https://tinyurl.com/lakemhsa LAKE COUNTY PUBLIC HEARING FOR MHSA - - PowerPoint PPT Presentation
WELCOME TO THE VIRTUAL PUBLIC HEARING FOR LAKE COUNTYS MHSA 2020-2023 1 THREE-YEAR PLAN! Please let us know if you would like any technical support with Zoom. If not, while youre waiting for the meeting to start, please take a moment to
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Meeting Objectives
q Present
proposed MHSA Plan developed via community engagement
q Provide
stakeholders to provide public comment
Welcome and Virtual Meeting Guide MHSA Background Overview of Three-Year Plan and Community Planning Process Current MHSA Programs and Proposed Modifications LCBHS MHSA Budget Request Public Comment and Discussion Next Steps
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¨ Please find a quiet, distraction-free location with a strong internet or
¨ If using a smart phone or computer, we recommend closing all
¨ We will open the public comment period later in the presentation
¨ If you have clarifying questions or comments during the presentation
¨ We ask that all attendees please fill out the online demographic
¨ Proposition 63 passed
¨ Tax of 1% on income over
¨ To EXPAND & TRANSFORM
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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
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¨ 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)
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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 RDA Collect and present findings on the current system, offer recommendations for the future, facilitate discussions, and compile information into the Three-Year Plan Board of Supervisors Review and approve the MHSA Three-Year Program and Expenditure Plan
Phase I: Kickoff
LCBHS
regulatory review
development Phase II: Needs Assessment
Community Meetings
Community Survey
Data Phase III: Program Planning
stakeholder input
services
report back and planning meeting Phase IV: Plan Development
year plan
comment
hearing
present to BOS (Sept. 15th)
November ‘19 December ‘19 January ‘20 February – Sept. ‘20
Ongoing Communication & Project Management
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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
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Community Member Other City or County Government Agency Family Member of Consumer Consumer Contracted Service Provider or CBO
Survey and Community Meeting Stakeholders
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¨ As a result of COVID-19, the development of the
¨ The CPP and needs assessment took place before
¨ There is some uncertainty of MHSA funding moving
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Community Services and Supports (CSS)
Partnership
Occurring Disorder Screening & Treatment Prevention & Early Intervention (PEI)
Services
Well-Being
Prevention
Centers
Screening
Local Projects
(Discontinued) Workforce Education & Training (WET)
Training Capital Facilities & Technology Needs (CFTN)
Project Innovation (INN)
Consumer-Driven Care Coordination
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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:
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Some consumers still experience long wait times for clinical services Some consumers are reluctant to access services at County clinics due to stigma More peer navigation could help consumers move through the system There is a need for more targeted support for:
There is a need for more recreational and wellness activities, and to raise awareness
The centralization of services, transportation challenges, and/or being unhoused make it difficult to access services
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Strengths Identified Needs
Overall, mental health providers are dedicated and provide high quality services Staff retention is still an issue and has contributed to a shortage of mental health providers Mental health professionals need more standardized training First responders need more training and support to better respond to mental health crises Staffing capacity has improved, particularly within the crisis team and with the addition of an access team
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Strengths Identified Needs
Improved communication transparency from County leadership has helped stakeholders feel more involved and aware of decision-making about programs and services Interagency communication and service coordination could be improved Interagency coordination for disaster preparedness services could be improved
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Housing & Homelessness Recommendations
living environments
navigation services at existing facilities
homelessness and stigma LCBHS Activities
partnership opportunities as the lead administrator of the county’s Continuum of Care Co-Occurring Disorders Recommendations
health and SUD services
support identification of consumers with co-occurring needs LCBHS Activities
health issues are screened for SUD and referred to services as needed
process of improving integration and collaboration across the system of care
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Prevention & Early Intervention (PEI) Peer Support Centers
Mother-Wise
Early Intervention Services
Community Services and Supports (CSS) Older Adult Access
Workforce Education & Training (WET)
Capital Facilities & Technology Needs (CFTN)
Innovation (INN)
INN 5% PEI 19% FSP 50% of CSS O+E and SD 50% of CSS CSS 76%
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MHSA Component FY 20/21 Estimated Expenditures FY 21/22 Estimated Expenditures FY 22/23 Estimated Expenditures All CSS Programs $4,505,000 $4,505,000 $4,505,000 All PEI Programs $1,053,140 $1,053,140 $1,053,140 All INN Programs $300,000 $190,000 $190,000 All WET Program $235,000 $235,000 $200,000 All CFTN Programs $450,000 $0 $0 Total $6,543,140 $5,983,140 $5,948,140
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¨ MHSA is funded by income tax on very few high-
¨ Anticipate large decrease in FY19-20 funding and
¨ Anticipate decrease in FY22-23 funding due to
¨ Amount of county MHSA funding is not guaranteed
Source: Mike Geiss, Presentation at Behavioral Health Fiscal Institute, June 17, 2020
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Source: Mike Geiss, Presentation at Behavioral Health Fiscal Institute, June 17, 2020
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¨ Flexibility in accessing prudent reserves ¨ Extend deadlines for:
¤ 3-year plans ¤ Annual updates ¤ Revenue expenditure report (RER) submissions
¨ Flexibility to move funds within and between some
¨ Flexibility with reversion deadlines
Sources: Mike Geiss, Presentation at Behavioral Health Fiscal Institute, June 17, 2020 MHSOAC Coalition Letter to the Governor and Legislative Leaders, May 2020
*planned as of June 2020
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Sources: Mike Geiss, Presentation at Behavioral Health Fiscal Institute, June 17, 2020 MHSOAC Coalition Letter to the Governor and Legislative Leaders, May 2020
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