Mental Health Services Act Steering Committee Meeting

1. Mental Health Services ActSteering Committee Meeting March 6, 2008

2. Kate Pavich • Steering Committee Update MHSA Coordinator

3. New Steering Committee Location

6. Mark Refowitz Behavioral Health Director

7. Growth Funds 2008-09 FY 08/09 Growth Funds: $8,135,900 Administration(15%):-$1,220,385 Available for Programs: $6,915,515 Program Adjustments • Children: $1,403,850 • TAY: $1,293,201 • Adult: $3,250,292 • Older adult: $968,172 • Total: $6,915,515

8. Allocation by Age

9. Growth Funds 2008-09 Children • Amount Available: $1,403,850 • Must Fix: $1,083,955 • Amount Remaining: $319,895

10. Growth Funds 2008-09 TAY • Amount Available: $1,293,201 • Must Fix: $1,178,974 • Amount Remaining: $114,227

11. Growth Funds 2008-09 Adult • Amount Available: $3,250,292 • Must Fix: $978,020 • Amount Remaining: $2,272,272

12. Older Adult – Growth Funds Older Adult • Amount Available: $968,172 • Must Fix: $0 • Amount Remaining: $968,172

13. Money for Statewide Projects

14. MHSA Housing money must be assigned to CalHFA by the County • Money for other statewide projects must be assigned to the fiscal agent designated by the State • The County must give the dollars back to the State to participate in statewide projects

15. Assignment Agreement • State FY 2007/08 Planning Estimate $33,158,300 (MHSA Housing Program) • Money transferred by DMH on behalf of the County to CalHFA • Funds will be held in a County specific sub-account • Funds invested in an appropriate investment vehicle as determined by CalHFA • Interest received is returned to County

16. Assignment Agreement (cont.) The Assignment Agreement has been posted on the MHSA Website. The 30 Day Public Comment will run from March 4, 2008 to April 2, 2008. • Web Address: www.ochealthinfo.com/mhsa/housing

17. Kate Pavich • Capital Facilities Update MHSA Coordinator

18. 401 S. Tustin Avenue, Orange CA

19. Architect-Engineering Firm Revised Fee Proposal & Cost Estimate • Demolition of all buildings • Addition of a vocational training building • Addition of a maintenance building • Replacement of the emergency generator • Coordinating purchase of fixtures, furnishings, and equipment

20. Architect-Engineer Firm The new estimated project cost is $16,500,000 and includes: • Demolition of all existing buildings • Construction of 3 new buildings for programs • New site improvements (parking, landscaping, etc.) • Construction of miscellaneous site structures

21. Crisis Residential Program

22. Crisis Residential Treatment 7,500 square foot building providing structured mental health services 24 hours a day, 7 days a week • 15 bed facility • Kitchen and dining area • Recreation/activity rooms • Computer room and library • Exercise area

23. A Wellness/Peer Support Center

24. Wellness/Peer Support Center 7,500 square foot building providing consumers with activities for recovery, socialization, education, and peer support • Recreation and exercise rooms • Computer lab • Kitchen and dining area • Activity room for social events and recovery groups • Garden and outdoor activity area

25. Vocational Training/Education

26. Vocational Training/Education 7,500 square foot building providing educational and employment support and training • Multiple classrooms • Large training rooms • Computer lab • Resource room • Offices

27. Proposed Project Timeline • Board of Supervisor’s to vote on A-E contract on 4/1/08 • Feasibility Study and Programming Phase to finish 6/08 • Environmental Compliance and Design Phase to finish 10/08 • Construction documents, plan check and final contract documents to finish 4/09 • Bidding/Contract Award to finish 11/09 • Construction completed 11/10

28. Ribbon Cutting Ceremony

29. Casey Dorman Workforce Education and Training Coordinator Three Year Plan

30. The Basics • 8.2 million dollars for Orange County over a three year period • Roughly $7,600,000 available after early implementation spending of $651,000 for planning and training • Spending based on workforce needs assessment and community stakeholder meetings • The plan is written for FY 2008-2009, but activities may span several years. • An additional $8 million will be forthcoming to add to any activities that were identified and were underfunded or unable to be funded in this plan

31. Assessment of Needs • Electronic survey of all supervisors and managers in county and contract agencies to determine characteristics of current workforce and identify needs • Electronic survey of all individual staff to determine ethnicity and language capability • Over thirty separate stakeholder meetings with about 350 participants representing consumers, family members, MH administrators and staff, contract agencies, all levels of the educational system and other county agencies

32. Needs • The greatest ethnic/linguistic need is for Latino, Spanish-speaking staff and the second is for Vietnamese-speaking staff, followed by Korean and Farsi-speaking. • We have a need for both licensed and unlicensed clinical staff, such as Social workers, MFTs and unlicensed care coordinators/case managers • Psychiatrists and clinical nurse specialists are needed. • Between 25-30% of new positions were identified as those that could be occupied by consumers or family members

33. Plan Development • Advisory Committee • Consumers – CNMHC and consultants • Family members – NAMI • Educational institutions – undergrad, graduate • Contractors – childrens and adult services • Ethnic specific contractors • County mental health services, including Cultural Competency and MHSA offices • The Advisory Committee developed both a plan for this submission ($7.6 million) and for the additional money ($8.2 million) to be subject to approval when it becomes available.

34. The Plan • Workforce Staffing • Workforce Education and Training (WET) Coordination • Staff to plan, develop, coordinate, monitor and evaluate all of the training activities in the plan • Budget amount: $782, 346 • Consumer Employment Support Specialists • Continue current position • 2 additional positions: 1 for adult services, 1 for children’s services • Budget amount: $200,000

35. The Plan • Workforce Staffing (cont.) 3. Liaison to Regional Workforce and Education Partnership (a state-funded Southern California regional entity which will identify needs and develop educational and training programs across the Southern California region). • Budget amount: $83,448

36. The Plan B. Training and Technical Assistance • Staff and Consumer Training on Evidence Based Practices • Such as: DBT, Functional Family Therapy, Parent Child Interaction Therapy, Family Psychoeducation, Geriatric Psychopharmacology, Trauma Peer Mentoring • Budget Amount: $405,000 • Training provided by consumers and family members • Recovery and Wellness training to staff, other consumers and family members and targeted aspects of the community • Including such training as NAMI Provider Training, Peer-to-Peer and Family-to-Family, as well as training school, college and university faculty and students, and providing training to ethnic communities in languages other than English • Budget Amount: $150,000

37. The Plan B. Training and Technical Assistance (cont.) 3. Cultural Competence Training for staff and the community • Continue trainings begun under one-time monies to develop staff cultural competence on different ethnic cultures within Orange County • Hire a half-time deaf/hard of hearing trainer to train both staff and community on mental health services for the deaf/hard of hearing • Hire translators to translate all training materials, including those used in consumer/family member employment training into Spanish and Vietnamese • Train county disaster workers who provide mental health services in multicultural sensitivity and approaches • Budget Amount: $477,500

38. The Plan B. Training and Technical Assistance(cont.) • Training for Staff Supporting Foster Parents • Training to foster parent support staff, residential child care workers, clinicians, TBS coaches, foster and adoption direct service staff and parents • Budget Amount: $50,000 • Mental Health Training for Law Enforcement • Continue currently funded training program at the level of 250 new officers trained per year • Budget Amount: $60,000

39. The Plan C. Mental Health Career Pathways • Training consumers and family members for employment in the mental health system • Continuation of the program, funded under one-time money to train consumers through Pacific Clinics and Santa Ana College, but at the level of 25 consumers/family members per year • Addition of monolingual Vietnamese, Spanish and Korean mentoring training programs for a total of 5 consumers/family members per year • Budget Amount: $375,000

40. The Plan C. Mental Health Career Pathways (cont.) 2. High School Academy • Fund infrastructure of adding a mental health component to a health academy in a primarily Latino school district • Fund counseling students to pursue mental health careers in a district with high Asian-American population • Fund internship experiences and scholarships for high school students in mental health • Budget Amount: $375,000

41. The Plan C. Mental Health Career Pathways (cont.) 3. Community College & Undergraduate Certificate Programs • Funding of curriculum development, internships, faculty and coordination time for development of a program leading to an AA level certificate in psychosocial rehabilitation • Link the program to the high school academy, the consumer training program and to a BA Human Services program as either one step or a terminal point in a career pathway • Budget Amount: $375,000

42. The Plan C. Mental Health Career Pathways(cont.) 4. Recovery Education Institute • Operated by consumers/family members • Provide pre-academic, workshop courses that consumers need to develop the personal skills to enter into education or training to join the mental health workforce • Illness management • Medication knowledge and management • Interviewing and resume writing • Study skills • Developing computer literacy • Recovery coaching • Communication skills in counseling • Link with the Consumer Training Program and the AA Certificate Program as the first step in a career pathway leading to employment or further education • Budget Amount: $557,500

43. The Plan D. Residencies and Internships • Graduate student intern supervision • Fund 6-9 FTE licensed supervisor positions (mostly as ½ time positions) through county and contract agencies to supervise additional bilingual, bicultural graduate students in social work, MFT, psychology, nursing • Budget Amount: $720,000 2. Supervision for HS, Consumer Trainees, AA and Bachelors level interns • Fund 6 FTE non-licensed supervisory positions (mostly as ½ time positions) and 1 FTE coordinator position • Budget Amount: $395,000

44. The Plan D. Residencies and Internships (cont.) 3. AA/BA/MA program Recruiter • Consumer-held position to recruit consumer/family members, culturally diverse students into all levels of the educational system • Budget Amount: $75,000 4. Psychiatry residencies and fellowships • Continue funding supervision time for increased child psychiatry resident begun under WET early implementation • Fund development activities, including some faculty time, for developing a community psychiatry fellowship program at UCI • Budget Amount: $130,299

45. The Plan E. Financial Incentive Programs • AA and BA stipends and 20-20 Program • Support approximately 25 students per year in AA and BA Human Services/Mental Health programs through stipends, or for employees of public mental health, 20/20 programs with preference to members of underserved ethnic groups or consumers/family members • Budget Amount: $375,000 2. Graduate Degree Stipends • Support approximately 20 stipends for educational and living costs for students in graduate programs on social work, MFT, psychology, nursing with preference to members of underserved ethnic groups or consumers/family members • Budgeted Amount: $400,000

46. The Plan E. Financial Incentive Programs (cont.) 3. 20/20 programs for public mental health employees to attend graduate school • Fund 15-20 part-time graduate students per year who are employees of the public mental health system so that they may attend graduate school and fieldwork/internship placements without losing salary. Preference to members of underserved ethnic groups or consumers/family members. • Budget Amount: $487,000

47. Mental Health Career Pathways Financial Incentives Career Pathway Supervision Employment Graduate Stipends and 20/20 Programs Graduate Education Licensed Staff Supervisors Licensed MH Professionals and Administrators BA Human Services/Mental Health Case Managers, Program Supervisors Undergraduate Stipends and 20/20 Programs Unlicensed Staff Supervisors AA Psychosocial Rehabilitation Peer Counselors, Clubhouse Coordinators, Peer Mentors, Life Coaches Consumer Training Program Intern Stipends and Scholarships High School Academy

48. Next Steering Committee Meeting Monday April 7, 2008 1:00-4:00 PM