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MHSA SLC meeting - Shared screen with speaker view
GuAna Gabriela
35:56
Hello, it says I cannot unmuted myself because host muted me. Ana G Villarreal, MHSA SLC, Faith Communities
Alma Martinez
35:58
Hello Eveyone,
June Klein
35:59
I cannot unmute - June Klein, BHB board member
Kathy Forward
36:02
I can't unmute....Kathy Forward, NAMI-Santa Clara County, family member
Alma Martinez
36:17
Alma Martinez from Alum Rock Counseling Center
Thanh Do (he/him/his)
36:29
Thanh Do, FIRST 5, representing children and families.
Cheryl Engelstad
36:50
Cheryl Engelstad-Starlight Community Services- SLC
June Klein
37:03
Cannot unmute myself
john cookinham
37:03
John Cookinham, CFO HHS Finance
SLC Peggy Cho
37:06
My name is Peggy Cho of Santa Clara County Behavioral Health, representing consumer.
Dolores Garcia
37:44
Dolores Garcia - Mental Health Systems- social services SLC
June Klein
37:52
Cannot chat
Cheryl Engelstad
37:55
I can chat but not unmute.
SLC Ana G Villarreal
38:06
I still have issues muting and unmuting; Chat is good.
Elisa Koff-Ginsborg
38:15
Elisa Koff-Ginsborg, Behavioral Health Contractors' Association (BHCA)
June Klein
38:34
Can you unmute me?
June Klein
38:41
I am able to chat
June Klein
38:45
thanks
SLC Sparky Harlan (she/her)
39:06
It seems like once you mute yourself it won't let you unmute again.
SLC Lorraine Zeller
39:29
Lorraine Zeller, SLC member -Community Living Coalition - representing consumers
Robin.Daniels iPhone iOS 11.3.1 HG6X
39:42
Robin Daniels-Wilson, BHSD, CJS
Armina Husic
40:38
Hi all, SLC, Armina Husic representing Refugee and Immigrant Forum of Santa Clara County
Roshni Shah
41:54
If you are able to unmute for any reason, please kindly raise your hand or post in the chat, and we will take your comments. We are working to resolve the technical issues. Apologies in advance for the inconvenience with this different platform.
Don Taylor
52:32
the FY23 state revenue forward is very low. I have heard that revenue projections are better than initially projected with covid impact. Given that, it seems that reanalysis should be done.
Erin O’Brien
55:00
What are the assumptions for Projected Spend? Current utilization, MFO, …?
SLC Sparky Harlan (she/her)
55:09
does 25 include Allcove!
SLC Sparky Harlan (she/her)
55:39
Allcove should not be assumed to continue because it is so costly.
SLC Sparky Harlan (she/her)
58:59
I think we need consider that any INN projects that were supposed to be one-time be put at the bottom of the funding pool in 2025 and if the funding goes up then we consider Allcove for on-going funding. That way we do control it.
Erin O’Brien
01:00:26
But what are these projections based on?
SLC Lorraine Zeller
01:01:39
How do we balance control of funding with number of clients served and client outcome measures?
SLC Sparky Harlan (she/her)
01:01:40
I need to send him the article that millionaires are still here.
SLC Sparky Harlan (she/her)
01:04:08
It includes AlCove costs in 2025
SLC Ana G Villarreal
01:04:43
Good job finance people on this reader friendly data!
Elisa Koff-Ginsborg
01:07:26
How many approved FTEs are not filled?
Don Taylor
01:12:04
Elisa just highlighted a very important point. As we move to the next phase of covid and continued increased behavioral health need, there is concern about having potential cuts now to core services to prep for 5 years from now.
SLC Sparky Harlan (she/her)
01:13:30
I do not want to do across the board cuts.
Elisa Koff-Ginsborg
01:14:24
Is the CSS ending balance on top of the Prudent Reserve? If so, what is the prudent reserve?
SLC Sparky Harlan (she/her)
01:20:00
We should not add reserve on top of prudent reserve.
Don Taylor
01:20:09
similar to what was done with general fund, I think there are opportunities with MHSA to better leverage state/fed funding to offset any MHSA reductions. That way services can be maintained.
SLC/BHB June Klein
01:21:08
Do we have a process to prioritize ALL programs including on going programs?
SLC/BHB June Klein
01:27:25
Great conversation and education process!
SLC Sparky Harlan (she/her)
01:27:57
None. We need to know if we can come up with other options. Like no additional reserve.
Don Taylor
01:28:40
I would really like to look at other methods of savings/leveraging rather than moving to cuts now.
SLC Sparky Harlan (she/her)
01:29:03
Yes, can we leverage federal dollars.
SLC Ana G Villarreal
01:29:07
I prefer scenario C for both PEI and CSS
SLC Lorraine Zeller
01:29:30
Yes, we need to look at outcomes.
SLC Lorraine Zeller
01:29:58
I agree with June.
SLC Sparky Harlan (she/her)
01:32:15
or cut MFOs that are significantly underspent with the promise that it would be added back in if revenue is rosier than we are planning.
SLC Sparky Harlan (she/her)
01:32:41
So we are not making permanent cuts if revenue is better
SLC Ana G Villarreal
01:32:53
Agree Sparky
SLC Cheryl Engelstad
01:32:54
agree with Sparky, how does money get put back in.
SLC/BHB June Klein
01:33:30
I think thinking about broad priorities is important and cannot be done in one hour
SLC Ana G Villarreal
01:34:30
Agree
SLC Peggy Cho
01:35:24
Sorry I have to go. Thanks! Have a good evening!
SLC Lorraine Zeller
01:35:46
Some of us who aren't CBO or BHSD executives or managers don't understand MFO's. I hope we can have more conversations including consumers, but we'd need more education. How can we do this?
SLC Kathy Forward
01:37:33
Unutilized funds need to be considered.
SLC/BHB June Klein
01:37:38
Real cuts require real priorities
SLC/BHB June Klein
01:37:47
This is an important process and it is missing
SLC Ana G Villarreal
01:38:12
Agree with June!
SLC/BHB June Klein
01:38:28
Across the board cuts is based on best practices - we want to see what the outcomes based on the strategic priorities and make decisions.
SLC Sparky Harlan (she/her)
01:38:31
Maximum Financial Obligation. It is like the BHD says that you can spend up to $2 million but CBOs only spend $1 million. The extra $1 million is still obligated but is not really spent.
SLC Lorraine Zeller
01:38:32
Yes!!
SLC Ana G Villarreal
01:38:45
Yes, thanks Elisa
SLC Lorraine Zeller
01:38:55
Thank you Sparky. :-)
SLC/BHB June Klein
01:39:16
Sorry - Across the board cuts SHOULD BE based on best practices and strategic priorities
SLC Sparky Harlan (she/her)
01:39:59
BWC actually gave back $1 million last year in MFO capacity we never spent so others could use it
SLC Lorraine Zeller
01:40:01
Yes, lot of CBOs represented here. I agree with Wes.
SLC Kathy Forward
01:40:30
Outcomes important, not just number of clients served.
SLC Armina Husic
01:42:48
sorry I have another meeting to go-see you tomorrow
SLC Sparky Harlan (she/her)
01:43:09
Remember outcomes are not always apples to apples. Are the clients served the same level?
SLC Ana G Villarreal
01:43:12
I have to go to everyone. See you tomorrow!
SLC Christophe E. Rebboah, LMFT, CEO
01:43:45
All decisions should only be made in the best interest of the community need based on outcomes. This is not a self serving exercise for CBO’s. However, being fiscally conservative is the responsible approach.
SLC Cheryl Engelstad
01:43:58
As a CBO person, I don't give input or vote based on contracts for my CBO, but on the needs of the community and information given to us in this forum. Certainly, the data from ADA informed many decisions in the process.
SLC Sparky Harlan (she/her)
01:44:37
agree with Cheryl. I am working on Mobile Crisis and BWC will not be applying for it. It is important for our community.
Evelyn Tirumalai (She/Her)
01:45:35
https://www.surveymonkey.com/r/Mar4_SLC_Feedback