Developing Consolidated Health and Human Services Networks in Counties

1. Developing Consolidated Health and Human Services Networks in Counties Carol Mordhorstcarolmordhorst@sbcglobal.net 707-462-7264 12/4/07

2. History/Timeline • Collaboration since 1993 • October 05 – Animal Control moved to Public Health • March 06 – Mental Health, Public Health and Social Services form Agency • May 06 – Community Surveys • May 06 – Staff Surveys • Dec 06 – April 07 Community Meetings • Dec 06 – April 07 Vision/ Mission/ Operating principles developed • Fall 07 draft strategic plan for integrated services

3. Strategic Plan Development Process • Vision, Mission • Community and Staff Surveys • Value Based Operating Principles • Existing Strategic Plans • Community/Stakeholder meetings • Strategic Plan workgroups • Strategic Plan draft

4. Vision, Mission, Value-Based Operating Principles (VBOPs) VISION: Healthy People, Healthy Communities MISSION:In partnership with the community, the Health and Human Services Agency will support and empower families and individuals to live healthy, safe, and sustainable lives in healthy environments, through advocacy, services and policy development.

5. Value-Based Operating Principles (VBOPs) • Organizational Operations • Cultural Competency/Respecting Differences • Accessible, Preventive and Responsible Services • Transparent & Effective Communication • Employee Satisfaction and Retention • Employee Involvement and Development • Intra-agency Education • Collaborative Services • Evidence-Based Best Practices • Strong Community Partnerships • Program Accountability • Fiscal Reinvestment • Organizational Efficiency

6. Transformation Inputs A.Community and Staff Involvement B. Vision, Mission, Value-Based Operating Principles • Major Themes for HHSA Services to be Integrated or Reformed • HHSA Staff Input on Services to be Reformed/Integrate • Community Input Matrix • Aspects to be Integrated • Services Integration Survey

7. Transformation Inputs (continued) C. State, Federal & Local Initiatives & Strategic Plans • Mental Health • Mental Health Strategic Plan • Mental Health Services Act

8. Public Health Advisory Board/Tobacco Settlement Advisory Council • 5-Year Strategic Plan Summary • Community Health Improvement Plan 2005-09 • MCPHAB 3-Year Strategic Plan 2001-2003

9. Child Abuse Funding and the Future of Mendocino County Family Resources Centers • Child Welfare Services • Preventing Child Abuse in Mendocino County • Outcome & Accountability County Data Report (4/07) • Peer Quality Case Review Newsletter – 5/2007

10. Alcohol and Other Drugs • AODP Prospects and Challenges • Resource Guide for Parents • AODP State Plan • First 5 • Five year strategic plan • CalWORKs • TANF Reauthorization: The Next Chapter in Welfare Reform

11. Major Themes for HHSA Services to be Integrated or Reformed Staff Input • One-stop Center (or Resource Center) with coordinated assessment, eligibility, referral, case management & treatment • Coordinated Services with Community Based Organizations • Streamlined Intake, referral and eligibility services • Cross Training for Staff • Integrated/coordinated case management • Pooled resources to provide auxiliary services to clients

12. Major Themes for HHSA Services to be Integrated or Reformed Community Input • One stop shop • Partnership with Community Based Organizations • Outreach, Information and Referral • Training for Staff • Multidisciplinary/case management teams/confidentiality issue • Auxiliary Services for Clients (transportation, childcare, etc) • Grant Writing Assistance

13. Priority Areas/Workteams • Community Health • Children, youth and families • Adults and Older Adults • Administration

14. Community Health Goal 1. HHSA staff has the capacity to efficiently use resources to promote all aspects of wellness in county populations through a community health approach. Goal 2. Mendocino County residents have opportunities to eat healthy foods. Goal 3. Mendocino County residents of all ages have opportunities to achieve and maintain an appropriate level of physical activity. Goal 4. Mendocino County residents of all ages have opportunities to prevent the negative impact of tobacco, alcohol and other drugs. Goal 5. Mendocino County residents thrive in a family-friendly environment for all ages, cultures and diversities.

15. Community Health cont. Goal 6. All people living in Mendocino County are empowered to meet their basic needs, with special attention to the most disadvantaged members of the county. Basic needs include: affordable housing, living wage employment, immigrant rights, access to health care, opportunity to live a healthy lifestyle, and living in a safe, clean and healthy environment. Goal 7. All people living in Mendocino County have access to information and care to prevent, diagnose, mitigate, treat, and manage chronic disease conditions such as asthma, diabetes, and heart disease, and to prevent unintentional injury.

16. Children’s System of Care-Transitional Age Youth Goal 1.All families with children will get the parenting support they need. Goal 2. All children in Mendocino County will be planned, wanted, healthy and nurtured. Goal 3. All teens served by Probation and the Health & Human Services Agency will successfully transition to adulthood. Goal 4. All children will have their placement needs net in Mendocino County whenever possible. Goal 5. Establish, enhance and support community resource centers so all families will receive the services they need in their local communities.

17. Adult System of Care Goal 1. The Adult System of Care will develop an organizational structure that will provide the leadership necessary to maximize cost effectiveness, coordination of resources and eliminate the unnecessary provision and duplication of gaps and lapses in services within the system. Goal 2. Housing: Develop a continuum of affordable housing options that supports the client/individual in being a self-sufficient member of the community. Goal 3. Establish a culturally sensitive, behavioral health program to serve individuals with mental health, physical and/or development disabilities and drug and alcohol abuse issues. This program will address barriers to recovery and independence for participants. Goal 4. Establish an integrated HHSA Forensic Program that will help reduce overcrowding in the jail by supporting HHSA clients seeking to reside in the community.

18. Older Adult System of Care Goal 1. Increase access to services within the Older Adult system of Care for all older adults. Goal 2. Development and/or strengthening of one-stop senior centers for families, caregivers, and people with disabilities in each geographic area of the County with information and assistance services easily accessible to all. Goal 3. Establishment of an Information and Assistance Program for all seniors, caregivers and family members that is easily accessible through multiple methods, including Internet, with an updated Resource Directory distributed through the senior centers and senior service agencies.

19. Agency Administration Goal 1. Ensure adequate Agency staffing, including for professional and Para professional classifications, through the development of local talent and current staff. Goal 2. Increase the capacity of the Agency to degisn, implement and evaluation culturally appropriate services; develop and support the ability of staff to work in cross-cultural environments and deliver culturally appropriate services; and build and maintain a health cross-cultural workplace, where each person is treated with respect. Goal 3. Develop Agency structures to support integrated service delivery systems outside current silos.

20. Challenges Leadership changes Branch Cultural differences Workload Mental Health budget crisis Time

21. Successes • Leveraging funding • Community and staff input • Increased awareness of agency programs and services • Increased collaboration on initiatives – ie Children’s Health Insurance • Consultation from Phil Crandall, HHSA Humboldt County

22. Next Steps • Submit plan to State • Submit plan to Board of Supervisors • Establish implementation teams

23. Mendocino County Contact Information Carmel Angelo angeloc@co.mendocino.ca.us 707-472-2789

24. Questions?