Revisiting the structure and future of CalMHSA August 2018 Instead of “new member orientation” maybe like… Reasserting CalMHSA’s Commitment to Prevention; Resetting and looking forward: CalMHSA’s Commitment to Prevention.? It’s more than prevention, it’s about the organization as a whole…how about Reestablishing CalMHSA or Renewing CalMHSA 1

Table of Contents What is CalMHSA? 3 Strategic Partners 11 Current Projects 15 Benefit and Impact 17 Contact Information 19

What is CalMHSA? A Joint Powers Authority (JPA) governmental entity Formed on July 1, 2009 Purpose is to serve as an independent administrative and fiscal structure for jointly developing, funding, and implementing mental health services and educational programs at the state, regional, and local levels. Consists of 56 members (54 counties, 1 JPA, 1 City) with an additional two (2) counties assigning funds and participating as non members. Vision is to continually promote systems and services arising from a commitment to community mental health, and to the values of the California Mental Health Services Act.

Brief Background of CalMHSA CBHDA suggested a JPA structure in 2008, and in collaboration with CiBHS and George Hills, CalMHSA was formed. Formed in 2009 with George Hills Company, Inc. to administer Initially formed to implement coordinated statewide efforts in MHSA PEI programs Efforts expanded over the years to include a variety programs and projects administered and implemented at state, regional, and local levels that benefit and support the behavioral health of all Californians and community behavioral health systems Annual Strategic Planning Sessions guide the evolution of CalMHSA, including membership, funding sustainability, and project development

CalMHSA—On a Mission Mission Vision Purpose The mission of CalMHSA is to provide member counties a flexible, efficient, & effective administrative/fiscal structure, focused on collaborative partnerships & pooling efforts in: Development & implementation of common strategies & programs to improve Behavioral Health of Californians; Fiscal integrity, protections, & management of programs; and Accountability at state, regional & local levels. Vision Promoting excellent mental wellness through the collective work of California’s counties. Purpose Promoting Efficiency, Effectiveness and Enterprise among Counties and Cities. Strategy – Something about pooling funds, creating efficiencies in common programs?

CalMHSA Board of Directors Governance Structure CalMHSA Board of Directors Executive Committee (9 elected Board Members) Finance Committee (at least 50% Board Members) Executive Director Legal Counsel Advisory Committee (in-active) County Liaisons Administration Finance Program Just to be very clear – I would maybe say (or at least verbalize) – BOD is 58 counties, Finance committee represents xx $ of counties, County liaisons represents xx counties etc…. So that everyone sees that this is county driven, not a typical “state agency” Chief Operations Officer Finance Director Deputy Director Program Coordinator JPA Manager Program Contracts

Governance Structure Board Officers: President - Dawan Utecht, Fresno County Vice President - Steve Steinberg, Riverside County Treasurer - Bill Walker, Kern County Secretary - Alissa Nourse, Alpine County

CalMHSA Facts - Administration Present membership is at 99% of the California population, consisting of 56 members and 54 counties, 1 JPA, and 1 City. (Of the remaining non-member counties, 2 are active participants in CalMHSA programs.) It is the intent of the Authority that all such programs are fiscally self‐contained, requiring no additional funds from Members, however currently not perfected. The initial costs to operate Statewide PEI programs were based on funds assigned and plan/budget approval by the Mental Health Services Oversight and Accountability Commission (MHSOAC). Yearly budget is adopted by the CalMHSA Board of Directors. One-time member application fee, based on county population ($250 ‐ $1,000). Cost to operate other local/regional/statewide programs is based on funds assigned and approved by the CalMHSA Board of Directors. Membership criteria are designed for flexibility, with full membership as well as a Memorandum of Understanding or Participation Agreement.

Current County Members Current CalMHSA County Members and Counties with Funds Assigned Prospective Member County Non Member Counties that originally assigned funds

Current County Members Tri-City (October 13, 2011) Del Norte (December 15, 2011) Shasta (February 10, 2012) Tulare (February 10, 2012) Kings (April 13, 2012) San Joaquin (April 13, 2012) Berkeley (June 14, 2012) Inyo (June 14, 2012) Mono (June 14, 2012) Nevada (June 14, 2012) Alameda (June 13, 2013) Santa Barbara ( April 11, 2014) Plumas (June 11, 2015) Alpine (December 10, 2015) Merced (June 9, 2016) Tehama ( June 13, 2018) San Bernardino (July 9, 2009) Solano (July 9, 2009) Colusa (July 9, 2009) Monterey (July 9, 2009) San Luis Obispo (July 9, 2009) Stanislaus (July 9, 2009) Sutter/Yuba (August 13, 2009) Butte (November 13, 2009) Placer (January 14, 2010) Sacramento (March 12, 2010) Glenn (April 15, 2010) Trinity (April 15, 2010) Sonoma (May 13, 2010) Modoc (May 13, 2010) Santa Cruz (June 10, 2010) Los Angeles (June 10, 2010) Marin (August 12, 2010) Orange (August 12, 2010) Yolo (August 12, 2010) Contra Costa (October 14, 2010) Fresno (October 14, 2010) Imperial (October 14, 2010) Kern (October 14, 2010) Lake (October 14, 2010) Riverside (October 14, 2010) Santa Clara (October 14, 2010) Siskiyou (October 14, 2010) Ventura (October 14, 2010) Madera (November 12, 2010) Mendocino (December 9, 2010) San Diego (February 10, 2011) San Francisco (February 10, 2011) El Dorado (March 11, 2011) San Mateo (March 11, 2011) Napa (June 9, 2011) Humboldt (July 14, 2011) Lassen (July 14, 2011) Mariposa (August 11, 2011) Tuolumne (August 11, 2011) San Benito (October 13, 2011)

Strategic Partners CalMHSA supports the California Behavioral Health Directors Association (CBHDA) as appropriate on policy-related matters, and works collaboratively on various projects. CalMHSA supports the California Institute for Behavioral Health Services (CIBHS) as appropriate, and works collaboratively on various projects. CalMHSA’s initial contract was held by the Department of Health Care Services. The JPA reports and is accountable to the Mental Health Services Oversight and Accountability Commission. CalMHSA is an affiliate member of the California State Association of Counties (CSAC). CalMHSA has worked with over xx community agencies, and state systems to address mental health promotion & prevention

CalMHSA, CBHDA and CIBHS Organizational Type CalMHSA CBHDA CIBHS Joint Powers Authority (JPA), Section 6500 et seq. A joint County entity to obtain and administer public funds to provide certain community mental health services to persons residing within the same counties and cities. Members jointly develop, fund and implement mental health services, projects, and educational programs at the state, regional and local levels. 501c(4) Civic leagues or organizations for profit but operated exclusively for the promotion of social welfare and the membership of which is limited to the employees of designated person(s) in a particular municipality, and the net earnings of which are devoted exclusively for the promotion of social welfare. 501c(3) Non-profit organization approved by IRS as a tax-exempt, charitable organization. “Charitable” is broadly defined as being established for purposes that are religious, educational, charitable, scientific, literary, testing for public safety, fostering of national or international amateur sports, or prevention of cruelty to animals and children.

CalMHSA, CBHDA and CIBHS Funding Source CalMHSA CBHDA CIBHS Member/Program Participation 100% Dues Support County/CBO/State Contracts and Grants Membership CalMHSA CBHDA CIBHS Counties and Cities County Behavioral/Mental Health Directors and Two Cities Local Behavioral/Mental Health Directors; Stakeholders; Consumers; Family Members; Public

CalMHSA, CBHDA and CIBHS Purpose CalMHSA CBHDA CIBHS Collaborative partnerships and pooling efforts that support and improve California’s community behavioral health programs Provides leadership, advocacy and support to public behavioral health programs Supports behavioral health professionals, agencies and funders through policy, training, evaluation, technical assistance and research Maybe also include that CBHDA focuses on policy, CIBHS focuses on training.

CalMHSA Facts - Programs CalMHSA may establish programs as directed by the Board. Establishment of a Program that may involve more than one Member and contributions made by Members requires a vote of the full Board. Establishment of Single-County Programs and Programs funded entirely by other non- Member sources may occur by vote of either the Board or the Executive Committee. Participants in a Program shall adopt and maintain a Participation Agreement to establish the operating guidelines of that Program. Guidelines shall include contribution, commitment time period, joining the Program after inception, and Program withdrawal or expulsion. Research and development/feasibility funds are vital when potential programs are being assessed for viability of development. CalMHSA currently has 12 active programs and is studying several others for potential development.

Current CalMHSA Projects Short-Doyle Fiscal Modernization Pilot Central Valley Suicide Prevention Hotline Statewide PEI Sutter Health Systems Workforce Education and Training (WET) State Hospital Services Training, Technical Assistance and Capacity Building (TTACB) Plumas County Wellness Centers Contra Costa Psychiatrists Presumptive Transfer for Foster Youth Private/Public Partnership Innovation Technology Suite Program I would relabel this – Current efforts in promote mental helath and preventing mental illness

Innovation Technology Program The Innovation Technology Suite Project (INN Tech Suite Project) is being administered by CalMHSA on behalf of participating member counties. This is a three-year demonstration project which is funded and directed by counties. The primary purpose of this INN Tech Suite Project is to increase access to mental health care and support and to promote early detection of mental health symptoms, or even predict the onset of mental illness. Through the utilization of multiform-factor devices, such as smart phones, tablets and laptops, as a mode of connection and treatment to reach people who are likely to go either unserved or underserved by traditional mental health care, project services will focus on prevention, early intervention, family and social support to decrease the need for psychiatric hospital and emergency care service. In your packet you will find additional program information.

Benefit and Impact of CalMHSA - Administrative Act jointly with members to increase cost efficiency in administration. Rather than individual counties complying with reporting requirements, this task could be centralized, resulting in cost avoidance. Leverage CalMHSA as a hub to develop multiple requests for proposals and contracts with providers. The JPA facilitates the efficient use of member and provider resources to accomplish the agreed upon goals. Negotiate cost effective rates with various subcontractors statewide and greatly reduce the cost of overhead administration. Data serves as a repository to house, share and disseminate research, information and specific strategies that are the most effective and quality assured. Provides an alternative to the assignment of county MHSA funds to the state department and state legislature to implement state and regional MHSA projects. I think we need – administrative benefit and impact of working with calmhsa; and programmatic benefit and impact of working with CalMHSA (ie: our experience and expertise in implementing statewide prevention programs, our networks, our research findings to date, our ability to help counties locally integrate

Benefit and Impact of CalMHSA - Programmatic Provide strategic planning and support in programs that address mental health prevention & early intervention, stigma and discrimination reduction, suicide prevention, student mental health, program evaluation and cultural competency Link counties to vetted organizations that understand the values of MHSA Coordinate program-level data collection efforts and package data for county use Connect county projects to related statewide and national efforts Evaluates and analyzes potential statewide and regional efforts for systematic results Ensure the implementation of community-defined practices, best practices or evidence-based practices

CalMHSA — We’re Here to Answer Questions Wayne Clark, PhD Executive Director (916) 800-4677 (CalMHSA Office) wayne.clark@calmhsa.org John Chaquica Chief Operations Officer (916) 859-4824 (CalMHSA Office) john.chaquica@georgehills.com Ann Collentine, MPPA Deputy Director of Programs (916) 859-4806 (CalMHSA Office) ann.collentine@calmhsa.org Kim Santin, CPA Finance Director (916) 859-4820 (CalMHSA Office) kim.santin@calmhsa.org Laura Li JPA Administrative Manager (916) 859-4818 (CalMHSA Office) laura.li@calmhsa.org 21

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