Mental Health Services Act

1
Mental Health Services Act

• Steering Committee Meeting
• August 4, 2008

2
Sharon Browning

• Welcome

3
William Gonzalez

• Consumer Perspective

4
Mary Hale

• Local / State Updates

5
Kate Pavich

• MHSA Updates / Capital Facilities

6
Capital Facilities-Technological Needs

• Component Proposal was submitted to DMH on 7/17.
• DMH review team has completed the administrative
  process and will be moving our proposal on to
  the next level of review and approval. DMH will
  send points of clarification by 9/17/08.
  Proposal will be approved after all questions are
  answered.

7
401 S. Tustin Renovation

• Architect and selected consultants have begun
  validation study
• Civil Engineer has begun topographic research
• A Geotechnical Engineer has begun site
  investigation
• Hazardous Material crew has begun fieldwork
• Conditional Use Permit for a residential
  psychiatric facility was verified

8
Architecture and Planning

• Alexander Hibbs AIA, INC.1200 N. Jefferson St.
  Suite AAnaheim, CA 92807Tel  (714)
  630-3686Fax [phone]www.alexanderandhibbs
  .com

9
401 S. Tustin Programming

• Mission Statements have been drafted for the
  Crisis Residential Program, Wellness /Peer
  Support Center and Vocational Training Program
• Request for Proposal for the Wellness Center was
  released on 7/16

10
401 S. Tustin Programming

• Space requirements for all three programs were
  reviewed
• Discussed ways to incorporate green activities
  into the project which will be constructed as
  energy efficient/ environmentally friendly as
  possible
• HCA staff and architects toured a childrens
  crisis residential program and Transitional Age
  Youth program to develop design ideas and
  recommendations

11
DMH Information Notice 08-21

• Funding Augmentation 28,308,300 increased to
  37,202,800
• Request for Capital Facilities
• Pre-Development Funds

12
PEI Review

• CSS / PEI Orange County
• PEI Roundtable 7/28/08 - 7/29/08

13
Resilience A Key Element in PEI

• Valuable model to evaluate how programs will
  engage the resilient nature of the folks we are
  hoping to serve and how will protective factors
  critical to health be employed in these programs.
  These protective factors are

14
Caring Relationships

• Consistently being there
• Showing compassion, interest, and acceptance
• Listening to what is expressed
• Having patience
• Being trustworthy

15
Setting High Expectations

• Expressing belief in peoples resilience
• Showing respect, firm guidance and support
• Providing structure
• Remaining strengths-focused
• Reframing

16
Meaningful Participation

• Creating a safe place for expression, inclusion
  and choices
• Allowing everyone to have a voice
• Participant-driven
• Caring for others
• Peer Support

17
Protective Factors

• These protective factors should be at the heart
  of our PEI efforts whether its community
  collaboration, individual/family driven programs,
  systems change, recovery programs, evidence based
  practices, or cultural competence

18
Bringing Young People to the Policy Table
19
Prevention Question

• How can the education, foster care and juvenile
  justice systems be improved to support young
  peoples own efforts to maintain their mental
  health?

20
Youth Recommendations

• 1 Long-Term Relationships with Adults
• 2 Make Meds Make Sense
• 3 Confidentiality

21
Youth Recommendations

• 4 Culturally Positive Environments
• 5 Youth Voice

22
Intervention Question

• What kind of interventions change the mentality
  of young people who have experienced trauma, so
  they dont repeat the abuse and self-abuse they
  learned as coping tools?

23
Youth Recommendations

• 1 Cultivate Personal Interests
• 2 Fix the Situation, Not Just the Kid
• 3 Good Information

24
Youth Recommendations

• 4 Avoid Labels and Stigma
• 5 Role Models

25
Young People Matter

• Kids can walk around trouble if there is
  someplace to walk to, and someone to walk with.
• Tito in Urban Sanctuaries
• (Milbery, McLaughlin et. al)

26
Listening

• I believe all any of us really wants is to feel
  truly and deeply heard, seen, acknowledged, and
  allowed to be ourselves.
• Jon Wilson
• Hope Magazine (40) 2003

27
Kimari Phillips

• PEI Community Survey Updates

28
Survey Dissemination

• Mailed over 3,000 surveys to OC organizations and
  community members
• Handed out over 5,000 surveys throughout OC at
  meetings, clinics, community based organizations,
  etc.
• E-mailed announcements regarding the online
  surveys (including a hyperlink for easy access)

29

• 390 Organizational Surveys Received
• 72.6 Print (n 283)
• 27.4 Online (n 107)
• 1,564 Community Surveys Received
• 81.5 Print (n 1,275)
• 18.5 Online (n 289)
• Community Survey Language
• 84.7 English (n 1,325)
• 11.7 Spanish (n 183)
• 3.6 Vietnamese (n 56)

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Information Gathered from Organizational
Providers in OC

• Types of organizations serving OC community
  (potential PEI partners)
• Types of PEI services provided by respondents
• Percent of annual budget allocated to PEI
• Resources needed by OC providers to deliver PEI
  services
• Satisfaction with amount accessibility of PEI
  services in OC
• Opinions regarding
• Priority goals/needs for PEI in OC
• How OC can best deliver PEI services to
  underserved populations

31
Information Gathered from OC Community
(Residents/MH Consumers)

• Demographic info (age, gender, race/ethnicity,
  annual household income, home ZIP code)
• Satisfaction with amount accessibility of PEI
  services in OC
• Opinions regarding
• Populations in greatest need of PEI in OC
• Priority PEI issues in OC communities
• Most effective settings for identifying OC
  residents with a need for PEI services
• Best approaches for addressing PEI in OC

32
Race/Ethnicity of Community Respondents (n1,514)
33
Community Respondents

• Average Age (n1,476)
• 43.5 years (15-91 yrs)
• Gender (n1,531)
• 66.8 Female
• 33.1 Male

34
AverageAnnual Household Income (n1,429)
35
There are enough existing PEI resources and
services.(n382 provider n1,512 community
responses, averages1.72 2.25on a 5-point
scale, where 1Strongly Disagree, 5Strongly
Agree)
36
There is enough information available about how
to find and access existing PEI resources and
services.(n387 provider n1,527 community
responses, averages1.86 2.29 on a 5-point
scale, where 1Strongly Disagree, 5Strongly
Agree)
37
Community Opinions Regarding Priority
Populations for PEI in OC(n 1,500, averages
on a 5-point scale, where 1Very Low Need,
5Very High Need)
38
Community Opinions Regarding Priority
Populations for PEI in OC (n 1,500, averages
on a 5-point scale, where 1Very Low Need,
5Very High Need)
39
(slide 1 of 2) Opinions Regarding Priority PEI
Goals/NeedsREDUCTION OF
40
(slide 2 of 2) Opinions Regarding Priority PEI
Goals/Needs REDUCTION OF
41
Other Written PEI Goals/Needs

• Dual Diagnosis/Substance Abuse (16.8)
• eg, substance abuse/addiction problems due to
  prenatal drug exposure self medicating rehab
• Underserved Lack of Services/Access (14.5)
• eg, access to care/Rx at low/reasonable cost
  more bilingual/bicultural staff working poor
  eligibility for SSI/SSDI, Medi-Cal/Medicare, MSI,
  Mental Health
• Seniors/Older Adults (13)
• eg, elder neglect/abuse senior homeless
  isolated at risk elderly lack of services for
  elderly stigma particularly affects older adults

42
Community Opinions Regarding Effective Settings
for Identifying OC Residents Needing PEI Services
43
Community Opinions Regarding Effective Settings
for Identifying OC Residents Needing PEI Services
44
Community Opinions RegardingBest Strategies for
Addressing PEI in OC
45
Other Written PEI Strategies

• Collaboration Expanded Services (31.6)
• eg, connect with Prop 10 services particularly
  with/for 0-5 yrs of age locate better funding
  for existing programs use more Spanish speaking
  staff more clinics support non-profit orgs
• Housing Placement for Recovery/Homeless
  (22.8)
• eg, implementation of AB 1421 additional
  facilities - inpatient and outpatient - for
  treatment do not turn people with mental issues
  out on street homeless outreach long term care
  in SNF
• Public Education Media Campaigns (19.3)
• eg, increase public awareness via media
  (newspapers, bus stops, TV, radio, Internet
  pop-ups, MySpace, YouTube, etc)
  advertisements public mailings life skills
  training

46
Community Suggestions for Expansion of PEI

• At the Provider Level
• Expanded MH Services (78.0 of suggestions)
• Priority PEI Settings (67.6)
• Schools, Residential Tx/ Rehab, Resource Centers,
  Doctor Offices/Clinics
• Priority PEI Populations (52.7)
• Children Youth, Substance Abusers, Homeless,
  Seniors/Older Adults
• Professional Training (49.7)
• Early Identification of MH Problems (43.2)

• To Meet Consumer Needs
• Community Programs (53.9 of suggestions)
• Family/Caregiver Resources (34.9)
• Public Knowledge (29.2)
• Counseling Resources (27.0)
• Culturally Competent Resources (19.4)
• Access to Services (19.1)
• Crisis Management (17.0)

47
Organizational Suggestions for Expansion of PEI

• At the Provider Level
• Expanded MH Services (45.6 of suggestions)
• Priority PEI Settings (44.2)
• Schools, Resource Centers, Doctor
  Offices/Clinics, Faith Based Organizations
• Priority PEI Populations (38.8)
• Children, Transitional Age Youth, Seniors/Older
  Adults, Homeless
• Early Identification of MH Problems (22.4)
• Professional Training (19.0)

• To Meet Consumer Needs
• Access to Services (46.3 of suggestions)
• Community Programs (23.8)
• Family/Caregiver Resources (20.4)
• Culturally Competent Resources (14.3)
• Counseling Resources (11.6)
• Public Knowledge (11.6)
• Crisis Management (6.1)

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COMBINED Suggestions for Expansion of PEI

• At the Provider Level
• Expanded MH Services (71.4 of suggestions)
• Priority PEI Settings (62.9)
• Schools, Resource Centers, Doctor
  Offices/Clinics, Residential Tx/Rehab
• Priority PEI Populations (49.9)
• Children Youth, Substance Abusers, Homeless,
  Seniors/Older Adults
• Professional Training (43.5)
• Early Identification of MH Problems (39.0)

• To Meet Consumer Needs
• Community Programs (47.8 of suggestions)
• Family/Caregiver Resources (32.0)
• Public Knowledge (25.7)
• Access to Services (24.6)
• Counseling Resources (23.9)
• Culturally Competent Resources (18.4)
• Crisis Management (14.8)

49
For more information regarding methods used for
data collection, preliminary analyses, or this
summary of results

• Contact
• Kimari Phillips, MA, CHES
• Research Analyst, OC Health Care Agency
• Office of Quality Mgmt Planning Research
• 714-834-7402
• kphillips_at_ochca.com

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Alan Albright

• PEI Sub-Committee Meetings

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