The Mental Health Services Act (MHSA): What Aging Services Providers Need to Know Aging Services of California Annual Conference May 5, 2010 Lin Benjamin, MSW, MHA Geriatric Mental Health Specialist California Department of Aging (916) 928-7890; - PowerPoint PPT Presentation

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The Mental Health Services Act (MHSA): What Aging Services Providers Need to Know Aging Services of California Annual Conference May 5, 2010 Lin Benjamin, MSW, MHA Geriatric Mental Health Specialist California Department of Aging (916) 928-7890;

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Title: The Mental Health Services Act (MHSA): What Aging Services Providers Need to Know Aging Services of California Annual Conference May 5, 2010 Lin Benjamin, MSW, MHA Geriatric Mental Health Specialist California Department of Aging (916) 928-7890;


1
The Mental Health Services Act
(MHSA)What Aging Services Providers Need to
KnowAging Services of California Annual
ConferenceMay 5, 2010Lin Benjamin, MSW,
MHAGeriatric Mental Health SpecialistCalifornia
Department of Aging(916) 928-7890
lbenjamin_at_aging.ca.gov
2
Presentation Agenda
  • Description of Proposition 63/MHSA
  • MHSA Core Principles
  • MHSA Stakeholder Process
  • MHSA Funding Components
  • Collaboration Among Older Adult Service Providers
  • Resource Information

3
Description of Prop 63/MHSA
  • California voters ballot initiative (November 2,
    2004)
  • 1 tax on personal income in excess of 1M
  • Became effective as statute on Jan 1, 2005, as
    the Mental Health Services Act (MHSA)
    http//www.dmh.ca.gov/Prop_63/MHSA/docs/Mental_Hea
    lth_Services_Act_Full_Text.pdf
  • Six MHSA Funding Components
  • Community Services Supports (CSS)
  • Prevention and Early Intervention (PEI)
  • Workforce Education and Training (WET)
  • Innovation
  • Capital Facilities Technology
  • Housing

4
Description of Prop 63/MHSA
  • Policy Guidelines developed for each funding
    component defines how MHSA funds can be used
  • Funding is allocated to County Mental Health
    Departments for each component on a 3-year basis
    (Moving towards an Integrated Plan)
  • Requires a Community Planning Process involving
    stakeholders to identify community needs and
    develop County Plans for state approval
  • http//www.dmh.ca.gov/Prop_63/MHSA/Community_Plann
    ing/default.asp
  • Non-Supplantation Policy
  • No MHSA funds can be used to fund mental health
    services that were in existence prior to Prop 63

5
Description of Prop 63/MHSA
  • Requires counties to fund a Prudent Reserve to be
    used when revenue declines to maintain stability
    of MHSA programs/services
  • State Administrative Funds
  • 5 of MHSA funds are used for state MHSA
    administrative activities of the Department of
    Mental Health (DMH), the Mental Health Services
    Oversight and Accountability Commission (MHSOAC)
    and the California Mental Health Planning Council
    (CMHPC)
  • State-level Interagency Partners receive MHSA
    funding from DMH through Memorandum of
    Understanding (includes California Department of
    Aging) http//www.dmh.ca.gov/Prop_63/MHSA/State_In
    teragency_Partners.asp

6
MHSA Core Principles
  • Transform the public mental health system
  • Reach Un-served and Under-served populations
    across the lifespan (Children Youth,
    Transition-Age Youth, Adults, Older Adults),
    including Racially, Ethnically and Culturally
    Diverse Populations
  • Develop services that
  • Promote Wellness and Recovery
  • Reduce Disparities in Access and Outcomes
  • Are Consumer Family Driven Culturally
    Linguistically Competent,
  • Result from Community Collaboration,
  • Provide an Integrated Service experience

7
MHSA Stakeholder Process
  • MHSA County Plan Development and Approval
    Process
  • Community Planning Process
  • County MHSA Steering/Advisory Committee
    (prioritize proposals)
  • County DMH Writes County MHSA Plan
  • 30 Day Public Comment Period and Public Hearing
  • County Mental Health Board Approval
  • County Board of Supervisors Approval
  • Submit County MHSA Plan to CA DMH or MHSOAC for
    State Review/Approval for Funding
  • County DMH Implements MHSA Plan (RFPs)
  • County DMH Submits Annual Update to CA DMH for
    Approval/Funding

8
MHSA Funding Components
  • Community Services and Supports (CSS)
  • Mental health services to address Serious Mental
    Illness (SMI) in adults/older adults and Serious
    Emotional Disturbance (SED) in children.
  • Full Service Partnerships Services for specific
    age groups that provide whatever it takes to
    prevent negative outcomes (hospitalization,
    institutionalization, homelessness, suicide,
    school failure, out of home placement, etc)
  • Older Adult Full Service Partnerships (February,
    2009) http//cmhda.org/go/LinkClick.aspx?fileticke
    tIcWmQ9fKR4Q3dtabid169
  • http//www.dmh.ca.gov/Prop_63/MHSA/Community_Servi
    ces_and_Supports/default.asp

9
MHSA Funding Components
  • Prevention and Early Intervention (PEI)
  • Prevent onset of SMI/SED
  • Prevent mental illness from becoming severe and
    disabling
  • MHSA PEI Policy Guidelines for County PEI Plans
    require allocation of 51 (minimum) of PEI funds
    for ages 0-25 and must serve all age groups
  • Small counties are excluded from these PEI
    requirements (lt200,000 population)

10
MHSA Funding Components
  • Prevention and Early Intervention (PEI) (cont.)
  • County PEI Plans Must Address Key Community
    Needs
  • Disparities in Access
  • Psycho-social impact of trauma
  • At-Risk Children, Youth and Young Adult
    Populations
  • Stigma and Discrimination
  • Suicide Risk

11
MHSA Funding Components
  • Prevention and Early Intervention (PEI) (cont.)
  • County PEI Plans Must Target Priority
    Populations
  • Trauma Exposed Individuals
  • Individuals Experiencing Onset of Serious
    Psychiatric Illness
  • Children Youth in Stressed Families
  • Children Youth at Risk for School Failure
  • Children Youth at Risk of or Experiencing
    Juvenile Justice Involvement

12
MHSA Funding Components
  • Workforce Education Training (WET)
  • Statewide Five-Year WET Plan
  • Promote post-secondary education strategies to
    prepare future public mental health workforce and
    address workforce shortages
  • http//www.dmh.ca.gov/Prop_63/MHSA/Workforce_Educa
    tion_and_Training/docs/MHSA_FiveYearPlan_5-06-08.p
    df
  • County Three-Year Expenditure WET Plan
  • Complete a county mental health workforce needs
    assessment to identify workforce shortages (by
    discipline, diversity issues)
  • Provide training to build skills and capacity of
    existing public mental health workforce
    (professionals, consumers, families) and system
    partners
  • http//www.dmh.ca.gov/DMHDocs/docs/notices07/07-14
    _Enclosure1A.pdf
  • Regional WET Plans
  • http//www.cimh.org/Services/MHSA/Workforce-Educat
    ion-Training.aspx

13
MHSA Funding Components
  • Innovation
  • Establish creative approaches to mental health
    services that promote recovery, resilience and
    reduce disparities in access and outcomes
  • Introduce a new mental health practice
  • Implement a promising community practice that
    advances mental health service delivery,
    increases quality of services, improves outcomes,
    promotes interagency collaboration and new
    learning
  • http//www.dmh.ca.gov/Prop_63/MHSA/Innovation/defa
    ult.asp

14
MHSA Funding Components
  • Capital Facilities and Technology
  • To ensure the infrastructure necessary for the
    expansion and transformation of the public mental
    health system
  • Capital Facilities Treatment, service and
    administrative facilities
  • http//www.dmh.ca.gov/Prop_63/MHSA/Capital_Facilit
    ies/default.asp
  • Technology Electronic health records,
    information/data systems, local priorities
  • http//www.dmh.ca.gov/Prop_63/MHSA/Technology/defa
    ult.asp

15
MHSA Funding Components
  • MHSA Housing
  • Develops permanent supportive housing for persons
    with SMI/SED
  • http//www.dmh.ca.gov/Prop_63/MHSA/Housing/default
    .asp

16
MHSA Statewide PEI Projects
  • California Strategic Plan on Suicide Prevention
  • http//www.dmh.ca.gov/Prop_63/MHSA/Prevention_and_
    Early_Intervention/docs/CDMH_ExSummary_Web.pdf
  • http//www.dmh.ca.gov/Prop_63/MHSA/Prevention_and_
    Early_Intervention/docs/SuicidePreventionCommittee
    /FINAL_CalSPSP_V9.pdf
  • http//www.dmh.ca.gov/PEIStatewideProjects/Suicide
    Prevention.asp
  • California Strategic Plan on Stigma
    Discrimination Reduction
  • http//www.dmh.ca.gov/PEIStatewideProjects/Strateg
    icPlan.asp
  • Student Mental Health Initiative
  • http//www.dmh.ca.gov/PEIStatewideProjects/Student
    MentalHealthInitiative.asp
  • California Strategic Plan on Reducing Ethnic and
    Cultural Disparities
  • http//www.dmh.ca.gov/PEIStatewideProjects/Reducin
    gDisparities.asp
  • http//www.dmh.ca.gov/Multicultural_Services/defau
    lt.asp

17
Collaboration Among Older Adult Service Providers
  • MHSA provides opportunity to develop older adult
    mental health services
  • Older adult service providers/advocates must
    participate in the MHSA stakeholder process to
    ensure that MHSA funds the development of older
    adult mental health services
  • Promote development of collaborative and
    integrated service models (health, mental health,
    substance use, care management, support services)

18
Collaboration Among Older Adult Service Providers
  • Mental Health
  • Senior Peer Counseling/Peer Counseling Programs
  • Home Community-Based Aging Services Network-
    Area Agencies on Aging (Older Americans Act
    programs), Multipurpose Senior Services
    Programs, Adult Day Health Care, Independent
    Living Centers, Aging and Disability Resource
    Centers, Public Guardian
  • Alcohol/Substance Abuse
  • Primary Care, Hospitals, Home Health
  • Social Services-Adult Protective Services, In
    Home Supportive Services
  • Senior Housing Providers
  • Family Caregiver Programs
  • Ethnic Cultural Brokers
  • Faith-Based Organizations
  • Educational Institutions
  • Legal
  • Mental Health Aging Coalitions

19
Collaboration Among Older Adult Service Providers
  • Opportunities to Promote Older Adult Mental
    Health Service Development
  • California Department of Aging MHSA PEI Plan
    Review Summary Report (Handout)
  • California Mental Health Directors Association
    (CMHDA) Older Adult System of Care Committee WET
    Issue Paper (Handout)
  • Promote geriatric mental health training of
    public mental health workforce and system
    partners working with older adults with mental
    health needs
  • http//cmhda.org/go/Committees/OlderAdultSystemofC
    areCommitteeOASOC/OASOCDocuments.aspx

20
Resource Information
  • California Department of Mental Health (DMH) MHSA
    Home Page/List-Serve
  • http//www.dmh.ca.gov/Prop_63/MHSA/default.asp
  • http//www.dmh.ca.gov/Prop_63/MHSA/Apps/subscripti
    on/default.asp
  • Link to County Mental Health Departments to
    determine MHSA stakeholder activities
  • http//www.dmh.ca.gov/docs/CMHDA.pdf
  • County MHSA Plans and Annual Updates
  • http//www.dmh.ca.gov/Prop_63/MHSA/County_Plans_an
    d_Updates.asp
  • http//www.dmh.ca.gov/DMHDocs/docs/notices08/08-28
    .pdf
  • MHSA Resource Information
  • http//www.dmh.ca.gov/Prop_63/MHSA/Related_Resourc
    es.asp
  • Statewide PEI Projects - Policy Guidelines
  • http//www.dmh.ca.gov/DMHDocs/docs/notices10/10-06
    _PEIGuidelines.pdf

21
Resource Information
  • Mental Health Services Oversight and
    Accountability Commission (MHSOAC)
    http//www.dmh.ca.gov/MHSOAC/default.asp
  • Monthly Commission meetings Commission Committee
    meetings
  • County PEI Plans Approved by MHSOAC
  • http//www.dmh.ca.gov/MHSOAC/Prevention_and_Early
    _Intervention.asp
  • MHSA Fast Facts http//www.dmh.ca.gov/MHSOAC/docs/
    FastFacts_General_MHSAwFinalChgs-3-8-10.pdf
  • PEI Fast Facts
  • http//www.dmh.ca.gov/MHSOAC/docs/FastFacts_PEI_F
    inal-3-8-10.pdf
  • Prop 63 Funding Fast Facts http//www.dmh.ca.gov/M
    HSOAC/docs/Fast_Facts_Prop_63_funding--Revised_03-
    8-10.pdf

22
Resource Information
  • California Mental Health Directors Association
    (CMHDA) http//www.cmhda.org/go/Home.aspxr
  • MHSA Information
  • http//cmhda.org/go/MentalHealthServicesAct.aspx
  • California Counties Transforming Local Mental
    Health Systems Publication (Description of County
    CSS-Funded Programs)
  • http//cmhda.org/go/MentalHealthServicesAct/Commun
    ityServicesSupports/CSSCompendium.aspx
  • Older Adult System of Care Committee Documents
  • Workforce Education and Training (WET) Issue
    Paper http//cmhda.org/go/Committees/OlderAdultSys
    temofCareCommitteeOASOC/OASOCDocuments.aspx
  • Older Adult Full Service Partnerships (February,
    2009) http//cmhda.org/go/LinkClick.aspx?fileticke
    tIcWmQ9fKR4Q3dtabid169

23
Resource Information
  • California Institute of Mental Health (CiMH)
    www.cimh.org
  • California Mental Health Directors Association
    (CMHDA) Older Adult System of Care Conference
    (2009)
  • http//www.cimh.org/Learning/Conferences-Training/
    Handouts/2009/Older-Adults.aspx  
  • MHSA training activities
  • Mental health training resources

24
Resource Information
  • California Mental Health Planning Council (CMHPC)
  • http//www.dmh.ca.gov/Mental_Health_Planning_Counc
    il/default.asp
  • Committees
  • http//www.dmh.ca.gov/Mental_Health_Planning_Counc
    il/Meetings.asp
  • California Mental Health Planning Council Master
    Plan
  • http//www.dmh.ca.gov/Mental_Health_Planning_Counc
    il/Master_Plan.asp

25
Resource Information
  • California Department of Aging (CDA)
    http//www.aging.ca.gov/
  • California State Plan on Aging (2009-2013)
  • http//www.aging.ca.gov/legislation/California_Sta
    te_Plan_on_Aging_AoA_2009-2013_06-30-2009.pdf
  • Statistics and Demographics
  • http//www.aging.ca.gov/stats/default.asp
  • Resource Links
  • http//www.aging.ca.gov/links/related_links.asp
  • California Commission on Aging
  • http//www.ccoa.ca.gov/
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