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BHB Adult System of Care CommitteeFY16 MHSA Annual Update Planning Meeting

JULY 16, 2015, 9:00AM-11:00AM

DOWNTOWN MENTAL HEALTH CENTER

107 5 E . S A N TA C L A R A S T R E E T, 2 N D F LO O R , T R A I N I N G RO O M # 3

Revised 7/13/2015

FY16 MHSA Annual Update Planning MeetingAgenda

I. Planning and Timeline

II. Meeting Overview

III. Adult and Older Adult Division

IV. Integrated Behavioral Health Division

V. Housing Division

VI. Comments and Questions

VII. Additional Information

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FY16 MHSA Annual Update Planning MeetingPlanning and Timeline

County’s MHSA FY15-17 Three-Year Plan approved in fall of

2014

Counties are required to provide an annual update to the

County’s plan

FY16 MHSA Annual Update instructions www.mhsoac.ca.gov

Community Planning Process Timeline - Refer to handout

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FY16 MHSA Annual Update Planning MeetingOverview

By programming division:

1. Program/Service Description

2. Program/Service Outcomes

3. FY16 Initial Recommendations

4. MHSA Funding: FY15 Approved and FY16 Proposal

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http://www.mhsoac.ca.gov/

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Adult and Older Adult Division: Adult Programming

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FY16 MHSA Annual Update Planning Meeting

CSS A01 Plan: Adult Full Service PartnershipProgram/Service Description

Overall Description:

Intensive, comprehensive program for highest risk SMI adults

Provides treatment, case management, and community

resources

Total # of Clients Served Annually: 391

# of Programs: 3

Total MHSA Funding: $4,692,204

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CSS A02 Plan: Adult/Older Adult BHOS Redesign Program/Service Description


Expands self-help, redesigns OP clinics toward recovery model

Service expansion addresses specific population disparities

Total # of Clients Served Annually: 5,285

# of Programs: 11


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CSS A03 Plan: Criminal Justice System Jail Aftercare Program Program/Service Description


Intensive, comprehensive services, including outpatient and

residential

Serves criminal-justice involved adults with concurrent mental

health and substance abuse problems

Total # of Clients Served Annually: 692

# of Programs: 7


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INN-06 Plan: Transitional Mental Health Services for Newly Released Inmates (Faith Based Resource Centers) Program/Service Description


Inter-faith collaborative; coordination and collaboration with other

service providers

Advocacy groups that connect faith organizations with newly released

inmates to improve outcomes

Total No. of Clients Served from November 2012 to June 2014: 638

# of Programs:

Total MHSA Funding: $742,264

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A/OA DivisionProgram/Service Outcomes

Identified Outcomes

Access for New Clients and Service Engagement Timeliness

Targeted System Performance, Metrics and Improvement Objective

Successful Discharges (Quality)

Acute Care Readmissions (Quality)

Services Delivery (Capacity)

Data

Measurement Methods

Quarterly Reviews and Quality Improvement Plan

Client & Service Information (CSI) Data; Data Collection & Reporting

(DCR); Unicare Data; and Milestones of Recovery Scale (MORS)

Evaluations: INN-06 (Faith Reentry Collaborative Project)

Findings: INN-06

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A/OA DivisionFY16 Initial Recommendations

Maintain the Faith Based Contract: Primary Allocation for these

Centers is through Re-Entry Resource Center.

Additional Changes:

Increase Residential Care Facility Care (RCF) Beds

Increase Outpatient Capacity for Specialty Outpatient Program

Build in Outpatient services for Criminal Justice clients

Increase Full Service Partnership slots

Innovation plans going out to Request For Proposal (RFP)

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A/OA DivisionFY15 Approved and FY16 Proposal

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Component FY15 Approved FY16 Proposal Change

CSS $23,469,699 $24,360,603 $890,904

PEI $ - $ - $ -

INN $742,264 $628,287 ($113,977)

WET $ - $ - $ -

CFTN $ - $ - $ -

Total* $24,211,693 $24,988,890 $776,927

% Change 3.2%

Initial Recommendations as of June 2015:

*MHSA Work Plans: CSS Adult A01, A02 and CSS CJS A03; INN project INN-06

FY16 Proposal includes:

• Placeholder for FY16 Contractor Cost of Living Adjustment (COLA) pending

completion of County labor negotiations.

• County personnel budget adjustments based on current cost projections

from the County’s Office of Budget Analysis.

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Integrated Behavioral Health Division: Central Wellness and Urgent Care Services

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CSS A04 Plan: Central Wellness and Urgent Care ServicesProgram/Service Description


CWBC - Serves uninsured and recently insured clients

MHUC - Provide mental health urgent services

Number of People Served FY2014-15:

CWBC 45,726 duplicated count

MHUC 9,623 duplicated count

# of Programs: 2


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CSS A04 Plan: Central Wellness and Urgent Care ServicesProgram/Service Outcomes

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Outcomes:

CWBC - uninsured clients connected to insurance coverage

MHUC - Timeliness to access

Data:

CWBC - 43% of uninsured clients connected to insurance coverage

MHUC - Goal met = Level 1 & Walk-ins. No-show rate improved

Evaluations:

CWBC - Confirm with Decision Support

MHUC - Daily logs to track

Findings:

CWBC- Result from finance and decision support

MHUC- Goal for timeliness/access met; reduced no-show rate

IBH DivisionFY16 Initial Recommendations

Program changes related to outcomes and findings

CWBC - Redesign the program with an emphasis on mild to

moderate clients

MHUC - Level 1 referrals; No show rate

Additional Information:

CWBC - Maintain funding

MHUC - Maintain funding; review the possibility of creating two

mobile crisis teams

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IBH DivisionFY15 Approved and FY16 Proposal

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CSS $8,808,438 $8,619,434 ($189,003)

PEI $- $- $-

INN $- $- $-

WET $- $- $-

CFTN $- $- $-

Total* $8,808,438 $8,619,434 ($189,003)

% Change -2.2%


*MHSA Work Plan: CSS A04






Housing Division

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CSS HO01 Plan: Housing Options InitiativeProgram/Service Description

Overall Description: The Office of Supportive Housing coordinates the:

Work of the HUD Continuum of Care;

Development and maintenance of permanent supportive housing(PSH) and the intensive case management (ICM) provided to thehoused clientele;

Housing assistance and transportation (UPLIFT) services toindividuals needing emergency shelter, and transitional housing (TH);

Implementation of programs to reduce patients’ utilization of high-cost services.

Total # of Clients Served Annually: 5,132

# of Programs: 15


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Housing DivisionProgram/Service Outcomes Identified Outcomes:

Continuum of Care: Implement new HMIS data system and Coordinated Assessment to facilitate tracking of homeless service data and client placement;

Permanent Supportive Housing: Consolidate gains of the Care Coordination Project by improving coordination to thereby reduce homelessness; expand the Step-Down services component to help clientele maintain housing;

Rapid Rehousing: Establish a comprehensive county-wide Homelessness Prevention strategy.

Cold Weather Shelter Program: Locate a site and implement shelter services in northern SCC; coordinate with County departments to implement the county-wide inclement weather program;

Housing Development: Establish and implement MHSA Housing Program fund and loan portfolio to expand capacity to identify, assess and process housing opportunities for the homeless;

High Utilizers: Expand implementation of Triage Tool and expand the dedicated social detoxification services for high need populations.

Data: See supplemental report

Evaluations: The Homeless Cost Study and the Point in Time count of the homeless

Findings: The evaluations emphasize the importance of developing more affordablehousing to house the chronically homeless, those individuals that utilize the most costlyservices in the County.

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Housing DivisionFY16 Initial Recommendations Program changes related to outcomes and findings:

Expand the new Help Management Information System to include the process initially designed for the Bed and Housing Exchange project.

Establish and implement the MHSA Housing Program Fund and work toward setting aside an ongoing allocation of MHSA and other funds for housing development, including new construction, acquisition,rehabilitation, master leasing and capitalized operating subsidies.

Establish comprehensive housing strategies (including assessment and data collection/ analysis) and increase housing opportunities by 1,000 to meet the needs of clientele served by Behavioral Health System: A/OA: 100 licensed RCFs, 500 supportive housing, 100 HP; F&C: 100 HP, 100 supportive housing, 100 RR.

Expand “Step-Down” services for Permanent Supportive Housing.

Consolidate administration of FSP Housing Flex Funds to support the development of a more comprehensive supportive housing system.

Modify OSH’s team so that intensive case management services leverage MediCal to the greatest extentpossible.

Initiate a peer-driven employment pilot program for individuals who are living in permanent supportive housing.

Additional Changes: None

Additional Funding: No funding beyond the previously allocated amount is needed to link the

Bed and Housing Exchange process to HMIS.

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Housing DivisionFY15 Approved and FY16 Proposal

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CSS $2,640,908 $ 2,651,398 $ 10,490

PEI $- $- $-

INN $- $- $-

WET $- $- $-

CFTN $- $- $-

Total* $2,640,908 $ 2,651,398 $ 10,490

% Change .99%


*MHSA Work Plan: CSS HO01






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FY16 MHSA Annual Update Planning MeetingAdditional Information

Please provide input/feedback through the use of the provided comment

form

For additional questions about the planning process: please contact

Jeanne Moral, MHSA Coordinator, at 408-885-6867;

[email protected]

MHSA Email Distribution List - If you are currently not part of the County’s

MHSA email distribution list and would like to be included please send

email request to [email protected]

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FY16 MHSA Annual Update Planning

Comments / Questions

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mailto:[email protected]

mailto:[email protected]

bhb adult system of care committee fy16 mhsa annual … adult system of care committee fy16 mhsa...

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