California State Association of Counties (CSAC ) Annual Meeting November 17-18, 2009 Monterey, California California Mental Health Services Authority (CalMHSA) An Idea Whose Time Has Come!

What is a Joint Powers Authority (JPA)? Definition JPA—“An Institution Permitted Under Law Section 6500 State Government Code, Whereby Two or More Public Authorities (e.g., local governments) Can Operate Collectively.” Characteristics Separate, Distinct Governance from Member Counties Powers—Derived From/Established by Participating Agencies Can Employ/Contract Independent Staff to Carry Out/Implement Board Policies Transparency/Accountability Brown Act Compliance Fiscal Audit Requirements Joint Delivery of Services—e.g., Mental Health, Fire, Police, Sanitation, Education, Legal, Others

What is California Mental Health Services Authority (CalMHSA)? An Independent Administrator/Fiscal Government Agency for the Efficient Delivery of California Mental Health Projects Headed By—1) Separate Board of Members; 2) Executive Committee Comprised of Officers and Statewide Region Representatives; 3) Administrative Firm—George Hills Company, Inc.; 4) Separate Legal Counsel—Murphy, Campbell, Guthrie & Alliston Supported By—Stakeholders, Strategic Partners, Service Providers Operational Tenets/Value-Based JPA Outcomes Transparent & Inclusive Efficient & Effective Use of Resources Flexible/Dynamic/Scalable Accountable for Results

CalMHSA—What It’s “NOT”… √… Not A Legislative Agency Setting Code/Regulations √… Not An Advocacy Body √… Not An Approval Body Delaying Service Financing/Delivery √… Not An Organization with Limited Capacity/Capabilities √… and It Will Not Limit Potential Service Providers

CalMHSA—JPA Agreement/Purpose Addressing Suicide Prevention Ethnic/Cultural Outreach Stigma/Discrimination Reduction Related to Mental Illness Student Mental Health/Workforce Training and Education Training, Technical Assistance, and Capacity Building Provision of Necessary Administrative Services —Such Administrative Services May Include, but Shall NOT be Limited to—Establishing a Depository for Research Materials/Information Regarding “Best Practices”. This Agreement is Entered Into by the Members in Order to Jointly Develop, and Fund Mental Health Services and Education Programs as Determined on a Regional, Statewide, or Other Basis. Such Programs May Include, But Are NOT Limited To, the Following:

CalMHSA—Current Members Colusa County (Curtis Boewer, MPA, MFT) Monterey County (Wayne Clark, PhD) San Bernardino County (Allan Rawland, MSW) San Luis Obispo County (Karen Baylor, PhD, MFT) Solano County (Mike Oprendek, LCSW) Stanislaus County (Denise Hunt, MFT) Sutter County/Yuba County (Tom Sherry, MFT) Butte County (Ed Walker, LCSW)

CalMHSA—Administrative Team George Hills Company, Inc. Established California Offices 77 Professionals Public Entity Experts JPA and TPA Best Practices Firm Focus—Strategies, Services, and Support JPA Approach—3 Dimensional: Define, Develop, Deliver Murphy, Campbell, Guthrie & Alliston Legal Counsel—Trusted, Public Entity Experts Highly Experienced in Brown Act Requirements Specialists in Political Reform and Public Record Acts

CalMHSA—Interest/Momentum Established January – May 2009 Genesis of JPA Inform/Educate—”What is a JPA?” Feasibility Discussion Formation Process Started Formation Strategy Operation Finance Program Service Providers Strategic Partners Legal Documents Started

CalMHSA—Interest/Momentum Grows June Counties Joined CalMHSA CalMHSA JPA Filed with the Secretary of State CMHDA Assists County Mental Health Directors to Learn About CalMHSA’s Governance, Benefits, Purpose CMHDA Encourages CalMHSA Support and Membership July – November Counties Joined CalMHSA ‘Official’ CalMHSA Document Filing with Appropriate State Authorities CalMHSA Begins Monthly Meetings per Brown Act Requirement 30+ Counties Showing Interest in CalMHSA Membership 20 Counties ‘In Process’ of Reviewing with Mental Health Department

CalMHSA—Milestones Achieved √ JPA Agreement Signed July 9, 2009 √ 7 Members (One Member Represents 2 Counties) √ Draft Bylaws in Process √ JPA Structure Established/Developing Professional Administrative Firm Hired—George Hills Company, Inc. Legal Counsel Hired—Murphy, Campbell, Guthrie & Alliston Monthly Meetings Held Strategic Planning Session Held Explored Vision Statement; Mission; Goals; Stakeholders Budget Developed Banking/Financial System In Place

CalMHSA—JPA’s Future ‘On Track’ CalMHSA, DMH, & CMHDA—Working Together! √ Collaboratively Developing Strategic Partnership for Efficient Delivery of Statewide PEI Project Drafting MOU with DMH Awaiting Guidelines from MHSOAC Current CalMHSA Members —Active & Involved! √ Assigning Technical Assistance Monies to JPA √ Assisting Counties Interested in Joining CalMHSA √ Educating and Informing Others on Benefits of CalMHSA

CalMHSA—JPA’s Future ‘On Track’ Recent Survey Responses: √ 79% Responding Counties Considering Membership √ 43% Currently Reviewing with Mental Health Department √ 36% Reviewing with County Counsel County Update: Santa Clara County & Placer County Board Action Tentatively Scheduled for November Los Angeles County Board Action Scheduled for December Contra Costa County, Alameda County, & Napa County ‘In Process” of Reviewing with County Counsel

CalMHSA—Slate of Officers President Allan Rawland, MSW – San Bernardino County Vice President Mike Oprendek, LCSW – Solano County Secretary Wayne Clark, PhD (Bay Area Rep) – Monterey County Treasurer Curtis Boewer, MPA, MFT – Colusa County Southern Area Representative Karen Baylor, PhD, MFT – San Luis Obispo County Central Area Representative Denise Hunt, MFT – Stanislaus County

CalMHSA — We’re Here to Answer Questions John Chaquica, CPA, MBA, ARM George Hills Company (916) Kim Santin, CPA George Hills Company (916) (Office) Wayne W. Clark, PhD Behavioral Health Director, Salinas, California Officer (Secretary), CalMHSA (831)