1. + Placer MHSA Integrated 3 Year Planning—Further Conversations July 1, 2014- June 31, 2017

2. Agenda Review Placer’s MHSA planning Process and Decisions Review and Discuss Request for Proposals process / framework Next steps

3. + Review of Planning Elements & Requirements 3-year plan (2014 – 2017) Based on unspent funds + estimated revenues from State Stakeholder process Representatives from the County’s constituency groups (CCW Steering) Involvement in: mental health policy, program planning & implementation, monitoring, quality improvement, evaluation & budget allocations Draft plan circulated for 30 days for public comment (Fall 2013)

4. Review of Campaign Structure Four committees/Representatives: Promote Mental Health Awareness – Anno Nakai Outreach and Stigma Reduction—Jennifer Price MHSA Implementation – Janice Leroux Workforce, Education and Training(WET)—Lisa Sloan 2 Mental Health Authority Reps. – Maureen Bauman and Richard Knecht Campaign Facilitators—Katrina Moser/Christi Meng Leadership Team: Decisional Team, based on input and guidance from this CCW Steering committee

5. Review of Current MHSA Elements Community Services & Supports Community Services & Supports Prevention & Early Intervention Prevention & Early Intervention Innovation Cap Fac. & Tech Full Service Prt. Systems Transf. Crisis Triage Lake Tahoe Ready for Success Bridges to Wellness Bye Bye Blues West Slope(PCF) Tahoe(TTCF) 5 Large Projects Housing Ongoing One-Time (CSS) 75%20% 5% WET

6. Current Process and Timeline Target Pop. + Outcomes Outcomes& Target Pops. Outcomes& Target Pops. Strategies & Programs/RFP framework Draft Plan Steering Ideas Asset survey Determine which activities move forward Framework for programs Staff maps To Budget Eval. Current Programs Eval. Current Programs Steering Rec. Leadership Team decisional Gaps AprilMarch Dec. Sept Nov. 2013 Framework For Priorities Aug “Survey” For Review Process Decisions Funding strategies Oct. Brainstorm Innovation + Planning Innovation + Planning May/June

7. The Progress We’ve Made MHSA Program Update Most programs Continue Four CSS & PEI programs Ending Ongoing Funds (Additional 2014 dollars) CSS - $4.2m PEI - $1.5m Innovation - $730k Community Review Panel Reviewed CCW Brainstorming/Survey and Prioritized Needs CCW Leadership Has Reviewed

8. Recap of Progress Made Innovation – Historical Programs Lg. Innovation programs move to ongoing CSS and PEI Mini grant recipients can reapply and/or to CSS/PEI RFP New Innovation Programs: 3 yrs. at $730k/per year OAC recommends we connect these to “Mental Health” more concretely Focus areas: #1 Increase access to underserved SC voted in August

9. Total Dollars for 2014-17 *Note for Innovation Dollars $325k recommended to fund current large innovation programs ($200k PEI and $125k CSS) Ongoing Dollars Current Expenditures 13/14 New Ongoing Dollars Total Dollars CSS$5.2 million$4.2 million$9.4 million PEI$1.2 million$1.5 million$2.7 million Innovation*$700 thousand$730 thousand

10. Allocation for 2014-17 Plan Program Area New Ongoing Dollars Unallocated CSS/PEI (2013) Dollars Allocated Annual Funds for Existing Approved Activities Total Dollars for Plan/Program CSS$4.2 m$60k$125k Lg. Innovation $380k WET $1m cap fac./IT $1.5m total $2.76m PEI$1.5 m $240k$150k Stigma $200k Lg. Innovation $350k total $1.39m Innovation$730k N/A$730k

11. Total Dollars for All Programs Next Three Years Ongoing Dollars New Ongoing Expenditures 14/15 New Ongoing Dollars Total Program Dollars 14/15 -16/17 CSS$5.14 million$4.26 million$9.4 million PEI$960 thousand$1.74 million$2.7 million Innovation$700 thousand$730 thousand

12. + Community Services and Supports Full Service Partnership (FSP) Funds : To provide all the mental health services and supports a person wants and needs to reach his/her goal(s) General System Development Funds (System Transformation): To improve mental health services and supports for people who receive mental health services Outreach and Engagement Funds : To reach out to people who may need services but are not getting them

13. + Community Services and Supports Service Requirements FSP services must be at least 51% of CSS component allocation (Placer planning for 55%) Each county must plan for each age group in their populations to be served: Child/Youth; Transitional Age Youth, Adult, and Older Adult. Services cannot be used to address a primary substance abuse diagnosis Evaluation and Outcomes

14. + Full Service Partnership Qualifications for FSP enrollment: Seriously Emotionally Disturbed (SED) Children SED Transition-Age Youth (youth 16 years to 25 years old) Seriously Mentally Ill (SMI) Adults SMI Older Adults (an adult 60 years or older)

15. + Prevention and Early Intervention PEI services are directed to reduce the likelihood of serious mental illness and its negative consequences for individuals and communities at elevated risk Prevention Activities and interventions to bring about mental health and related functional outcomes for individuals and members of groups or populations whose risk of developing a serious mental illness Early Intervention Early Intervention is directed toward individuals and families for whom a short-duration (usually less than 18 months), relatively low-intensity intervention is appropriate to measurably improve a mental health problem or concern very early in its manifestation, thereby avoiding the need for more extensive mental health treatment or services; or to prevent a mental health problem from getting worse

16. + Prevention and Early Intervention Service Requirements At least 51% of funds share be directed toward those 0-25 years old. Each activity shall address access and linkage to treatment and timely access to services for underserved populations. Services shall be provided in convenient, accessible, acceptable, and culturally appropriate settings. Evaluation and Outcomes

17. Current Activity Review Community Review Panel Final Funding Decision CCW Leadership CCW Brainstorm CCW Full Review MHSA Eval Team (county)

18. + Community Review Panel Update Meeting convened on Sept 25 th Priorities Identified (not in any specific order) Accessibility Peer Lead/Peer Support Housing Direct Services Leadership Team convened to discuss implications to MHSA Plan MHSA and RFP Framework developed

19. + Update from Leadership- MHSA Framework CSS- Moved 2 Innovation Activities; Combined workplans; created new workplan; added previously agreed activities; and additional activities PEI- Moved 2 Innovation Activities; Moved 2 CSS Activities; Created 2 new workplans (addresses mandated activities); and additional activities General RFP Requirements

20. Community Services and Supports

21. Prevention and Early Intervention

22. + RFP Requirements All activities must tie directly to those with mental health disorders or those at risk (will be defined) How to measure baseline and improvement- what tools, what do they measure, how frequently What is intended outcome (that will be measured) Evaluation plan and costs What are specific interventions Accessibility (address after hour options, home visiting, geographic considerations, disability access, etc.)

23. + RFP Requirements What is target group (identify in RFP if there are specific target groups either required or preferred) How, as course of business, MH awareness and stigma reduction is addressed (may request small funds for specific events, etc.) Leveraging of funds and partnerships with community and county services

24. Next Steps December Draft plan Holiday gathering January Final plan – public comment February RFP process begins