1. COUNTY INTEGRATION PLANNING County of San Diego Karen Ventimiglia, MHSA Coordinator May 17, 2011 1

2. HISTORY: WHAT IS THE COUNTY INTEGRATING AND WHY County of San Diego Integrated Programs Mental Health & Physical Health Programs Co-Occurring Programs Low Income Health Program, Medicaid Coverage Expansion Factors for Integration Quality of Care Transform Leverage Reduce Stigma 2

3. CURRENT FUNDING STRATEGY Mental Health Services Act Community Services and Supports Prevention and Early Intervention (PEI) PEI Training, Technical Assistance and Capacity Building Innovation Low Income Health Program, Medicaid Coverage Expansion Federal funding 3

4. MAINTAINING MHSA, RECOVERY ORIENTED PRINCIPLES IN INTEGRATED PROGRAMS Consumer and Family Driven Community Collaboration Cultural Competence Office of Health Systems Innovation 4

5. INTEGRATION CHALLENGES AND SUCCESSES Traditional Service Delivery Culture Training and Support to Primary Care sites Working with agencies that do not provide mental health services Need for one integrated medical record Physicians Campaign 5

6. LESSONS LEARNED AND NEXT STEPS Plan Development Engagement of partners Continue to incorporate MHSA principles with integrated programs 6