1. Steering Committee Friday, April 27, 2007 10-1 pm Roseville

2. Welcome & Introductions –Voice from community –Time and location for future meetings Review of Campaign for Community Wellness MHSA Plan and report update What more needs to be done –Decision for CSS dollars Agenda

3. Steering Committee Meeting time and location Who is missing today? What time works best? Suggested locations?

4. Integrating. Coordinating. Collaborating. Campaign for Community Wellness

5. Coordination Transformation Consumer Voice Underserved Awareness Campaign for Community Wellness

6. Approaches –Co-occurring competence –Client/family centered –Recovery-oriented –Cultural competence –Collaborative Reduce Stigma Recovery Focused Improved Outcomes Campaign for Community Wellness

7. Campaign for Community Wellness Integrated approach Shared resources Collective outreach Improved service delivery System transformation Community Consumers CBO, Faith Gov’t, Service MHSASAMHSA $2.2m $1.4m Community Services & Supports funds Campaign for Community Wellness-Phase I

8. Crisis Triage Steering Committee Transition Age Youth AdultOlder Adult Lake Tahoe Children System Change Co-occurring/ Cultural Comp. Children, Youth, Adults, Older Adults Latino, TAY, Native American VoiceMH Board Voice/ Direction System Transformation Full-service Partnerships YouthConsumerFamily Elements of the Campaign Severely Emotionally Disturbed Severe Mental Illness

9. Mental Health Services Act Implementation Progress Report Feb. – Dec. 2006 Comments

10. Report Distribution Process Date published – 4/18 English and Spanish version Posted on –Placer County website –Sent to Copies to: Libraries, cities, private providers, Family Resource Centers, Welcome Center Families, consumers, partners, client council Placer Collaborative Network, Board of Supervisors, City Council members All local papers Press release submitted

11. Report Highlights Rally Around Families Together (Children) –SMI children at risk of out-of-home placement –5 of 18 slots filled Placer Transition Age Youth (16-17) –Most at risk due to SMI, history of hospitalization, out- of-home placement, co-occurring substance abuse, or incarceration –13 of 22 slots filled –Those less at risk receive case management and referral services Transition Age Youth AdultOlder AdultChildren Full-service Partnerships

12. Report Highlights Whatever It Takes Team (Adults) –Living in locked setting, or frequently hospitalized –Incarcerated –All 24 slots filled Older Adult Full Service Partnership –Support to live independently –3 of 22 slots filled, slow to start due to staff recruiting Transition Age Youth AdultOlder AdultChildren Full-service Partnerships

13. Report Highlights Crisis Triage Lake Tahoe System Change Co-occurring/ Cultural Comp. System Transformation System Transformation –Improving system capabilities for those with mental illness & substance abuse –Resiliency and recovery-oriented, culturally competent –Consumer Council and Welcome Center –Increased outreach to Latino and Native American communities –Hiring of consumer and family members

14. Report Highlights Crisis Triage –Crisis response teams now in place –Same day, next day More immediate, short-term crisis resolution Goal to reduce hospitalizations Lake Tahoe System Development –Improve access to culturally competent care in Lake Tahoe –Hiring of bilingual/bicultural staff –Partnership with FRC staff for more outreach –Coordination of services Crisis Triage Lake Tahoe System Change Co-occurring/ Cultural Comp. System Transformation

15. Key Accomplishments to Date One of the first County’s to be up and running with MHSA funds Reduced number of adults living in locked institutions 33% Welcome Center averages 50 visitors a day Integrating with other initiatives (SAMSHA) Same day/next day – immediate response –# (report) Consumers hired # Established Native American Council Established a local private Board and Care to provide appropriate housing

16. Lessons Learned Adult Full-Service Partnership Slots filled from locked institutions Need to outreach and fill slots for Latino, Native American and forensic population Latino and Native American populations Increased bilingual/bicultural staff Now have Native American Council Need to work on building outreach capacity to Latino Community

17. Lessons Learned Crisis Triage Have had wait times for services-improve access to services and decrease wait time Tahoe Not getting comprehensive services due to geographic challenges

18. Discussion Around Year 1 Progress Questions Comments

19. What More Needs to be Done? Recommendation for CSS funding

20. Factors To Consider Governor’s proposal to eliminate Funding for Homeless Program (AB 2034) System transformation of core services is limited by resource challenges At least 51% of total funds need to go to full-service partnership

21. Crisis Triage Steering Committee Transition Age Youth AdultOlder Adult Lake Tahoe Children System Change Co-occurring/ Cultural Comp. SED,SMI Children, Youth & Adults, O.Adults Latino, TAY, Native American VoiceMH Board Voice/ Direction System Transformation Full-service Partnerships YouthConsumerFamily Recommendations for Additional CSS funds of $881,000 Homeless

22. Contingency Plan If the governor eliminates AB 2034 funding we recommend targeting the homeless population with the new monies Homeless 100% If AB2034 is maintained...

23. Recommendations - Detail Voice YouthConsumerFamily Crisis Triage Greater outreach to the underserved (building team) Improve access & urgent services Psychologist and psychiatrist consultation for primary care Double adult full-service partnership slots (24 more) for underserved populations (Latino, Native American, forensic) Adult 40% Lake Tahoe Expand full-service partnership geographically 25% 20% 15%

24. Discussion Questions Individual and Group work Recommendations for $881,000

25. Steering Committee Timeline AprilMayJuneJuly Meeting 4/27  Overview workforce $’s  Meeting time  CSS Decision If no decision Ad hoc meetings for Education/Training input  Mental Health Day volunteers Formal Steering Committee meeting Meeting: Date?  Overview of PE/I & Housing $’s  Education/Training Funding Decision CSS $’s arrive Aug.

26. Public Postings & Approvals Send CSS decision to State for approval 6/15 JuneAprilMayJuly Post MHSA report 4/18 Mental Health Board meeting 5/21 (1 week to get report comments in) CSS decision operationalized & posted 5/15 Educ./Training decision operationalized & posted Aug. Send Educ./Training decision to State

27. Next Steps May & June Meeting –Time & location Public Hearing on MHSA Report: May 21, 2007 Planning for Recommendations on Education/Training funding

28. Information Page Questions: Michele Zavoras –Mzavoras@placer.ca.govMzavoras@placer.ca.gov –Phone –530-889-7244 Website: http://www.placer.ca.gov/hhs/adult/MHSA.aspx http://www.placer.ca.gov/hhs/adult/MHSA.aspx

29. End of Presentation Following slides are to support handouts

30. New CSS Funding Guidelines Education & Training

31. Community Service & Supports Guidelines published Early Intervention & Prevention No guidelines yet Limited Information Phase 1 $2.2M for 3 years New money: + $881K Technology Education & Training Housing Innovative Programs MHSA Funding Plans (6)

32. Overview: Workforce Education & Training Training –Staff support consistent with MHSA principles –Mental Health Career Pathway programs targeting consumers and family members Residency and internship programs –Attract licensed providers Financial incentives –For current and prospective public mental health employees –For degrees and licenses with emphasis on developing a more culturally diverse workforce