Community Collaboration Feather River Tribal Health, Butte County Behavioral Health and Partners Weaving Good Relations Conference January 8, 2010 Humboldt State University

Planned Change How it is supposed to work How it is supposed to work Open, clear process Open, clear process Logic model fidelity Logic model fidelity Broad stakeholder consensus Broad stakeholder consensus Shared vision and goals Shared vision and goals Implement as planned Implement as planned Formative and summative evaluation Formative and summative evaluation

Plan B It doesn’t always work that way It doesn’t always work that way Good plan—poor implementation Good plan—poor implementation Wrong plan Wrong plan No plan No plan Advocate to create opportunity Advocate to create opportunity Prepare to act Prepare to act

Lessons Learned Crisis as danger and opportunity Crisis as danger and opportunity Breakdown denial, ignoring the other Breakdown denial, ignoring the other Choose to see, hear, feel the other Choose to see, hear, feel the other See what can be See what can be Say what is needed Say what is needed

Lessons Learned Crises are fleeting moments Crises are fleeting moments Concentrate energy Concentrate energy Seek allies Seek allies Be sure footed Be sure footed Be urgent and patient Be urgent and patient

Lessons Learned Direction and goals Direction and goals Shared goals get broader support Shared goals get broader support Shared vision sets common direction Shared vision sets common direction Say how we will get there Say how we will get there Say how we will know when we get there Say how we will know when we get there

One Framework for Quality SIX AIMS* Safe Effective Person-Centered Timely Efficient Equitable *National Institute of Medicine — Crossing the Quality Chasm

Lessons Learned Theory of change Theory of change Choose a strategy Choose a strategy Develop a plan Develop a plan Include allies Include allies Respect enemies Respect enemies

Lessons Learned Know allies and enemies well Know allies and enemies well Identify county crucial departments Identify county crucial departments Learn the county organizational culture Learn the county organizational culture Become expert about key departments Become expert about key departments Cultural proficiency will help Cultural proficiency will help

Lessons Learned “I meet, therefore I am.” “I meet, therefore I am.” Learn about required meetings Learn about required meetings Attend bodies, councils, boards Attend bodies, councils, boards Get on agenda/minutes distribution list Get on agenda/minutes distribution list Get appointed Get appointed Planning meetings—MHSA and other Planning meetings—MHSA and other

Lessons Learned Organizational structure Organizational structure Get a copy of the “org chart” Get a copy of the “org chart” Get to know the leadership Get to know the leadership Department directors Department directors Assistant Directors—Services and Fiscal Assistant Directors—Services and Fiscal Program managers Program managers

Lessons Learned Selected reading Selected reading Strategic Plan—vision, mission, values Strategic Plan—vision, mission, values Mental Health Plan* Mental Health Plan* Cultural Competence Plan* Cultural Competence Plan* Department website Department website *Required by State

Lessons Learned More reading More reading Local MHSA Planning and Plans Local MHSA Planning and Plans State DMH Implementation Guidelines State DMH Implementation Guidelines Community Services and Supports Community Services and Supports Prevention and Early Intervention Prevention and Early Intervention SB 163 Wraparound Plan SB 163 Wraparound Plan Child Welfare, Juvenile Probation Reports Child Welfare, Juvenile Probation Reports

Lessons Learned Common interests Common interests Unserved and underserved populations Unserved and underserved populations Culture, ethnicity, language, age, gender, LGBTQ Culture, ethnicity, language, age, gender, LGBTQ Your expertise is needed Your expertise is needed

Lessons Learned Public-private partnership Public-private partnership Medi-Cal organizational provider contract Medi-Cal organizational provider contract Joint grant applications Joint grant applications Enhance county Enhance county Advance the mission Advance the mission