MHSA Steering Committee This program is funded by the Division July 18, 2019 of Behavioral Health Services through the voter approved Proposition 63, Mental Health Services Act (MHSA).
MHSA COMMUNITY PLANNING PROCESS • November 2017, the MHSA • A Workgroup was established and Steering Committee tasked a included representation from the Workgroup with developing a following stakeholder groups: recommendation for a new MHSA • CPS Prevention and Early Intervention • Probation (PEI) program for mental health • Behavioral Health services for foster youth and their • CASA resource families. • Juvenile Court • Education • Foster Youth & Former Foster Youth • Youth Advocates • Family Members
MHSA COMMUNITY PLANNING PROCESS (CONT’D) The Workgroup developed the following recommendation: 1. 24/7 mobile services that include: immediate phone response and face-to-face response; crisis intervention, de-escalation and mediation services; youth and family advocate engagement and support 2. Warm-line services that include follow-up services 3. Mental health and substance use disorders screening and strengths-based assessments 4. Youth and Family Advocates be part of the program staff Peer/Youth advisory committee 5. Support foster youths’ engagement in normative activities 6. Coordination and collaboration with all systems and organizations serving foster youth
MHSA COMMUNITY PLANNING PROCESS (CONT’D) • The Workgroup presented their recommendation to the MHSA Steering Committee on January 18, 2018. • The MHSA Steering Committee approved the recommendation and to use one-time AB114 PEI funds for the new PEI program. • The new program is now called The Source and is administered by Sacramento Children’s Home.
WHAT IS THE SOURCE? A new 24/7/365 program that helps foster youth, former foster youth under age 21 and their caregivers during times of crisis through phone and in-person urgent response when needed.
WHAT DO WE KNOW ABOUT FOSTER CHILDREN & YOUTH? • Behavior issues are a strong indicator of placement instability and are commonly cited in foster parents’ requests to have foster youth removed from their homes. • Foster parents may encounter difficult behaviors unfamiliar to them and not know how to effectively address the behavioral issues presented by foster youth. • These problems create significant challenges for foster parents and increase the likelihood of placement instability. • After reunification, families are vulnerable and need extra support.
SURPRISING STATISTICS • In fiscal year 2017-2018, there were approximately 3,502 youth who have open cases with Child Welfare. • Of these youth, about 2,000 are in a foster placement. • Of these youth, only about 1,150 are linked to the Mental Health Plan (MHP). • Those families go through it alone.
WHO IS ELIGIBLE? • Current and former foster youth under age of 21 • Caregivers for eligible youth • Must reside in Sacramento County
OBJECTIVES/GOALS OF THE PROGRAM • To maintain placement • Teach conflict resolution and crisis management techniques • De-escalation • Linkage to mental health, co-occurring substance use disorders treatment or other needed services and resources • Coordination of care • Provide foster youth the opportunity to experience normative activities • Increase outreach and education by utilizing social media
EXAMPLES OF CRISES • Youth expressing danger to self or other, including self-injury • Youth destroying property • Parent/caregiver having difficulty managing child/youth’s unsafe behaviors • Caregiver is ready to give up on caring for the child during conflict • Youth being kicked out of the home or youth experiencing homelessness • FFA home giving 7-day notice • Violent or aggressive behaviors, confusion or strange behaviors • Inability to perform daily tasks (e.g., brushing teeth, shower) or compromised ability to function • Child/youth agitated and unable to be calmed despite repeated efforts
EXAMPLES OF CRISIS SUPPORT INTERVENTIONS • Develop a safety or crisis support plan with the youth and family/caregiver • Coaching for youth • Coaching for caregiver • Short-term respite (breaks): giving the youth and caregiver time and space away from the crisis for a couple hours • Teach coping skills • Learn how to manage crises and prevent future crises
TYPES OF SERVICES Crisis Support for Caregivers Crisis Support for Youth • Coaching • Coaching • Teaching coping skills • Teaching coping skills • Help to solve problems • Help overcome conflicts and challenging situations that happens to the family • Create safety plans • Intense, short-term support • Respite (breaks) • Respite (breaks) • Provide referrals and resources • Provide referrals and resources • Peer support • Peer support
TYPES OF SERVICES, CONT’D Referrals and Advocacy Youth Activities • Sharing resources and • Have fun attending activities information about other supports with other youth in the and programs in the community community • Get connected to ongoing Coordination/Linkage programs in the community • Get help from peer staff who • Source staff will work with have similar lived experiences to current service providers and youth and caregivers supports to ensure coordination of care
THE SOURCE STAFF 4 types of Source staff: • On Call Coordinators (MHRS/MHA) • Clinicians (Licensed and Licensed-waived) • Youth Partner • Family Partner Teams of any combination of the above can be deployed for face-to-face crisis intervention. Teams are tailored to the needs of the client.
YOUTH ADVISORY BOARD Purpose: Board Activities include: • Develop shared ideas • Provide leadership development to the involved youth • Inform mission, vision and guiding principles of best • Networking practices in serving youth in crisis • Sharing concerns • Develop partnership goals that are youth driven and fit within the priorities of the program • Providing advice and recommendations • Provide program evaluation and feedback • Developing solutions • Identify problems and solutions related to the delivery of Board Members include: services • Impacted youth • Develop an action plan for implementing solutions • Youth Advocates • Cultivate youths’ continued engagement on the Board by networking, providing transportation and addressing other • Allies barriers to participation
HOW TO CONTACT THE SOURCE • TEXT: 916-SUPPORT (916-787-7678) • CALL: 916-SUPPORT (916-787-7678) • SECURE CHAT: Click on the secure chat link on www.thesourcesacramento.com • WEBSITE: www.thesourcesacramento.com The Source staff will also meet with youth and caregivers in the home, school, or anywhere in the community to help when needed and wherever needed.
ADDITIONAL INFORMATION & RESOURCES We are on Social Media! @The-Source-Sacramento @TheSourceSacramento @TheSourceSac
QUESTIONS? Contact: Jason Isacson, M.Ed., LMFT, LPCC Clinical Program Manager – The Source (916) 290-8229 jason.isacson@kidshome.org Korlany Roche, Psy.D, LMFT Mental Health Program Coordinator/Contract Monitor Sacramento County Behavioral Health Services (916) 876-1254 rochek@saccounty.net
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