Strategic

1
Strategic Collaborative Planning for Addressing
Current Statewide Priorities for County Mental
Health Systems

• MHSA Coordinators Regional Meeting 3rd Quarter
• Jennifer Clancy, Pam Hawkins, Will Rhett
  Mariscal
• California Institute of Mental Health

2
Overview

• Current Environmental Influences on CA County
  Mental Health System
• Impact of the Environment on Current Statewide
  Priorities
• MHSA Coordinators Unique Roles in Helping
  Counties Address Statewide Priorities related to
  Integration/Consolidation
• Starting Points for MHSA Coordinators

3
County Mental Health System Being Shaped by
Environmental Influences

• Budget Cuts Furloughs, lay offs, increased
  caseloads
• Changes to Continuum of Care Erosion of
  publically funded community safety net, new gaps
  in continuum of care
• Changing Roles MHSA shifting mental health to a
  public health model mental health staff are now
  both treatment providers and community health
  facilitators
• New Skills Needed Skills Mental health staff
  management now responsible for community driven
  planning, program development, and implementation
• New Relationships with the Community the
  Public Public expectations of commitment to MHSA
  values client recovery
• Reduction of Disparities Increased emphasis on
  reduction of disparities in access/utilization/out
  comes equity

4
Environmental Influences Are Shaping Current
County Mental Health Systems Statewide Priorities

• Integration and Consolidation
• MHSA programs values into broader MH System
• Intentionally Designed Continuum of Care
• Substance Abuse and Mental Health
• Primary Care and Behavioral Health
• Implement Prevention
• Infrastructure to support prevention and early
  intervention
• New partnerships with community sectors
• Potential expanded need for treatment services
• Opportunities for Innovation
• Increasing access for underserved groups
• Increasing access to services
• Promoting interagency collaboration
• Increasing quality and outcome of services

5
Despite the Challenges, MHSA Coordinators Have
Ongoing Commitment Support for Transformation

• Individual Level Personal commitment of staff at
  all levels of county mental health system
• Community Level Increased relationships
  personal experiences with clients and family
  members
• Public Level Public expectations as a result of
  MHSA

6
How Do MHSA Coordinators Assist Their Local
Mental Health System to Address Current Statewide
Priorities

• While responding to broad reduction in resources,
  all California County Mental Health Systems are
  challenged to redesign existing key processes to
  more effectively prevent mental health conditions
  promote individualized wellness and recovery
  for clients that require mental health services
  supports.

7
MHSA Coordinators Role

• Supporting Integration Consolidation

8
A Way of Looking at Key Processes/Components
Californias County Mental Health Delivery System
Providing appropriate organizational leadership,
culture, readiness, and support for the above 4
processes
Developing the infrastructure and capability to
continually improve the organizations performance
Developing providing a full scope of services
that are delivered on a need stage-sensitive
basis
Designing managing efficient effective
day-to-day care processes
Developing providing a continuum of care that
encompasses promotion, prevention, early
intervention treatment recovery services,
including a system to evaluate clients needs
regarding nature intensity (level of care) of
services match services in that continuum.
In Development By CIMH
9
Key Processes

• Developing and providing a continuum of care that
  encompasses promotion, prevention, early
  intervention and treatment and recovery services,
  including a system to evaluate clients needs
  regarding nature and intensity (level of care) of
  services and match services in that continuum.
• Developing and providing a full scope of services
  that are delivered on a need and stage-sensitive
  basis.
• Designing and managing efficient and effective
  day-to-day care processes.
• Developing the infrastructure and capability to
  continually improve the organizations
  performance.
• Providing appropriate organizational leadership,
  culture, readiness, and support for the above 4
  processes.

10
MHSA Coordinators Role

• While the Components Are the Same Statewide,
  Starting Points for Establishing the Continuum
  Vary Among Counties
• MHSA Coordinators in Unique Leadership Role-
  Responsible for MHSA Integration into the
  Continuum Many Involved in Consolidation
  Efforts
• Step 1 Inventory your Local Continuum of Care
  (CIMH Tool)
• Step 2 Initiate Discussion with Local
  Stakeholders to Prioritize Starting Points for
  Continuum Development, Integration, and
  Consolidation

11
A Way of Looking at a System Framework for
Californias County Mental Health Delivery System

• Source DMH PEI Guidelines, adapted from IOM
  (Mrazek and Haggerty, 1994) and Commonwealth of
  Australia (2000)

12
A Way of Looking at a Continuum of Care for
Californias County Mental Health Delivery
SystemSample Activities across the Continuum of
Care

• Universal and Selective Prevention
• Public Health Campaigns
• Community-Based Education Programs
• Help-Lines
• Early Intervention
• Screening
• System Navigation
• First Break Programs
• Extended Treatment for Known Disorders
• Medication Management programs
• Full Service Partnership Programs
• In-Patient Programs
• Recovery and Resilience Supports
• Wellness Centers
• Peer Support Programs
• Supported Employment Programs