1. WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Measurement & Feedback Need / Demand Analysis Plan to Improve (QI Work Plan) Design & Redesign Processes and Services System Activity PREVENTION: Education in the Community

2. WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION System Activity

3. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System TCP: Redesign processes to assess, understand and plan; develop person- centered skills

4. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System Access and Capacity Management: Improve flexibility of programs, contractual structure and referral processes (AB109, access points, LOCs) and customer services

5. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System Client Measurement: Increase measurement of community and client needs, quality of life indicators and other outcome measures: Client Outcomes, CANS (F&C0, Demand analysis

6. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System Supervision: Improve capacity to support staff in their work to advance client outcomes

7. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System Streamline Documentation: Streamline documentation requirements to reduce burden on staff, improve usefulness for clients

8. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System Clients Transitions: Improve transitioning to/from FQHCs, IMDs, etc. – and into the community

9. WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System Linkages: Reduce preventable readmissions to acute/ED services, improve linkage to 24 hour care, create drop-in services PREVENTION: Education in the Community

10. WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System EBPs: Increase therapeutic skills and capabilities of staff (expand range of EBPs)

11. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Change to the System Advance Recovery: Improve ability to keep treatment plan current, relevant and effective (MORS 5, Older Adult, ARP)

12. PREVENTION: Education in the Community WELCOME: Provide accessible, appropriate and welcoming points of entry ENGAGE: Build clients’ hope and belief ASSESS: Discover clients’ strengths, assets, goals and other whole health needs UNDERSTAND WHOLE PERSON: Put clients’ strengths, assets and goals into usable form PLAN & COORDINATE: Create or update clients’ tx plan with usable strengths, assets goals and other whole health needs and share it TRANSITION: Support clients’ discharge to new programs and from public mental health services TREAT & TEAM UP ON CARE: Provide tx in collaboration with others to support clients’ goal attainment and advance their recovery Core System Processes: System Supports: Contractual Relationships Development & Supervision Documentation & Reimbursement Auditing & Compliance Community Juv. Justice, Corrections IMDs & Acute Hosp Sources: Outcomes: External/Community Resources Schools Primary Care Other Programs & Agencies V ISION & M ISSION Measurement & Feedback Need / Demand Analysis Plan to Improve (QI Work Plan) Design & Redesign Processes and Services System Activity System for Improvement