Proposition 63 becomes The Mental Health Services Act

1
Proposition 63 becomes The Mental Health
Services Act

• From Fail First to Help First
• The models and resources will be there
• Can we rise to the challenge

2
Background

• 1960-1970 - Deinstitutionalization unfulfilled
  promise of community care
• 1970-1990 funding cuts but new models of care -
  AB377 Childrens System of Care and AB 3777
  Integrated Service Agencies
• 1990-2000 Realignment, EPSDT, Parity and AB
  34/ AB 2034
• 2001-2004 - Campaign for Prop 63
• 2005- 2020 fulfill the promise

3
Fail first to help first

• Hard to get help before failures such as
  hospital, jail, special education, out of home
  placement
• New paradigm get the right help (client
  centered recovery oriented comprehensive
  community mental healthcare) at the right time
  (first sign of serious problems) at the right
  place - close to home

4
DUMI

• Duration of Untreated Mental Illnesses
• Measure our progress in eliminating big DUMIs
• Close Holes in SED and SMI SOC Services
• Invest in Prevention and Early Intervention

5
will be there

• 700 million federal funds 1 Billion
• will grow at 7 annually
• In 10 years that means 2 Billion
• 300 million for Prevention and Early
  Intervention can save 500 million and shift 500
  million to private sector
• Value 3 Billion or 2 Billion after adjusting
  for population and inflation

6
Can We Rise to the Challenges

• New Way of thinking
• New Models of Service
• New Partnerships
• Requires Leadership, Vision, education/training,
  outreach, confidence, effort, commitment
• Same skills that got 63 passed

7
Proposition 63 becomes The Mental Health
Services Act

• We had what it took to get it passed
• We have what it takes to make it work

8
Be Patient and Attentive

• No commitments without approved plans
• State develops guidelines for plans and programs
• Counties develop plans probably not all at once
  in first year
• Plans reviewed locally and by the state
• Funds allocated probably some programs in some
  counties before others

9
Protecting Current Funding

• A county may not withdraw other mental health
  funding
• Establish current allocations of funds in each
  county from all sources
• Findings required under realignment for any
  significant change
• State can limit 63 funds based upon other
  available funds

10
Expanding Programs

• Hope on the Street is Expected
• Expand existing SOC programs
• Re-establish AB 34 outreach teams
• Homeless discharges from jail, juvenile
  justice, hospitals, child welfare
• Keep expanding until everyone is served
• Reserve funds for new programs and planning

11
Train Staff for SOC

• Only services that meet SOC standards in 5806
  (adults and seniors) and 5868 (children) can be
  funded under 63
• County and provider staff must be retrained
• 63 HR funds can pay for training
• Academic programs need SOC curriculum

12
Prevention and Early Intervention

• Most Important and challenging program
• Need savings to ensure adequate funding
• Not even allowed under Realignment
• Mostly education and outreach not services
• A core mission of mental health associations

13
Prevention and Early Intervention

• Take time to get it right early pilots
• Priority age group 15-25
• Early Psychosis Programs serve as model -
  expanded to cover all mental illnesses and
  suicide prevention
• Each setting and age group requires a different
  set of strategies

14
Outreach requires new partnerships

• Primary Care
• Preschools
• K-12 Schools
• Higher Education
• Workplaces
• Clergy and other helpers
• Oversight and Accountability Commission

15
2020 Vision Everyone is Watching

• Immediate change and long term transformation
• Many questions that cant be answered
• Take the time to get it right
• Let those who are ready proceed
• Reserve funds for others and the future
• Work for agreements
• Insist on following letter and Spirit of 63

16
Congratulations

• Lets never lose sight of what we have
  accomplished