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PEI Project 2: Strengthening Families and

Children in Investment Communities Presentation for Mental Health Board

Family, Adolescents & Children’s Meeting 1/12/12

MHSA Component FundingCommunity Services & Supports (CSS) 80%

PREVENTION & EARLY INTERVENTION (PEI) 20% (6M)

Innovation (INN) 5% of CSS & PEI

Capital Facilities & Technological Needs (CFTN) “One-Time”

Workforce Education & Training (WET) “One-Time”

• In 2005, California enacted a 1% tax on incomes over $1 million to improve the public mental health system

• The PEI Plan was the result of almost 2 years of effort by a collaboration of stakeholder “Strategy Work Groups”

• The State Department of Mental Health’s MHOAC approved Santa Clara County’s PEI Plan in 2009

Mental Health Services Act(MHSA) Overview

• $6 million per year / for three years • Investing in identified high risk communities• Regional budgets were allocated based on 0-24

population

Funding Strategy

Region Zip Codes

South 95020, 95046, 95037

North 94043

Central 95008, 95110, 95111, 95112, 95113, 95117, 95118, 95119, 95123, 95125, 95126, 95128

East 95116, 95121, 95122, 95127, 95133, 95148

Region Budget

South $1,051,000

North $588,000

Central $2,392,000

East $1,970,000

PEI Investment CommunityPlanning Process

• Outreach to stakeholders and residents– Flyers, posters, list servs, presentations, etc.

• Hosted Community Forums– 4 separate Forums throughout the county

• Planning Teams elected– Region Stakeholder elected Planning Teams

Planning Team Stakeholders

Required Stakeholders• Underserved Communities and Local Residents• Education Providers• Individuals with Mental Health Concerns and/or their

Families• Providers of Behavioral Health Services• Providers of Health Services• Providers of Social Services• Law Enforcement and Criminal Justice ProvidersPlanning teams expanded to fully represent the

community

Planning Team’s Role

• Represent stakeholder community– Ongoing communication with stakeholders– Discuss Planning Team decisions– Gather input and ideas

• Select project population– Age range– Who (e.g. family)– Location (e.g. zip code)– Setting (e.g. school, home, community)

• Review Strategies and Practices endorsed in MHD’s PEI Plan

• Alternative Practices (e.g. PBIS, Incredible Years)• Recommend Program Guidelines

Selection of Target Population• Asset and risk map

– Children & youth services– Family & community resources– Faith community– Mental health services– District schools– Substance abuse services– Emergency services– Section 8 housing

Relative Risk IndicatorsBy Zip Code• Poverty• Substance abuse• Child removals• Juvenile justice entries• Mental health clients• School dropouts• Single parent households• Felony arrests• Teen mothers• Low test scores• Low weight births• Average risk score

Data on Census Tracts Within Zip Codes• % under poverty line (focus on poverty ≥ 20%)• Total population• Urban and rural population• Race (does not include Hispanic as a category)• Hispanic or Latino by race• Average household size• Households with individuals under 18• Families• Population in families• Average family size

Data by School

• Truancy rate

• Census tract and poverty level

• STAR testing scores

• Number of English learners

• Percentage of students receiving free or reduced lunches

Planning Team’s Decision

• The Planning Teams selected high risk elementary and middle schools

• Continuity of services during the transition from elementary to middle school, a period critical for academic success and emotional well-being

• Help for families going through a transitional period when parents are presented with novel challenges as children reach new developmental stages

• A “Family Focus” approach will be implemented• School based strategy

Project Populations

• Family members

REGION SCHOOL DISTRICT(S)NORTH Mountain View Whisman (& high school age)

SOUTH Gilroy

Morgan Hill

EAST Mt. Pleasant

*Franklin McKinley

Alum Rock

CENTRAL Campbell

Oak Grove

San Jose Unified

Luther Burbank

Strategies and Practices

Multi-Level School Based PEI Program (Prevention)

• Recommended Practice Model: Strengthening Families Program

• Provides focused prevention strategies to families in school settings to enhance protective factors and decrease risk

factors

Enhanced Parenting Support (Early Intervention)• Recommended Practice Model: Triple P

Levels 4 & 5

• Provides parents with more intensive support in dealing with emerging behavioral problems

Family-Based Intervention Strategy (Early Intervention)

• Recommended Practice Model: Brief Family Therapy Model

• Provides intensive, direct interventions to parents and children to address severe emerging behavioral/emotional problems

Child/Skills Intervention (Early Intervention)

• Recommended Practice Model: Trauma Focused Cognitive Behavioral Therapy

• Provides intensive, direct interventions to parents and children to address severe emerging behavioral/emotional problems resulting from trauma

Timeline

Region RFP Released

Proposals Due

Start Date

North 11/2011 12/2011 3/2012 (projected)

South 12/2011 2/2012 5/2012 (projected)

East 1/2012 (projected)

2/2012 (projected)

7/2012 (projected)

Central 1/2012 (projected)

3/2012 (projected)

7/2012 (projected)

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School-Linked Services

Presentation for Mental Health Board

Family, Adolescents & Children’s Meeting 1/12/12

School-Linked Services (SLS) History• 2011 County board President Dave Cortese

called for County Department heads to develop a plan to implement a new School-Linked Services Initiative

• SLS Advisory Committee convened by Supervisor Dave Cortese, Supervisor George Shirakawa and ESUHSD Superintendent Dan Moser

• SLS Advisory Committee met monthly from April – November, 2011

Aim of SLS

To improve the accessibility, efficiency and outcomes of multi-agency services provided to children in Santa Clara County schools through improved coordination, design and implementation of services provided by schools, public agencies and community based organizations

Implementation

• Board of Supervisors adopted the Strategic Plan on Tuesday, January 10

• Implementation plan will be developed this year

• Initial funding dedicated toward SLS coordinators

• Entered discussions with 10 PEI school districts