Mental Health Services Act Steering Committee

1
Mental Health Services ActSteering Committee

• April 7, 2008
• 100pm 400pm

2
Prevention and Early Intervention

• Alan Albright
• PEI Coordinator

3
Local State Updates

• Mark Refowitz
• Behavioral Health Director

4
Reversion Policy (DMH Notice 08-07)

• Reversion will occur if
• A county does not gain approval for use of funds
  within a specified time period set by the state
• A countys total expenditures over the entire
  reversion period are less than the amount
  distributed by the state for MHSA purposes

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Reversion Timeframe

• Community Services and Supports (CSS) and
  Prevention and Early Intervention (PEI) are
  subject to a three year reversion period
• Capital Facilities, Technology, and Workforce,
  Education, and Training may be retained for up to
  10 years before reverting to the state.

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Orange County CSS Funds

• FY05/06
• 24 Million
• 1.2 Million

• FY06/07
• 26.1 Million
• 17.6 Million

FY07/08 14 Million (year to date) 16.6
Million (year to date)
Fiscal Year DMH Distributed Funds ( we have
received) Expended Funds
Total Expended 35.4 Million
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Funds Subject to Reversion

• 25 Million FY 05/06 subject to reversion on
  6/30/08
• However, Orange County funds will not be reverted
• 35.4 Million has been expended which is more
  than the 25 Million subject to reversion
• F.I.F.O. First In First Out

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Housing

• State FY 2007/08 Planning Estimate 33,158,300
  (MHSA Housing Program)
• 33.1 Million transferred by DMH to the California
  Housing Finance Agency (CalHFA)
• Protects funds from Reversion on June 30, 2008
• Funds will be held in a County specific
  sub-account and be accessible only to that
  specific county

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Capital Facilities Technology Guidance

• Kate Pavich
• Capital Facilities Coordinator
• Kathleen Murray
• Technology Coordinator

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Capital Facilities Technological Needs Proposal

• Support the goals of MHSA
• Produce long-term impacts with lasting benefits
• Move the system towards goals of wellness,
  recovery, resiliency, and cultural competence
• Expand opportunities for accessible
  community-based services for clients
• Promote reduction in disparities to underserved
  groups

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MHSA Proposal

• Must include a variety of technology uses and
  strategies and/or

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MHSA Proposal

• Community-based facilities which support
  integrated services that are culturally and
  linguistically appropriate

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Use of Funds

• Support an increase in peer-support and consumer
  run facilities
• Development of community-based, less restrictive
  settings that reduce the need for incarceration
  or institutionalization
• Development of a technological infrastructure for
  the mental health system

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Timeline for Funds

• Capital Facilities and Technological Needs funds
  must be used within ten years or they will revert
  back to the State

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Capital Facilities Approved Costs

• Acquire and build upon land that will be
  County owned
• Acquire buildings
• Construct buildings
• Renovate buildings

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Costs Not Approved

• Facilities where the purpose of the building is
  to provide housing
• Acquisition of facilities not secured to a
  foundation (e.g. buses, trailers)
• Operating costs for the building (e.g. utilities,
  landscaping, security guard)
• Furniture or fixtures not attached to the
  building (e.g. desk, chairs, sofas)

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Current Allocation

• Expect our allocation to be 28,308,300.
• 80 Capital Facilities (22.6 million)
• 20 Technology (5.6 million)

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Capital Facilities Project401 S. Tustin Avenue,
Orange
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Proposed Programs

• Crisis Residential Program
• Wellness/Peer Support Center
• Vocational Training

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Estimated Project Cost

• 16,500,000 which includes
• Demolition of all existing buildings
• Construction of three 7,500 square foot buildings
  for programs
• New site improvements (parking, landscaping,
  etc.)
• Construction of miscellaneous site structures

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Technological Needs

• DMH goal is to develop an Integrated Information
  Systems Infrastructure where all counties can
  securely access and exchange information
• This will provide local service sites with client
  data and critical information for coordination of
  care

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Use of Technology Funds

• To purchase a data warehouse to combine and store
  data from multiple information systems to
  increase or complete clinical picture available
  to the treatment team
• To purchase resources to increase consumer and
  family access to computers
• To fund scanning and imaging projects to allow
  the information system to become paperless

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Use of Technology Funds

• Expansion of the Network of Care to increase
  consumer access to the Personal Health Record
• To fund pilot projects to monitor new programs
  and improve service outcome strategies

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Proposed Use of Funds

• The Health Care Agency is currently planning to
  analyze the best way to use the available MHSA
  funds to support the overall goal to create an
  integrated Information systems infrastructure
  through the implementation of an Electronic
  Health Record (EHR).

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Electronic Health Record (EHR)

• A secure, real-time, point-of- care, information
  resource for service providers
• Allows standard data exchanges with other
  counties, contract providers, labs, and pharmacies

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Technology Proposal

• Assess the current state of technological
  readiness and develop and implement roadmaps for
  technological improvements over time.
• The Roadmap will define the plan and schedule an
  approach to achieving an Integrated Information
  Systems Infrastructure.

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Our Roadmap

• Will include proposed project milestones and cost
  estimates as well as plans for vendor selection,
  communication, training, and workflow assessment.

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Component Proposal

• Will provide an overview of future Capital
  Facilities and Technological Needs projects
• May submit a Component Proposal that addresses
  both capital facilities and technological needs
  or only one segment of the component

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FY08/09 Growth Funds

• Mark Refowitz
• Behavioral Health Director

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FY 08/09 Growth Funds

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

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CSS Age Allocation

• Children 1,403,850
• TAY 1,293,201
• Adult 3,250,292
• Older adult 968,172
• Total 6,915,515

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Children Must Fix Available 1,403,850

• FSP Renew (Providence) 791,760
• FSP Combo Children/TAY
• split 50/50 (OCAPICA) 95,000
• Children Crisis Residential
• (CSP) 197,195
• Amount Remaining 319,895

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TAY Must Fix Available 1,293,201

• FSP STAY (Providence) 954,369
• FSP Combo Children/TAY
• split 50/50 (OCAPICA) 95,000
• TAY Crisis Residential
• (South Coast) 129,605
• Amount Remaining 114,227

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Children TAYRemaining 434,122

• Stakeholder Recommendations
• Youth Offender Wrap
• Consensus Reached

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Adults Must FixAvailable 3,250,292

• Supportive Employment (Goodwill) 85,712
• MHA FSP Non-Court
  630,000
• Adult OE (County)
  262,308
• Opportunity Knocks 140,000
• Whatever It Takes (WIT) 160,000
• Recovery Center
  1,500,000
• Amount Remaining 472,272

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Adults Remaining 472,272

• Stakeholder Recommendations
• In Rank Order
• Peer Mentors/ Outpatient support
• CAT/PERT
• Goodwill Program in South County
• Expansion of slots for FSP's
• Outreach Engagement

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Older AdultsAvailable 968,172

• Must Fix 0
• Amount Remaining 968,172

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Older Adults Remaining

• Stakeholder Recommendations
• In Rank Order
• Peer Support/ Outpatient Support for Older Adults
  not in an FSP
• Expand Recovery Program
• Expand OASIS Program

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Next Meeting

• Monday, May 5, 2008 100-400 PM
• Delhi Community Center
• 505 East Central, Santa Ana,
• CA 92707