1. + Placer MHSA Integrated 3 Year Planning—Further Conversations July 1, 2014- June 31,2017

2. The Big Picture… Review MHSA planning efforts & timeline Recap last meeting Decisions made & New Programs Process update Innovation discussion

3. + Review of Planning Elements & Requirements 3-year plan (2014 – 2017) Based on unspent funds + estimated revenues from State Stakeholder process Representatives from the County’s constituency groups (CCW Steering) Involvement in: mental health policy, program planning & implementation, monitoring, quality improvement, evaluation & budget allocations Draft plan circulated for 30 days for public comment (Summer/Fall 2013)

4. Current Process and Timeline Target Pop. + Outcomes Outcomes& Target Pops. Strategies & Programs Draft Plan Steering Ideas Asset mapping Target Pops served Outcomes Recomm. Recommended programs Staff maps To Budget Eval. Current Programs Steering Rec. Leadership Team decisional Gaps AprilMarch Dec. Aug Oct. 2013 Framework For Priorities (GAPS) July Asset Map For Review Process Decisions Funding strategies Sept. Input on gap tool Innovation + Planning Innovation + Planning May/June

5. Review of Current MHSA Elements Community Services & Supports Community Services & Supports Prevention & Early Intervention Prevention & Early Intervention Innovation WET Cap Fac. & Tech Full Service Prt. Systems Transf. Crisis Triage Lake Tahoe Ready for Success Bridges to Wellness Bye Bye Blues West Slope(PCF) Tahoe(TTCF) 5 Large Projects Housing Ongoing One-Time 75%20% 5%

6. + Recap of Decisions made:

8. Current Programs Process Decision Made in April All Current Programs All Current Programs Recommend Programs (At existing Funded levels) Recommend Programs (At existing Funded levels) CCW Steering Review CCW Steering Review CCW Leadership (Final Decision) CCW Leadership (Final Decision) Draft MHSA Plan RFP after plan Is approved MHSA Eval Team Programs needing more $’s would apply separately for unspent funds. Include WET Notes: 1) WET to be included in ongoing CSS program expenses. 2) Ongoing programs -7% COLA next year and 2% annual increase thereafter 3) PEI receives $300k of additional ongoing funds for RFP –worked into unspent RFP process Program Deliverables Outcomes (qualitative and quant.) Program Deliverables Outcomes (qualitative and quant.) YES

9. Total Current Program Dollars Current Ongoing Process WET is included in CSS, includes COLA of 7% in 13/14 and 2% thereafter $300k of “new” PEI ongoing is not included in above process but will be included in “unspent process” ’13/14‘14/15’15/16’16/17’17/18’18/19 CSS$5.4$5.8 $5.9$6.0$6.1$6.2 PEI$1.2$1.8$1.7

10. Program Selection Process Decision Made in May* Includes Unspent + PEI ongoing + Innovation Community Program Review Panel Community Program Review Panel Request for Proposal CCW Steering CCW Steering CCW Leadership CCW Leadership Annual Plan Update Annual Plan Update Program identification Process Program identification Process Gap ideas Asset map Funding allocation s Hospital data Innovation priorities Program Strategies Framework Program Strategies Framework MHSA Criteria CSS: 51% > FSP PEI: 25% > 0 – 24yrs WET, Housing, Facilities Outcomes Target pops. Note: * Includes unspent (6yr. Funding framework), PEI $300k(ongoing) + Innovation * $3 million- for capital facilities + housing - decision by 2018

11. Total Dollars for Process Unspent + PEI Ongoing + Innovation PEI & CSS - allocates more dollars in first three years and slightly less remaining three years Requirements: CSS 51% or > to FSP and PEI 25% or > to 0-24 yrs. old. $3 million- for capital facilities + housing decision to occur by 2018. ’13/14’14/15’15/16’16/17’17/18’18/19 CSS Unspent $1.20 $0.98 PEI Unspent $0.75 $0.45 PEI Ongoing $0.30 $0.31 $0.32 Innovation $.71 $0.71 $0.69 Total $2.96 $2.97 $2.95 $2.44

12. + Tahoe Priorities Increase awareness of underserved pops. LGBTQ, disabilities, TAY, PPD Increase non-therapy and therapy alternatives for youth (natural setting) Increased coordination and community wide prevention around suicide (warning signs) Decrease stigma and discrimination Culturally competent therapy for Latino pop. Mental health & substance abuse services for under and uninsured Homeless support – strategies* Intervention and supports for children and families (those with and without mental illness) Adequate crisis response with follow up services

13. Innovation Review MHSA guidelines and numbers Recap ideas from last meeting Mapped to Innovation guidelines Recommendations from Leadership Committee Group work  prioritization

14. + Innovation- Available Dollars 13/1414/1515/1616/1717/1818/19 Ongoing 0.45 0.43 Unspent0.26 Total.71.69

15. + Innovation – Must Do At Least One of the Following Introduce new mental health practice/ and approach Make a change to an existing mental health practice/approach Introduce to the mental health system a new promising community-driven practice/approach or a practice/approach that has been successful in non-mental health setting

16. Innovation - New Mental Health Approaches Services to incarcerated adults upon release First Hospitalization/ First Onset/Early Response Mobile Response Unit Transportation Resources

17. Innovation – Making Changes to Existing Programs or Services Peer Support/Wellness Recovery Action Plan Leasing available space in churches or other buildings Peer Run Board and Care Transition Age Youth Housing Mental Health integrated with Acute Health

18. Innovation – Introduce Community Driven Practices to Mental Health Community Garden Cooking Café Respite Services Art Center Operational Support for Transition Age Youth Center Other work program/business opportunity

19. Innovation – Concepts that are better met through PEI or other funding sources Homeless Shelter Services for Jail Population Suicide Prevention

20. Innovation – Leadership Recommendation Focus on one to three initiatives 1 large initiative ($350,000) + 2 small ($175,000 each) 3 similar initiatives ($233,000 each) 2 initiatives ($350,000 each) Exercise: Select top funding initiative from above Relative to brainstorm list, pick top three priorities

21. Next Steps Move Innovation priorities into the process August MHSA program recommendations