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Information about MHSAandPEI

Published on January 12, 2008

Author: Biaggia


California Department of Mental Health Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) Component Presentation for the Infant Development Association Conference March 22, 2007:  California Department of Mental Health Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) Component Presentation for the Infant Development Association Conference March 22, 2007 Sonia Mays, Executive Fellow CA Dept. of Mental Health, Prevention and Early Intervention Slide2:  Purpose To give an overview of Mental Health Services Act and discuss opportunities for working across systems in Prevention and Early Intervention (PEI) activities. Values Collaboration Expanding services while improving other key systems in the community Providing services across systems Leveraging other funds and resources Having a focus Making an impact Presentation Overview:  Presentation Overview Mental Health Services Act (MHSA) Overview Prevention and Early Intervention Policies Vision Community Needs Priority Populations Guidelines Collaborative Partners Mental Health Services Act:  Mental Health Services Act A voter initiative, Proposition 63, passed in 2004 and is now known as the Mental Health Services Act (MHSA) The 1% increase in personal income tax for adjusted gross income over $1 million created a new source of funding for mental health Intended to expand mental health services Based on recovery principles Emphasis on earlier intervention/prevention Mental Health Services Act (MHSA):  Mental Health Services Act (MHSA) Purpose: Define serious mental illness as a condition deserving priority attention Reduce long-term adverse impact from untreated serious mental illness Expand successful, innovative service programs Provide funding to adequately meet the needs of all children and adults who can be identified and enrolled in programs under this measure Ensure that funds are expended in a cost effective manner and that services are provided consistent with best practices MHSA Transformational Principles:  MHSA Transformational Principles Driven by consumers and family/caregivers, with specific attention to those from underserved communities Culturally and linguistically competent Demonstrate system partnerships, community collaboration, and integration Focused on wellness, resiliency and recovery Include evidence indicating high likelihood of effectiveness and methodology to demonstrate outcomes Mental Health Services Act: Challenges:  Mental Health Services Act: Challenges Complexity Funding categories (components) Integrating it into mental health system Administrative requirements Three year plans and annual updates Performance reporting Cash flow and Revenue and Expenditure reports Governance Multiple entities involve in policy development, approvals and oversight Mental Health Services Act: Opportunities:  Mental Health Services Act: Opportunities System Transformation Engagement of unserved and underserved communities Real involvement of clients and families in every aspect of the mental health system Increased and earlier access to services MHSA Component Updates:  MHSA Component Updates Community Services and Supports Children/Youth, including Transition Age Adults, including Transition Age Older Adults Capital Facilities and Technological Needs MHSA Component Update (cont.):  MHSA Component Update (cont.) Education and Training Prevention and Early Intervention Anti-Stigma Early identification Early intervention Suicide prevention Services to underserved populations Implementation Strategies:  Implementation Strategies Build long-term vision of transformation of mental health system Focus on outcomes Inclusive stakeholder process Effective participation of clients and family members throughout is critical Multiple components of the MHSA will eventually be integrated Initial implementation will be staggered Shorter-term strategies may supplement Ensure implementation in every county Prevention and Early Intervention:  Prevention and Early Intervention Elements Provide outreach and services to identify and treat early signs of mental illness Ensure access to medically necessary care Reduce stigma and discrimination Develop strategies to reduce negative outcomes from untreated mental illness—suicide, incarcerations, school failure, homelessness, etc. Ensure timely access for underserved populations Partners in Prevention and Early Intervention:  Partners in Prevention and Early Intervention California Department of Mental Health (DMH) Mental Health Services Oversight and Accountability Commission (MHSOAC) and its Prevention and Early Intervention Committee California Mental Health Planning Council (CMHPC) California Mental Health Directors Association (CMHDA) Statewide and Community Stakeholders PEI Vision Statement:  PEI Vision Statement All Californians share responsibility for promoting strong mental health and resiliency among individuals in their many diverse communities and for supporting individuals in accessing mental health services without fear of disapproval or discrimination. Prevention and early intervention approaches are tools for empowerment and social justice that emphasize holistic and integrated approaches to mental health. IOM Spectrum of Mental Health Interventions: Funding Emphasis on Prevention:  IOM Spectrum of Mental Health Interventions: Funding Emphasis on Prevention Three Levels of Prevention:  Three Levels of Prevention UNIVERSAL – Intended to reach all members of the community SELECTIVE- Directed at people with some risk, often based on their membership in a vulnerable group. 3. INDICATED- For people identified as having the greatest risk based on specific symptoms or signs but who lack the criteria for a mental health diagnosis Source: Institute of Medicine PEI and CSS Nexus:  PEI and CSS Nexus Access to Assessment and Treatment Short term bridging services Strengthen treatment services in other systems for those ineligible for County Mental Health services Provide incentives in funding, consultation and training to leverage other funding sources Key Community Mental Health Needs:  Key Community Mental Health Needs Disparities in Access to Mental Health Services Psycho-Social Impact of Trauma At-Risk Children, Youth and Young Adult Populations Stigma and Discrimination Suicide Risk Priority Populations:  Priority Populations Underserved Cultural Populations Individuals Experiencing Onset of Serious Psychiatric Illness Children/Youth in Stressed Families Trauma-Exposed Children/Youth at Risk of School Failure Children and Youth at Risk of Juvenile Justice Involvement Guidelines:  Guidelines Recommended Strategies Outcomes and Evaluation Framework Local Planning Process Examples of Collaborative Partners:  Examples of Collaborative Partners SCHOOLS, PRIMARY HEALTH CARE, FAMILY RESOURCE CENTERS Easy to access children, youth, adults and older adults Opportunity to serve millions of Californians Ability to reach a highly diverse population Opportunity to leverage other funds and resources Potential to institutionalize system improvements Schools- Demographic Data:  Schools- Demographic Data Based on 2005-06 School Data Data represents the 25 highest poverty schools (defined by free lunch program participation) in each county (excluding counties with a total population of 200,000 or less): 51% of the population are English Learners 88% of the population is Low Income 16% of the population is Fluent English Proficient 72% Hispanic; 8% Black;10% White; 6% Asian; 4% Misc./Other Information provided by CA Dept. of Education Collaborative Work in Schools:  Collaborative Work in Schools Healthy Start (CA Dept. of Education) Early Mental Health Initiative (CA Dept. of Mental Health) School Health Centers School Readiness (First 5 CA) Power of Preschool (First 5 CA) Primary Health Care- Demographic Data:  Primary Health Care- Demographic Data Medi-Cal 2004 Data 44% White; 26% Latino; 17% Black; 9% Asian PI; 1% Native American; 3% Other Healthy Families 2006 Data 61% Latino; 13% Caucasian; 12% Asian PI; 11% Other; 3% African American Community Health Centers:  Community Health Centers Clinics and Health Centers 2004 Data: 52% Latino; 21% White; 7% Black; 7% Asian PI; 2% Native American; 11% Other Indian Health Clinics 2005 Data: 49% Native American; 13% Latino; 12% White; 26% Other/Unknown Family Resource Centers (FRCs):  Family Resource Centers (FRCs) FRCs offer a wide range of social and health services to families. “Strategies” training funded by the Department of Social Services, Office of Child Abuse Prevention (OCAP) Early Start sites, Healthy Start sites, and family resource centers participating in DSS, Office of Child Abuse Prevention initiatives. Training and Consultation Partners :  Training and Consultation Partners Early Childhood Centers After School Programs Law Enforcement Area Agencies on Aging Alcohol and Drug Prevention Programs Refugee Centers University Health Centers Upcoming Stakeholder Meetings:  Upcoming Stakeholder Meetings How to Provide Input to DMH:  How to Provide Input to DMH By Phone: 1-800-972-MHSA(6472) By Email: By Mail: ATTN: MHSA California Department of Mental Health 1600 Ninth Street, Room 130 Sacramento, CA 95814 By Fax: (916) 653-9194 DMH MHSA Website:

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