department of mental health
DESCRIPTION
Santa Clara County Mental Health Services Act Planning Stakeholder Forum #4 Wellness, Recovery and Resiliency May 20, 2005. Department of Mental Health. Objectives. Provide Santa Clara County MHSA Stakeholders with a perspective on Mental Health Wellness, Recovery and Resiliency for all ages - PowerPoint PPT PresentationTRANSCRIPT
Santa Clara CountySanta Clara CountyMental Health Services Act PlanningMental Health Services Act Planning
Stakeholder Forum #4Stakeholder Forum #4Wellness, Recovery and ResiliencyWellness, Recovery and Resiliency
May 20, 2005May 20, 2005
Department of Mental Health
ObjectivesObjectives
Provide Santa Clara County Provide Santa Clara County MHSA Stakeholders with a MHSA Stakeholders with a perspective on Mental Health perspective on Mental Health Wellness, Recovery and Wellness, Recovery and Resiliency for all agesResiliency for all ages
Celebrate work to date on MHSA Celebrate work to date on MHSA planningplanning
MHSA ComponentsMHSA Components
The MHSA addresses six components of building a better mental health system involving an extensive stakeholder process to guide policies and programs:
1. Community Program Planning
2. Services and Supports
3. Capital (buildings) and Information Technology
4. Education and Training (human resources)
5. Prevention and Early Intervention
6. Innovation
Planning PhasesPlanning Phases Engagement and CommitmentEngagement and Commitment
Invite Stakeholder Involvement Share Intent and Vision Lay Out Planning Landscape
Learning and AssessmentLearning and Assessment Learn Current System Learn Needs of Consumers, Stakeholders, Community Learn Best Practice Strategies to Meet Needs
Prioritization and PlanningPrioritization and Planning Establish Local Mission, Values & Transformation
Objectives Prioritize Local Needs Select Most Effective Strategies to Meet Local Needs
ImplementationImplementation Obtain State Approval Select Local Providers Initiate, Monitor and Evaluate Services
Board of Supervisors
State Dept. ofMental Health
BOS Committees(HHC, CSFC, PSJC)
County ExecutiveSCVHHS Exec. Dir
MHSA StakeholderLeadership Committee
Data, Technology,
Budget Work Group
Prevention & Early
InterventionWork Group
Children’s System of Care Work
Work Group
Adult/Older Adult
System of Care Work Group
Community Stakeholder Forums, Focus Groups, and Consumer Engagement Groups
Cultural Competency Readiness Forums Recovery/Self Help Readiness Forums
FocusGroup
FocusGroup
FocusGroup
FocusGroup
FocusGroup
Accountability Commission
Mental Health Board
Project Management
Team
Santa Clara CountyMHSA Planning
Structure
The Approach– The Approach– Lifespan FrameworkLifespan Framework
Determine and Prioritize Local Determine and Prioritize Local Mental Health Needs Across Mental Health Needs Across LifespanLifespan
Prevention
Early Intervention
Intervention
All Citizens Across Lifespan
Citizens in need
Unmet Need
Current Public MH System
Work Groups Age Work Groups Age GroupsGroups
1.1. Early Childhood 0-5 yearsEarly Childhood 0-5 years
2.2. School Age 6-15 yearsSchool Age 6-15 years
3.3. Transition Age 16-25Transition Age 16-25
4.4. Adults 26-59Adults 26-59
5.5. Older Adults 60+Older Adults 60+
The ApproachThe Approach
Establish System Structure and Establish System Structure and Stakeholder InvolvementStakeholder Involvement
Individual & Family
Provider Services
System Policy and
Management
Sta
keh
old
ers
System Performance: Expectations & Results
Provider Performance: Expectations & Results
Client Level Outcomes: Expectations & Results
Determining Critical ConcernsDetermining Critical Concerns
Health & Well
Being
Stable Home, Family, Social
Relations
Meaningful School, Work
Activity
Safe From Harm or
Harming in Community
Emotional Suffering SA Abuse Poor Health
Thriving With Mental Illness
Failing With Untreated and Under-treated Mental Illness
Homeless Adult Isolated Senior Removed Child
Housed Adult Connected Senior
Child at Home
Emotional Well Being SA Remission
Good Health
Jobless Adult Inactive Senior
School Failing Child
Jailed Adult Victimized Senior Delinquent Child
Employed Adult Active Senior
Child in School
Adult out of Jail Safe Senior
Child out of Trouble
Low Need
Hi Need
MHSA Planning Work to MHSA Planning Work to DateDate
Major Inreach and Outreach Campaign Major Inreach and Outreach Campaign regarding Critical Concerns and needs regarding Critical Concerns and needs through end of Maythrough end of May
Four Large Forums to address:Four Large Forums to address:– MHSA OrientationMHSA Orientation– Engagement and CommitmentEngagement and Commitment– Cultural Competency ReadinessCultural Competency Readiness– Wellness, Recovery & Resiliency ReadinessWellness, Recovery & Resiliency Readiness
Work Groups to address critical concerns of Work Groups to address critical concerns of five age groupsfive age groups
Inreach & Outreach Inreach & Outreach Heroes!Heroes!
Consumers, family members, Consumers, family members, providers, system and community providers, system and community partners have pledged to bring the partners have pledged to bring the voices of 29,000 SCC residents to the voices of 29,000 SCC residents to the planning process! planning process!
Input is pouring in!Input is pouring in!
Get ready for that MHSA Mgmt CD to Get ready for that MHSA Mgmt CD to hit the Top Ten charts!!!hit the Top Ten charts!!!
Hundreds Attend Hundreds Attend ForumsForums We have had three engaging and We have had three engaging and
informative forums, attended by informative forums, attended by between 100-200 at each forumsbetween 100-200 at each forums
Our cultural competency Our cultural competency readiness forum was amazing and readiness forum was amazing and brought tons of information about brought tons of information about our wonderful diverse community. our wonderful diverse community.
THANK YOU COMMUNITY!!!THANK YOU COMMUNITY!!!
Close to 150 Work Close to 150 Work Group MembersGroup Members
Have attended three half-day sessions Have attended three half-day sessions to:to:
Identify Identify critical concernscritical concerns related to unmet mental related to unmet mental health needs for five age groupshealth needs for five age groups
Identify potential Identify potential “focal” populations“focal” populations for each age for each age group impacted by the critical concernsgroup impacted by the critical concerns
Brainstorm client, family and cultural/community Brainstorm client, family and cultural/community strengths of those impactedstrengths of those impacted by critical concerns by critical concerns
Brainstorm Brainstorm system strengths & weaknessessystem strengths & weaknesses in in addressing the concerns of each age groupaddressing the concerns of each age group
MHSA Community MHSA Community Services and Supports Services and Supports (CSS) Plan(CSS) Plan
Update Published 5/18/05 on DMH Update Published 5/18/05 on DMH websitewebsite
CSS - Three Types of CSS - Three Types of FundingFundingDMH is making three types of funding DMH is making three types of funding available to counties. The three types are:available to counties. The three types are:
1. Full Service Partnership Funds – funds to provide necessary services and supports for initial populations
2. General System Development Funds – funds to improve services and infrastructure
3. Outreach and Engagement Funding – funds for those populations that are currently receiving little or no service
CSS Plan – Logic ModelCSS Plan – Logic Model
The CSS Plan Requirements are based on The CSS Plan Requirements are based on a logic model that links:a logic model that links:
1.1. Community issuesCommunity issues resulting from untreated mental resulting from untreated mental illness and a lack of services and supportsillness and a lack of services and supports
2.2. Mental health Mental health needsneeds within the community, within the community,
3.3. The identification of specific The identification of specific initial populationsinitial populations to be to be served based upon the issues and needs identified, served based upon the issues and needs identified,
4.4. The The strategies and activitiesstrategies and activities to be implemented, to be implemented, andand
5.5. The The desired outcomesdesired outcomes to be achieved. to be achieved.
Inability to be in a mainstream school environment
School failure
Hospitalization
Peer and family problems
Out-of home placement
Involvement in the child welfare and juvenile justice systems
Community Concerns – For Community Concerns – For Children, Youth and Some Children, Youth and Some TAYTAY
Community Concerns – Community Concerns – Some TAY, Adults and Some TAY, Adults and Older AdultsOlder Adults
Homelessness
Frequent hospitalizationsFrequent hospitalizations
Frequent emergency medical careFrequent emergency medical care
Inability to workInability to work
Inability to manage independenceInability to manage independence
IsolationIsolation
Involuntary careInvoluntary care
Institutionalization Institutionalization
IncarcerationIncarceration
Steps to Complete CSS Steps to Complete CSS Three-Year Plan – Three-Year Plan – Full Full ServiceService
1.1. Prioritize concerns by age groupPrioritize concerns by age group
2.2. Identify related needs & disparities Identify related needs & disparities
3.3. Identify populations most impactedIdentify populations most impacted
4.4. Determine strategies & activities to Determine strategies & activities to meet needsmeet needs
5.5. Determine expected outcomes to be Determine expected outcomes to be achievedachieved
CSS Three-Year Plan – CSS Three-Year Plan – System Development System Development FundsFunds
The funds will be available to improve services and infrastructure for the identified initial full service populations and for other clients with emphasis on reducing ethnic disparities. Examples: client and family services such as peer support,
education and advocacy services
mobile crisis teams
funds to promote interagency and community collaboration and services
funds to develop the capacity to provide values-driven, evidence-based and promising clinical practices.
CSS Three-Year Plan – CSS Three-Year Plan – Outreach and Outreach and EngagementEngagementRecognizes special activities needed to reach unserved populations with a priority on eliminating racial ethnic disparities. Examples: funding for racial ethnic community-based organizations
mental health and primary care partnerships
faith-based agencies
tribal organizations
health clinics
organizations that help individuals who are homeless or incarcerated and link potential clients to services
funds for clients and families to reach out to those that may be reluctant to enter the system
funds for screening of children and youth
school and primary care based outreach to children and youth who may have serious emotional disorders.
Next StepsNext Steps May 20, 2005 – Leadership Committee MeetingMay 20, 2005 – Leadership Committee Meeting
Introduction to process and roleIntroduction to process and role Review of work to dateReview of work to date Initial conversation on prioritization of critical concernsInitial conversation on prioritization of critical concerns
June 17, 2005 – Work Groups:June 17, 2005 – Work Groups: Complete initial summary of critical concerns, individual
strengths, system strengths and weaknesses, focal populations
Input to draft priority critical concerns Input to needs and disparities
June 24, 2005 – Leadership Committee June 24, 2005 – Leadership Committee Reviews community input to critical concerns
(inreach/outreach results); Reviews WG Summary Reviews draft of priority concerns by age group; Reviews initial needs and disparities data
Next Stakeholder Next Stakeholder ForumsForums June 24, 2004June 24, 2004
Review of Work to DateReview of Work to Date Will occur before Leadership CommitteeWill occur before Leadership Committee Place and time to be announcedPlace and time to be announced
July 15, 2005July 15, 2005 Best Practices ForumBest Practices Forum Will occur before Leadership CommitteeWill occur before Leadership Committee Place and time to be announcedPlace and time to be announced
Introduction of Introduction of PresentersPresenters
Kevin Campbell, Resiliency & Kevin Campbell, Resiliency & Discovery Discovery
Mark Ragins, M.D., Recovery Mark Ragins, M.D., Recovery
Dialog with PresentersDialog with Presenters
Breakout discussion Breakout discussion groups with each groups with each presenterpresenter
Forum ClosingForum ClosingOn to the May is Mental On to the May is Mental
Health Month Fair!!!Health Month Fair!!!
Thank You!!Thank You!!
Contact InformationContact Information
Nancy Pena, Ph.D., Director, MHD, 408-885-5783
Bruce Copley, Deputy Director, MHD 408-885-5773
Sheila Yuter, MHSA Coordinator, 408-885-3885
Santa Clara County MHD Website www.sccmhd.org
State Dept. Mental Health website www.dmh.ca.gov