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P R E S E N T A T I O N T O T H E M H S A P L A N N I N G S T A K E H O L D E R S T E E R I N G C O M M I T T E E
F E B R U A R Y 2 4 , 2 0 1 4
MHSA THREE-YEAR PROGRAM AND EXPENDITURE PLAN2014-15 – 2016-17
DISCUSSION OUTLINE
I. 3-Year Program and Expenditure Planning Process
A. Planning PurposeB. MethodologyC. Timeline and Meeting Schedule
II. Proposed Guidelines and Planning ImplicationsA. Integrating Ongoing Feedback and Program DirectionsB. DRAFT PEI Program GuidelinesC. Program Plans reflective of Performance MeasuresD. Key Research Questions
3-YEAR PROGRAM AND EXPENDITURE PLANNING PROCESS
PART I
PLANNING PURPOSE (1)
• County mental health programs shall prepare and submit a Three-Year Program and Expenditure Plan (WIC 5847) that addresses each MHSA component.
• Counties shall create one plan, incorporating all MHSA components, and make expenditure projections for each component per year.
• Budgets shall be submitted for FY2014-15, FY 2015-16, and FY2016-17.
MENTAL HEALTH SERVICES ACT
• Community Services and Supports (CSS)
• Prevention and Early Intervention (PEI)
• Innovation (INN)
• Workforce Education and Training (WET)
• Capital Facilities and Technological Needs (CFTN)
PLANNING PURPOSE (2)
• Engage consumers, family members, community partners in a discussion to ensure meaningful stakeholder involvement in developing:• Mental Health Policy• Program Planning• Implementation• Monitoring• Quality Improvement• Evaluation• Budget Allocations
METHODOLOGY
• Leverage Existing, Current Information• Recent Discussion Groups – 20 in 2013• BHS Strategic Plan• Ongoing Partner Feedback• Other Strategic Opportunities• Affordable Care Act• Other Federal and State Opportunities
• Update Information• Community and Stakeholder Discussion Groups • Outcome Data and Performance Indicators
TIMELINE AND MEETING SCHEDULE
• February• Review guidelines• Develop planning methodology• Notify Stakeholders
• March• Collate recent data to inform discussion• Conduct meetings to gather stakeholder input• Review findings and proposed plan directions
• April• Draft 3-Year Program and Expenditure Plan• Share with Stakeholders and Post for 30-day Review
• MAY • Convene Public Hearing on the Plan
QUESTIONS?END OF PART I
PROPOSED GUIDELINES AND PLANNING IMPLICATIONS
PART I I
INTEGRATING ONGOING FEEDBACK AND PROGRAM DIRECTIONS
• Incorporate the Key Themes and Planning Directions that Stakeholders have emphasized in recent years:• Develop new and enhanced services for the prevention,
early intervention, and treatment of mental health illnesses.
• Continue to emphasize the integration of mental health and substance abuse services.
• Ensure that individuals with mental health disorders, including co-occurring substance use disorders have access to a range of residential and acute treatment services.
• Improve services!
IMPROVING SERVICES
• WIC 5848 states that Plans shall include reports on the achievement of performance outcomes for MHSA services
• Improve Services – as demonstrated by outcomes achieved• Reduce prolonged suffering• Improved access and linkage to services• Improved access to services for underserved populations• Demonstrate prudent use of expenditures to achieve
outcomes for individuals with mental illness
DRAFT PEI PROGRAM GUIDELINES
• DRAFT PEI Program Guidelines www.cmhda.org/go/committees/MHSA-committee-handouts • (under December 2013)
• Proposes new guidelines on the use of PEI funds• Anticipate approval of guidelines soon• Includes new directions on use of funds, required
performance measures, and program evaluation• More use of evidence based practices• Must demonstrate service criteria• Less funding for broad, universal, prevention programs
REQUIRED PEI STRATEGIES
• Intervene early in the onset of a mental illness• Required
• Increase recognition of early signs of mental illness amongst designated first responders• Recommended
• Additional strategies• Reduce risks related to mental illness• Stigma and discrimination reduction programs• Suicide prevention programs
ANNUAL REPORT
• All programs must demonstrate and report on:• Fidelity to an evidence based- or promising-practice• Specific criteria to program inclusion• The unduplicated number served or first responders
trained• The number referred for services followed up on a
referral, and who participated at least once in the referred service
• The length of time an individual remained engaged in the services referred to
• Interval between onset of symptoms and referral for services
• Interval between referral to services and engagement in services
• All indicators measured by age, gender, race, etc.
PROGRAM PLANS REFLECTIVE OF PERFORMANCE MEASURES
• DRAFT PEI Guidelines offer a Framework
• Anticipate similar guidelines for CSS funding
• The new 3-Year program and expenditure will incorporate Draft PEI Guidelines and Stakeholder Input for the use of performance measures• Strategic Objective – Develop a standardized set of
outcomes for services and performance-based quality improvement processes
KEY PLANNING STRATEGIES
• Leverage all available funds, including Medi-Cal
• Use MHSA dollars to leverage additional state and federal resources
• Move towards more evidence based and promising practices
• Measure and evaluate program effectiveness
• Leverage and expand use of technology
• Invest in workforce training and development
KEY RESEARCH QUESTIONS
• What should we know about current services• What works well?• What services are missing, or not distributed well?• What are the recommendations to improve services?
• Who should we be considering for new or enhanced services• What specific criteria should guide program enrollment into
full service partnership and early intervention programs?• Who should we train as first responders?• What risk factors do we need to target to prevent mental
illnesses?
ADDITIONAL RECOMMENDATIONS?
END OF PART 2
NEXT STEPS
NEXT STEPS: HOW YOU CAN HELP
• Advertise and distribute meeting information
• Convene planning meetings
• Encourage additional discussions
• Incorporate written feedback and suggestions
