SACRAMENTO COUNTY Mental Health Board

Transcription

1 SACRAMENTO COUNTY Mental Health Board Sacramento County Mental Health Board 2010 Annual Report The Sacramento County Mental Health Board (SCMHB) is charged with presenting an annual report to the Sacramento County Board of Supervisors (BOS) as required by the Welfare and Institutions Code (W&IC), Section The SCMHB s Annual Report describes its work related to the specific duties and responsibilities of a local mental health board as mandated in the W&IC (see Appendix A). EXECUTIVE SUMMARY: The SCMHB focused on establishing goals and objectives utilizing measurable outcomes; reviewing the Division of Behavioral Health Services (DBHS) Mental Health Unit's programs and services and contract agencies; planning and conducting mental health informational presentations by mental health service providers and advocacy groups; maintaining contact stakeholders groups along with formalizing the process for input to the board; and reviewing and making recommendations on the financial status of County s mental health programs. SCMHB GOALS: The SCMHB adopted these goals to improve the SCMHB effectiveness for 2011: Review 2011 DBHS, Mental Health Unit s Budget and recommend changes as necessary through involvement of the SCMHB Budget Committee; Increase public understanding and awareness of the function, plans and on-going work of the SCMHB along with providing a public forum to communicate any concerns or issues, and ensuring the SCMHB webpage is accurate and has timely updates posted that would reflect its overall mission and providing important information for the general public on the status of mental health issues within Sacramento County; and Review performance outcomes for target populations and identify the most significant unmet needs and more effectively advise the BOS and the local mental health director as to any aspects of mental health. Page 1

2 2010 Major Activities/Events: Mental Health Service Act (MHSA) Steering Committee Activities from the Workforce Education and Training (WET) MHSA component have been implemented to include training of peers to aid clients in their recovery. The Prevention and Early Intervention (PEI) plan includes Suicide Prevention Project activities which include the provision of a local warm line, and support services to specific cultural and ethnic communities. PEI Plan also consists of a multi-media campaign to decrease stigma and discrimination of the mentally ill. The Student Mental Health and Wellness Plan, also part of the PEI Plan, led to the collaboration with the Sacramento County Office of Education and focus on school bullying. In the Technology component of MHSA, the Sacramento Health Information Exchange was implemented and clients were given behavioral health cards for use when accessing services or when in contact with the police. The community planning process for the Innovation component of MHSA began in November 2010 and will increase access to underserved groups, increase the quality of services and promote interagency collaboration. The Innovation Workgroup meetings and Community Input forums are being used to develop a project to for crisis alternatives to hospitalization. In April and May 2010, Behavioral Health Services Division, at the Board of Supervisors direction, started a complete redesign of the adult mental health system with the goal of all outpatient services being provided by Sacramento County employees. They were to be located at four sites and be called Wellness Centers. This was to begin implementation in August of 2010 and transition from the RSTs to be completed by October 31, Since that time, the implementation of the MHSA Community Supports and Services (CSS) program, Peer Partners at the County Operated Adult Psychiatric Support Services clinics has been successful. MHSA CSS funding would be used to continue Transitional Community Opportunities for Recovery and Engagement (TCORE). Currently this proposal to restructure the Sacramento County s Outpatient Mental Health Services system is on hold pending legal action. BUDGET COMMITTEE Based upon the SCMHB mission statement, the Budget Committee works to emphasize the importance of funding professional relationships that foster personal recovery over elimination and restructuring of programs based upon budgetary constraints. The SCMBH Budget Committee has the responsibility to provide the SCMHB, and ultimately the BOS with community fiscal concerns and insight in regards to the DBHS, Mental Health Unit FY budget. As anticipated in the 2009 SCMHB Annual Report, the 2010 calendar year began with the Director of DBHS, Mental Health Unit announcing severe reductions in Realignment and other revenue sources. The Budget Committee meets on basis with community stakeholders, Page 2

3 including consumers and family members, to discuss financial issues, including the continual threat of elimination and reductions in program services within the mental health community. An injunction resulting from litigation prevented closure of the four RSTs, however DBHS reported that service capacity was reduced from 2,000 clients per RST to 900; inpatient capacity was reduced in the Mental Health Treatment Center from 100 beds to 50; and the Crisis Stabilization Unit was closed as well. Based upon the concerns of the community, the SCMHB prepared a position letter describing the importance of continuing present maintenance of contracted adult outpatient providers (See Appendix B.). To help all Mental Health Board members better understand the revenue streams, Part 1 of an educational review of the county budget revenue sources was presented by DBHS in October. The SCMHB Budget Committee was restructured to improve communication with DBHS, resulting in stakeholders being better served. In the current FY local and statewide budget crisis, the Budget Committee recognizes the seriousness of budget shortfalls, but the committee is also vigilant in its opposition to reductions that are not in alignment with the MHB mission (CWIC ). EDUCATION AND OUTREACH COMMITTEE The SCMHB conducted guest speaker presentations for education on various different mental health programs and also identifying mental health issues and needs in the county, as well as fulfilling our role of holding public hearings: - March 3 RC Smith, Chief Deputy Sacramento County Sheriff's Department - April 8 Held Beilenson Hearing on MHSA Overview - August 4 Avatar Presentation Tracy Herbert, DHHS - September 1 Scott Seamons, Regional Vice President, Hospital Council; Prepared Position Paper for BOS - October 6 Part I of 2 Part Budget Review - November 3 Barbara Ward, Deputy Secretary Women and Minority Veterans Affairs; re: Mental Health Issues Impacting Veterans There were also site visits to the Sacramento County Mental Health Treatment Center; Martin Luther King Jr. Village; Turning Point; and to the newly opened in 2010 Crestwood Facility. Potential Issues for 2011: While substantial progress has been made in reviewing mental health programs and services and supporting new efforts, a number of potential issues may require attention during the next year by the SCMHB. The main items which may need to be continuously addressed and resolved during the upcoming year by the SCMHB include: Page 3

4 BOS feedback to the SCMHB on which activities and commitments performed by the SCMHB provide them the most helpful information in line with the SCMHB s advisory capacity along with maintaining a full roster of fifteen members to distribute the various work assignments (See Appendix C). Development of Psychiatric Health Facilities with a capacity of 16 beds or less each was identified as a major issue which the SCMHB urges the BOS to implement with the DBHS, Mental Health Unit with exigency. Currently, the Sacramento County Mental Health Treatment Center (SCMHTC) is the County Psychiatric Facility which has a capacity of 50 beds. Because Federal Medicaid (MediCal) regulations exempt psychiatric health facilities that are larger than 16 beds from MediCal reimbursement, the SCMHTC is unable to draw down reimbursement for the inpatient psychiatric care it provides to Sacramento County residents who are MediCal eligible. There have been significant concerns over the proper training of our law enforcement officials in dealing with the mentally ill. The SCMHB has been advocating more training of our peace officers so that contacts with mentally ill individuals in crisis are accomplished with less confrontation and more sensitivity, as they are often the first responders in this kind of situation. The SCMHB is pleased that the fledgling Expert Pool program (See Appendix D) appears to be geared toward achieving this goal. Ensuring that the board initiate and conduct reviews on the most pressing issues in the mental health field and potential local solutions for the most difficult areas of finance, delivery of services and measurement of program outcomes. Page 4

5 APPENDIX A-D Page 5

6 APPENDIX A Section I. Statutory Requirements: Welfare and Institutions (W&I) Code A. Section 5604 (a) (1). Each community mental health service shall have a mental health board consisting of members, depending on the preference of the county, appointed by the governing body. One member of the board shall be a member of the local governing body. B. Section (a). The local mental health board shall do all of the following: 1. Review and evaluate the community s mental health needs, services, facilities, and special problems; 2. Review any county agreements entered into pursuant to Section 5650; 3. Advise the governing body and the local mental health director as to any aspect of the local mental health program; 4. Review and approve the procedures used to ensure citizen and professional involvement at all stages of the planning process; 5. Submit an annual report to the BOS on the needs and performance of the county s mental health system; 6. Review and make recommendations on applicants for the appointment of a local director of mental health services. The board shall be included in the selection process prior to the vote of the governing body; 7. Review and comment on the county s performance outcome data and communicate its findings to the California Mental Health Planning Council; and 8. Nothing in this part shall be construed to limit the ability of the governing body to transfer additional duties or authority to a mental health board. C. Section (b). It is the intent of the Legislature that, as part of its duties pursuant to subdivision (a), the board shall assess the impact of the realignment of services from the state to the county on services delivered to clients and on the local community. Page 6

7 APPENDIX B POSITION PAPER FROM THE MENTAL HEALTH BOARD To the Sacramento County Board of Supervisors, September 8, 2010 We, the Sacramento Mental Health Board, respectfully submit to you our unanimous position, based on our Mission Statement, taken from the California Welfare and Institutions Code : The mission of the California s mental health system shall be to enable persons experiencing severe and disabling mental illnesses and children with serious emotional disturbances to access services and programs that assist them, in a manner tailored to each individual, to better control their illness, to achieve their personal goals, and to develop skills and supports leading to their living the most constructive and satisfying lives possible in the least restrictive available settings. We support the maintenance of the current contracted adult outpatient providers in order to avoid disruption of current services to adult consumers. It is critical that MH consumers maintain existing relationships with their MH providers that they have come to know and trust in order to ensure personal recovery wherever possible. We look forward to the opportunity to weigh in on a future plan along with the larger stakeholder community, particularly consumers and family members. Thank you very much for your time and consideration (during these difficult times). Sincerely, The Sacramento County Mental Health Board Page 7

8 M e n t a l H e a l t h A m e r i c a o f N o r t h e r n C a l i f o r n i a And Sacramento County Division of Behavioral Health: Expert Pool Orientation DATE: February 22nd, 2011 TIME: 1 to 3 pm 7001 A-East Parkway Conference Room 1 Sacramento, CA, APPENDIX C A N D O r i e n t a t i o n T u e s d a y : F e b r u a r y 2 2 n d 1 3 p m EXPERT POOL Several training and stakeholder opportunities are becoming available. In order to ensure diverse client representation we will need your help. Starting in March consumer and family members have an opportunity to partner with the Sacramento City Police Department and Sacramento County Behavioral Health Services as a part of continued educational trainings that police officers receive annually. If you are a consumer or family member with lived experience we encourage you to join us. Currently, names of individuals willing to speak out are being gathered. The Police Department training will last for a total of 22 weeks. However, the commitment of each consumer or family member will be 4 to 5 presentations per person. The mental health portion of the training will take place on Tuesday afternoons from 3-5 pm and will begin on March 8. In addition, we also need individuals with lived experience who are willing to participate on local boards and various committees to ensure the client and family voices are heard. If you are unable to attend our orientation and would still like to be a member of our expert pool, call us with your contact information. Please feel free to forward to all interested parties. Thank you, and we look forward to your response. N o p r e - r e g i s t r a t i o n n e c e s s a r y, p l e a s e c o m e j o i n u s f o r t h e o r i e n t a t i o n! T u e s d a y, F e b r u a r y 2 2 n d 1-3 p m. L o c a t i o n : A - E a s t P a r k w a y C o n f e r e n c e R o o m 1 S a c r a m e n t o, C A If you would like to arrange for an interpreter or a reasonable accommodation, please contact Mary Nakamura one week prior to the event at (916) or nakamuram@saccounty.net. Page 8 Marilyn Hillerman Adult Family Advocate Liaison MHANCA 7001 A East Parkway Ste. 300 Sacramento, CA (916) hillermanm@saccounty.net Andrea Hillerman-Crook Consumer Advocate Liaison MHANCA 7001 A East Parkway Ste. 300 Sacramento, CA (916) hillerman-crooka@saccounty.net

9 APPENDIX D Sacramento County Mental Health Board Effective December 31, 2010 Acting Chair: Terence Imai Vice-Chair: Langley Kreuze Secretary: Frank Topping Support Staff: Julie Leung, DBH Liaison, (916) Janice Snyder, Deputy County Council, (916) District # Category Member Name Term Expire Date 5 BOS Appointee Don Nottoli 03/27/ /31/10 1 Family Member Vacant 12/31/10 2 Family Member Vacant 12/31/09 3 Family Member Vacant 12/31/10 4 Family Member Susan McCrea 5 Family Member Lois Cunningham 1 Public Interest Langley Kreuze 2 Public Interest Michael Hansen 09/10/2008 TE 08 12/31/11 08/25/2010 TE 11 12/31/14 05/13/2009 TE 09 12/31/12 08/25/2010 TE 10 12/31/13 3 Public Interest Vacant 12/31/11 4 Public Interest Vacant 12/31/11 5 Public Interest Reverend Dr. Laurd Irvin 07/15/2009 TE 09 12/31/12 1 Consumer Frank L. Topping 2 Consumer Jane Fowler 3 Consumer Alice Neuman 4 Consumer O.J. Platt 5 Consumer Terence Imai 02/28/2007 TE 07 12/31/10 05/14/ st - 12/31/10 2 nd - 12/31/13 08/25/ /31/12 09/26/ st - 12/31/09 2 nd - 12/31/12 07/27/2005 TE 05 1 st - 12/31/08 2 nd - 12/31/11 Page 9

10 APPENDIX D SCMHB Work Structure: MHSA SCMHB members participate in the introduction and maintenance programs created from the Proposition 63 Ballot Initiative to specific programs to assist Sacramento County s residents. Budget Reviews the DBHS, Mental Health Unit s Budget and recommends changes through the SCMHB Budget Committee Education and Outreach BOS, DBHS, (Mental Health Unit) and community outreach. Performance Outcomes and Accountability Analyze client outcomes, program performance, compliance issues from various programs and contractors. Board Operations Writes reports, schedule guest speakers, plans General and Executive meeting, identifies SCMHB annual and long term goals, nominate possible SCMHB members. Page 10