1. HISTORY OF CBHDA, CIBHS (Formerly CMHDA & CiMH) and CalMHSA August, 2015

2. CMHDA California Mental Health Directors Association Beginning in the early 1950s, the Department of Mental Health supported a Conference of Local Mental Health Directors, the costs and staffing paid for by the Department. The Conference provided regular meetings that included training, policy information, legislative information sharing, and a complex committee structure that provided the advice and information needed by the Department to manage the state’s public mental health system. Included in its statutory responsibilities was required review of by the MH Directors of Department regulations prior to issuance.

3. CMHDA In 1989, county mental health directors completed an extensive discussion and decided to establish a lobbying office that would operate in collaboration with the Conference and utilize its discussions and committee structure, but could speak directly on legislative and budget issues (unlike state staff in the Department assigned to support the Conference). The office was conceived as an affiliate group to the California State Association of Counties (CSAC), and the California Mental Health Directors Association (CMHDA) was established with a staff of 1 ½ positions, including an Executive Director/registered lobbyist, Catherine Camp. The structure of CMHDA was a 501-c-4, which depended on membership dues for core funding, and non-profit but not able to receive tax-exempt funds because of its lobbying focus.

4. CMHDA In 1990, the state faced an unprecedented budget shortfall, coming at the end of more than a decade of declining public mental health budgets. A part of the solution was State-Local Program Realignment, including designation of a specified funding source for mental health and devolution of program planning, managing and delivery responsibilities to county government for virtually all public mental health programs (written by SNG). The initial legislation required the Department to undertake a review of governance in the mental health system, including identification of policy and information-sharing mechanisms needed to provide input to program design.

5. CMHDA The report of this effort recommended the elimination of the Conference (including its review of regulations), leaving county program policy, training, information-sharing and legislative advocacy firmly the responsibility of counties. Accordingly, the role and responsibility of CMHDA expanded significantly. The Department reduced its staff support to approximately one position, to plan meetings, including Committee meetings, thereby assuring that the Department received regular county input to its operations. The Department began the practice of transferring to CMHDA an amount of money each year to support information-sharing.

6. CiMH California Institute For Mental Health CMHDA responded in part by inviting Dr. Sandra Naylor Goodwin, who had been a county mental health director and subsequently served as a legislative consultant to then-Assembly Health Committee Chair Bruce Bronzan, to develop a companion or parallel organization, intended to provide training, education and research support to the public mental health system. The California Institute for Mental Health (CiMH) was established in 1993 as a 501-c-3 tax-exempt non-profit organization, with 1½ staff persons, including a director and support staff shared with CMHDA. Core funding was provided with a transfer of the DMH funds provided for information-sharing and a grant from the CMHDA dues.

7. CiMH Initially, the board of directors for both organizations were identical. Monthly board meetings were split between the CMHDA board doing its business, adjourning, then reconvening as a CiMH board of directors. CiMH began establishing a series of program and projects based on public and private grant funding, as well as training fees charged to public mental health departments. CiMH and CMHDA shared office space, while moving to separate and clarify staff roles between the two organizations.

8. CiMH In 1999, CiMH established a separate board of directors, with a separate meeting schedule. This decision was intended to broaden the board representation for CiMH beyond county directors, while retaining a strong county presence on the board. It was also designed to provide CiMH the focus of a board that could spend appropriate time on the activities of the Institute. CMHDA From June, 2001 until September, 2013, Patricia Ryan served as Executive Director for CMHDA and helped the association continue to grow as a powerful advocate for county mental health services. She is currently serving as the Association’s Interim Executive Director.

9. CMHDA Merger with CADPAAC On July 1, 2014, the California Mental Health Directors Association joined with the County Alcohol and Drug Program Administrators Association of California (CADPAAC) to become the County Behavioral Health Directors Association of California (CBHDA). Vision for CMHDA Merger with CADPAAC Improve the impact on the people served Achieve better outcomes around wellness Assure a strong, unified advocacy and public policy voice Create greater efficiencies in our efforts Better align advocacy and policy with county, state and federal structures. With the implementation of the Affordable Care Act and the merging of mental health departments with alcohol and other drug departments in most counties, the association clearly saw the need for better coordination and advocacy on behalf of the people we serve in California.

10. CiMH Merger with ADPI On July 1, 2014, California Institute for Mental Health merged with the Alcohol and Other Drug Policy Institute (ADPI) to form the California Institute for Behavioral Health Solutions (CIBHS). Vision: Create an organization to support California behavioral health to become leaders in the nation and the world. Dr. Sandra Naylor Goodwin continues in her role as the President and CEO of CIBHS to champion California as the national leader in the provision of mental health and substance use disorder services and support systems that successfully advance hope, wellness, resiliency, recovery and full community integration for all adults, children and families across their life spans.

11. CIBHS and CBHDA (Formerly CiMH and CMHDA) CBHDA depended (and still does) on CIBHS to provide the county-focused training and education to assure that the public behavioral health system is the best it can be. Policy analysis and research is part of this. CIBHS depended (and still does) on CBHDA to provide policy and fiscal analysis and a committee structure regarding the public behavioral health system that can both advise on the agenda of the Institute, and provide a primary audience for its work.

12. CBHDA Today CBHDA is actively involved in social justice and behavioral health- related public policy development across all levels and branches of government. From analysis to advocacy, CBHDA is constantly evaluating the "real world" implications of public policy development on local behavioral health authorities and the communities they serve. CBHDA currently has a staff of 7 full-time staff positions, and an accounting consultant, and contracts with fiscal/legal consultants on an as-needed basis. CBHDA hosts monthly All Member meetings, monthly Governing Board meetings, and policy committees and work groups that meet monthly or as needed. CBHDA is now 100% dues supported – membership is voluntary and central to our mission. All 58 California counties (and two cities) are active members in the association.

13. CBHDA Contacts Patricia Ryan, MPA Interim Executive Director pryan@cbhda.org Adrienne Shilton, MPPA Director, Intergovernmental Affairs ashilton@cbhda.org Tom Renfree Deputy Director, Substance Use Disorder Services trenfree@cbhda.org

14. CIBHS Today Purpose: help professionals, agencies and funders improve the lives of people with behavioral health and substance use challenges through policy, training, evaluation, technical assistance, and research. CIBHS has 47 full-time employees CIBHS budget FY $11.2M Primary statewide training & technical assistance for MHSA, health care reform implementation, etc. Supports 10 EBPs; 34 counties; 48 CBOs 64 projects of various size & scope Activities: Training, Technical Assistance, Publications, Convening, Problem-solving; TA Implementation; Evaluation & Research

15. CIBHS Contacts President and CEO: Sandra Naylor Goodwin, PhD, MSW sgoodwin@cibhs.org Vice President: Victor Kogler vkogler@cibhs.org Chief Program Officer: Percy Howard, LCSW phoward@cibhs.org Chief Operations Officer: Doretha Williams-Fournoy dflournoy@cibhs.org

16. CalMHSA In July 2009, six California counties formed CalMHSA as a Joint Powers Authority (JPA), under Government Code Section 6500 et seq., to jointly administer county mental/behavioral health projects and educational programs at the state, regional and local levels on behalf of counties acting jointly. Currently CalMHSA has 53 members (51, counties, 1 JPA, 1 City), with one county participating as a non-member. CalMHSA as a government entity conducts all meetings under the Ralph M. Brown Act, with board and committees meeting regularly.

17. CalMHSA Mission The mission of CalMHSA is to provide member counties a flexible, efficient, and effective administrative/fiscal structure focused on collaborative partnerships and pooling efforts in: Development and implementation of common strategies and programs Fiscal integrity, protections, and management of collective risk Accountability at state, regional, and local levels

18. CalMHSA Other Information CalMHSA provides any other similar or related fiscal or administrative services that would be of value to members such as group purchasing, contract management, research and development, data management, maintenance of a research depository, provide prevention-oriented education, etc. CalMHSA is an Affiliate of CSAC. CalMHSA’s website -- CalMHSA.org -- hosts a broad array of array of information related to the work it does on behalf of counties acting jointly.

19. Current CalMHSA Programs Statewide Prevention and Early Intervention (PEI) Projects - Suicide Prevention - Stigma and Discrimination Reduction - Student Mental Health State Hospital Bed Program Short/Doyle Medi-Cal Fiscal Pilot Modernization Project Contract Management for Counties on Various Projects

20. CalMHSA Contacts EXECUTIVE DIRECTOR Wayne Clark, PhD (916) 800-4677 wayne.clark@calmhsa.org CHIEF OPERATIONS OFFICER John E. Chaquica, CPA, MBA, ARM (916) 859-4824 john.chaquica@calmhsa.org PROGRAM DIRECTOR Ann Collentine, MPPA (916) 859-4806 ann.collentine@calmhsa.org SENIOR PROGRAM MANAGER Stephanie Welch, MSW (916) 859-4816 stephanie.welch@calmhsa.org

21. Community Behavioral Health Partnership Policy Quality Performance Accountability

22. Summary of CBHDA/CIBHS/CalMHSA Relationship CBHDA and CIBHS together are the policy, research and training tool of the county behavioral health system. Both organizations were created by the county system to meet deeply felt needs. CBHDA’s task is to provide a venue for information sharing and issue identification for mental/behavioral directors and/or AOD Administrators and county leaders to determine public behavioral health public policy needs, and to advocate for those needs. CIBHS provides the training and research for counties to meet those needs.

23. CIBHS and CBHDA co-sponsor 7 annual statewide conferences and 2 annual Behavioral Health Policy Forums to provide ongoing information on emerging trends in the behavioral health field. CBHDA, CIBHS and CalMHSA work together to identify projects that would benefit from being administered by CalMHSA on a regional or statewide basis on behalf of counties.

24. Contact Info Patricia Ryan, MPA Interim Executive Director 916.556.3477 Ext. 1108 pryan@cbhda.org www.cbhda.org Sandra Naylor Goodwin, MSW, PhD President and CEO 916.556.3480 Ext. 103 sgoodwin@cibhs.org www.cibhs.org Wayne Clarke, PhD Executive Director 916.800-4677 wayne.clark@calmhsa.org www.calmhsa.org