CALIFORNIA MENTAL HEALTH POLICY FORUM

Transcription

1 CALIFORNIA MENTAL HEALTH POLICY FORUM Keeping Our Bearings: Adapting Our Change Agenda in Turbulent Times Conference Program Napa Valley Marriott Hotel 3425 Solano Avenue Napa, CA September 9-11, 2009

2 2009 Policy For u m P l a n n i n g Committee Karen Baylor, PhD, MFT Mental Health Director San Luis Obispo County Bill Carter, LCSW Chief Operating Officer Jennifer Clancy, MSW Senior Associate Wayne W. Clark, PhD Behavioral Healthcare Director Monterey County Sandra Naylor Goodwin, PhD, MSW President and CEO Pam Hawkins Associate Stacie Hiramoto, MSW Director for Special Programs Mental Health Association in California Jo Ann Johnson, LCSW Ethnic Services Manager Sacramento County Mental Health Don Kingdon, PhD Deputy Director/Small Counties Liaison CMHDA Penny Knapp, MD Medical Director California Department of Mental Health Deborah Lee, PhD Consulting Psychologist MHSOAC Olivia Loewy, PhD Executive Director American Association for Marriage and Family Therapy, CA Division Harriet Markell Associate Executive Director California Council of Community Mental Health Agencies John Ott Consultant Luminescence Consulting Patricia Ryan, MPA Executive Director CMHDA Todd Sosna, PhD Senior Associate Alice J. Washington Associate Stephanie Welch, MSW Associate Director, MHSA CMHDA

3 Wednesday, September 9, :30 AM - 5:00 PM REGISTRATION 8:30 AM - 10:30 AM CMHDA Directors Collaborative Meeting... Merlot 10:00 AM - 5:00 PM CALIFORNIA MENTAL HEALTH DIRECTORS ASSOCIATION COMMITTEE SESSIONS 10:00 AM - 12:00 PM Older Adult System of Care Committee...Mt. Veeder 12:00 PM - 1:00 PM Older Adult System of Care Committee (Conference Planning Meeting)...Mt. Veeder 1:00 PM - 3:00 PM Central Region Directors Committee... Stags Leap 1:00 PM - 3:00 PM TAY Subcommittee...Syrah 1:00 PM - 4:00 PM Adult System of Care Committee...Howell Mountain 1:00 PM - 5:00 PM Medical Services System of Care Committee... Atlas Peak 3:00 PM - 5:00 PM Central Region WET Work Group... Stags Leap 3:00 PM - 5:00 PM Bay Area Directors Committee...Mt. Veeder 4:00 PM - 5:30 PM Policy Forum Planning Committee Meeting...Howell Mountain 5:30 PM - 9:00 PM CMHDA Governing Board Meeting (CMHDA Members)... Merlot/Syrah Thursday, September 10, 2009 FORUM FOCUS Explore the emerging fiscal and policy realities buffeting the mental health system Explore emerging adaptive strategies, including strategies of integrating behavioral health and primary care systems Identify high leverage actions at the community, county, and state levels 7:30 AM - 5:30 PM REGISTRATION... Grand Foyer 7:30 AM - 8:30 AM CONTINENTAL BREAKFAST... Grand Foyer 8:30 AM - 8:55 AM opening session... Grand Ballroom WELCOME AND INTRODUCTIONS Sandra Naylor Goodwin, PhD - President/CEO, California Institute for Mental Health () James L. Featherstone, LCSW - Assistant Director, Napa County Health and Human Services Mark Luce - Board of Supervisors, Chair, Napa County FOCUS for the day John Ott - Consultant, Forum Facilitator

4 Thursday, September 10, :55 AM - 10:15 AM Understanding the emerging financial and policy realities... Grand Ballroom Patricia Ryan, MPA - Executive Director, California Mental Health Directors Association The emerging policy reality Mike Geiss, CPA - President, Geiss Consulting The emerging fiscal reality MOVING TOWARD SOCIAL JUSTICE DESPITE EMERGING FINANCIAL AND POLICY REALITIES: The presentation will explore in detail the need to stay focused on our social justice agenda despite the difficult policy and financial realities affecting county behavioral health and other safety net systems. It will also identify potential policy opportunities for those involved in and affected by these systems that will help us to both survive the current fiscal realities and improve our system over the long term, within an overarching social justice framework. 10:15 AM - 10:35 AM break... Grand Foyer 10:35 AM - 12:15 PM An adaptive response: integrating behavioral health and primary care... Grand Ballroom Presentations will explore emerging fiscal, programmatic, and policy efforts to integrate physical and behavioral health systems. Sandra Naylor Goodwin, PhD - President/CEO, The larger movement toward integration Examples of Current Integration Efforts: Nancy Pena, PhD - Director, Santa Clara Mental Health Services Mark Montgomery, PsyD - Director, Shasta Mental Health Services FEATURED SPEAKERS The Emerging Proposal for Medi-Cal and Managed Care: David Maxwell-Jolly, PhD - Director, California Department of Health Care Services Stephen W. Mayberg, PhD -Director, California Department of Mental Health The presentation will provide an overview of the work that is being done in Sacramento to prepare for the renewal of the Medicaid 1115 hospital financing waiver. The speakers will provide an overview of the opportunities offered by the waiver, the goals that the state has laid out to pursue, work that has been done to plan for the renewal, recent legislation related to the waiver, and plans for waiver development. The presentation will also discuss the potential that the waiver offers to restructure and improve the delivery of behavioral health services and improve the integration of the delivery of these services with the delivery of physical health services. 12:15 pm - 1:45 pm lunch (provided with registration)...pool Patio 1:45 pm - 3:15 PM Expanded explorations of adaptive responses: Small Group Break-Out Discussions BREAK OUT: Department of Health Care Services: Emerging Proposal... Grand Ballroom David Maxwell-Jolly, PhD - Director, California Department of Health Care Services Stephen W. Mayberg, PhD - Director, California Department of Mental Health The presentation will provide a review of the elements under consideration in the plans for renewal of the state s Medicaid 1115 hospital financing waiver that can expand on the material presented in the plenary session. The presentation will discuss the reform option under consideration, how they could be realized with respect to the population receiving mental health services in California. The session will also include an opportunity to discuss the ideas presented.

5 Thursday, September 10, :45 pm - 3:15 PM Expanded explorations of adaptive responses: Small Group Break-Out Discussions (continued) BREAK OUT: Shasta County: Integrating Behavioral Health and Primary Care...Howell Mountain Mark Montgomery, PsyD - Director of Mental Health Services, Shasta County Mental Health Services This breakout session will focus on practical application in regard to the development of behavioral health and primary care integrated services. Discussion will provide comprehensive strategic strategies relating to implementation of building community systems of care and stakeholder engagement. BREAK OUT: Santa Clara County: Integrated Outpatient Mental Health and Primary Care Services... Stags Leap Nancy Pena, PhD - Director, Santa Clara County Mental Health Department Tiffany Ho, MD - Medical Director, Santa Clara County Mental Health Department Bruce Copley - Deputy Director, Santa Clara County Mental Health Department Santa Clara County Mental Health Department is collaborating with three County primary care clinics to create a Medical Home Model of Care that includes adult behavioral health services for approximately 1600 mental health clients. This plan avoided significant funding and service cutbacks through transferring psychiatrists and LCSWs (many with critical language/cultural capacity) to primary care clinics--and allow most clients to remain with their current providers. The administrative transfer was accomplished rapidly to achieve financial savings however, the continued active engagement of Mental Health and Primary Care leadership and a detailed multiyear design process is critical to the success of this initiative. BREAK OUT: County Strategies for People without Coverage and Other Vulnerable Populations...Mt. Veeder Kristy Kelly, MA, MFT - Mental Health Director, Lake County Department of Mental Health Bruce Gurganus, MFT - Mental Health Director, Marin County Community Mental Health Services Allan Rawland, MSW, ACSW - Director, County of San Bernardino, Department of Behavioral Health This presentation will discuss approaches to serving indigent and unsponsored individuals in small, medium and large counties with various levels of funding available on a discretionary basis. Variations across the age spectrum for such clients will be presented as well.

6 Thursday, September 10, :45 pm - 3:15 PM Expanded explorations of adaptive responses: Small Group Break-Out Discussions (continued) BREAK OUT: Community Capacity-Building Strategies in Placer and Stanislaus Counties... Atlas Peak Denise C. Hunt, RN, MFT - Behavioral Health Director, Stanislaus County Behavioral Health and Recovery Ruben Imperial - Education Prevention Coordinator/Public Information Officer, Stanislaus County Behavioral Health and Recovery John Black - Family Advocate, Stanislaus County Behavioral Health and Recovery Maureen F. Bauman, LCSW, MPA - Director, Adult System of Care, Placer County Health and Human Services Elisa Herrera, LCSW - Latino Leadership Council Coordinator, Latino Leadership Council, Placer County Maria Cordova - Promatora Manager, Latino Leadership Council, Placer County Rhina Sequeira - Promotora, Latino Leadership Council, Placer County Joanne Nashlund - Client Navigator, Adult System of Care, Placer County Health and Human Services Stanislaus and Placer Counties will share their experience in developing a strategy of community capacity building as a way of responding to the ongoing dilemma of shrinking budgets and increased need. Central to this work is the belief that families and communities have the primary responsibility for the health and well-being of their members. The panel will share specific examples of changes in perspective, action, and leadership. 3:15 PM - 3:35 PM break... Grand Foyer 3:35 PM - 5:10 PM What now?... Grand Ballroom Group discussion will explore high priority and high leverage actions now. Given what has been explored today, what are the most important actions to be taken: (1) At the Community level? (2) At the County level? (3) At the State level? John Ott - Consultant, Facilitator Responder Panel: Brenda Scott - President, CA National Alliance on Mental Illness Wayne Clark, PhD - President, CA Mental Health Directors Association J. Jeff Fly - President, CA Council of Community Mental Health Agencies California Network of Mental Health Clients Rocco Cheng, PhD - Racial and Ethnic Mental Health Disparities Coalition (REMHDCO) Earl Kelly - President, United Advocates for Children and Families Board of Directors Darrell Evora LMFT - President and CEO, EMQ FamiliesFirst, and Chair, Mental Health Committee, California Alliance of Child and Family Services 5:10 pm - 5:30 pm Closing session... Grand Ballroom 5:30 pm adjourn

7 Friday, September 11, :45 AM - 12:00 PM registration... Grand Ballroom 7:45 AM - 9:00 AM continental breakfast... Grand Foyer 8:30 AM - 8:40 AM opening session - WELCOME AND INTRODUCTIONS... Grand Ballroom Wayne Clark, PhD - Mental Health Director, Monterey County, CMHDA President 8:40 AM - 10:00 AM County perspective and Reflections on the state budget... Grand Ballroom Facilitator: Alfredo Aguirre, LCSW - President Elect, CMHDA, Director, San Diego County Mental Health Panelists: Kelly Brooks - Legislative Representative, Health and Human Services, California State Association of Counties Rosemary Lamb - Legislative Analyst, Administration of Justice, California State Association of Counties James Featherstone, LCSW - Assistant Director, Napa County Health and Human Services Doug Hawker - Napa County Adult Mental Health Division Manager Karen Smith, MD - Napa County Public Health Officer Teresa Zimny - Napa County Self Sufficiency Division Manager Linda Cannon, MSW - Napa County Director of Child Welfare Services Kristin Brown, MSW - Napa County Deputy Director, Aging and Disability Programs Connie Moreno-Peraza, LCSW - Napa County Director of Alcohol and Drug Services 10:00 AM - 10:20 AM BREAK... Grand Foyer 10:20 AM - 11:40 AM CMHDA Social justice advisory committee response panel: exploring advocacy solutions at the state and local levels... Grand Ballroom Facilitator: Nancy Pena, PhD - Santa Clara County Mental Health Director and Incoming Chair of the Social Justice Advisory Committee (SJAC) Opening Remarks: Patricia Ryan, MPA - Executive Director, CMHDA CMHDA s Social Justice Advisory Committee will sponsor a panel of members and/or invited advocates to ask questions and discuss their reaction to State Budget cuts and other key issues that should be on the advocacy agenda for the mental health community in the coming year. What will be the hidden impact of these budget cuts? What are some potential solutions from these various perspectives?: Client (Child, Youth, Adult, Older Adult) Family/Parent/Caregiver Community Key Issues that should be on local and state advocacy agendas for the mental health community in the coming year 11:40 AM - 12:00 PM Closing session... Grand Ballroom 12:00 PM Adjournment

8 The California Institute for Mental Health is a nonprofit public interest corporation established for the purpose of promoting excellence in mental health. is dedicated to a vision of a community and mental health services system which provides recovery and full social integration for persons with psychiatric disabilities; sustains and supports families and children; and promotes mental health wellness. The California Mental Health Directors Association is dedicated to the accessibility of quality cost-effective mental health care for the people of California. Principal goals are to advocate for quality mental health systems of care, which are culturally competent, consumerguided, family-sensitive, and community-based. California Institute for Mental Health th Street, 2nd Floor Sacramento, California (916) Fax: California Mental Health Directors Association th Street, 2nd Floor Sacramento, California (916) Fax: