May 22, 2013 Kimberly Mayer, MSSW California Institute for Mental Health (CiMH) Cynthia Harrison, RN, MS Director, Health Workforce Initiative, Bay Area Region Director, Mission College 1

Overview of Today Morning –Background information on HWI & Collaborative –Examples of local community college Human Service programs –Q & A Afternoon –Hear from industry perspective –Brainstorm topics for consideration –Decide on next steps 2

Greater Bay Area Mental Health & Education Workforce Collaborative Partnership of county mental/behavioral health systems, education, providers, consumers & family members focused on public mental health workforce development. Established in 2000 with interested stakeholders. In 2003, California Institute for Mental Health (CiMH) became the fiscal sponsor; received Zellerbach Family Foundation Funding. Several strategies & projects Prop 63, Mental Health Services Act passed in Includes funding for county, statewide and regional workforce development activities. Five Regional Partnerships established beginning in 2009, modeled after Bay Area. Regular meetings in Oakland & Monterey area. Website: 3

4 Five Regional Partnerships, focused on Public Mental Health Workforce Development

Regional Partnerships – 5 Geographic Regions in California Background: Public mental health services are delivered locally through county mental health systems. However, education and training resources cross county lines. Community colleges, four- year universities and graduate & professional programs serve geographic regions of California. Rural and other communities that are not adjacent to large metropolitan areas have far fewer resources for developing the workforce. Purpose: Expand outreach to multicultural communities Increase the diversity of the mental health workforce Reduce the stigma associated with mental illness Promote the use of web-based technologies and distance learning techniques *Greater Bay Area Regional Workforce Collaborative *Central Regional Partnership *Superior Regional Partnership Southern California Regional Partnership Los Angeles County Regional Partnership (*CiMH Contract)

Community Colleges & Behavioral Healthcare Workforce Development Traditionally, Human Service Certificate Programs (or similar) have served as a pipeline strategy for community mental health/behavior healthcare jobs. Federal and State regulatory changes moving the system to a recovery & wellness-based system past 20+ years. California’s Mental Health Service Act (MHSA - Prop 63) passed by voters in 2004 included significant new resources for Workforce Education & Training (WET) for county, regional and state strategies. New and existing workforce. 6

Examples of Local Programs Since MHSA San Francisco Community Behavioral Health Services & City College of San Francisco: Launched Community Mental Health Certificate Program to train community mental health workers, including peers, family members, community allies, and current service providers in the Recovery and Wellness Model in Mental Health. Contra Costa Behavioral Health & Contra Costa College: Began offering Community Support Worker Training through the College in In 2010, Workforce Collaborative funded new Psychosocial Rehabilitation Courses in the existing Human Services Certificate Program. Alameda County Behavioral Health Care Services: Currently in discussions with Berkeley City College to develop a Navigator program to train peers/family members. New Graduate level programs, too: CSUMB MSW Program, CSU Chico & Humboldt BSW/MSW Distributed Education Programs. 7

Health Care Continues to be one of the fastest growing industries in California Faces unprecedented challenges to its delivery systems

Health Care Needs The California Community College Chancellor's Office and it's Economic and Workforce Development Program has established the California Community College Health Care Initiative and the Regional Consortia to provide education and training programs to meet these emerging demands for health care delivery.

Regional Power Chancellor’s Office Bay Area Community College Consortium Center of Excellence Health Workforce Initiative

Health Workforce Initiative Centers (HWIs) 5 Health Workforce Initiative Centers and 1 affiliate Strategically located across the state Service to seven regions

BACCC Bay Area Community College Consortium Funded by the Carl D. Perkins Vocational and Technical Education Act of Colleges 14 Districts 11 EWD Initiatives 2 Centers of Excellence 275,000 CTE Students

BACCC Serves as a regional framework: –to enhance the coordination of regional programs –to increase collaboration on regional priorities –to serve as a link between colleges Career Technical Education programs, Economic and Workforce Development Initiatives, and the Chancellor's Office

25,000 Students 220,000 Jobs

Why regional? Local isn’t always the right size Some challenges are too small Ultrasound techs Some challenges are too big Health information technology Some challenges are too important Strengthening our regional economies

Health Workforce Initiative Center Promotes the advancement of California's health care workforce through quality education and services by: –Expanding – California's Health Care Workforce –Training – Health Care Job Analysis and Curriculum Development –Partnerships – Solving Challenges in Health Care

Health Care Reform & Behavioral Health Healthcare Reform and California’s “Bridge to Healthcare Reform” is offering another opportunity to look at how Community Colleges can be a resource. The expansion in the Medicaid population, plus Health Insurance Exchanges means an increase in those with mental/behavioral health needs that will be brought into the system. In addition to licensed staff, a large increase is anticipated for unlicensed and/or peer staff. A part of this relates to the need to better integrate care between behavioral health & primary care, and the expanded role of navigators, coaches, promotores, etc. (Data on CiMH’s website, 17

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19 Briefing Paper #4: Workforce Issues Today and in the Future California – Workforce Implications of Increased Demand for Mental Health and Substance Use Services, California Institute for Mental Health, 2012

Proposal to Bay Area Community College Consortium (BACCC) Mental/Behavioral Health Interest Team Awareness of community college role in mental/behavioral healthcare workforce development. Motivation Expanded role of peers/unlicensed staff in the public mental/behavioral healthcare workforce. The Affordable Care Act and Medicaid expansion and the need for increased peer/unlicensed staff. Career pathways for mental health-related careers & community colleges. Goal To heighten awareness and focus on the role of community colleges in mental/behavioral healthcare workforce development; To ensure that curriculum meets the needs of employers.

Proposal to Bay Area Community College Consortium (BACCC) Team Work Convene community college mental/behavioral health programs, including Human Services, with employers to share interests related to curriculum, hiring and how to meet the needs for: – An expanded peer workforce in the ACA –The ongoing needs of community mental health agencies Metrics The right number & types of community college mental/behavioral health programs, including Human Services, in the right locations, teaching the right skills to meet industry’s workforce needs. Roles & Responsibilities Convener/Facilitator: Kimberly Mayer (lead) with Cynthia Harrison (Health Workforce Initiative) 21

Initial Meetings Wednesday, April 26 th at Monterey Peninsula College (meeting notes included in handouts) Today! May 22 nd, Alameda County Behavioral HealthCare Services, 10 – 1 Form smaller workgroups to focus on specific areas? Work via conference calls/web-based meetings. 22

Contact Contact: Kimberly Mayer, MSSW Project Director, Greater Bay Area Mental Health & Education Workforce Collaborative Cynthia Harrison, RN, MS Interim Director, Bay Area Health Workforce Initative 23