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MHSA SLC Planning Meeting #4: Adult & Older Adult System of Care - Shared screen with speaker view
SLC Ana G Villarreal
18:45
Ana G Villarreal, MHSA SLC, Faith Communities
SLC Miguel Valencia
19:42
Miguel Valencia,SLC
SLC Ana G Villarreal
19:45
right away
Gina Trepagnier
19:57
go right away
Don Taylor
19:57
Q&A right away
Jack Roach
20:02
right away
Lauren Grey
20:09
go head and present
SLC Armina Husic
20:30
Armina Husic, SLC
Anthony Miner
20:50
Anthony Miner, SLC
Elisa Koff-Ginsborg
24:41
This list of acronyms and providers is very helpful. Thank you very much.
SLC Sparky Harlan
25:13
Thank you for doing this and responded to my request!
SLC Armina Husic
25:37
Thank you for doing this! So helpful :-)
SLC Sparky Harlan
26:29
My staff told me what WARMS means!
SLC Sparky Harlan
28:51
This would be good for you to post on MHSA website.
Quan Dong
29:06
Quan Dong, CJs
Dee DeWitt
33:03
Dee DeWitt, Momentum
Dee DeWitt
35:05
I do not recall the BHSD dosage consult analysis being shared. Can you share that analysis with providers please?
Evelyn Tirumalai
45:51
Question #15 was in reference to IPS employment
SLC Sparky Harlan
49:26
I wonder how much of the general funds dollars that were pulled out of Contractors contracts and replaced with MHSA it appears that most of this went to county agencies like OSH mental health services.
Elisa Koff-Ginsborg
51:45
Thank you for your responses to the questions. Unfortunately providers don’t share the same recollection of specific recommendations being shared with them at review meetings. That is something we very much want to see in future. Until then, providers are sharing feedback along with SLC members and public. We suggest that changes in a programs (ACT, FACT, IFSP, FSP, etc.) should be presented for feedback to all of the providers of that program for discussion together.
SLC Sparky Harlan
53:26
I agree with Elisa. Bill Wilson Center never agreed to actual cuts to programs but it was just general discussions about how the quarter was going. Plus, we are always told we have to hold to the average dosage.
SLC Sparky Harlan
01:13:30
I look forward to receiving the presentation from OSH on mental health supportive housing. I hope to get the entire picture we get to review all the funding and how we serve all homeless who need mental health. For example, if MHSA supports $2 million in supportive housing mental health it helps knowing that SCC is actually paying for $8.4 million in total (or more).
Dee DeWitt
01:20:23
I love this Crosswalk slide. Respectfully, I suggest this needs to be implemented Oct 1 2021 and not FY22
Dee DeWitt
01:20:34
Sorry, not FY23
SLC Sparky Harlan
01:26:08
I think some people may not understand that the BHSD is starting the SLC process now for the FY23 plan NOT current year. It takes them 6+ months to draft plan and put out for comments and then have it approved by this committee and BOS. It is a LONG process.
Elisa Koff-Ginsborg
01:28:05
Shelly, would you put those numbers and percentages in the chat? Hard to get down quickly.
SLC Sparky Harlan
01:28:28
Thanks for a comprehensive answer on all funding, not just MHSA. It helps having the bigger picture.
SLC Sparky Harlan
01:28:45
From Shelly.
Leah Hodge
01:30:54
Peer billable services? What specifically does that include?
Shelly Barbieri
01:31:25
Sure! Our supportive housing service budget is 17 million total and 1.3 is MHSA (8% of budget). Our current capacity is just over 2000 slots and 80% of our population self reports mental health. 36% of clients engage in mental health services and 73% of those receive their mental health support from our supportive service providers.
Elisa Koff-Ginsborg
01:31:47
THanks SHelly.
Leah Hodge
01:32:42
What type of services? Clinical services?
Suzanne Chiu
01:33:06
@leah- Peer services
SLC Ana G Villarreal
01:34:06
Peer support staff should be properly paid.
SLC Sparky Harlan
01:34:56
I believe Shelly and OSH will be doing a separate presentation on MH services for our homeless population. I think we all will find in really interesting!
SLC Sparky Harlan
01:36:06
Could this be an INN program? What impact would it have to have AOT added. Wouldn't it mean cutting other services?
SLC Sparky Harlan
01:37:29
Adding $12 million is HUGE. It would need more General Funds support not just MHSA. It seems like AOT should be funded out of other funding not MHSA.
Leah Hodge
01:38:27
Aloha Wes
Elisa Koff-Ginsborg
01:38:36
Is the $12M estimated cost for 50 AOT clients include the cost of existing services like ACT, FSP, etc. or is that on-top of the cost of providing ACT/FSP?
SLC Sparky Harlan
01:40:51
Has the BoS already approved that building for added 29 beds? Who would operate the facility? Will the operations be 100% paid for by medical?
Leah Hodge
01:41:24
Michelle is this new program long term or similar to Crisis Residential?
Leah Hodge
01:41:51
I guess what Im asking is LOS
SLC Sparky Harlan
01:41:56
MediCal. It seems like both these residential programs are adding $15 million to MHSA. I think this needs more discussion not just two slides for 5 minutes.
SLC Sparky Harlan
01:45:01
Will AOT being bid out if it is approved for the added $12 million?
SLC Thanh Do
01:46:27
What are the long term goals and sustainability plan for these proposals? Are there other potential funding sources in the short and longer term that MHSA can braid/blend with?
SLC Ana G Villarreal
01:46:35
I am really confused as to what this program is and its discussion in this particular meeting.
Lauren Grey
01:47:28
can we forgo the breakout groups and just ask questions here? to stay on track with time?
SLC Jack Roach
01:47:43
^seconded
Leah Hodge
01:47:50
thirded
SLC Ana G Villarreal
01:48:26
Yes, we should ask here.
SLC Sparky Harlan
01:48:29
Maybe the SLC would rather add new programs up to $12 million for new programs like Wes was suggesting. Often by the time we get to propose new programs the BHSD has already obligated most of the MHSA in processes like this. AOT should be funded by General Funds and leave MHSA for new ideas.
Evelyn Tirumalai
01:50:56
The Assisted Outpatient Treatment (AOT) program, also known as Laura’s Law, provides court-ordered treatment for persons with severe mental illness who meet certain criteria.
SLC Ana G Villarreal
01:52:05
We cannot consider this without the full picture.
SLC Sparky Harlan
01:55:17
If the BOS wants this they can put General Fund into it also. If the board asks if you shared it with the SLC you should say yes, but people did not feel they had enough information on it.
Soo Jung
01:55:28
AOT Community Meeting this Wed, 5-6:30pm
Soo Jung
01:55:34
https://www.eventbrite.com/e/aot-publicstakeholders-collaborative-sessions-tickets-163696154605
SLC Ana G Villarreal
01:55:50
I agree with Sparky
SLC Kathy Forward
01:56:02
https://mentalillnesspolicy.org/states/lauraslawindex.html#presentations
Soo Jung
01:56:33
AOT Community Meeting this Friday, 1-2:30pmhttps://www.eventbrite.com/e/aot-publicstakeholders-collaborative-sessions-tickets-163697410361
SLC Sparky Harlan
01:57:08
Yes, you did do meetings but never was it discussed that MHSA would fund it with $12 million.
SLC Sparky Harlan
01:57:25
*did not*
Leah Hodge
01:58:01
Is anyone else having trouble with scheduled meetings. I have gotten many invites that were cancelled and am having a lot of trouble managing them.
SLC Sparky Harlan
01:58:50
agree Miguel. It isn't whether it should be funded with MHSA.
SLC Ana G Villarreal
02:00:02
The MHSA' money is the SCC residents' money. The BOS asking is not enough to give a go.
SLC Kathy Forward
02:00:18
AOT is a law that has existed for many years with an option for each county to implement or not. A new law passed last year that forced counties to opt in or not. Our county BOS held several hearings and all voted to opt in. I don't think it's an option to opt out at this point. It's a question of how to implement and fund.
SLC Sparky Harlan
02:00:43
I will remind people that BHSD "gave back" $17 million in general fund in past years and put MHSA as matching funds instead. Now they are asking for MHSA again for a program they want.
SLC Ana G Villarreal
02:02:54
It is not the right time for this discussion. We need a separate meeting.
SLC Ana G Villarreal
02:04:51
An expansion of a program is different than a new program.
SLC Sparky Harlan
02:04:52
Sometimes when programs change and have more money people are more willing to apply.
SLC Sparky Harlan
02:07:03
We need more info on the new 29 beds, too. Who is the provider? Would they operate it? Add it to the AOT discussion.
Evelyn Tirumalai
02:07:38
https://www.surveymonkey.com/r/Aug2_SLC_Feedback
SLC Sparky Harlan
02:07:40
Can we put $5 million aside for new ideas, too? For ideas generated by SLC?
SLC Sparky Harlan
02:08:28
I agree go to smaller groups. People email me after the big group at times.
Dee DeWitt
02:08:56
Thank you. I have to go to another County meeting :)
peggy Cho
02:09:55
Agree
peggy Cho
02:10:40
Thank you!
Evelyn Tirumalai
02:10:41
https://www.surveymonkey.com/r/Aug2_SLC_Feedback
SLC Armina Husic
02:10:43
thank you