1. 1 Luminescence Consulting 310 422 2256 luminescence.org The emerging BHRS transformation An exploration with staff and partners

2. 2 The implementation pyramid Foundational concepts + practices Shared understanding Helping us learn together better Helping all of us get on the same page Creating shared understanding © Luminescence Consulting

3. 3 Results Driven by the question: Is anyone better off? Leadership Development Inviting collective wisdom by welcoming the leadership of all Community Capacity-building Promoting wellbeing beyond services Fiscal Sustainability Budget prudence, and inviting others to join us BHRS Transformation Fiscal Sustainability Results Community Capacity-Building Leadership Development Four commitments The transformation framework © Luminescence Consulting

4. 4 Beginning concepts Community capacity-building Community A group of people who know each other well enough that they support each other and can act together Capacity-building Strengthening the ability of communities to meet the needs of their members independent of services © Luminescence Consulting

5. 5 Essence of this commitment Community capacity-building A focus beyond services ‣ Help people who receive services develop or strengthen connections to communities of support ‣ Help communities promote the wellbeing of their members without ongoing reliance on services including our own © Luminescence Consulting

6. 6 Why this commitment, take 1 Community capacity-building Services are essential, but not enough to: ‣ Address unmet need ‣ Promote flow ‣ Sustain recovery © Luminescence Consulting

7. 7 A beginning map of unmet need Community capacity-building Stanislaus County pop: 530,000 # of people in the county with SMI/SED: 31,800 # of people BHRS serves annually: 9,000 Beginning estimates of unmet need: 22,800 (general population) 8,000 (below 200% of poverty # of people in the county below 200% poverty with SMI/SED : 17,000 Note: Estimates of SMI/SED prevalence rates for the general population range from a low of 5.75% to a high of 6.50%. We have used 6% for this example. Prevalence rates for people living in poverty are much higher, approaching 10% © Luminescence Consulting

8. 8 Community capacity-building can help … Address unmet need Promote flow Sustain recovery Publicly-funded services © Luminescence Consulting

9. 9 Address unmet need Promote flow Sustain recovery Publicly-funded services Community capacity-building can help … © Luminescence Consulting

10. 10 Core concepts © Luminescence Consulting

11. 11 Core concept: Roles of communities and BHRS Community capacity-building Roles of BHRS and our provider partners 1.Provide services to people while helping them strengthen or re-establish their connections to communities of support 2.Help communities and families in their efforts to support the wellbeing of their members independent of services Role of communities: Promote the health and wellbeing of their members © Luminescence Consulting

12. 12 Community capacity-building Reciprocal, not instrumental Communities’ timeline, not our timeline Trust takes time Core concept: on-going relationship building © Luminescence Consulting

13. 13 Community capacity-building Wellbeing, not illness Where communities start From ‘us and them’ to ‘we’ Core concept: an orientation to wellbeing © Luminescence Consulting

14. 14 Community capacity-building Increases engagement of communities in promoting behavioral health and wellbeing A promising anti-stigma strategy Increase public support for the work BHRS does in the county Why this commitment, take 2 © Luminescence Consulting

15. 15 Acting on this commitment: three movements Community capacity-building Building community Connecting to community Strengthening community © Luminescence Consulting

16. 16 Movement 1: Building community Community capacity-building Description: Connecting isolated individuals to each other so they become a community (not defined by illness) Examples: Peer Recovery Art Project; Promotoras; peer support and creation groups © Luminescence Consulting

17. 17 Movement 2: Connecting to community Community capacity-building Description: Connecting an isolated individual to an existing community to help the individual become a member of the community (not because of their illness) Examples: Friends are Good Medicine; connecting people receiving services with faith communities; Community Navigators © Luminescence Consulting

18. 18 Movement 3: Strengthening to community Community capacity-building Description: Helping an existing community become stronger and better able to meet the needs of its members without ongoing reliance on services Examples: ABCD PEI project; staff efforts to strengthen their experience of community © Luminescence Consulting

19. 19 The commitment in action Community capacity-building Where are there opportunities to initiate or strengthen: ‣ Movement 1: Building communities ‣ Movement 2: Connecting to communities ‣ Movement 3: Strengthening communities (among ourselves or other communities) What dimensions of change do we need to engage to take advantage of the opportunities? © Luminescence Consulting

20. 20 Small group work © Luminescence Consulting

21. 21 The adaptive dilemma for BHRS Why the transformation How do we create a sustainable response to the fiscal and policy chaos... and... Improve behavioral health outcomes for the people we serve and others in the county? © Luminescence Consulting

22. 22 Summary in 1 slide Community capacity-building Essential concepts ‣ Community Capacity-building ‣ Roles of communities and dep’t On-going relationship building Orientation to wellbeing Essence of the commitment ‣ Help people who receive services develop or strengthen connections to communities of support ‣ Help communities (including our own) promote the wellbeing of their members without ongoing reliance on services Why this commitment ‣ Take 1: Address unmet need Promote flow Sustain recovery ‣ Take 2: Increase engagement of communities Anti-stigma Increase BHRS support How to act on this commitment ‣ Build community ‣ Connect to community ‣ Strengthen community © Luminescence Consulting