Presentation for Mental Health Board PEI Project 2: Strengthening Families and Children in Investment Communities Presentation for Mental Health Board Family, Adolescents & Children’s Meeting 1/12/12 1 1

Mental Health Services Act (MHSA) Overview In 2005, California enacted a 1% tax on incomes over $1 million to improve the public mental health system The PEI Plan was the result of almost 2 years of effort by a collaboration of stakeholder “Strategy Work Groups” The State Department of Mental Health’s MHOAC approved Santa Clara County’s PEI Plan in 2009 MHSA Component Funding Community Services & Supports (CSS) 80% PREVENTION & EARLY INTERVENTION (PEI) 20% (6M) Innovation (INN) 5% of CSS & PEI Capital Facilities & Technological Needs (CFTN) “One-Time” Workforce Education & Training (WET)

Funding Strategy $6 million per year / for three years Investing in identified high risk communities Regional budgets were allocated based on 0-24 population Region Zip Codes South 95020, 95046, 95037 North 94043 Central 95008, 95110, 95111, 95112, 95113, 95117, 95118, 95119, 95123, 95125, 95126, 95128 East 95116, 95121, 95122, 95127, 95133, 95148

Region Budget South $1,051,000 North $588,000 Central $2,392,000 East $1,970,000

PEI Investment Community Planning Process Outreach to stakeholders and residents Flyers, posters, list servs, presentations, etc. Hosted Community Forums 4 separate Forums throughout the county Planning Teams elected Region Stakeholder elected Planning Teams

Planning Team Stakeholders Required Stakeholders Underserved Communities and Local Residents Education Providers Individuals with Mental Health Concerns and/or their Families Providers of Behavioral Health Services Providers of Health Services Providers of Social Services Law Enforcement and Criminal Justice Providers Planning teams expanded to fully represent the community

Planning Team’s Role Represent stakeholder community Ongoing communication with stakeholders Discuss Planning Team decisions Gather input and ideas Select project population Age range Who (e.g. family) Location (e.g. zip code) Setting (e.g. school, home, community) Review Strategies and Practices endorsed in MHD’s PEI Plan Alternative Practices (e.g. PBIS, Incredible Years) Recommend Program Guidelines

Selection of Target Population Asset and risk map Children & youth services Family & community resources Faith community Mental health services District schools Substance abuse services Emergency services Section 8 housing

Relative Risk Indicators By Zip Code Poverty Substance abuse Child removals Juvenile justice entries Mental health clients School dropouts Single parent households Felony arrests Teen mothers Low test scores Low weight births Average risk score

Data on Census Tracts Within Zip Codes % under poverty line (focus on poverty ≥ 20%) Total population Urban and rural population Race (does not include Hispanic as a category) Hispanic or Latino by race Average household size Households with individuals under 18 Families Population in families Average family size

Data by School Truancy rate Census tract and poverty level STAR testing scores Number of English learners Percentage of students receiving free or reduced lunches

Planning Team’s Decision The Planning Teams selected high risk elementary and middle schools Continuity of services during the transition from elementary to middle school, a period critical for academic success and emotional well-being Help for families going through a transitional period when parents are presented with novel challenges as children reach new developmental stages A “Family Focus” approach will be implemented School based strategy

Project Populations Family members REGION SCHOOL DISTRICT(S) NORTH Mountain View Whisman (& high school age) SOUTH Gilroy Morgan Hill EAST Mt. Pleasant *Franklin McKinley Alum Rock CENTRAL Campbell Oak Grove San Jose Unified Luther Burbank Family members

Strategies and Practices

Multi-Level School Based PEI Program (Prevention) Recommended Practice Model: Strengthening Families Program Provides focused prevention strategies to families in school settings to enhance protective factors and decrease risk factors

Enhanced Parenting Support (Early Intervention) Recommended Practice Model: Triple P Levels 4 & 5 Provides parents with more intensive support in dealing with emerging behavioral problems

Family-Based Intervention Strategy (Early Intervention) Recommended Practice Model: Brief Family Therapy Model Provides intensive, direct interventions to parents and children to address severe emerging behavioral/emotional problems

Child/Skills Intervention (Early Intervention) Recommended Practice Model: Trauma Focused Cognitive Behavioral Therapy Provides intensive, direct interventions to parents and children to address severe emerging behavioral/emotional problems resulting from trauma

Timeline Region RFP Released Proposals Due Start Date North 11/2011 12/2011 3/2012 (projected) South 2/2012 5/2012 (projected) East 1/2012 (projected) 2/2012 (projected) 7/2012 (projected) Central

Presentation for Mental Health Board School-Linked Services Presentation for Mental Health Board Family, Adolescents & Children’s Meeting 1/12/12 21 21 21 21

School-Linked Services (SLS) History 2011 County board President Dave Cortese called for County Department heads to develop a plan to implement a new School-Linked Services Initiative SLS Advisory Committee convened by Supervisor Dave Cortese, Supervisor George Shirakawa and ESUHSD Superintendent Dan Moser SLS Advisory Committee met monthly from April – November, 2011

Aim of SLS To improve the accessibility, efficiency and outcomes of multi-agency services provided to children in Santa Clara County schools through improved coordination, design and implementation of services provided by schools, public agencies and community based organizations

Implementation Board of Supervisors adopted the Strategic Plan on Tuesday, January 10 Implementation plan will be developed this year Initial funding dedicated toward SLS coordinators Entered discussions with 10 PEI school districts