MHSA Steering Committee

1
MHSA Steering Committee

• March 2, 2009
• 100 p.m. 400 p.m.
• Delhi Community Center

2
Sharon Browning

• Welcome

3
Patty Rogers andTony Delgado

• Full Service Partnerships (FSPs)
• Data as of January 31, 2009

4
Adult FSPs Capacity

• Capacity 560

5
Adult FSPs Capacity

• Capacity 560

6
Adult FSPs Age Range
7
Adult FSPs Ethnicity
8
Adult FSPs Residential Domain
9
Adult FSPs Education

• 11 of the 485 enrolled members are attending
  school

10
Adult FSPs Employment

• 8 of 485 members enrolled have Paid Employment

11
Adult FSPs Residential Domains
Data from FSP Monthly Outcome Report
12
Adult FSPs
Data from FSP Monthly Outcome Report
13
Residence - Living IndependentlyNovember 2008 -
January 2009
14
Residential - HospitalizationsNovember 2008 -
January 2009
15
Residential - IncarcerationNovember 2008 -
January 2009
16
EducationNovember 2008 - January 2009
17
Paid EmploymentNovember 2008 - January 2009
18
Older Adult Full Service Partnership
19
OASIS Capacity

• Total Orange County Older Adult FSP Capacity 150

20
Older Adult FSP Age Range

• Total Enrolled 80

21
Older Adult FSP Education

• 10 of the 80 enrolled members are attending
  school

22
Older Adult FSP Employment

• 1.25 of 80 members enrolled

23
OASIS Residential Domain

• January 2009

Data from the FSP Monthly Outcome Report
24
Children and Youth Full Service Partnerships
25
All Ethnicities
26
TAY Ethnicities
27
Children Ethnicities
28
TAY Residential
29
TAY Education/Employment
30
Consumer Perception Surveys
Adult Surveys
Mental Health Statistical Improvement Program
(MHSIP) California Quality of Life Scales
(CA-QOL)
Child/Youth Surveys
Youth Services Survey for Families (YSS-F)
Survey Period May 2008
31
Consumer Perception Surveys

• Required by the State Department of Mental Health
• Administered twice annually, in May and November
• Each data collection period is for two weeks
• The survey is offered to all consumers who attend
  outpatient mental health services during the
  survey period

32
Mental Health Statistical Improvement Survey
(MHSIP)
Completed by adult consumers Asks consumers to
rate program quality Five point scale
1 Strongly disagree 2 Disagree 3 Neutral
4 Agree 5 Strongly agree
33
California Quality of Life Survey (CA-QOL)
Completed by adult consumers Asks consumers to
rate the quality of their lives. Seven point
scale 1 Terrible 2 Unhappy 3 Mostly
dissatisfied 4 Mixed 5 Mostly satisfied
6 Pleased 7 Delighted
34
Youth Services Survey for Families (YSS-F)
Completed by parent/guardian of youth and
children. Asks family to rate the quality of
program services. Five point scale 1 Strongly
disagree 2 Disagree 3 Neutral 4 Agree
5 Strongly agree Measures seven domains.
35
Older Adults
36
Older Adult CA-QOL
Satisfied
Mostly Satisfied
Mixed
37
Older Adult MHSIP
Strongly Agree
Agree
Neutral
38
Adults
39
Adult CA-QOL
Pleased
Mostly satisfied
Mixed
40
Adult MHSIP
Strongly Agree
Agree
Neutral
41
Transitional Age Youth (TAY)
42
TAY CA-QOL
Pleased
Mostly satisfied
Mixed
43
TAY MHSIP
Strongly Agree
Agree
Neutral
44
Children and Youth

45
Youth YSS-F
Strongly Agree
Agree
Neutral
46
FSP Success StoriesConsumer Perspective
47
Questions?
48
Mark Refowitz

• Local/State Updates

49
Mike Geiss

• MHSA Fiscal Update

50
MHSA Fiscal Update

• Revenue Sources
• Component Funding
• Planning Estimates
• Revenue Projections
• Policy Considerations

51
Mental Health Services Act (MHSA) Overview

• The MHSA created a 1 tax on income in excess of
  1 million to expand mental health services
• Approximately 1/10 of one percent of tax payers
  are impacted by tax
• Approximately 20,000 30,000 tax returns

52
MHSA Revenue Sources

• Five sources of deposits into State MHS Fund
• 1.76 of all monthly personal income tax (PIT)
  payments (Cash Transfers)
• Not just millionaires
• Annual Adjustment based on actual tax returns
• Settlement between monthly PIT payments and
  actual tax returns
• Based on actual tax returns from two years prior
• Interest income (posted quarterly)
• Excess State Administration (unauthorized and
  unexpended)
• Reverted funds

53
MHSA Revenue Sources
 
 
 
 
 
 
 
 
Deposits into Fund
54
MHSA Component Funding

• In accordance with Welfare Institutions Code
  Section 5892, deposits into the State Mental
  Health Services Fund are dedicated to specific
  components.
• Prior to making the distribution to components,
  up to 5 is made available for State
  Administration
• Balance of funds (95) distributed to each
  component based on the fiscal year in which the
  deposits are posted on a cash basis

55
MHSA Component Funding
Funding for Each Non-Administrative Component
a/ 5 of total funding for PEI and CSS must be
utilized for innovative programs (WIC
5892(a)(6)) b/ Beginning in FY08-09, CSS funds
may be used for WET, Cap/Tech and a local prudent
reserve subject to a 20 limit (WIC 5892(b))
56
MHSA Planning Estimates

• Funds are made available to each County through
  Planning Estimates
• Planning Estimates represent the maximum funding
  for each County
• Established by component, published by DMH

57
MHSA Planning Estimates

• Planning Estimates
• MHSA Government Partners recommend the
  Global/Aggregate Planning Estimates for local
  services to respective organizations
• Meet following the close of the fiscal year and
  analyze amounts deposited, distributed and
  committed for each component during the fiscal
  year
• Establish Global/Aggregate Planning Estimates for
  subsequent fiscal year

58
MHSA Planning Estimates

• Generally, Planning Estimates are not based on
  estimated revenues
• Future year increases are based on actual
  revenues received in prior years
• Distributions are on a cash basis (i.e.,
  sufficient revenues are in the State MHS Fund at
  the start of the fiscal year for distributions
  for the entire fiscal year)
• Long term sustainability is considered based on
  recent economic data

59
MHSA County Distributions

• Distribution of funds is contingent upon a fully
  executed MHSA Agreement and submission of
  required reports
• Counties receive 75 of approved plan amount upon
  plan approval or at start of fiscal year
  whichever is later
• Balance provided when required reports are
  submitted. (Cash Flow Statement and Revenue and
  Expenditure Report)

60
MHSA Revenue Projections

• Cash Transfers based on Department of Finance
  estimate through FY 2009-10 (January 2009)
• Cash Transfers after FY 2009-10 will change based
  on Legislative Analysts Office estimates of
  change in PITs (November 2008)
• Relatively slow growth
• Department of Finance estimate of Annual
  Adjustment through FY 2011-12 (January 2009)
• Capital Gains will be a significantly smaller
  portion of PITs in future based on LAO estimates
  (November 2008)
• Interest Income unchanged from FY 2009-10 due to
  lower fund balance and lower interest rates
• Proposed redirection of MHAS funds to EPSDT in FY
  2009-10 and 2010-11 can be absorbed within
  existing deposits

61
Historical and Estimated MHSA Revenues (Cash
Basis-Millions of Dollars)
62
Historical and Estimated MHSA Revenues (Cash
Basis-Millions of Dollars)
63
Historical and Estimated MHSA Planning Estimates
(Millions of Dollars)
64
Orange County Historical and Estimated MHSA
Planning Estimates a/ (Millions of Dollars)
a/ Excludes State Administered projects (CSS MHSA
Housing Program and PEI)
65
MHSA Fiscal Policy Considerations

• FY 2009-10 represents one-time spike in available
  funding
• Prudent Reserve (CSS only)
• Local cash management because of 3 year reversion
• Opportunity to evaluate MHSA in terms of overall
  mental health system fiscal integration
• Increase in Medi-Cal
• Decrease in Realignment

66
Kate Pavich

• MHSA Updates

67
MHSA Updates

• CSS Plan Update
• Client Forum Healing Trauma We Can Do It
• Recovery Arts

I Am by Keith Torkelson
68
Public Workshop

• California Strategic Plan for Mental health
  Stigma and Discrimination Reduction

SOUTHERN CALIFORNIA Thursday, March 19, 2009 100
p.m.- 400 p.m. Holiday Inn Orange County
Airport Santa Ana 2726 Grand Ave., Santa Ana, CA
92705 (Located parallel to the 55 Freeway and
Accessible by Bus Routes 59, 72, 74, and 213
Express Route) To Register Contact nugarte_at_ccp.cs
us.edu
69
Capital Facilities

• Capital Facilities Project Proposal
• Approved by the Board of Supervisors
• January 13, 2009
• Sent to the Department of Mental Health
• January 21, 2009
• DMH will reply within 60 days of submission -
  initial review of the proposal has occurred

70
401 S. Tustin St.
Trees by Theresa Boyd
71
Architecture and Planning

• Architectural Designer presented floor, fabric,
  and carpet treatments
• Green Components
• Carpet Tile 100 recycled backing
• Furniture Fabric 100 recycled polyester and low
  impact nylon
• Flooring and Cabinetry Constructed of
  formaldehyde free bamboo which is a rapidly
  regenerative source of wood

72
401 S. Tustin St. Timeline

• CEQA Compliance Complete April 14
• Construction Documents Complete April 28
• 100 Cost Estimate Complete June 30
• Plans Ready for Permit Issue August 18
• Advertise for Bids September 30
• Award Construction Contract December 29
• Construction Start January 27
• Construction Complete February 22

• 2009
• 2010
• 2011

73
Next Steering Committee Meeting

• Monday April 6, 2009
• 100 p.m. 400 p.m.
• Delhi Community Center
• 505 East Central, Santa Ana, CA 92707