Integration of State Initiatives at the Local Level: Alameda County’s Implementation of AB1299 Behavioral Health Care Services Sun Hyung Lee, LCSW, MPH (Program Specialist) Department of Children & Family Services Cerise Grice, JD (Management Analyst) May 16, 2018 (LOGO) Behavioral Health Care Services Department of Children & Family Services Sun Hyung Lee, LCSW, MPH (Program Specialist) Cerise Grice, JD (Management Analyst)

BRIEF OVERVIEW OF AB1299 For Foster Youth Living Out of County (6+ months) Responsibility for Specialty Mental Health Services (SMHS) Transfers to County of Residence Placing Agency (DCFS/Probation) Sends Presumptive Transfer (PT) and Waiver Notifications PT can be Waived for: Continuity of Care To Support Family Reunification Placement Less than 6 Months Placement 30 Minutes to Current Provider

OPPORTUNITIES Access Mental Health Services Closer and Quicker Better Use of Resources Collaboration with Other Counties Collaboration with Internal Departments and Units

ALAMEDA COUNTY PROCESS: Collaboration BHCS Initiated Discussion with DCFS and Probation Bi-monthly Cross Department Meetings Regional Meetings Point People Designated Shared Policies and Documents

ALAMEDA COUNTY PROCESS: Alameda County Dependents Placed Out of County DCFS Workers Consult with BHCS DCFS Makes Presumptive Transfer (PT) or Waiver Determination DCFS Notifies BHCS BHCS Reviews MH History BHCS Informs Provider of PT DCFS Workers Work with Other County Mental Health Plan (MHP) for PT DCFS Workers Work with Alameda County MHP for Waiver

ALAMEDA COUNTY PROCESS: Out of County (OOC) Dependents Placed in Alameda County BHCS ACCESS: Single Point of Contact for OOC Foster Youth Needing SMHS: 1-800-491-9099 OOC DCFS Contacts Alameda County ACCESS ACCESS Obtains Required Documents from OOC DCFS (BHCS no longer accept SARS for youth who are PT’ed to Alameda County, including reauthorization requests) ACCESS Makes Referral to Alameda County Provider

LESSONS LEARNED Each County’s Process Can Vary Different Counties Different Resources Response Times Vary Different Interpretations of Law Training for DCFS Workers

SUCCESSFUL STRATEGIES Communication and Consultation Clear Point Person for Each Department Keep Central Focus on Serving Kids Share Resources and Forms Between Counties Develop and Update State-Wide Contact List Work With County Counsel Include Contracted Providers in Process Tracking System Acknowledgment of PT Notifications

Sample Documents: ACCESS PT Documents

Sample Documents: SSA PT & Waiver Notifications

Sample Document: Letter from SSA County Counsel

Sample Document: Provider Training

Sample Document: CWW Training

Thank You