Mental Health Services Act Steering Committee April 7, 2008 1:00pm – 4:00pm

Prevention and Early Intervention Alan Albright PEI Coordinator

Mark Refowitz Behavioral Health Director Local & State Updates Mark Refowitz Behavioral Health Director

Reversion Policy (DMH Notice 08-07) Reversion will occur if: A county does not gain approval for use of funds within a specified time period set by the state A county’s total expenditures over the entire reversion period are less than the amount distributed by the state for MHSA purposes

Reversion Timeframe Community Services and Supports (CSS) and Prevention and Early Intervention (PEI) are subject to a three year reversion period Capital Facilities, Technology, and Workforce, Education, and Training may be retained for up to 10 years before reverting to the state.

Orange County CSS Funds FY05/06 $24 Million $1.2 Million FY06/07 $26.1 Million $17.6 Million FY07/08 $14 Million (year to date) $16.6 Million Fiscal Year DMH Distributed Funds ($ we have received) Expended Total Expended: 35.4 Million

Funds Subject to Reversion $25 Million FY 05/06 subject to reversion on 6/30/08 However, Orange County funds will not be reverted $35.4 Million has been expended which is more than the $25 Million subject to reversion F.I.F.O.: First In First Out

Housing State FY 2007/08 Planning Estimate $33,158,300 (MHSA Housing Program) 33.1 Million transferred by DMH to the California Housing Finance Agency (CalHFA) Protects funds from Reversion on June 30, 2008 Funds will be held in a County specific sub-account and be accessible only to that specific county

Capital Facilities & Technology Guidance Kate Pavich Capital Facilities Coordinator & Kathleen Murray Technology Coordinator

Capital Facilities & Technological Needs Proposal Support the goals of MHSA Produce long-term impacts with lasting benefits Move the system towards goals of wellness, recovery, resiliency, and cultural competence Expand opportunities for accessible community-based services for clients Promote reduction in disparities to underserved groups

MHSA Proposal Must include a variety of technology uses and strategies and/or

MHSA Proposal Community-based facilities which support integrated services that are culturally and linguistically appropriate

Use of Funds Support an increase in peer-support and consumer run facilities Development of community-based, less restrictive settings that reduce the need for incarceration or institutionalization Development of a technological infrastructure for the mental health system

Timeline for Funds Capital Facilities and Technological Needs funds must be used within ten years or they will revert back to the State

Capital Facilities Approved Costs Acquire and build upon land that will be County owned Acquire buildings Construct buildings Renovate buildings

Costs Not Approved Facilities where the purpose of the building is to provide housing Acquisition of facilities not secured to a foundation (e.g. buses, trailers) Operating costs for the building (e.g. utilities, landscaping, security guard) Furniture or fixtures not attached to the building (e.g. desk, chairs, sofas)

Current Allocation Expect our allocation to be $28,308,300. 80% Capital Facilities ($22.6 million) 20% Technology ($5.6 million)

Capital Facilities Project 401 S. Tustin Avenue, Orange

Proposed Programs Crisis Residential Program Wellness/Peer Support Center Vocational Training

Estimated Project Cost $16,500,000 which includes: Demolition of all existing buildings Construction of three 7,500 square foot buildings for programs New site improvements (parking, landscaping, etc.) Construction of miscellaneous site structures

Technological Needs DMH goal is to develop an Integrated Information Systems Infrastructure where all counties can securely access and exchange information This will provide local service sites with client data and critical information for coordination of care

Use of Technology Funds To purchase a data warehouse to combine and store data from multiple information systems to increase or complete clinical picture available to the treatment team To purchase resources to increase consumer and family access to computers To fund scanning and imaging projects to allow the information system to become “paperless”

Use of Technology Funds Expansion of the Network of Care to increase consumer access to the Personal Health Record To fund pilot projects to monitor new programs and improve service outcome strategies

Proposed Use of Funds The Health Care Agency is currently planning to analyze the best way to use the available MHSA funds to support the overall goal to create an integrated Information systems infrastructure through the implementation of an Electronic Health Record (EHR).

Electronic Health Record (EHR) A secure, real-time, point-of- care, information resource for service providers Allows standard data exchanges with other counties, contract providers, labs, and pharmacies

Technology Proposal Assess the current state of technological readiness and develop and implement roadmaps for technological improvements over time. The Roadmap will define the plan and schedule an approach to achieving an Integrated Information Systems Infrastructure.

Our Roadmap Will include proposed project milestones and cost estimates as well as plans for vendor selection, communication, training, and workflow assessment.

Component Proposal Will provide an overview of future Capital Facilities and Technological Needs projects May submit a Component Proposal that addresses both capital facilities and technological needs or only one segment of the component

Mark Refowitz Behavioral Health Director FY08/09 Growth Funds Mark Refowitz Behavioral Health Director

FY 08/09 Growth Funds Total Allocation From DMH: $8,135,900 Administration (15%): -$1,220,385 Available for Programs: $6,915,515

CSS Age Allocation Children: $1,403,850 TAY: $1,293,201 Adult: $3,250,292 Older adult: $968,172 Total: $6,915,515

Children Must Fix Available: $1,403,850 FSP Renew (Providence) $791,760 FSP Combo Children/TAY split 50/50 (OCAPICA) $95,000 Children Crisis Residential (CSP) $197,195 Amount Remaining: $319,895

TAY Must Fix Available: $1,293,201 FSP STAY (Providence) $954,369 FSP Combo Children/TAY split 50/50 (OCAPICA) $95,000 TAY Crisis Residential (South Coast) $129,605 Amount Remaining: $114,227

Children & TAY Remaining: $434,122 Stakeholder Recommendations Youth Offender Wrap Consensus Reached

Adults Must Fix Available: $3,250,292 Supportive Employment (Goodwill) $85,712 MHA FSP Non-Court $630,000 Adult O&E (County) $262,308 Opportunity Knocks $140,000 Whatever It Takes (WIT) $160,000 Recovery Center $1,500,000 Amount Remaining: $472,272

Adults Remaining: $472,272 Stakeholder Recommendations In Rank Order Peer Mentors/ Outpatient support CAT/PERT Goodwill Program in South County Expansion of slots for FSP's Outreach & Engagement

Older Adults Available: $968,172 Must Fix: $0 Amount Remaining: $968,172

Older Adults Remaining: Stakeholder Recommendations In Rank Order Peer Support/ Outpatient Support for Older Adults not in an FSP Expand Recovery Program Expand OASIS Program

Delhi Community Center Next Meeting Monday, May 5, 2008 1:00-4:00 PM Delhi Community Center 505 East Central, Santa Ana, CA 92707