Readiness Training final draft

Proposition 63: 

Proposition 63 The Mental Health Services Act (MHSA)

Mental Health Services Act: 

Mental Health Services Act Approved by California voters in the November, 2004 Funded by state income taxes – 1% on income over 1 million

Purpose: 

Purpose To expand mental health services To seriously mentally ill adults and seriously emotionally disturbed children Provided through a System of Care

MHSA 5 Essential Elements: 

MHSA 5 Essential Elements Community collaboration Client/family-driven system Integrated services throughout the clients’ interactions with the system Wellness focus Cultural competence

Essential Elements: 

Essential Elements Community Collaboration and Client and family-driven system

MHSA Readiness Training: 

MHSA Readiness Training Common foundation of information needed for collaborative MHSA planning Stakeholder or community feedback Networking

What is a Stakeholder?: 

What is a Stakeholder? A person or organization with an active interest in the outcome of an issue. Broadly defined to include clients, family members, and members of mental health, social services, health, schools and law enforcement organizations.

Six Components/Phases: 

Six Components/Phases Community Program Planning Community Services and Support Children/Youth, including Transition Age Adults Older Adults Capital Facilities and Technological Needs Education and Training Programs Prevention and Early Intervention Innovation

State-Proposed Process  for Each Component: 

State-Proposed Process for Each Component State DMH develops drafts of procedures and requirements Community provides input to State DMH State DMH finalizes procedures and requirements Local planning begins with outreach to community (including consumers and families) County MH drafts a 3 year plan 30 day review & comment Public hearing through MH Commission Local 3 Year Plan approved by the Board Final plan approval by State

For further information from the State Dept of Mental Health: 

For further information from the State Dept of Mental Health State Department of Mental Health Website: www.dmh.ca.gov E-Mail: mhsa@dmh.ca.gov Phone: (800) 972-MHSA (6472)

To contact the El Dorado County Mental Health Dept: 

To contact the El Dorado County Mental Health Dept To be added onto our MHSA mailing list To send inquiries re: MHSA E-Mail: mhsa@co.el-dorado.ca.us Telephone: (530) 621-6178

Essential Element: 

Essential Element Integrated services throughout the clients’ interactions with the system

System of Care (SOC): 

System of Care (SOC) Encourages an interagency service delivery system Promotes use of MOU’s, blending funding, co-location of staff, interagency “Team” training. Encouraged County and Private Providers to work together to identify and implement new programs. )

System of Care (SOC): 

System of Care (SOC) Measurable goals and use of evaluation components Funding no longer exists, thus some but not all of the elements of the SOC continue in EDC. )

Essential Element: 

Essential Element Wellness focus

Recovery and Resilience: 

Recovery and Resilience Recovery refers to the process in which people are able to live, work, learn, and participate fully in their communities. For some, recovery is the ability to live a fulfilling and productive life despite a disability. For others, recovery implies the reduction or remission of symptoms. Resilience means the personal and community qualities that allow individuals to rebound from adversity and to continue life with a sense of mastery and hope.

The Process of Stigma: 

The Process of Stigma Negative attitudes and beliefs leading to discrimination. Resulting avoidance. Deters the public from seeking and wanting to pay for care for badly needed services. Responding to stigma, people with mental health problems internalize public attitudes and become so embarrassed or ashamed that they often conceal symptoms and fail to seek treatment, and experience low self-esteem, isolation, and hopelessness.

The Self Help Movement: Consumer & Family-operated Services: 

The Self Help Movement: Consumer & Family-operated Services Principals of informality, equality and non-reliance on organizations Self healing through mutual support.

Consumer & Family-operated Services: 

Consumer & Family-operated Services Variety: support groups, independent living programs, drop-in/advocacy/independent living service centers, political action groups, client run housing, self-supporting businesses and theater groups. Formalized and broadened: technical assistance, employment, managed care platforms, homelessness outreach, case management, crisis response, benefits acquisition, anti-stigma campaigns, and research.

Essential Element: 

Essential Element Cultural Competency

Cultural Competency: 

Cultural Competency Cultural sensitivity to ethnicity, race, religion, and personal values of each family/culture Promoting of hiring of bilingual/bicultural staff in all positions within an agency Providing services in the consumer’s primary or preferred language—including written materials

Cultural Competence: 

Cultural Competence System cultural competency requires a utilization goal of serving clients by race, gender, age, ethnicity that is proportionate to the regional population

County MH Prevalence and Service Utilization by Gender: 

County MH Prevalence and Service Utilization by Gender While the State Department of Mental Health identified that in 2004 an estimated 1571 females at less than 200% of the poverty level are seriously mentally ill, their data also indicates that only 1309 were served by the EDCMH system.

County MH Prevalence and Service Utilization by Age: 

County MH Prevalence and Service Utilization by Age While the State Department of Mental Health identified that in 2004 an estimated 184 transitional age youth (ages 18-20) at less than 200% of the poverty level are seriously mentally ill, their data also indicates that only 131 were served by the EDCMH system.

County MH Prevalence and Service Utilization by Age: 

County MH Prevalence and Service Utilization by Age While the State Department of Mental Health identified that in 2004 an estimated 247 older adults (age 65+) at less than 200% of the poverty level are seriously mentally ill, their data also indicates that only 64 were served by the EDCMH system.

County MH Prevalence and Service Utilization by Ethnicity: 

County MH Prevalence and Service Utilization by Ethnicity While the State Department of Mental Health identified that in 2004 an estimated 506 Latinos at less than 200% of the poverty level are seriously mentally ill, their data also indicates that only 168 were served by the EDCMH system.

The Current California Public Mental Health System: 

The Current California Public Mental Health System

Public Mental Health System: 

Public Mental Health System Crisis Intervention Brief Emergency response Phone or face to face

Public Mental Health System: 

Public Mental Health System Day Rehabilitation: Least restrictive setting Therapeutic setting

Public Mental Health System: 

Public Mental Health System Case Management: Assistance in accessing services

Public Mental Health System: 

Public Mental Health System Mental Health Services: Individual or group services Assessment Collaborative treatment planning

Public Mental Health System: 

Public Mental Health System Medication Services: Medications to alleviate symptoms

The Current Public Health System: 

The Current Public Health System Medi-Cal Managed Care Model Medical Necessity Specialty Mental Health Services

“Medical Necessity”: 

“Medical Necessity” Must have: Diagnosis Impairment Must benefit from mental health treatment and have a condition that cannot be treated by physical healthcare-based treatment.

El Dorado County Mental Health Department: 

El Dorado County Mental Health Department El Dorado County Mental Health Department

El Dorado County Mental Health Community-based Providers: 

El Dorado County Mental Health Community-based Providers Charis Youth Center, Grass Valley Crestwood Behavioral Health, Inc., Stockton Fruitridge Transitional Home, Sacramento American River Behavioral Health Center, Carmichael Ingle House, Carmichael Early Childhood Counseling Center, Cameron Park Milhous Children’s Services, Inc., Sacramento New Morning Youth & Family Serv. Inc., Placerville River Oak Center for Children, Sacramento Sierra Family Services, Diamond Springs Summitview Child Treatment Center, Inc., Placerville

Systems Change: 

Systems Change Change in expectations Funding-driven Change in process Change in actions Change in organizational structures Change in results

Systems Change Perspective: 

Systems Change Perspective Change is an imperfect process over time

Promote Healthy Change: 

Promote Healthy Change Explore the unknown! Question assumptions! Suspend judgment! Celebrate diversity!

The Public Process: 

The Public Process Goal of the hearing: community involvement Final product: feedback for the MH Director Mental Health Commission will publish an agenda packet 72 hours in advance Information and the hearing is open to the public and media There will be time for individual public comment

Next Steps: 

Next Steps Readiness Trainings Three-year plan development Surveys, Community Meetings, and Focus Groups

How do I get involved?: 

How do I get involved? Please complete the survey to indicate your interest in: Hosting a readiness training Getting on our mailing list Joining a workgroup or the Mental Health Commission

Q &A and Comment Period: 

Q &A and Comment Period Some questions may need to be researched in order to respond. Comments or feedback are welcome. Thank you for your time.