)

# additional client or family

member FTEs estimated to meet

need

(1) (2) (3) (4)

A. Unlicensed Mental Health Direct Service staff:

Consumer support staff 2 0

Family member support staff 0.2

Other Unlicensed MH Direct Service staff

Sub-Total, A: 2 0 0.2

B. Licensed Mental Health Staff (direct service)

C. Other Health Care Staff (direct service)

D. Managerial and Supervisory

E. Support Staff (non-direct services)

GRAND TOTAL (A+B+C+D+E) 2 0 0.2

III. LANGUAGE PROFICIENCY For languages other than English, please list (1) the major ones in your county/city, (2) the estimated number of public mental health workforce members currently proficient in the language, (3) the number of additional individuals needed to be proficient, and (4) the total need (2) + (3): Language, other than English

Number who are proficient Additional number who need to be proficient

TOTAL (2)+(3)

(1) (2) (3) (4)

1. N/A Direct Service Staff Others

Direct Service Staff Others

Direct Service Staff Others

2. N/A Direct Service Staff Others

Direct Service Staff Others

Direct Service Staff Others

3. N/A Direct Service Staff Others

Direct Service Staff Others

Direct Service Staff Others

4. N/A Direct Service Staff Others

Direct Service Staff Others

Direct Service Staff Others

5. N/A Direct Service Staff Others

Direct Service Staff Others

Direct Service Staff Others

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EXHIBIT 3: WORKFORCE NEEDS ASSESSMENT IV. REMARKS: Provide a brief listing of any significant shortfalls that have surfaced in the analysis of data provided in sections I, II, and/or III. Include any sub-sets of shortfalls or disparities that are not apparent in the categories listed, such as sub-sets within occupations, racial/ethnic groups, special populations, and un-served or underserved communities.

A. Shortages by occupational category: N/A B. Comparability of workforce, by race/ethnicity, to target population receiving public mental health

services: N/A C. Positions designated for individuals with consumer and/or family member experience: N/A D. Language proficiency: N/A E. Other, miscellaneous: This accounting format creates “false impressions” for it does not measure or allow the following to be tallied: i. The amount of part-time workers, especially for consumers/family employees; drivers; case

management; house attendants; as well as the limited psychiatric time is provided by two (2) independent contractors (0.23 FTE psychiatrist).

ii. Plumas County has gender balance in its workforce of direct service providers: 67% of Case Managers; and 44% of Clinicians at Plumas County are male; and this supports a consumer population which is 42% male.

iii. Plumas County currently employs 6 consumers (both adult and youth) for regular supportive services, in addition to numerous MHSA supportive employment consumers.

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EXHIBIT 4: WORK DETAIL A. WORKFORCE STAFFING SUPPORT

Action #1 – Title: Workforce Education and Training (WET) Coordination

Description: Early implementation funds were utilized to assign a staff manager to facilitate the planning process, involvement of stakeholders and application writing for Workforce Education and Training Coordination (WET). The WET planning funds supported a portion of this managers overall time (30%). Ongoing duties of the WET Coordinator include: coordinate the planning and applications for WET funding and then coordinate implementation of Workforce Education and Training strategies; serve as liaison to CIMH and DMH; coordinate data capture and reporting as needed. Objectives: 1. Develop and implement training needs assessment and analyze data. 2. Communicate with community partners. 3. Develop planning reports, 4. Draft the WET application in conjunction with PCMH management team. 5. Coordinate the public review, comment and hearing processes. 6. Recruit membership of the Training and Technical Assistance (T & TA) work committee. 7. Receive requests for training financial support and facilitation of review with T & TA committee 8. Identify evidence based practices that meet identified training needs. 9. Manage the implementation of the approved WET plan. Budget justification: Funding represents utilizing the following staff and the percentage of their full-time equivalency to support to MHSA WET. Director: To oversee fidelity to the program and evaluation. The Director will ensure the program is administered and that evaluation of the programs shows outcomes in compliance with the MHSA Act. This ongoing work will utilize twelve percent (12%) of the Director at $18,000.00 for salary and benefits in FY 07/08 and $18,900 FY 08/09. Fiscal Officer: To prepared budgets, process claims for expenses, and generate needed fiscal reports. This ongoing work will utilize five percent (5%) of the Fiscal Officer at $5,000.00 for salary and benefits in FY 07/08 and $5,250.00 for FY 08/09.

continued

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Manager: To plan for, administer, facilitate committee work and work with partners, ensure data capture, report to management team, local community, and state Department of Mental Health (i.e. Wet Coordination). This ongoing work will utilize twenty-five percent (25%) of a full-time Plumas County Mental Health staff Manager at $22,000.00 for salary and benefits in FY 07/08 and $33,000 for FY 08/09. The Technical & Training Assistance Committee: Membership of this committee consists of staff from across all units of mental health services (i.e. consumer/staff; fiscal unit; case manager; clinician; administrator; and WET Coordinator). This committee will meet at a minimum monthly to discuss and approve identified trainings for MHSA support. Additionally, committee members will perform “research” to acquire information on potential trainings and technical assistance the necessary time if yet to be determined during implementation. The duties, that support MHSA WET administration, are anticipated to need at least one full day per month from each member (research and 1-2 hour meeting). The budget has been prepared from the average salary (from Office Assistant to Manager). This ongoing work will utilize five percent (5%) of staff time at a median salary of $4,150.00 for 5 members (Coordinator time is represented above), for a total of $21,000.00 in the FY year 08/09. Budgeted Amount: FY 2007-08:$45,000 FY 2008-09:$78,150

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EXHIBIT 4: WORK DETAIL – B. TRAINING AND TECHNICAL ASSISTANCE

Action #2 – Title: Development of staff clinical competence Description: Some of the possible components DMH listed as eligible/required for the category of T&TA are active services by Plumas County Mental Health, funded by MHSA as part of the Community Services and Support (CSS) Plan. These include: building community teams to serve targeted populations, supportive housing; supportive employment, encouraging consumer involvement, partnership with clients/families for education and employment. The WET Coordinator shall work with a WET T&TA committee. This work will search for training that match the needs identified by staff and embody the principles of the MHS Act. Audiences for training opportunities will be identified, and may include: all staff (service providers, management, clients and family members) and community partners as relevant. Initial training topics identified through the training needs survey process are: 1. Suicide prevention skill development. It is anticipated that PCMH will participate in new state office of suicide prevention strategic directive #3, i.e. training. 2. Wellness, recovery & resilience skill development. While not all trainings have been identified, during the planning phase both Parent-Child Interactive Therapy (PCIT) and Functional Family Therapy were slated to be researched for fit to the population, a service model that could be implemented with fidelity to the model, cost-effective to the number of staff to train and the number of cases that would receive services, etc. 3. Constructive parenting; 4. Other various evidence based practices 5. Individual skill development (such as language proficiency). Objectives: 1. The PCMH management team will assess the potential for regionally based collaborative efforts with neighboring counties, for potential regional efforts. 2. Collaborate with a local community based organization, known as Plumas Rural Services (PRS), to fund a portion of Parent Child Interactive Therapy (PCIT) training module. 3. WET Coordinator shall collaborate with PRS to have several PCMH clinical staff to participate in the PCIT training along with collaborating agency staff. 4. The T&TA committee will identify and recommend to PCMH management training efforts to launch as they can be arranged; thus, to-date we do not know the order or year of provision of these trainings. It is PCMH’s goal is to undertake one large scale (most staff) training per year and several smaller (with more individual staff’s personal interest or needs). 5. Support the training of staff members; #32 in FY 08/09. continued

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6. Provide one “core” training, to all staff, by bringing in a consultant/expert in solution focused best practices with cultural awareness. Budget justification: FY 07/08 only: contribution for community training of Parent Child Interactive Therapy, for 2 staff clinicians to attend. Mental Health’s contribution in a Memorandum of Understanding is $7,500. Gas funds for this training $352.00. FY 2008/09 Per staff member (for 32 people): For travel (motel, etc.), registration, and per diem for 2 days @ $1,100 each staff person. Gas funds FY 08/09 @ $327.00. Consultant fees and event expenses to provide an all staff local training: FY 08/09 $11,836. Budgeted Amount: FY 2007-08: $7,852 FY 2008-09: $47,363

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EXHIBIT 4: WORK DETAIL – B. TRAINING AND TECHNICAL ASSISTANCE –continued

Action #3 – Title: Development of, enhancement of, leaders. Description: Selected individuals will participate in leadership development education/institutes or career pathway leadership skill development (such as for “supervisor” in their job classification, or “lead fiscal technician”, etc.). Training will involve selected individuals from client/employees, support staff, clinical providers, and management team members. Objectives: 2-3 Plumas County Mental Health staff will annually participate in leadership training. Budget justification: Per staff member: conference/workshop/training, $2,000 (for travel, registration, and per diem, etc.) Total staff involved: #3. Budgeted Amount: FY 2007-08: $2,000 FY 2008-09: $4,000

Note: B. Training and Technical Assistance, both clinical competence and developing leaders, total budgets are: FY 07/08 $9,852 and FY 08/09 $51,363 as shared in exhibit 6 budget summary.

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EXHIBIT 4: WORK DETAIL – C. MENTAL HEALTH CAREER PATHWAY PROGRAMS

Action #4 – Title: not applicable. Description: Plumas County Mental Health will not be applying for funds in this component. Objectives: No objectives. Budget justification: No funding requested. Budgeted Amount: FY 2007-08: $ -0- FY 2008-09: $-0- FY 2009-10: $ -0-

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EXHIBIT 4: WORK DETAIL – D. RESIDENCY, INTERNSHIP PROGRAMS

Action #5 – Title: Internship program. Description: Funding will be used to aid graduates to become interns in their field and become licensed for work in our rural Public Mental Health system. Beginning with Fall 2008 student year, provide clinical supervision for a MSW, or marriage and family therapist, student. Plumas County Mental Health will also consider and research that the intern position may also be available for nursing staff with mental health specialty and psychiatric technician (both under represented categories in rural Plumas County). Or of other specialty (perhaps paraprofessional level) that is a workforce shortage. Prior interns have been in collaboration with the California State University of Chico & Sacramento social worker programs predominantly. PCMH anticipates ongoing collaboration from this program to attain one intern per year that will work in rural mental health. Objectives: Provide clinical supervision to develop one intern Fiscal year 08/09. Budget justification: The clinical supervisor will be a staff member who is dedicated 10% of full-time (0.10 FTE) to provide guidance. There are several staff members in-house who are capable and willing to provide supervision of an intern. Thus, the budgeted salary is for a median salary rate, of $84,000 and funded by WET dollars @ $8,435. The inclusion of the intern in the infrastructure increases the support staff needs. The office support necessary, for one full-time service provider, averages 1/6 of a full-time Fiscal Technician; thus, for this project 0.17 FTE salary support @ $10,200.00. Budgeted Amount: FY 2007-08:-0- FY 2008-09: $18,635

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EXHIBIT 4: WORK DETAIL – E. FINANCIAL INCENTIVE PROGRAMS

Action #6 – Title: Developing consumers Description: Clients, as non-employees, who want to increase their knowledge in the following areas: anti-stigma; language proficiency; and/or cultural & linguistic skills development. PCMH envisions that some of these trainings may be from the newly developing “client and family member technical assistance center” by the state. A consumer shall submit a request, sponsored by a current staff member, to the T & TA Committee for consideration of a scholarship. And that these skills are deemed by the T & TA Committee as capable of enhancing the delivery of mental health services. Each scholarship may provide for registration fees, per diem (if applicable), and travel, to the maximum value of $1,000. Objectives: Provide 22 consumer scholarships in FY 08/09. Budget justification: 22 scholarships @ $1,000 maximum each. Budgeted Amount: FY 2007-08:-0- FY 2008-09: $22,000

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EXHIBIT 4: WORK DETAIL – E. FINANCIAL INCENTIVE PROGRAMS - continued

Action #7 – Title: Scholarship and stipend program Description:, Plumas County Mental Health will not be applying for funds in this component. Objectives: No objectives Budget justification: No funding requested. Budgeted Amount: FY 2006-07: -0- FY 2007-08: -0-

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EXHIBIT 5: ACTION MATRIX The titles of ACTIONS described in Exhibit 4 listed with MHSA goals and philosophy (appropriate boxes checked). Actions (as numbered in Exhibit 4, above)

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(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) 11 12 (13) (14) Action #1: WET Coordinator

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Action #2: Clinical competence

X X X X X

Action #3: Development of leaders

X X X X X X X X

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X X X X X X

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X X X X X X X

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EXHIBIT 6: BUDGET SUMMARY, revised Fiscal Year: 2007-08 Activity Funds Approved

Prior to Plan Approval (A)

Balance of Funds Requested (B)

Total Funds Requested (A + B)

A. Workforce Staffing Support: Coordinator $10,409 $34,591 $45,000 B. Training and Technical Assistance $9,852 $9,852 C. Mental Health Career Pathway Programs -0- D. Residency, Internship Programs -0- E. Financial Incentive Programs -0-

subtotal $20,261 $34,591 $54,852 GRAND TOTAL FUNDS REQUESTED for FY 2007-08 $54,852

Fiscal Year: 2008-09 Activity Funds Approved

Prior to Plan Approval (A)

Balance of Funds Requested (B)

Total Funds Requested (A + B)

A. Workforce Staffing Support: N/A $78,150 $78,150 B. Training and Technical Assistance $3,539 $47,824 $51,363 C. Mental Health Career Pathway Programs N/A D. Residency, Internship Programs $5,000 $13,635 $18,635 E. Financial Incentive Programs $5,000 $17,000 $22,000

Subtotal $13,539 $156,609 $170,148 GRAND TOTAL FUNDS REQUESTED for FY 2008-09 $170,148

GRAND TOTAL FUNDS REQUESTED FOR FY 07/08 & 08/09 $225,000.00

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