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Health Services Department, Mental Health Division, recommending the Board approve and authorize implementation of the following:
1) Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) and Workforce Education and Training (WET) FY 2011-12 plan updates.
2) Mental Health Services Act (MHSA) Capital Facilities and Technology Needs (CFTN) initial plan.
FUNDING: State Mental Health Services Act (MHSA) Funds.
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BUDGET SUMMARY:
The following funds have been received from the State for these components:
MHSA Component Amount
WET $26,018
PEI $231,259
CFTN $1,624,100
Fiscal Impact/Change to Net County Cost:
No change. The MHSA funding was anticipated in the FY 2011-12 Recommended Budget for the Mental Health Division (MHD). There is no Net County Cost associated with the MHSA plans.
Background:
Effective March 24, 2011, Assembly Bill (AB) 100 amended several sections of the MHSA, including elimination of the requirement that the Department of Mental Health (DMH) and the Mental Health Services Oversight and Accountability Commission (MHSOAC) review, comment on, and approve county plans, annual updates, or other updates. With the elimination of this requirement, final approval of county MHSA plans was transferred to the local county level.
On May 17, 2011, the Board reviewed the proposed PEI, WET, and CFTN plan documents and authorized the Director of the Health Services Department to submit to the State Department of Mental Health a funding request for all previous FY funds available for the WET, PEI, and CFTN components. At that time, the required thirty day public review process was in progress. The public review process and the Mental Health Commission hearing process have now been completed and MHD is returning to the Board with the final plans (including stakeholder comments and MHD responses) in order to obtain approval to implement the plan activities.
Reason for Recommendation:
The following summarizes the plans and the public review process.
Prevention and Early Intervention and Workforce Education and Training Plans
The FY 2011-12 PEI and WET plan updates (Attachment 2A) reflect updates to the FY 2010-11 plans previously approved by the Board of Supervisors and DMH. The FY 2011-12 plan update documents were posted for the required thirty day community review process which ended on May 21, 2011. No public hearing is required for those previously approved plans. Community feedback received during the review process has been addressed as part of the plan update. Board approval of the PEI and WET FY 2011-12 plan updates will enable the MHD to continue to provide services under the previously approved PEI and WET plans.
Capital Facilities and Technological Needs Plan
The Capital Facilities and Technological Needs Plan (Attachment 2B) reflects the recommended MHD plan, developed with input from the community collaborative planning process and in consultation with the County's Information Technology Department. The CFTN plan is designed to support implementation of electronic health records, purchase and implementation of clinical assessment and measurement tools, expansion of care pathways facilitating referrals and information flow with health partners, and enhanced use of telepsychiatry and video conferencing. The plan documents were posted for the required thirty day community review process which ended on May 28, 2011. A noticed Public Hearing was conducted by the El Dorado County Mental Health Commission on June 3, 2011, accessible via teleconference at two locations: 1) 670 Placerville Dr., 2nd Floor, Placerville, and 2) the Mental Health Clinic conference room, 1900 Lake Tahoe Blvd, South Lake Tahoe. Community feedback received during the review process has been addressed as part of the plan update. Board approval of the CFTN plan will enable the MHD to implement its CFTN plan.
Action to be taken following Board approval:
The Department will implement the PEI, WET, and CFTN plan activities.
Contact:
Neda West, Health Services Department