Sacramento County Department of Health and Human Services MENTAL HEALTH BOARD (MHB) MHB General Meeting February 5, 2014 Sacramento County Administration Building 700 H Street Sacramento, CA 95814 Hearing Room 1 Meeting Attendees: Tom Campbell Chair; Chris Hunley Vice Chair; Leoma Lee Secretary; Janet Meredith, Chadwick Thompson (arrived 6:19), Laura Bemis (left 7:30), Susan McCrea, Courtney Quigg, Len Marowitz, Kathy Day, Brian Brereton Absent: Michael Hansen, Phil Serna Other attendees: Monin Mendoza, Division of Behavioral Health Services Mental Health, Staff; John Reed, Deputy County Counsel Topic I. Call to Order Welcome and Introductions II. Announcements and Advocacy Reports (two minute reports) Tom Campbell - Chair, called the meeting to order at 6:00 p.m. A. Approval of February 5, 2014 Agenda: Kathy Day moved to approve the agenda and Leoma Lee seconded: Ayes Unanimous, Motion Passed. B. Approval of January 8, 2014 Meeting : Courtney Quigg moved to approve the minutes and Laura Bemis seconded: Ayes (8), Abstentions (2), Motion Passed. C. Comfort Agreement was read by Laura Bemis. A. Announcements MHB Courtney Quigg She is a student at California State University, Sacramento. They have a counseling program, Counseling Center for Diagnostic Services that offers low cost therapy for individuals and families, vocational, career counseling, school psychological evaluation. Services can be reached by calling (916) 278-6252. Susan McCrea The Mental Health Services Act (MHSA) Steering Committee will be meeting monthly, the third Thursday of every month. The next meeting is scheduled for February 20, 2014 beginning at 6:00 p.m. at 7001-A East Parkway, Sacramento. B. Youth, Adult, Older Adult and Consumer Advocacy Report Lou Deville Consumer-Operating Warm Line is conducting eightweek training on Wellness Recovery Action Plan beginning March 20, 2014 (Attachment A).
The Expert Pool Town Hall Meeting is meeting on February 7, 2014. The topic is how to work with media (Attachment B) Open Mic is scheduled for the second Saturday of the month (Attachment C). Mental Health Matter will be airing a panel discussion on LGBTQ youth. The program will air on the first Saturday in March at 7:00 p.m. on Comcast channel 17. Supporting Community Connections Older Adults and Consumer-Operated Warm Line are looking for volunteers (Attachment D). C. Mental Health Contractors Association Report Mike Lazar The Mental Contractor s Association is continuing to meet regularly with DBHS, Board of Supervisors chiefs of staff. Individual contractors are in contract negotiations for Fiscal Year 2014/15. The Association is actively participating in MHSA CSS (Community Services & Supports) Growth planning process. III. Division of Behavioral Health Services (DBHS), Mental Health Director s Report D. Law Enforcement Report Kim Mojica The Sheriff s Department will be starting CIT (Crisis Intervention Training) on February 19, 2014. The training will run through February 2015. Dorian Kittrell, Deputy Director, provided the following report: 1) As previously reported, DBHS is currently planning for Mental Health Services Act (MHSA) Community Services and Support (CSS) growth dollars. This funding is targeted towards programs, services and supports designed to serve adults with serious mental illness and children/youth (and their families) with serious emotional disturbances. This includes individuals who have cooccurring issues. The growth amount is projected to be approximately $16 million dollars. However, to be fiscally prudent and guard against unforeseen future needs, the target CSS growth funding will be $11 million. 2) After reviewing several reports and public input regarding mental health needs in the community, two consistent themes were evident: timeliness to services and the need to increase capacity. Three examples. 1) In Fiscal Year (FY) 2012/13, the average number of days from provider receipt of referral to first psychiatric appointment was 62 days. 2) In the same time period, the average number of days from hospital discharge to first psychiatric appointment was 37 days. 3) Since FY 2009/10 there has been a 60% increase in referrals for services to the Regional Support Teams. At the January 16, 2014 MHSA 2 of 5
Steering Committee meeting, a proposed phased planning process was presented. There was some positive feedback. There will be more discussion at the next MHSA Steering Committee meeting on February 20, 2014, beginning at 6 p.m. 3) Mr. Kittrell was happy to report that DBHS received the Mental Health Services Oversight and Accountability (MHSOAC) Triage Personnel Grant. This $1.3 million annual grant will provide funding to place clinical and peer navigators in key community locations. In partnership with hospital emergency departments, jails, and homeless shelters, DBHS s proposal will place clinicians and peer navigators in some hospitals, the main jail, Loaves and Fishes, the Stockton Campus, Downtown Sacramento Partnership, and Guest House. Next steps are to seek the Board of Supervisor s approval to receive this funding and begin work on a Request for Proposal to contract these 20.8 full-time equivalent positions to provide triage community services. Services should begin in about six months. 4) Another grant proposal was submitted to the California Health Facilities Financing Authority (CHFFA) to increase Crisis Residential beds and create two Mobile Crisis Support Teams (MCST). This $3.3 million annual grant primarily targets facility purchase or building renovations or the purchase of vehicles or equipment to provide services. This DBHS proposal seeks to fund a new home for the Turning Point Crisis Residential program, as the current home is in disrepair. This will allow an expansion of 3 beds, for a total of 15 beds the maximum allowable for Medi-Cal reimbursement. Additionally, in partnership with the Sacramento Sheriff s Department (SSD) and Sacramento Police Department (SPD), DBHS is proposing to pilot two MCSTs one in South Sacramento and another in the Sacramento City Downtown Corridor. The teams would respond to dispatch calls that are designated as mental health crisis. The SSD model would pair a clinician and peer specialist and the SPD model would pair a clinician and police officer. Evaluation of these programs will include measuring the reduction in unnecessary incarcerations and hospitalizations. Both of these grants are limited to three-year terms and are not sustainable at this time. Awards will be announced in March 2014. 5) Regarding the ACA and expansion of Medi-Cal, Uma Zykofsky is continuing to participate on a statewide committee through the Department of Health Care 3 of 5
Services (DHCS) to help define the criteria of mild and moderate mental illness. DBHS will continue to be responsible for individuals with severe mental illness. At the local level, DBHS is working with Blue Cross, Health Net, Molina and Kaiser. A Memorandum of Understanding (MOU) between Sacramento County and the four local Managed Care Plans is expected by June 30, 2014. 6) DBHS Health Program Manager, Wendy Greene is leaving county service in March 2014. She has been a tremendous benefit to the Children s Mental Health System of Care and will be truly missed. 7) In the interest of coordinated mental health and substance abuse treatment and care, Mr. Kittrell will be reporting on alcohol and other drug (AOD) issues to the MHB and reciprocally mental health issues to the AOD Advisory Board. The Affordable Care Act (ACA) revised the way substance abuse treatment providers are Drug Medi-Cal certificated. Some important regulatory decisions have to be made which have stalled in part because of the Drug Medi-Cal fraud discovered in recent months. All existing Drug Medi-Cal providers have to recertify to meet the new requirements. However, no providers have yet been recertified and no new AOD provider has been certified. There are significant concerns that there may be extensive delays for the delivery of substance abuse treatment and some AOD providers may be placed in fiscal jeopardy. 8) Due to the ACA, DBHS anticipates there will be more individuals eligible for mental health services. However, although there has not yet been an increase of individuals seeking mental health treatment, there has already been a significant increase of individuals addicted to opiates who are seeking methadone treatment. Since January 1, 2014, 85 additional slots have been approved. This augmentation is due to a larger number of adults without children who are now eligible for Drug Medi-Cal, due in part to the elimination of the Assets Test for individuals that took into account savings and real property. Although this is a positive change, the increased use of these much needed services will have a significant impact on the AOD System of Care. 9) The DBHS Fiscal Year 2014/15 budget is due to the County Executive Office by March 3, 2014, which is an extremely short timeline. DBHS is waiting for allocated and personnel cost increase information and final budget 4 of 5
instructions. Until this information is known, DHBS cannot finalize a preliminary budget. IV. Presentation V. Public Comment (two minute presentations) VI. Next Meeting/Adjournment 10) An update on the Community Alternative for Recovery and Engagement (CARE +) pilot program: This program through the Conservator s Office will assign two deputy guardians to 20 individuals with severe mental illness and who are gravely disabled who cycle in and out of hospitals and jail. By next week, 2 or 3 individuals will be identified. Community Support Team (CST), DBHS Program Larry Boone, Program Coordinator, DBHS, and Eiva Griffiths, Community Support Coordinator, Crossroads Diversified Services, reported on CST. This program is funded through the MHSA Prevention and Early Intervention component. It serves the community by responding to requests for assistance to individuals and families and proactively attends to signs of distress related to a mental health crisis (Attachments E & F). Frank Topping He thinks it is wonderful to hear that the CST is working with the Respite Partnership Collaborative on crisis interventions. A. Adjournment: 7:38 p.m. B. Next Meeting: March 5, 2014 5 of 5