Mental Health Services Act Steering Committee

1
Mental Health Services ActSteering Committee

• September 8, 2008
• 100 400 p.m.

2
Sharon Browning

• Welcome

3
Carlo St. Augustine

• Consumer Perspective

4
Casey Dorman

• Workforce Education and Training

5
Mark Refowitz

• Local/State Updates

6
Technological Needs

• Update on Progress of MHSA Technology

7
MHSA Funds

• Consensus Items
• Prudent Reserve Funds
• Assignment of Housing Funds

8
Local Updates

• Charles Dickens It was the best of times, it
  was the worst of times
• Today, base community Mental Health Funding is
  eroding while the MHSA promise continues to grow

9
Current Situation

• Mental Health Realignment Funding (Sales Tax and
  Vehicle License Fees) has not kept pace with cost
  increases
• County Strategic Financial Plan (Budget) was
  based on very conservative growth projections
• Mental Health Realignment has actually decreased
  during this economic downturn
• County continues to provide significant
  overmatch (funding) to our Behavioral Health
  Budget

10
What Does Realignment Fund?

• Required Medi-Cal Match
• Long Term Care Beds
• Hospital and Inpatient Services
• Jail Mental Health Services
• Indigent Care at County Clinics, Provider
  Organizations, and Inpatient Facilities
• ETS
• Numerous other programs not funded by Medi-Cal or
  MHSA that serve clients of all
• age groups

11
Today We Are At A Crossroads

• We must continue to transform our public mental
  health system to support clients and their
  families in their quest for meaningful lives in
  their communities
• We must close ethnic and linguistic disparities
• We need to develop a system that supports
  individual recovery and family resiliency

12
Our Challenge

• Balance our Budget, avoid program
  reductions/closures, and staff layoffs
• Avoid supplantation with the use of MHSA funds
• Continue to transform the system through the use
  of MHSA funding and ensure that the cessation of
  older programs does not hinder the provision of
  effective services

13
Complexities of MH Funding

• Limited programs give you a dollar of savings for
  every dollar that you cut
• Most Childrens Programs are either 95 or 100
  reimbursed with State and Federal dollars (AB
  3632 and EPSDT)
• Need to follow Board of Supervisors direction for
  local funding priorities
• Do not make those parts of the system already
  extremely fragile, completely broken

14
Formulating A Plan

• Do not cut AB 3632 or EPSDT funded
  programs/positions
• Do not cut required matches for realignment and
  other programs from County general fund dollars
• Do not cut programs like indigent care inpatient
  beds, long term residential beds, drug court,
  ADAS residential treatment slots, and mobile
  crisis services. The Board of Supervisors have
  given budget augmentations to HCA in recent years
  for these services
• Do not cut provider clinic service contracts as
  they are already quite fragile

15
What Can We Do?

• Manage needed reductions within the County
  operated service system
• Use MHSA funds to transform the current adult and
  older adult clinic system to one that emphasizes
  PACT and Recovery Centers
• Honor the plan for the first 8M of this years
  CSS Growth already approved by the Steering
  Committee
• Avoid building a beautiful second story on our
  house while the first floor and foundation
  collapse

16
Every Challenge Creates Opportunities

• Support the staff plan for the use of the balance
  of the CSS Growth Funds for 08-09 (this fiscal
  year)
• Remember that we will have a significant CSS
  increase over and above this years expansion next
  fiscal year (starting July 1, 2009)
• Be ready to plan for additional transformation
  and change in the very near future
• Conclude the development of a world class PEI
  Plan that will be sustained over multiple years
• Continue to build the best WET Plan in the State
• Start thinking about how we could use innovation
  funding

17

• Allocation of Growth Funds

18
FY 08/09 CSS Growth Funds

• Total Allocation From DMH 8,135,900
• Administration (15) - 1,220,385
• Available for Programs 6,915,515

Children 1,403,850 TAY 1,293,201 Adult
3,250,292 Older Adult 968,172
19
FY 08/09 CSS Growth Funds

• Must Fix
• (Steering Committee Consensus Reached)
• Children 1,083,955
• TAY 1,178,974
• Adult 2,778,020
• Including a Recovery Center
• Older Adult 180,000

20
FY 08/09 CSS Growth Funds

• Steering Committee Consensus Reached
• Children/TAY (Transitional Age Youth)
• Youth Offender WRAP
• Adults
• Peer Specialist Positions
• CAT/PERT Positions
• Older Adults
• Peer Specialist Positions
• Expand the Recovery Program
• Expand the OASIS Program

21
Recommendations for Additional Growth Funds

• Goodwill Program in South County
• Friendly Visitor Program for Older Adults
• Addition of more CAT/PERT Positions
• (Steering Committee agreed on this at the 4-7-08
  meeting)

22
FY 08/09 New Growth Funds

• Total Allocation From DMH 7,774,800
• Administration (15) - 1,116,220
• Available for Programs 6,608,580

Children 1,341,542 TAY 1,235,804 Adult
3,106,033 Older Adult 925,201
23
Childrens Services

• Total Allocation 1,341,542 (20.3)
• Programs 0
• Balance Available 1,341,542

24
Transitional Age Youth

• Total Allocation 1,235,804 (18.7)
• Programs 900,000 TAY PACT
• Balance Available 335,804

25
Adult Services

• Total Allocation 3,106,033 (47)
• Programs
• Goodwill South County 400,000
• Telecare 2 FTE 200,000
• PACT 1,210,000
• Recovery Center-South 1,130,000
• Balance Available 166,033

26
Older Adults

• Total Allocation 925,201 (14)
• Programs
• Friendly Visitor 400,000
• Older Adult PACT 440,000
• Balance Available 85,201

27
New Growth Funds

• Total Allocation 7,774,800
• Total Identified 4,680,000
• Balance Available 1,928,580

28
Kate Pavich

• MHSA Updates

29
Announcements

• Orange County Association for Vietnamese Mental
  Health Awareness and Support - Picnic
• Friday, September 12
• Mile Square Park
• 1000AM - 200 PM
• Reflections Art Exhibit and MHSA Open House
• Wednesday, September 24
• 600 W. Santa Ana Blvd., Ste. 510, Santa Ana
  1130 AM

30
401 S. Tustin Street

• Board of Supervisors authorized the transfer of
  the Santiago Creek Channel parcel from SSA to the
  OC Flood Control district. This parcel will no
  longer be part of the 401 S. Tustin building
  project.

31
Design Meetings

• Weekly design meetings have begun with OC Public
  Works, HCA and the architects.
• Mission statements for the Crisis Residential
  Program, Wellness/Peer Support Center and the
  Vocational Training Program and space
  requirements for all three programs have been
  reviewed.

32
Space Lists

• WELLNESS CENTER
• Vestibule/Waiting Reception, Living Room, Offices
  Clerical, File Storage, Activity Room, Catering
  Kitchen, Kitchen Storage, Activity Room, Group
  Rooms, Computer Lab, Game Room, Arts/Crafts Room,
  Exercise Room, Computer and Meditation Rooms,
  Janitor, Storage, Electrical and Telephone
• Exterior
• Parking
• Recreation
• Garden Shed

33
Space Lists

• CRISIS RESIDENTIAL CENTER
• Waiting Room, Reception/Clerical Area, Offices
  for Program Director Clinicians, Psychologist,
  Psychiatrist, Record Storage, Lockers, Sleeping
  Rooms (Male/Female), Shower Room, Group Room,
  Activity Room, Nurse Exam Room Laundry, Dining
  Room, Kitchen, General Storage, Hazardous
  Material Storage, Janitor, Electrical, Telephone,
  and Computer area
• Exterior
• Delivery Area
• Exercise
• Garden and Patio
• Parking
• Ambulance Entry/ Parking

34
Space Lists

• VOCATIONAL TRAINING PROGRAM
• Student Areas
• Offices Director, Faculty, Adjunct Faculty,
  Student Advisor, four Classrooms Conference Room,
  Computer Lab, Janitor, Student Restroom,
  Electrical, Telephone and Computer
• Staff Areas
• Conference Room, Media Library, Offices
  Program Supervisor, Benefit Specialists, Support
  Staff, Group Office, Work Room, Break Room, Staff
  Restrooms
• Exterior
• Courtyard
• Amphitheater

35
(No Transcript)
36
City of Orange

• HCA met with the City of Orange Director of
  Community Development, and the Planning Manager.
  Reviewed the timeline for the MHSA Capital
  Facilities project, the basic architectural plans
  for the property and the program descriptions for
  the Crisis Residential, Wellness/Peer Support
  Center and the Vocational Training Program.

37
Capital Facilities/Technology

• Funding Augmentation 28,308,300 increased to
  37,202,800
• Identify additional County owned property and
  explore the possibility of a Wellness Center in
  South County
• Use approximately 2 million of Technology Funds
  to replace servers and look at setting up kiosks
  for more consumer access to the Internet

38
Split of Allocation
80 Capital Facilities 20
Technology (29,762,240 million)
(7,440,560 million)
39
Alan Albright

• Prevention and Early Intervention

40
Eight Project/ Program Work Groups

• Early Intervention
• Screening and Assessment
• Outreach and Engagement
• Parent Education and Support

• Crisis and Referral
• Prevention
• Training
• School-Based

41
Next Steering Committee Meeting

• Monday October 6, 2008
• 100 PM 400 PM
• Delhi Community Center
• 505 East Central, Santa Ana, CA 92707