COUNTY OF YOLO Health and Human Services Agency

Transcription

1 COUNTY OF YOLO Health and Human Services Agency Karen Larsen, LM F T Director 137 N. Cottonwood Street Woodland, CA (530) Local Mental Health Board Regular Meeting: Monday, January 29, 2018, 7:00 PM 9:00 PM Mary L. Stephens Library, Blanchard Community Conference Room at 315 East 14 th Street Davis, CA James Glica-Hernandez Chair Nicki King Vice-Chair Reed Walker Secretary District 1 (Oscar Villegas) Bret Bandley Martha Guerrero Sally Mandujan District 2 (Don Saylor) Nicki King Tom Waltz Vacant District 3 (Matt Rexroad) Richard Bellows Laurie Ferns James Glica-Hernandez District 4 (Jim Provenza) Ben Rose Robert Schelen Ajay Singh District 5 (Duane Chamberlain) Brad Anderson Reed Walker Vacant All items on this agenda may be considered for action. CALL TO ORDER :00 PM 7:20 PM 1. Welcome and Introductions 2. Public Comment 3. Approval of Agenda 4. Approval of Minutes from December 04, Member Announcements 6. Correspondence 7. VIDEO MHSOAC Commissioner and Sheriff Bill Brown talks about the MHSOAC report on criminal justice and mental health. CONSENT AGENDA :20 PM 7:50 PM 8. Mental Health Director s Report Karen Larsen a. Child Homicides b. CIP/SB82 Update c. Public Guardian Update d. CBHDA Criminal Justice Committee e. CWDA Children s Committee f. Stay Wellness Center g. Coleman & Associates h. Stepping Up Initiative l. MHSA Coordinator m. First Responders Mental Health Urgent Care n. Navigation Center o. Adult Residential Facility p. SB 82 RFP q. MHSA Housing r. Homelessness s. Homeless Court Board of Supervisors Liaison Don Saylor Alternate Jim Provenza i. Governor s 18/19 Budget j. SUD Audit k. EQRO Review t. HUD Funding u. PHC Housing Grant If requested, this agenda can be made available in appropriate alternative formats to persons with a disability, as required by Section 202 of the American with Disabilities Act of 1990 and the Federal Rules and regulations adopted implementation thereof. Persons seeking an alternative format should contact the Local Mental Health Board Staff Support Liaison at the Yolo County Health and Human Services Agency, LMHB@yolocounty.org or 137 N. Cottonwood Street, Woodland, CA or In addition, a person with a disability who requires a modification or accommodation, including auxiliary aids of services, in order to participate in a public meeting should contact the Staff Support Liaison as soon as possible and preferably at least twenty-four hours prior to the meeting. Page 1 of 2 CONTINUED ON REVERSE

2 Yolo County Health and Human Services Agency Local Mental Health Board Monday, January 29, 2018 TIME SET AGENDA :50 PM 8:30 PM Presentation Samantha Fusselman, HHSA Deputy Mental Health Director and Harjit Singh Gill, Access and Crisis Services Manager REGULAR AGENDA :30 PM 8:45 PM 10. Board of Supervisors Report Supervisor Don Saylor 11. Chair Report James Glica-Hernandez 10. Calls to Supervisors 11. Ad Hoc Committees PLANNING AND ADJOURNMENT :45 PM 9:00 PM 12. Future Meeting Planning and Adjournment James Glica-Hernandez a. Long Range Planning Calendar Discussion and Review b. Next Meeting Date and Location February 26, 2018 at the AFT Library, Community Meeting Room, 1212 Merkley Ave. West Sacramento, CA I certify that the foregoing was posted on the bulletin board at 625 Court Street, Woodland CA on or before Friday, January 26, Iulia Bodeanu, CAO Secretary Local Mental Health Board Administrative Support Liaison Yolo County Health and Human Services Agency Page 2 of 2

3 Item 4. Approval of Minutes from Dec. 4, 2017

4 COUNTY OF YOLO Health and Human Services Agency Local Mental Health Board Meeting Minutes Karen Larsen, LM F T Director 137 N. Cottonwood Street Woodland, CA (530) Monday, December 4, 2017, 7:00 9:00 PM AFT Library Community Conference Room, 1212 Merkeley Ave., West Sacramento, CA Members Present: Members Excused: Staff Present: Bret Bandley, Martha Guerrero, Sally Mandujan, Gabriel Lochshin, Richard Bellows, James Glica-Hernandez, Robert Schelen, Ajay Singh, Ben Rose, Brad Anderson, Reed Walker Supervisor Don Saylor, Laurie Ferns, Micki King, Tom Waltz Karen Larsen, HHSA Director and Mental Health Director Samantha Fusselman, HHSA Deputy Mental Health Director and Manager of Quality Management Services Iulia Bodeanu, LMHB Administrative Liaison CALL TO ORDER 1. Welcome and Introductions: The December 4, 2017 meeting of the Local Mental Health Board was called to order at 7:00 PM. Introductions were made. James Glica-Hernandez mentioned this is the last LMHB meeting of the calendar year. James introduced the newest board member, Ben Rose from District Public Comment June Forbes announced NAMI Yolo s Winter Holiday Party will be held on Wednesday, December 6 th from 6:30pm to 8:30pm in the Leake Community Room at the Woodland Public Library at 250 First Street in Woodland. June also introduced the NAMI Yolo s New Executive Director, Daisy Brown. 3. Approval of Agenda Motion: Richard Bellows would like to add an item to discuss a meeting with Samantha Fusselman he previously had and would like to share information from that meeting. Motion to approve: Robert Schelen Second: Reed Walker Vote: Unanimous 4. Approval of Minutes from October 23, 2017 Motion to approve: Robert Schelen Second: Bret Bandley Vote: Unanimous Abstentions: Ajay Singh (did not attend the meeting) 5. Member Announcements: None 6. Correspondence: None CONSENT AGENDA 7. Mental Health Director s Report by Karen Larsen, Health and Human Services and Mental Health Director.

5 Yolo County Local Mental Health Board Meeting Minutes Monday, December 4, 2017 Page 2 of 4 a. CIP/SB82 Update HHSA will be presenting to the BOS on December 12 th. HHSA will issue an RFP for services that will provide 24-7 coverage, rely on pairing various funding streams and will result in a more efficient use of resources. b. Steinberg Institute Visit The Steinberg Institute is an advocating agency for mental health legislation. They visited Yolo and a few of the smaller counties to inquire about items that agencies would like help regarding advocacy. Areas of advocacy for Karen Larsen that she identified were poverty and substance abuse. Karen also stated that it was nice to hear everyone articulate their jobs and duties as the Steinberg Institute walked through the Agency. For the Institute the legislative priorities for the next year are around prevention and early intervention. d. HHSA is hiring a new Homeless Coordinator. The Agency will be including city partners and non-profit partners on the panel. k. Stay Well Center Open House at the Woodland Community on December 6 th from 10am to 2pm. REGULAR AGENDA 8. Richard Bellows Report from his meeting with Samantha Fusselman, Quality Management Manager The metrics committee met regarding Quality Improvement measures and to discuss how HHSA is measuring performance. Information tracking is being done well along with strong survey development, especially for the consumer perception survey that is sent to the State. The processing of these documents is difficult because the state processing takes a long time and requires manual input into the HHSA system, AVATAR. Richard suggested that HHSA determines a way of doing its own scanning or develop a more efficient system for data inputting. Additionally, there is a need for more AVATAR savvy staff to pull reports out of the AVATAR system. 9. Approval of 2018 Meeting Calendar and Discussion Motion to Approve 2018 Meeting Calendar Motion to Approve: Martha Guerrero Second: Robert Schelen Vote: Unanimous 10. Site Visit coordination and Discussion James Glica-Hernandez stated that one of the duties of the board is to do site visits. James led the group in a discussion to organize site visits. The following notes were gathered. Site visits are defined as two or three individuals from the local mental health board that visit mental health service locations and report back their observations to the board. Total list of locations by region in Yolo County Davis Woodland Caser Chavez, Homestead, Pine Tree Gardens, Pacifico, Farmhouse Hotel Woodland, YCCC, New Dimension, Wellness Center, Jail (CMFG), Walter s House, Progress House, Cache Creek Lodge, CommuniCare, Turning Point, Clover Street, Safe Harbor, Yolo Family Service Agency

6 Yolo County Local Mental Health Board Meeting Minutes Monday, December 4, 2017 Page 3 of 4 West Sac Rural Yolo Helen Thomson House, West Sac Police, CommuniCare, County Clinic, Children s Services, Wellness Center, Mercy Coalition, Possible community stakeholder meeting with City Council Member Chris Ledesma RISE (Esparto), The Orchard (Esparto), HPAC Yolo Continuum of Care Selected list of locations by region in Yolo County Davis Woodland Caser Chavez, Pine Tree Gardens, Farmhouse Walter s House, Safe Harbor, Yolo Family Service Agency West Sac Rural Yolo Helen Thomson House, Wellness Center RISE (Esparto) Motion to make a West Sacramento Engagement Ad-Hoc Subcommittee. Members would include Sally Mandujan, Martha Guerrero, Robert Schelen and Gabriel Lochshin. Visitation Groups: Three individuals in a group, with three site visits per year. Motion to create an Ad-Hoc Review Committee: Brad Anderson, Ajay Singh, James Glica- Hernandez, Ben Rose. The goal would be to develop a site visitation rubric similar to CMHBAC form. A deadline of February was established to develop a visitation rubric. Possible templates exist with the Napa/Sonoma LMHB. 11. Identification of Personal Priorities for each of the board members for Sally Brad Reed Ajay Bob Site Visits have been a priority and a good way to stay connected with the community. The organization of the site visits was a major step for the board. Concerns about the continued access of change in the affordable care act, restricting medical and losing coverage. Prioritizing access to care for clients. The main goal is to help patients to get resources and connect them to resources. To learn more about legislation and make some legislation changes/impact. Expansion of services. Mental Health Court expansion from pilot program to a regular program. CIT services to change the culture within law enforcement. Strategic Plan development and setting goals and meeting them as a board.

7 Yolo County Local Mental Health Board Meeting Minutes Monday, December 4, 2017 Page 4 of 4 Ben Martha Richard Bret James Assessment of the needs of the community. The shifting of needs over time and is there a way to determine what the resource allocation is from an assessment point of view. Outcome measurements to find out what is happening in the community. CIP program tracking in re-modeled program. Homelessness. Children s Services. Educating Healthcare community to provide referrals as needed regarding primary care physicians. More education to primary care physicians. Metrics and smart goals. Regular reporting and output reports. Stigmatization when a client is convicted. To have mental health court system so there is a plea where there is no conviction. Stigma reduction. To make sure those on the board that are working in areas they are passionate about. 12. Board of Supervisor s Report Don Saylor None 13. Chair Report James Glica-Hernandez None PLANNING AND ADJOURNMENT 14. Future Meeting Planning and Adjournment: James Glica-Hernandez Long Range Planning Calendar Discussion and Review. Next Meeting Date and Location January 22, 2018 at the Mary L. Stephens Library, Blanchard Community Conference Room, 315 East 14 th St. Davis, CA This meeting was adjourned at 9:00 PM.

8 Item 8. Mental Health Director's Report

9 Mental Health Director s Report January 22, 2018 Child Homicides Our County has had six child homicides, three separate incidents, over the past three months. All of these incidents have happened at the hands of the children s fathers. Our agency is striving to support those affected by these tragedies and searching for answers about how to prevent future tragedies. CIP/SB82 update- We are pursuing three initiatives targeting a renewed After Hours Crisis Response system. First, we issued a Request for Proposals for our After Hours Crisis telephone line and After Hours in-person response to Emergency Departments and Law Enforcement calls. Proposals are due February 1 st, and we plan to have a new contractor/service in place no later than May. Second, we have submitted an Intent to Propose to the Mental Health Services Oversight and Accountability Commission (MHSOAC) s Request for Applications (RFA) to provide Crisis Response for Transition Age Youth (ages 16-25). Third, another RFA is pending from MHSOAC for Crisis Response for children up through age 15 and we intend to apply. Both of the MHSOAC RFA s are limited funding with specific criteria; our hope is that combined awards will allow us to have a continuity of crisis support 24/7 between our in-clinic services and After Hours, specific to these two populations. Public Guardian Update- We have developed a work plan for the Public Guardian s office to address some of the foundational components necessary for strong and efficient operations. We will be working on policies and procedures, additional fiscal supports and a position tied to assets and case management. CBHDA Criminal Justice Committee As co-chair for CBHDA s Criminal Justice committee, we are actively partnering with statewide partners to reduce the number of mentally ill individuals in custody. Recently the Mental Health Oversight and Accountability Commission (MHSOAC) released a report that can be found at this link: CWDA Children s Committee I have been asked to co-chair CWDA children s committee. This committee will help steer several statewide initiatives aimed at improving mental health access and treatment for children, especially those involved in the child welfare system. Stay Wellness Center The STAY Well Center is designed to be a welcoming and fun space for students and youth participants that fosters connection among peers, provides educational resources related to wellness and mental health, and provides referrals to campus and community resources. National survey data reveals an increasing need for mental health services among college students, with more students seeking support for mental health issues in recent years. The focus of the STAY Well Center is to meet this growing need. An American College Health Association 2013 survey revealed significant evidence that student mental health issues, such as depression, stress, and anxiety, can have a significant impact on academic success, including lower grades, receiving incompletes or dropping classes. 1 The Center is designed to enhance connectivity with peers and mentors, reduce stress and increase student persistence and success rates at Woodland Community College. The Center will be jointly staffed by employees of Woodland Community College and the Health and Human Services Agency. The Center will be open Monday through Friday and will have regularly programmed activities.

10 Coleman & Associates HHSA hosted Coleman and Associates from December 5 to 8 to kick-off a rapid Dramatic Process Improvement (DPI) process. The purpose of this effort is to re-design the Mental Health clinic and increase efficiencies related to client care. Implementation of the DPI recommendations will address all four of the HHSA strategic plan goals for fiscal year 17-18, including improving client outcomes, ensuring fiscal health, strengthening integration and making data-informed decisions. The DPI process involved a 3.5 day intensive assessment period, during which consultants closely observed staff and client processes, recommended tailored interventions and established a DPI Implementation Team. Over the course of the next two months, Coleman and Associates will provide weekly coaching sessions with the DPI Implementation Team to support the implementation and testing of recommendations related to increased access, the establishment of team-based care, streamlined paperwork, improved communication and the daily use of data to drive decisions. Stepping up Initiative see attached local intercept map with gaps/needs and solutions. Governor s proposed 18/19 budget see attached summary from CBHDA SUD audit-dhcs was onsite 12/19-12/20 to conduct its annual Substance Abuse Block Grant audit. HHSA was found to be in compliance with 98.3% of current year audit standards and has successfully resolved 14 of 18 compliance deficiencies from the FY audit. Outstanding items are targeted for resolution by the end of the Fiscal Year. EQRO Review - The annual External Quality Review Organization (EQRO) audit is scheduled Wednesday, February 14 Thursday, February 15, This audit focuses on Quality, Access, Timeliness, and Outcomes of care, how our system uses data, and the functionality of our Electronic Health Record. This is an opportunity for us to share our successes, challenges, and opportunities for improvement and to receive recommendations for system wide improvements. MHSA Coordinator- Welcome to our new MHSA Coordinator, Anthony Taula-Lieras! Anthony recently moved to the Sacramento Metropolitan Area from Oakland. He studied Primary and Behavioral Health Care Integration, Non-Profit Management, Community Studies and proceeded to work in the health care, education, non-profit, and government fields. He is a strong advocate for the marginalized and has developed programs throughout California to serve youth and adults. Grateful for the opportunity to serve Yolo County, Anthony looks forward to contributing to the great work done within Yolo County Health and Human Services Agency to promote a healthy, safe, and economically stable community. First Responders Mental Health Urgent Care- Over the next several months, HHSA will be building our staffing and available services for this new program. Phase 1 we will open our doors, Monday, February 5 th, This initial phase will include ONLY non-medical crisis services. Phase 2 projected to begin within the next few months, this phase will complete the launch of full services at the site, including prescribing services. The program hours are planned for 12:00pm 9:00pm Sunday through Saturday, at 500 B Jefferson Blvd, Building B in West Sacramento. Navigation Center- This Davis program was awarded to CommuniCare Health Centers who has been working to locate a site. The Navigation Center will provide services similar to those at the Front Door of our Mental Health Clinics, including triage, assessment and referral to either community-based mild-to-moderate providers, or directly to HHSA Psychiatry. Pending a more permanent home, they will be stationing staff at various sites in Davis, including our A Street clinic once the remodel is complete. Services are projected to start by late Spring or early Summer. Adult Residential Facility- We are in active discussions with Yolo Housing and the City of Davis on a potential site for the Facility. We have hired an Extra Help Consultant to assist us with assuring the site will meet Community Care Licensing and Department of Health Care Services requirements for ARF s. In addition, we issued an RFP for a provider of Adult Residential Treatment services, and plan to issue an Intent to Award by January 30 th. SB82 RFP- The MHSOAC released the RFP for the new round of SB82. As discussed, this round of funding will focus on Transition Aged Youth (TAY), aged We are discussing our proposal and leaning toward a program that would support youth in the child welfare and juvenile justice systems.

11 MHSA housing The housing project is coming along and really beginning to take shape. We will begin submitting applications shortly on behalf of clients who meet the criteria for the MHSA units. Homelessness- Aurora William, Yolo County s new Homeless Coordinator is coming to Yolo from a small town on the Central Coast of California, where she is leaving her current position as the Executive Director of a non-profit organization that operates a 50-bed shelter for people experiencing homelessness. Aurora has been working in social services for 17 years. Prior to her current role, she also ran two other non-profits, including a welfare-to-work transportation program and an organization with a mission to educate and advocate on behalf of children in the areas of child support, drug and alcohol education and the importance of dating prudently. Aurora has also owned two businesses. Aurora is currently working on her Master in Public Administration, and has a B.S. in Sociology as well as certificates in Addictive Studies and Mental Health. While working on her Certificates, Aurora completed an internship with the Santa Maria Behavioral Health, Mental Health and Veterans Courts. Aurora has also completed a Certificate in Non-Profit Leadership and Management from Cal Lutheran/Ventura County Community Foundation in 2004, and has served on Pepperdine University s American Humanics Scholars Advisory Board from Aurora is a divorced mother who put her education on a shelf for many years to raise her four children (ages 22, 25, 27 and 34) alone. In her free time, Aurora loves reading, working in her garden, taking on community projects and exercising. Aurora is currently training for her second Tough Mudder with her kids. Volunteering in her community is one of Aurora s greatest joys. Aurora has been a member of the Optimists Club for 17 years. She is a precinct inspector for elections; sits on her county s Behavioral Health Advisory Board; serves as a Juvenile Justice Commissioner; and assists as a teacher and support group facilitator for NAMI. Aurora also worked with the San Luis Obispo Sheriff s Office to develop and coordinate a countywide anti-gang summer camp for junior high aged kids, which promotes healthy coping skill development and drug and alcohol awareness education. Homeless Count: In December, the federal government released aggregated nationwide data from the 2017 Homeless Count (link here), which occurred in communities across the nation during the last 10 days of January. o Overall, the point-in-time count of people experiencing homelessness across the nation was 553,742 people, which represented an increase in homelessness (up a little less than 1%, or 3,814 people) for the first time in seven years. o 30 states and the District of Columbia reported that they reduced total homelessness, while 20 states reported increases. States along the west coast were particularly likely to see increases, with California reporting the second greatest increase among all states. o Communities across California reported 134,278 people experiencing homelessness in 2017, which constitutes a 13.7% increase from the 118,142 reported in o California s overall homeless population accounts for 24% of the nation s homeless population (134,278 of the 553,742 people experiencing homelessness), while Census data indicates that California s total population comprising only 12% of the nation s total population.

12 Throughout California, homeless count results varied across communities. For instance, Sacramento County identified an increase of 38% (from 2,822 in 2015 to 3,665 in 2017), while Yolo County experienced a 7.8% decrease (from 498 in 2015 to 459 in 2017). HUD funding: Last week the United States Department of Housing and Urban Development released its 2017 Continuum of Care funding awards. Agencies in Yolo County received awards totaling $490,890. The funding breakdown is provided below. All of our existing CoC funded project were fully funded, and many received slight increases for Fair Market Rent. The only project that did not receive funding was our 2017 permanent supportive housing bonus project, which would have been a new project in our community if awarded. PHC Housing grant- In August of 2017, the Yolo County Health and Human Services Agency partnered with the local jurisdictions (including the cities of Davis, West Sacramento, Winters and Woodland), Yolo County Housing and several local non-profit providers to submit a collaborative proposal for a Partnership HealthPlan of California (PHC) Local Innovation Grant. In total, the application requested $2,344,729 to expand access to transitional and permanent housing for Medi-Cal members in Yolo County who are experiencing homelessness. The proposed project included four project components to address critical gaps in the local coordinated entry system for each of Yolo s cities. The four project components included: (1) Davis Multi-Functional Housing Center, (2) West Sacramento Permanent Supportive Housing, (3) Woodland Transitional Housing, and (4) Woodland Housing Facilitation Project. In November of 2017, staff received notification that Yolo s collaborative application has been conditionally selected for funding. Partnership staff have requested additional information regarding the proposed projects before giving final approval, and the lead staff members for each project component are currently working with Partnership to provide the requested information. Staff hopes to have contracts in place with Partnership in early 2018 for these critical housing funds.

13 Item Presentation

14 HHSA CRISIS CONTINUUM OF CARE: APPROACHING 24/7 RESPONSE January 29, 2018

15 EXPANDED CRISIS CONTINUUM OF CARE 5150 Process Daytime Response Afterhours Response Mental Health Urgent Care

16 5150 PROCESS HHSA will respond to area hospitals to conduct 5150 assessments in the Emergency Departments and facilitate inpatient admissions when indicated History Current Practice Vision

17 DAYTIME RESPONSE HHSA is expanding Access and Crisis response in the clinics and community History Current Practice Vision

18 AFTERHOURS RESPONSE HHSA has issued a Request for Proposal for afterhours Community Based Crisis Response History Current Practice Vision

19 MENTAL HEALTH URGENT CARE CLINIC HHSA is opening a First Responder Mental Health Urgent Care at the West Sacramento County services campus History Current Practice Vision

20 STAFF CONTACT H A R J I T S I N G H G I L L, LC S W H a r j i t. S i n g h G i l y o l o c o u n t y. o rg A c c e s s a n d C r i s i s S e r v i c e s M a n a g e r ( o ) ( m ) S A M A N T H A F U S S E L M A N, LC S W, C P H Q S a m a n t h a. F u s s e l m a y o l o c o u n t y. o rg D e p u t y M e n t a l H e a l t h D i re c t o r ( o ) ( m ) THANK YOU

21 Item Meeting and Long Range Planning Calendar

22 Yolo County Local Mental Health Board Long Range Planning Calendar Proposed 2018 Meeting Agenda Item Agency/Presenter Type Timing 1/29/18 Law Enforcement Presentation/ TBD Presentation Upcoming 5150 Process 2/26/18 Yolo County 2017 Data Notebook Review Ad Hoc Committee Motion/Approval Upcoming 2/26/18 Homeless Presentation TBD Presentation Upcoming 3/26/18 Approval of Strategic Plan Ad Hoc Committee Motion/Approval Upcoming 3/26/18 Committee Workshop All Committee Meeting Upcoming 4/30/18 Annual Report Approval Executive Committee Recommendation Upcoming 4/30/18 Behavioral Health Services Budget Connie Cessna-Smith, HHSA Fiscal Administrative Presentation Upcoming Presentation Officer 5/21/18 Public Guardian Presentation Laurie Haas, HHSA Chief Deputy Public Guardian Presentation Upcoming 5/21/18 Annual Election of Officers All Adoption Upcoming 6/25/18 MHSA Update Resource Development Associates (RDA) Presentation Upcoming 6/25/18 Committee Workshop All Committee Meeting Upcoming 8/27/18 Davis Wellness Center Remodel Update TBD Presentation Upcoming 9/24/18 Committee Workshop All Committee Meeting Upcoming 9/24/18 Approval of LMHB Recommendation on All Recommendation Upcoming the BHS Recommended Budget 10/29/18 Presentation TBD Presentation Upcoming 12/3/ LMHB Meeting Calendar Approval All Adoption Upcoming Last Updated 10/19/17