Santa Clara CountyMental Health Services Act Planning

Stakeholder Forum #4Wellness, Recovery and ResiliencyMay 20, 2005

Department of Mental Health

ObjectivesProvide Santa Clara County MHSA Stakeholders with a perspective on Mental Health Wellness, Recovery and Resiliency for all ages

Celebrate work to date on MHSA planning

MHSA ComponentsThe MHSA addresses six components of building a better mental health system involving an extensive stakeholder process to guide policies and programs:

Community Program Planning Services and Supports Capital (buildings) and Information Technology Education and Training (human resources) Prevention and Early Intervention Innovation

Planning Phases Engagement and Commitment Invite Stakeholder Involvement Share Intent and Vision Lay Out Planning Landscape Learning and Assessment Learn Current System Learn Needs of Consumers, Stakeholders, Community Learn Best Practice Strategies to Meet Needs Prioritization and Planning Establish Local Mission, Values & Transformation Objectives Prioritize Local Needs Select Most Effective Strategies to Meet Local Needs Implementation Obtain State Approval Select Local Providers Initiate, Monitor and Evaluate Services

Santa Clara CountyMHSA PlanningStructure

The Approach Lifespan FrameworkDetermine and Prioritize Local Mental Health Needs Across LifespanPreventionEarly InterventionInterventionAll Citizens Across LifespanCitizens in needUnmet Need

Current Public MH System

Work Groups Age GroupsEarly Childhood 0-5 yearsSchool Age 6-15 yearsTransition Age 16-25Adults 26-59Older Adults 60+

The ApproachEstablish System Structure and Stakeholder InvolvementIndividual & FamilyProvider ServicesSystem Policy and ManagementStakeholdersSystem Performance: Expectations & ResultsProvider Performance: Expectations & ResultsClient Level Outcomes: Expectations & Results

Determining Critical Concerns

Health & Well BeingStable Home, Family, Social RelationsMeaningful School, Work Activity

Safe From Harm or Harming in CommunityEmotional Suffering SA Abuse Poor Health

Thriving With Mental IllnessFailing With Untreated and Under-treated Mental IllnessHomeless Adult Isolated Senior Removed ChildHoused Adult Connected Senior Child at Home Emotional Well Being SA Remission Good Health Jobless Adult Inactive Senior School Failing ChildJailed Adult Victimized Senior Delinquent ChildEmployed Adult Active Senior Child in SchoolAdult out of Jail Safe Senior Child out of TroubleLow NeedHi Need

MHSA Planning Work to DateMajor Inreach and Outreach Campaign regarding Critical Concerns and needs through end of May

Four Large Forums to address:MHSA OrientationEngagement and CommitmentCultural Competency ReadinessWellness, Recovery & Resiliency Readiness

Work Groups to address critical concerns of five age groups

Inreach & Outreach Heroes!Consumers, family members, providers, system and community partners have pledged to bring the voices of 29,000 SCC residents to the planning process!

Input is pouring in!

Get ready for that MHSA Mgmt CD to hit the Top Ten charts!!!

Hundreds Attend ForumsWe have had three engaging and informative forums, attended by between 100-200 at each forums

Our cultural competency readiness forum was amazing and brought tons of information about our wonderful diverse community. THANK YOU COMMUNITY!!!

Close to 150 Work Group MembersHave attended three half-day sessions to:

Identify critical concerns related to unmet mental health needs for five age groups

Identify potential focal populations for each age group impacted by the critical concerns

Brainstorm client, family and cultural/community strengths of those impacted by critical concerns

Brainstorm system strengths & weaknesses in addressing the concerns of each age group

MHSA Community Services and Supports (CSS) Plan

Update Published 5/18/05 on DMH website

CSS - Three Types of FundingDMH is making three types of funding available to counties. The three types are:

Full Service Partnership Funds funds to provide necessary services and supports for initial populations

General System Development Funds funds to improve services and infrastructure

Outreach and Engagement Funding funds for those populations that are currently receiving little or no service

CSS Plan Logic ModelThe CSS Plan Requirements are based on a logic model that links:

Community issues resulting from untreated mental illness and a lack of services and supports

Mental health needs within the community,

The identification of specific initial populations to be served based upon the issues and needs identified,

The strategies and activities to be implemented, and

The desired outcomes to be achieved.

Community Concerns For Children, Youth and Some TAY Inability to be in a mainstream school environmentSchool failureHospitalizationPeer and family problemsOut-of home placementInvolvement in the child welfare and juvenile justice systems

Community Concerns Some TAY, Adults and Older AdultsHomelessnessFrequent hospitalizationsFrequent emergency medical careInability to workInability to manage independenceIsolationInvoluntary careInstitutionalization Incarceration

Steps to Complete CSS Three-Year Plan Full ServicePrioritize concerns by age groupIdentify related needs & disparities Identify populations most impactedDetermine strategies & activities to meet needsDetermine expected outcomes to be achieved

CSS Three-Year Plan System Development FundsThe funds will be available to improve services and infrastructure for the identified initial full service populations and for other clients with emphasis on reducing ethnic disparities. Examples:client and family services such as peer support, education and advocacy services

mobile crisis teams

funds to promote interagency and community collaboration and services

funds to develop the capacity to provide values-driven, evidence-based and promising clinical practices.

CSS Three-Year Plan Outreach and EngagementRecognizes special activities needed to reach unserved populations with a priority on eliminating racial ethnic disparities. Examples: funding for racial ethnic community-based organizationsmental health and primary care partnershipsfaith-based agenciestribal organizations health clinicsorganizations that help individuals who are homeless or incarcerated and link potential clients to servicesfunds for clients and families to reach out to those that may be reluctant to enter the systemfunds for screening of children and youthschool and primary care based outreach to children and youth who may have serious emotional disorders.

Next StepsMay 20, 2005 Leadership Committee MeetingIntroduction to process and roleReview of work to dateInitial conversation on prioritization of critical concernsJune 17, 2005 Work Groups:Complete initial summary of critical concerns, individual strengths, system strengths and weaknesses, focal populationsInput to draft priority critical concernsInput to needs and disparities June 24, 2005 Leadership Committee Reviews community input to critical concerns (inreach/outreach results); Reviews WG SummaryReviews draft of priority concerns by age group; Reviews initial needs and disparities data

Next Stakeholder ForumsJune 24, 2004 Review of Work to DateWill occur before Leadership CommitteePlace and time to be announced

July 15, 2005Best Practices ForumWill occur before Leadership CommitteePlace and time to be announced

Introduction of PresentersKevin Campbell, Resiliency & Discovery Mark Ragins, M.D., Recovery

Dialog with PresentersBreakout discussion groups with each presenter

Forum ClosingOn to the May is Mental Health Month Fair!!!

Thank You!!

Contact InformationNancy Pena, Ph.D., Director, MHD, 408-885-5783Bruce Copley, Deputy Director, MHD 408-885-5773Sheila Yuter, MHSA Coordinator, 408-885-3885Santa Clara County MHD Website www.sccmhd.orgState Dept. Mental Health website www.dmh.ca.gov