Sacramento County Department of Health and Human Services Division of Behavioral Health Services Mental Health Services Act Steering Committee

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Meeting Minutes October 16, 2014, 6:00 PM 8:00 PM Meeting Location 7001A East Parkway map Sacramento, CA 95823 Conference Room 1 Meeting Attendees: MHSA Steering Committee: Brian Brereton, Gretchen Bushnell, Anatoliy Gridyushko, Mike Jones, Lynn Keune, Michael Lazar, Lynnette Mitchell, Leslie Napper, Jodi Nerell, Patricia Pavone, Juana Ramirez, Stephanie Ramos, Heidi Richardson, Marbella Sala, Sayuri Sion, Frank Topping, Lori Vallone, Pangcha Vang, Mark Vigario, Dante Williams, Uma Zykofsky General Public Topic Presenter Time Welcome and Member Introductions SC members introduced themselves and indicated the stakeholder groups they represent. Agenda Review The agenda was reviewed. No changes were made. Approval of Prior Meeting Minutes August 21, 2014 meeting minutes were reviewed and approved with no changes. Announcements Michael Lazar: On Thursday, December 4, 2014, TLCS will be hosting their annual fundraiser comedy night. See www.tlcssac.org for details. On Thursday, November 6, 2014, TLCS will be holding the grand opening of The Clubhouse, a centralized place for TLCS and HRC clients to receive support and encouragement on the road to self-sufficiency and recovery. SC Members 6:05 Co-Chair 6:07 Co-Chair 6:10 Members/Public 6:15 Frank Topping: The City of Sacramento created a Career Division and has a job opening for a Homeless Program Coordinator. The deadline to apply is tomorrow. Please contact SCUSD if interested. Sacramento Steps Forward gave a presentation at the Disability Advisory Committee meeting on several issues. This led to discussion of the Crisis Intervention Training (CIT) and a presentation scheduled for the Human Questions? Email us at: MHSA@SacCounty.net or call (916) 875-MHSA 1

Services Coordinating Council in November. Leslie Napper: The National Council of Negro Women is holding the Children of Promise Conference on October 25, 2014 from 9 AM to 3 PM at the Sam Pannell Community Center. The focus of the discussion will be healthy children and families, as well as young men s health and wellness. MHSA Updates The CSS Expansion Phase B Workgroup had their orientation and kick-off meeting on October 8, 2014. Their next meeting will be October 21, 2014. The workgroup was tasked by the SC to develop a recommendation to fund a new Full Service Partnership (FSP) program specifically designed to meet the needs of Transition Age Youth (TAY). That recommendation will come to the SC on November 20, 2014. The Respite Partnership Collaborative (RPC), Sacramento County s MHSA Innovation project, released two Requests for Proposals (RFPs) for respite services for teens and TAY, as well as respite services for unserved and underserved populations. The submission deadlines are October 15 th and 24 th, respectively. There may be updates on funding recommendations to share at the next SC meeting. MHSA Fiscal Year 2014-15, 2015-16, 2016-17 Three-Year Plan Development and Process Jane Ann reviewed the Mental Health Services Oversight and Accountability Commission (MHSOAC) Three-Year Plan instructions and provided an overview of what will be involved in developing the Plan. (See Attachment A) Included in the presentation was the projected (draft) timeline to complete the process: Nov Dec 2014 Develop draft Three-Year Plan (incorporating Phase A & Phase B Expansion programming) Dec 2014 Jan 2015 Draft Three-Year Plan posted for 30-day Public Review and Comment (gather SC & MHB collective comment) Jan 2015 MHB conducts Public Hearing at close of comment period Feb Mar 2015 Submit final Three-Year Plan to Board of Supervisors for approval Mar 2015 Submit Approved Three-Year Plan to MHSOAC 6:20 6:25 Questions? Email us at: MHSA@SacCounty.net or call (916) 875-MHSA 2

After the Three-Year Plan is submitted, Division staff will begin work on the FY 2015-16 Annual Update (incorporating Phase C Expansion programming -which addresses other system priorities). Member Discussion: In reference to the FY 2013-14 Annual Update, can you provide an update on the Capital Facilities funds that were allocated? The Capital Facilities project focuses on a renovation of the County-owned Stockton Blvd. complex to allow for colocation of the two Adult Psychiatric Support Services (APSS) Clinics, which includes the Peer Partner programs. The project is currently expected to be completed in July 2015. What is being done with the Estimated FY 2013-14 Contingency Funding? The $11m CSS Expansion Planning process (Phases A, B and C) was designed to address the CSS contingency funding identified in the FY2013-14 Annual Update. This sustainable growth comes from a combination of contingency funding and increased revenue projections. Prevention and Early Intervention (PEI) expansion planning is anticipated in 2015. When leveraging Medi-Cal dollars, what happens to the (surplus) MHSA dollars? When program budgets are designed, anticipated Medi-Cal reimbursement is included in the program budget so there is no surplus of MHSA dollars. With the reduction of funding for Sacramento Mental Health Treatment Center (SMHTC), could a new Psychiatric Health Facility (PHF) be created for the seriously mentally ill homeless population, utilizing other grant funding through collaboration with other community non-profit organizations currently serving this population in other capacities? Thank you for thinking about collaboration and bringing that forward. We have done a lot of collaboration to support homeless individuals living with mental illness through our Homeless Full Service Partnership (FSP) programs. MHSA dollars cannot be used to fund services in locked settings. Mental Illness: It s not always what you think Project www.stopstigmasacramento.org Microsite Jane Ann provided an overview of the Stop Stigma Sacramento microsite, a project of Sacramento County s 6:50 Questions? Email us at: MHSA@SacCounty.net or call (916) 875-MHSA 3

MHSA Mental Illness: It s not always what you think stigma reduction project. Program materials were displayed and distributed. Requests for program materials and information on how to get involved is available on the microsite. Member Discussion: A SC member shared an observation of increased dialogue around mental illness since the stigma reduction campaign was launched. Two SC members encouraged people to join the Speakers Bureau, another project within the stigma reduction campaign, stating that it is a wonderful platform for those living with mental illness to share their voices, as well as reducing stigma by educating others about what mental illness means to those who live with it. A SC member expressed thanks for having the program materials available and in various languages. The agency the member works with has distributed the materials in various venues and has found it instrumental in reaching out to populations that typically would not seek out services. A SC member expressed concern that the 2-1-1 resource line is the published number on the Stop Stigma Sacramento microsite and materials. We appreciate the feedback. Just as a reminder, there are Prevention and Early Intervention programs that 211 can provide information for, as well as other community resources. A SC member shared the positive experience of friends that had artwork displayed at the Governor s office as part of the Project s May is Mental Health Month activities. CalMHSA Statewide Prevention and Early Intervention Activities Update Jane Ann provided an overview of one of the activities of the CalMHSA-administered Statewide Prevention and Early Intervention (PEI) project, Walk in Our Shoes statewide education campaign. This project is an example of how local county PEI funding is used to support statewide activities. (See Attachment B) Walk in Our Shoes seeks to eliminate bias and prejudice by de-bunking myths and educating 9-13 year olds about mental health and wellness. The campaign encompasses 7:05 Questions? Email us at: MHSA@SacCounty.net or call (916) 875-MHSA 4

three elements: 1) Statewide school-based performance tour, 2) Educational and interactive website (in English and Spanish), and 3) Targeted mass media messages through radio, digital and cable television. Member Discussion: Have they been to any schools in Sacramento County? Yes - That information will be reflected in the County impact statement CalMHSA is preparing. A SC member appreciated the concept, would like to see more ethnic diversity in the performances and messages, and suggested using different actors for different schools based on the ethnic populations present. An important aspect of reducing stigma is providing a diverse array of people delivering the message so that everyone sees someone they can relate to. A SC member suggested there be more education and awareness around schizophrenia throughout the campaign. Where does the funding for this campaign come from? The statewide projects are funded by contributions from Counties across California. A SC member suggested holding a performance at a centralized venue for all the students in the area to attend, instead of performing at each school. Do any of the stigma reduction campaign activities address co-occurring disorders? We will pose this question to CalMHSA and report back. General Public Comment Michael Horne, Advocate for the physically and mentally disabled community, as well as the homeless community: Shared his personal story through rap and offered his unique perspective and expertise. Ben Hudson, Executive Director, Gender Health Center: Would like to make his agency s services visible to the community (ie. sliding scale mental health services for anyone for any reason). The organization does not accept insurance and was founded because there was a lack of services in the community for transgender and LGBQ individuals. Since inception four years ago, 60% of individuals the agency serves are not transgender or LGBQ. This is because we offer affordable, easy accessible mental health services. Additionally we offer assistance with health insurance navigation and Co-Chair 7:40 Questions? Email us at: MHSA@SacCounty.net or call (916) 875-MHSA 5

enrollment. The agency welcomes client referrals, as well as mentorship on how to obtain more funding for their organization, and collaboration opportunities. Frank Topping: Relayed his concern that people experiencing a mental health crisis may have difficulties accessing the services they need through the current entry points. Three SC members expressed concerns that the method of accessing and being connected to mental health services may pose a challenge to those in crisis. Mike Lazar, Executive Director, TLCS: For those who are not familiar with the TLCS Crisis Respite Center, we are open 24 hours a day and can be contacted directly for services at (916) RESPITE. Upcoming Meetings (meetings are held the 3 rd Thursday of every month, from 6:00 8:00 PM, beginning January 2014) November 20, 2014 December 18, 2014 Co-Chair 7:55 Adjournment Co-Chair 8:00 Interested members of the public are invited to attend MHSA Steering Committee meetings and a period is set aside for public comment at each meeting. If you wish to attend and need to arrange for an interpreter or a reasonable accommodation, please contact Mary Nakamura one week prior to each meeting at (916) 876-5821 or Nakamuram@saccounty.net. Questions? Email us at: MHSA@SacCounty.net or call (916) 875-MHSA 6