Fresno County MENTAL HEALTH SERVICE ACT

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Fresno County MENTAL HEALTH SERVICE ACT

• Prevention and Early Intervention (PEI)
• Community Stakeholder Meeting
• September 8, 2008

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September 8, 2008 Fresno County MHSA
Prevention and Early InterventionCommunity
Stakeholder MeetingAgenda

• 300-315          Directors Opening/Comments
• 315-325          PEI Core Principles and State
  Programs
•  
• 325-400          PEI Community Programs and
  
• Experiences
  (Attendee Input)
•  
• 400-440          Break Out Sessions (Groups)
• 440-445         Feedback Worksheets
  (Individuals)
• 450-500          Next Steps, QA
• Focus Groups, Regional Meetings,
• Surveys

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What is Prevention?

• Efforts to avoid onset of mental health illness
• Targeting individuals that may be at risk of
  developing mental health illness (e.g. older
  adults who may have lost spouse or children of
  parents with depression)
• Involves reducing risk factors or stressors
• Builds protective factors and skills
• Promotes positive cognitive, social and emotional
  development

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What is Early Intervention?

• Services designed to reduce need for extensive
  mental health treatment
• Prevent mental health problems from getting worse
• Eliminating mental health problems
• Addresses a condition early in its manifestation
• Is of relatively low intensity
• Is of relatively short duration (usually less
  than one year)
• Has the goal of supporting well-being in major
  life domains and avoiding the need for more
  extensive mental health services

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PEI Key Points

• 51 of fund directed towards individuals under
  age 25
• Leveraging resources is a requirement of PEI
  programs
• Examples of leveraged resources
• Staffing
• Use of facilities and other resources
• In-Kind services

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PEI Priority Populations

• Underserved Cultural Populations-Those who are
  unlikely to seek help from any traditional mental
  health service either because of stigma, lack of
  knowledge, or other barriers (such as members of
  ethnically/racially diverse communities, members
  of gay, lesbian, bisexual, transgender
  communities, etc., that seek non-traditional
  mental health services) and would benefit from
  Prevention and Early Intervention programs and
  interventions.
• Individuals Experiencing Onset of Serious
  Psychiatric Illness- Those identified by
  providers, i.e. primary health care, as
  presenting signs of mental illness first break
  and are unlikely to seek help from any
  traditional mental health service.
• Children/Youth in Stressed Families - i.e.,
  families where parental conditions place children
  at high risk of behavioral and emotional
  problems, such as parents identified with mental
  illness, serious health conditions, substance
  abuse, domestic violence, incarceration, child
  neglect or abuse.
• Trauma-Exposed - Those who are exposed to
  traumatic events or prolonged traumatic
  conditions, including grief, loss and isolation
  and are unlikely to seek help from any
  traditional mental health service.
• Children/Youth at Risk for School Failure - due
  to unaddressed emotional and behavioral problems.
  
• Children and Youth at Risk of Juvenile Justice
  Involvement - Those at-risk of, or who have had
  first point of contact with any part of the
  juvenile justice system with signs of behavioral
  and emotional problems.

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PEI KEY COMMUNITY NEEDS

• PEI funding will focus on impacting five key
  community mental health
• needs in California
• Disparities in Access to Mental Health Services
  PEI efforts will reduce disparities in access to
  early mental health interventions due to stigma,
  lack of knowledge about mental health services,
  or lack of suitability (i.e., cultural
  competency) of traditional mainstream services.
• Psycho-Social Impact of Trauma PEI efforts will
  reduce the negative psycho-social impact of
  trauma- on all ages.
• At-Risk Children, Youth and Young Adult
  Populations PEI efforts will increase
  prevention efforts and response to early signs of
  emotional and behavioral health problems among
  specific at-risk populations.
• Stigma and Discrimination PEI will reduce
  stigma and discrimination impacting those with
  mental illness and mental health problems.
• Suicide Risk PEI will increase public knowledge
  of the signs of suicide risk and appropriate
  actions to prevent suicide.

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Evidence Based Programs and Importance of Local
Programs

• An evidence-based practice is a strategy that has
  been or is being evaluated and meets the
  following two conditions
• Quantitative and qualitative data showing
  positive outcomes
• Subject to expert/peer review
• Recent update from DMH PEI programs do not need
  to focus only on Evidence Based Programs

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Non-traditional Mental Health Settings

• Counties will document their efforts to identify,
  outreach to and collaborate with non traditional
  mental health settings
• Examples include, but are not limited to
• Community-based organizations
• Primary care and ERs
• Parents and care givers
• Early childhood education providers
• Teachers (K-12, College, University)
• Faith based organizations
• Traditional healers.

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MHSA PEI Planning EstimatesFY 2007-08 and FY
2008-09

• Non-supplant
• Allowable Expenditures
• Non-allowable expenditures
• Leveraging
• Upcoming notices from State of increased funding

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Community Program Planning Process
Please give us your contact info for upcoming
meeting notices!!!
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Statewide Programs

• Stigma and Discrimination Reduction
• Suicide Prevention
• Student Mental Health Initiative
• Ethnic Sensitive Programs
• Training and Technical Assistance

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Next Steps

• Continue with stakeholder (community, consumer
  and family) process
• Focus groups (8-10 people)
• Geographically dispersed community/town forums
  (e.g., 50 people, open to the public)
• Coordinate with existing community meetings
  throughout Fresno County
• Face-to-face interviews (with key community
  members)
• Surveys face-to-face or self-administered
  written surveys
• Community partners to complete assessments to
  assist in the identification of local priorities
  and programs