WELCOME TO THE VIRTUAL PUBLIC HEARING FOR LAKE COUNTY’S MHSA 2020-2023 1 THREE-YEAR PLAN! Please let us know if you would like any technical support with Zoom. If not, while you’re waiting for the meeting to start, please take a moment to fill out the online demographic survey at: https://tinyurl.com/lakemhsa
LAKE COUNTY PUBLIC HEARING FOR MHSA THREE-YEAR PROGRAM & EXPENDITURE PLAN FOR FY 2020–2023 August 13, 2020 Jamie Dorsey Linda Hua Nicole Liner-Jigamian
Agenda 3 Welcome and Virtual Meeting Guide Meeting Objectives MHSA Background q Present proposed Overview of Three-Year Plan and Community Planning Process MHSA Plan developed via Current MHSA Programs and Proposed Modifications community engagement LCBHS MHSA Budget Request q Provide opportunity for stakeholders to Public Comment and Discussion provide public comment Next Steps
Welcome and Virtual Meeting Guide 4 Welcome to the virtual public hearing for Lake County’s MHSA 2020-2023 Three-Year Plan!
Virtual Meeting Guide 5 ¨ Please find a quiet, distraction-free location with a strong internet or phone connection, if possible. ¨ If using a smart phone or computer, we recommend closing all unnecessary programs and applications to improve performance. ¨ We will open the public comment period later in the presentation and will provide detailed instructions on how to comment over the computer or phone. ¨ If you have clarifying questions or comments during the presentation before the public comment period, please enter them into the chat box and they will be addressed in the order received. ¨ We ask that all attendees please fill out the online demographic survey at: https://tinyurl.com/lakemhsa
Mental Health Services Act (MHSA) 6 Background Information
Mental Health Services Act (MHSA) ¨ Proposition 63 passed November 2, 2004 ¨ Tax of 1% on income over $1 million ¨ To EXPAND & TRANSFORM mental health services in California
MHSA Components 8 CSS: Community Services & Supports Outreach and direct services for serious emotional disturbances or serious mental illness (all ages) PEI: Prevention & Early Intervention Prevent the development of mental health problems, and screen for and intervene with early signs INN: Innovation Test new approaches that may improve outcomes CFTN: Capital Facilities & Technology Needs Infrastructure support (electronic health record, MH facilities) WET: Workforce Education & Training Build, retain, and train public mental health workforce
Overview of Community Planning 9 Process
Three-Year Plan & Community Planning Process 10 Purpose of Three-Year Plan: To identify persistent mental health service gaps and develop strategies to address them in Lake County’s MHSA Three-Year Program Plan for FY 2020-2023 Community Planning Process: The MHSA intends that there be a meaningful stakeholder process to provide subject matter expertise to the development of plans focused on utilizing the MHSA funds at the local level
Three-Year Plan & Community Planning Process 11 Program planning shall be developed with local stakeholders including: ¨ Adults and seniors with severe mental illness ¨ Families of children, adults, and seniors with severe mental illness ¨ Providers of mental health services ¨ Law enforcement agencies ¨ Education agencies ¨ Social services agencies ¨ Veterans and representatives from veterans organizations ¨ Providers of alcohol and drug services ¨ Health care organizations ¨ Other important interests Source: WIC Section 5848. (a)
Roles and Responsibilities 12 Stakeholders Present individual perspectives and lived experiences and share reflections of emerging strategies Behavioral Health Services Department Develop MHSA Three-Year Program and Expenditure plan that is reflective of community needs, priorities, and identified strategies Board of Supervisors Review and approve the MHSA Three-Year Program and Expenditure Plan RDA Collect and present findings on the current system, offer recommendations for the future, facilitate discussions, and compile information into the Three-Year Plan
MHSA Planning Activities and Timeline 13 Phase II: Phase III: Phase IV: Phase I: Needs Program Plan Kickoff Assessment Planning Development • Conduct • Kickoff with • Synthesize • Develop three- Community stakeholder input year plan LCBHS Meetings on needs and • Document and • Post for public services • Launch regulatory comment Community review • Community • Hold public Survey report back and • Materials hearing planning meeting • Collect Program development • Finalize plan & Data present to BOS (Sept. 15 th ) November ‘19 December ‘19 January ‘20 February – Sept. ‘20 Ongoing Communication & Project Management
Stakeholder Participation 14 Activity Date Participants Preliminary Context Interviews November – January 2019 11 Community Meetings (4) December 16-17, 2019 48 Community Survey November 2019 – January 2020 17 Community Planning Session January 30, 2020 49 30-Day Review Period July 14, 2020 – August 12, 2020 TBD Public Hearing August 13, 2020 TBD TOTAL 125 Survey and Community Meeting Stakeholders Contracted Service Provider or CBO 33 Consumer 21 Family Member of Consumer 14 City or County Government Agency 8 Other 8 Community Member 3
COVID-19 Considerations 15 ¨ As a result of COVID-19, the development of the three-year plan was slightly delayed. ¨ The CPP and needs assessment took place before COVID-19 and shelter-in-place. ¨ There is some uncertainty of MHSA funding moving forward. Over the next three fiscal years, the services and program modifications presented in this plan may need to adapt to the evolving funding landscape.
Current MHSA Programs and Proposed 16 Modifications
Current MHSA Programs 17 Workforce Education & Community Services and Prevention & Early Training (WET) Supports (CSS) Intervention (PEI) • Crisis Access Continuum • Early Intervention • Workforce Education & Services Training • Forensic Mental Health Partnership • Family Stabilization & Well-Being Capital Facilities & • Full-Service Partnerships Technology Needs (CFTN) • Older Adult Outreach & • Older Adult Access Prevention • Parent Partner Support • Capital Facilities • Peer Support Recovery • Trauma-Focused Co- • Electronic Health Record Centers Occurring Disorder Project • Postpartum Depression & Screening & Treatment Screening • Prevention Mini-Grants Innovation (INN) • Statewide, Regional, & Local Projects • Full Cycle Referral & Consumer-Driven Care • Early Student Support Coordination (Discontinued)
Service Access & Experience of Care Strengths 18 Peer support centers provide a variety of services to target populations and decrease stigma of accessing care Providers with lived experienced help consumers feel supported and hopeful Mini grants help programs expand services The referral process is more streamlined and has improved service access and care coordination There are positive perceptions of the following new programs that target vulnerable and underserved populations: • Middletown Peer Support Center • Teen Mental Health First Aid • Mother-Wise
Service Access & Experience of Care Identified Needs The centralization of services, Some consumers still experience 19 transportation challenges , long wait times for clinical and/or being unhoused make it services difficult to access services More peer navigation could There is a need for more help consumers move through the targeted support for: system • Older adults Some consumers are reluctant to • TAY access services at County • Males clinics due to stigma • Latinx community • LGBTQ+ community There is a need for more • Native American community recreational and wellness • Families and caregivers activities , and to raise awareness • Schools and children of existing services
Staff Capacity and Training Strengths Identified Needs 20 Staff retention is still an issue Overall, mental health providers are dedicated and and has contributed to a provide high quality services shortage of mental health providers Staffing capacity has improved , particularly within First responders need more the crisis team and with the training and support to better addition of an access team respond to mental health crises Mental health professionals need more standardized training
Communication and Collaboration Strengths Identified Needs 21 Interagency communication Improved communication transparency from County and service coordination could leadership has helped be improved stakeholders feel more involved and aware of decision-making Interagency coordination for about programs and services disaster preparedness services could be improved
Recommend
More recommend
