1. 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

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

3. 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.

4. 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

5. 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?

6. 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

7. 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

8. 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.

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

10. 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)

11. 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

12. 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.

13. 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

14. 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.

15. 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.

16. 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

17. 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.

18. 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

19. 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

20. CalMHSA — We’re Here to Answer Questions
Wayne Clark, PhD
Executive Director
(916) (CalMHSA Office)
John Chaquica
Chief Operations Officer
(916) (CalMHSA Office)
Ann Collentine, MPPA
Deputy Director of Programs
(916) (CalMHSA Office)
Kim Santin, CPA
Finance Director
(916) (CalMHSA Office)
Laura Li
JPA Administrative Manager
(916) (CalMHSA Office) 21

21. Thank you for joining us.