1. Mental Health Services Act Steering Committee
April 7, 2008
1:00pm – 4:00pm

2. Prevention and Early Intervention
Alan Albright
PEI Coordinator

3. Mark Refowitz Behavioral Health Director
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 county’s total expenditures over the entire reversion period are less than the amount distributed by the state for MHSA purposes

5. 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.

6. 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)
$16.6 Million
Fiscal Year
DMH
Distributed
Funds
($ we have received)
Expended
Total Expended: 35.4 Million

7. 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

8. 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

9. Capital Facilities & Technology Guidance
Kate Pavich
Capital Facilities Coordinator
&
Kathleen Murray
Technology Coordinator

10. 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

11. MHSA Proposal
Must include a variety of technology uses and strategies and/or

12. MHSA Proposal
Community-based facilities which support integrated services that are culturally and linguistically appropriate

13. 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

14. Timeline for Funds
Capital Facilities and Technological Needs funds must be used within ten years or they will revert back to the State

15. Capital Facilities Approved Costs
Acquire and build upon land that will be County owned
Acquire buildings
Construct buildings
Renovate buildings

16. 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)

17. Current Allocation Expect our allocation to be $28,308,300.
80% Capital Facilities ($22.6 million)
20% Technology ($5.6 million)

18. Capital Facilities Project 401 S. Tustin Avenue, Orange

19. Proposed Programs Crisis Residential Program
Wellness/Peer Support Center
Vocational Training

20. 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

21. 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

22. 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”

23. 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

24. 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).

25. 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

26. 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.

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

28. 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

29. Mark Refowitz Behavioral Health Director
FY08/09 Growth Funds
Mark Refowitz
Behavioral Health Director

30. FY 08/09 Growth Funds Total Allocation From DMH: $8,135,900
Administration (15%): $1,220,385
Available for Programs: $6,915,515

31. CSS Age Allocation Children: $1,403,850 TAY: $1,293,201
Adult: $3,250,292
Older adult: $968,172
Total: $6,915,515

32. 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

33. 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

34. Children & TAY Remaining: $434,122
Stakeholder Recommendations
Youth Offender Wrap
Consensus Reached

35. Adults Must Fix Available: $3,250,292
Supportive Employment (Goodwill) $85,712
MHA FSP Non-Court $630,000
Adult O&E (County) $262,308
Opportunity Knocks $140,000
Whatever It Takes (WIT) $160,000
Recovery Center $1,500,000
Amount Remaining: $472,272

36. 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

37. Older Adults Available: $968,172
Must Fix: $0
Amount Remaining: $968,172

38. 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

39. Delhi Community Center
Next Meeting
Monday, May 5, :00-4:00 PM
Delhi Community Center
505 East Central, Santa Ana,
CA 92707