Presentation on theme: "Department of Behavioral Health Mental Health Services Act (MHSA)"— Presentation transcript:
1Department of Behavioral Health Mental Health Services Act (MHSA) San Bernardino CountyDepartment of Behavioral HealthMental Health Services Act (MHSA)Board of Supervisor’s Presentation February 7, 2006
2Mental Health Services Act (MHSA) Proposition 63, the MHSA, became law January 1, 2005Provides funding to transform local mental health systemsPopulation Served: Seriously Mentally Ill & SeriouslyEmotionally DisturbedGoal: To improve resiliency and recovery
3Mental Health Services Act (Cont’d) Six components for fundingCommunity Public PlanningCommunity Services and SupportsCapital Facilities and TechnologyEducation and TrainingPrevention/Early InterventionInnovative ProgramsRequires local public planning processRequires development of three-year plan
4San Bernardino County MHSA W&I (a) A draft plan and update shallbe prepared and circulated for review and comment for at least 30 days to representatives of stakeholder interests and any interested party who has requesteda copy of such plans.
5San Bernardino County MHSA W&I b) The mental health board established pursuant to Section 5604 shall conduct a public hearing on the draft plan and annual updates at the close of the 30–day comment period required by subsection (a).Each adopted plan and update shall include any substantive written recommendations for revisions. The adopted plan or update shall summarize and analyze the recommended revisions. The mental health board shall review the adopted plan or update and make recommendations to the county mental health department for revisions.
6MHSA Funding for San Bernardino County $17,168,200 million/year for community servicesand supportsTotal of 51,504,600 million over first three yearsFunding will continue as long as MHSA is lawFunding expected to increase in future
7San Bernardino County MHSA Planning Process and Results Open, inclusive processCommunity Outreach3000 attendees participated21 Training Workshops4 Age Specific Workgroups79 Member Community PolicyAdvisory Committee (CPAC)120 Focus & Stakeholder groups6 Public Forums1863 (to date) CommunityStakeholder Surveys
8San Bernardino County MHSA Issues and Needs54,893 persons in the county are in need ofsome level of mental health intervention andservices.Significant racial and ethnic disparities existamong the number of persons unserved,underserved, or inappropriately served
9San Bernardino County MHSA Issues and Needs (Continued) Children/YouthTransitional Age Youth (TAY)AdultsOlder AdultsFamily and Peer problems; at risk of out of home placement for childrenHomelessnessAccess to careInvolvement in the child welfare system and juvenile justice systemInstitutionalization and incarcerationFrequent hospitalizations and emergency room visitsFrequent hospitalizations, episodes of emergency care, and incidents of relapse to previous behaviorAcute psychiatric inpatient hospitalizationsInability to live independentlyInability to workInability to manage independenceAlcohol and drug problems experienced by youth and families dealing with mental illnessIsolation
10San Bernardino County MHSA Values and OutcomesCulturally competentClient/family-driven servicesWellness/Recovery/Resilience focusedReduce disparities in access to careMeasurable positive outcomes: decrease inhospitalizations, incarcerations, homelessness,and out-of-home placementsState Department of Mental Health willprovide statewide criteria
11San Bernardino County MHSA Programs for Children and Transitional Age Youth NewOne-Stop Transitional Age Youth CentersExpandedComprehensive Child & FamilySupport SystemsChildren Crisis Response Teams
12San Bernardino County MHSA Programs for Adults and Older Adults NewHigh Hospital User Assertive CaseManagement TeamCircle of Care: Mobile Outreach &Intensive Case ManagementExpandedConsumer-Operated Peer Support Svcs &Clubhouse ExpansionForensic Integrated Mental Health ServicesCrisis Walk-in CentersPsychiatric Triage Diversion Team at ArrowheadRegional Medical CenterCircle of Care: System Development
13San Bernardino County MHSA Programs Potential Program Providers Some services will be contracted outDepartment of Behavioral Health (DBH) will useRequest for Proposal ProcessDBH will select appropriate community providersSome Services will be provided by DBH
14San Bernardino County MHSA Budget by Age Group and Administration Costs Children $2,722,710TAY $3,528,712Adults $6,349,921Older Adults $2,022,972Administration $2,543,884
15San Bernardino County MHSA Number of Clients to be Served Estimated over the next three years (not unduplicated)1285 Full Service Partnerships,including housing if needed8848 System Development2248 Outreach and Engagement
16One Time Only Funding Capital Purchases $4,013,800 Improving Information Services $2,264,916Training/Education and $2,213,533Cultural Competency ActivitiesHousing Set-Aside $3,975,000Total $12,467,249
17San Bernardino County MHSA Next Steps Mental Health Commission endorses Plan February 2, 2006Board of Supervisors approves Plan February 7, 2006Submit Plan to State February 13, 2006Proposed time for State approval of the CSS Plan is 90 days. Implementation is estimated to begin in late spring or early summer.
18ConclusionThe Department of Behavioral Health would like to thank the many individuals who provided the feedback that was instrumental in forming the foundation of the CSS Plan.Additionally, a special thank you is extended to the work group chairs and members who utilized this public feedback to develop the CSS Plan and the various program proposals for each specified age range.
19San Bernardino County MHSA Funding Distribution by Age Group