Services that Change Lives

302 Pages·2015·2.27 MB·English

2015 MHSA County Programs:
Services that
Change Lives
A report created by NAMI California | 2015
Acknowledgements
NAMI California is pleased to present its 2015 MHSA County Programs: Services that Change Lives.
This Report is a list of county-level programs carried out by diferent organizations and individuals throughout the
state funded by the Mental Health Services Act (MHSA). NAMI California would like to acknowledge and extend its
gratitude to those who contributed to this document’s creation.
Eleven years ago, California voters took a giant step forward by passing Proposition 63, the ballot measure that
created the MHSA. The Act’s passage provided the frst opportunity in many years to increase funding and other
resources to support county mental health programs.
In its fourth year, this Report’s data highlights the hard work undertaken by each County Behavioral Health Director
and his or her staf. We are grateful for their tremendous assistance in gathering this important information and
implementing these valuable programs.
We also would like to highlight our NAMI California Board of Directors, afliates and members. We are extremely
appreciative of your continued support and dedication. This Report is just one of the many eforts that would not
be possible without your hard work and commitment. Every year, NAMI California’s staf dedicates hundreds of
hours of hard work compiling and fact-checking all of this information.
Perry Communications Group lent its expertise in drafting the Report’s introductory documents and aided in its
statewide dissemination.
Established two years ago through the passage and signing of Senate Bill 82, the Investment in Mental Health
Wellness Act of 2013 expands crisis services statewide that help Californians with mental illness lead improved
lives. Senate Bill 82 provides crucial funding for crisis stabilization facilities, mobile crisis response teams, and
triage personnel placed at various facilities. These services are an important supplement to MHSA’s community
programming. Funds have been distributed and continue to be allocated to counties from the Mental Health
Services Oversight and Accountability Commission and the California Health Facilities Financing Authority. For the
frst time, this Report includes Senate Bill 82 funded programs.
We recognize the Senate Budget and Fiscal Review Committee who instated Senate Bill 82: Senator Mark Leno,
Senator Bill Emmerson, Senator Joel Anderson, Senator Jim Beall, Senator Tom Berryhill, Senator Marty Block, Senator
Mark DeSaulnier, Senator Loni Hancock, Senator Jerry Hill, Senator Hannah-Beth Jackson, Senator Bill Monning,
Senator Jim Nielsen, Senator Richard Roth, Senator Norma Torres, Senator Rod Wright and Senator Mark Wyland. We
also recognize Senate Pro Tem Emeritus Darrel Steinberg for his leadership in the passage of Senate Bill 82.
The combined work and support of all of these people has truly made a diference.
Thank you,
Sergio Aguilar-Gaxiola, MD, PhD Jessica Cruz, MPA/HS
President Executive Director
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2015 MHSA County Programs: Services that Change Lives
In 2004, Proposition 63’s passage established the Mental Health Services Act (MHSA). It provides a broad
continuum of prevention, early intervention and treatment as well as the necessary infrastructure, technology and
advancement of the mental health workforce to support the California public mental health system.
For the fourth consecutive year, the National Alliance on Mental Illness, California (NAMI California) has taken
the lead in compiling a list of MHSA-funded programs throughout the state in a county-by-county listing that
comprises this year’s report – 2015 MHSA County Programs: Services that Change Lives.
An estimated one in fve adults in California – about 16 percent of the adult population – have mental health care
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needs. We know the best treatments for serious mental illnesses today are highly efective; between 70 and 90
percent of individuals have signifcant reduction of symptoms and improved quality of life with a combination of
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pharmacological and psychosocial treatments and supports.
The need for these services is immense, especially for those in California facing a potentially disabling mental illness
that lack public or private health insurance. Services span the following MHSA core program components:
n Community services and supports
n Capital facilities and technological needs
n Workforce education and training
n Prevention and early intervention
n Innovation
Without access to needed services, the result is devastating to individuals and their families. We must recognize
that the Mental Health Services Act provides only a portion of the funding needed to ensure people living with
mental illness and their families receive the appropriate and necessary services and treatment. Although we have
come a long way, much work needs to be done. This report is intended to:
n Raise awareness of the MHSA funded programs and services available for Californians living with chronic and
persistent mental illness as well as their families.
n Ofer Californians – policymakers, thought leaders and residents – a more detailed understanding of the critical
services available for those living with a chronic and persistent mental illness, detail the impact mental illness
has on families and highlighting where gaps may exist.
n Showcase approximately 1,500 programs developed and implemented statewide that serve hundreds of
thousands of Californians from all walks of life.
n Provide background on the programs and the tailored supports that tend to the individual needs of diverse
clientele by region.
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Changing Lives: MHSA Programs, Services and Successes
All told, in the past 11 years, Proposition 63 has raised more than $11 billion and helped hundreds of thousands
of individuals move forward on their paths to treatment and recovery of mental illness. MHSA programs have
contributed signifcantly in helping reduce the long-term, negative impact that untreated serious mental illness
has on individuals and families as well as state and local budgets.
Counties receive funding to provide “whatever it takes” treatment for people with serious mental illness. Through
stakeholder input, counties tailor mental health programs and support to meet their population’s needs. This
freedom and fexibility has led to the development of innovative care models – some of which are highlighted in
the pages that follow.
MHSA County Program Highlights
n PEI African American Cultural Center (AAFCC)
Butte County
Numerous counties are using prevention and early intervention (PEI) approaches to engage individuals before
the development of serious mental illness or serious emotional disturbance by facilitating access to services
and support at the earliest signs of mental health struggles. Butte County’s African American Family and
Cultural Center (AAFCC) partners with a community advisory team to ensure youth and their families connect
to behavioral health services and provide programs in areas and at locations where community members are
already gathering. The program also received $300,000 for the 2014-15 fscal year.
n OC4VETS
Orange County
OC4VETS is an innovative peer-to-peer program for veterans and their families, most of who have experienced
behavioral health issues and are in recovery. These peers provide navigation and solid connections with
existing community resources. They use the “buddy system” that is familiar to all military veterans to provide
assistance without creating a sense of dependence.
In partnership with the OC Community Resources Veterans Service Ofce and the Workforce Investment Board,
OC4VETS provides screenings and case management. Services also include housing, job skills enhancement,
employment, work sustainment coaching and other services.
n High School Training
Sacramento County
Sacramento’s high school training program, built on partnerships among Mental Health Plan providers, the
Cultural Competence Committee, community partners and other interested stakeholders, focuses on exploring
public mental health career opportunities for high school youth.
The program addresses issues of stigma and discrimination with the goal of increasing the understanding of
mental health issues from diverse racial and ethnic perspectives.
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n Mobile Support Team (MST)
Sonoma County
Licensed mental health clinicians, certifed substance abuse specialists, mental health consumers and families
staf Sonoma’s Mobile Support Team (MST). The program takes an integrated approach, with licensed clinicians
working side by side with law enforcement and the MST to support crisis response.
The MST staf is trained in law enforcement tactics, participates in ride-along trainings and receives training in
Detoxifcation and Psychiatric Emergency Services procedures and protocols.
Consumers and family members are a key resource not only to mitigate further crisis but also to create
relationships with law enforcement ofcers in order to reduce stigma and increase awareness.
About the Report: Organization, Preparation, Methodology & Timeline
Organized by county, the Report lists and describes each county’s MHSA program, population served, and the
name and contact information for each county’s MHSA coordinator and/or website link. NAMI California gathered
data for this Report by contacting all 59 California Behavioral Health Departments and by reviewing county plans
and annual updates.
n In March, the information-gathering process begins when NAMI California sends a letter to the county
behavioral health director and includes a link to last year’s report. We request that they review all county-
specifc data to ensure accuracy and completeness, as well as inform us of any program changes and update
all relevant contact information.
n Between April and June, we contact each county and request updated program information and answer
questions, particularly for any new county staf.
The report’s goal is to provide a comprehensive picture of which programs exist in each county on a year-to-year
basis. This document is a survey, not an analysis of program efectiveness. By providing up-to-date information
on program availability, consumers, family members and advocates have the best information by which to access
services and advocate for services in local communities.
As evidenced by this Report’s contents, the support of county mental health directors and their staf in the
preparation of this Report is critical. The county-specifc data they compile helps NAMI California create a
comprehensive list of statewide MHSA programs.
This year, we also requested information regarding triage personnel and programs funded by SB 82 (The
Investment in Mental Health Wellness Act) from each county. These are notated in the Report.
Thankfully, the vast majority of counties provide a response to NAMI California inquiries. But participation isn’t 100
percent. For the counties that do not reply, we rely on the three-year program plans available via county websites
to update the report. The report is fuid and changes each year; therefore we also provide a fnal draft to each
county, and to the Mental Health Services Oversight and Accountability Commission for review and give them the
opportunity to update and provide feedback. Once the fnal Report has been reviewed and approved an electronic
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copy is sent to each County Mental Health Director, NAMI California Afliate and all California Legislators. A copy
can also be found on the NAMI California website at www.namica.org.
About NAMI California
The National Alliance on Mental Illness, California (NAMI California) is the largest membership organization
comprised of families and individuals afected by a chronic and persistent mental illness in the state. As a nonproft
grassroots organization, we advocate for lives of quality and respect, free from discrimination and stigma, and
provide leadership in advocacy, legislation, policy development, education and support throughout California.
NAMI California has 62 local afliates and represents 19,000 paid members. NAMI California and its afliates educate
families, individuals, professionals and the public about scientifc research into neurobiological brain disorders,
provide peer and family support groups, and promote stigma reduction and social inclusion.
NAMI California and its afliates strongly supported Proposition 63, which established the MHSA. We are grateful for
the willingness of California voters to support this legislation.
Overview: Proposition 63
In November 2004, California voters passed Proposition 63, also known as the Mental Health Services Act (MHSA).
The ballot measure improved and expanded public mental health services and established the Mental Health
Services Oversight and Accountability Commission (MHSOAC) to provide oversight, accountability and leadership
on issues related to public mental health.
Prior to Proposition 63’s passage, California’s public mental health funding was insufcient to meet the demand for
services. County authorities estimated that approximately half the population in need of public mental health care
was not receiving it. The majority of mental health funding went to treatment for individuals with the most severe
and persistent mental illness, state hospitals and the criminal justice system. For this reason, California’s mental
health delivery system was frequently portrayed as a “fail frst” model. Instead of providing services to those in
need before a problem arose, the “safety net” of an under-funded system had become the de facto criminal justice
system, the courts, and emergency rooms.
In its March 2003 Report, the California Mental Health Planning Council estimated between 500,000 and 1.7
million Californians needed mental health services but failed to receive care. In addition, cultural, racial and ethnic
populations were disproportionately afected because they use fewer mental health services.
Children under 18, for whom early diagnosis and treatment are critical, were especially underserved. Estimates
indicate that 75 to 80 percent of all children requiring mental health services were not receiving them.
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Conclusion
MHSA-funded programs help people living with mental illness lead improved lives and achieve recovery. The
recent expansion of funding for community based mental health services through the Investment in Wellness
Act of 2013 is signifcant. Focusing on recovery and resilience, these programs provide one more element that
will continue to expand California’s mental health delivery system and get treatment to the people who need it
most.
NAMI California supports the direction of MHSA funds to help promote the Act’s intent of a community based
system of care on which the individuals and families impacted by mental illness rely. The organization further
supports the expansion of funding to provide services to those Californians living with a serious mental illness,
including the Investment in Wellness Act of 2013, and for critical statewide prevention and early intervention
programs. Through collaboration and commitment, we can continue to strengthen our network of support for
all families living with mental illness. NAMI California stands frm in that commitment.
1. A Complex Case: Public Mental Health Delivery and Financing in California
2. www2.nami.org/Content/NavigationMenu/Inform_Yourself/About_Mental_Illness/About_Mental_Illness.htm
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Table of Contents
Alameda ....................................................................................................1 Orange ................................................................................................. 112
Alpine ..........................................................................................................5 Placer ..................................................................................................... 125
Amador ......................................................................................................8 Plumas .................................................................................................. 133
Berkeley City ........................................................................................ 11 Riverside .............................................................................................. 134
Butte ......................................................................................................... 14 Sacramento ....................................................................................... 140
Calaveras ................................................................................................ 16 San Benito .......................................................................................... 150
Colusa ...................................................................................................... 18 San Bernardino ................................................................................ 151
Contra Costa ........................................................................................ 20 San Diego ........................................................................................... 156
Del Norte ............................................................................................... 26 San Francisco.................................................................................... 191
El Dorado ............................................................................................... 27 San Joaquin ....................................................................................... 197
Fresno ...................................................................................................... 31 San Luis Obispo .............................................................................. 200
Glenn ........................................................................................................ 41 San Mateo .......................................................................................... 206
Humboldt .............................................................................................. 42 Santa Barbara ................................................................................... 212
Imperial ................................................................................................... 44 Santa Clara ......................................................................................... 216
Inyo ............................................................................................................ 49 Santa Cruz .......................................................................................... 223
Kern ........................................................................................................... 50 Shasta .................................................................................................... 229
Kings ......................................................................................................... 54 Sierra ...................................................................................................... 232
Lake ........................................................................................................... 58 Siskiyou ................................................................................................ 233
Lassen ...................................................................................................... 60 Solano ................................................................................................... 233
Los Angeles .......................................................................................... 63 Sonoma ............................................................................................... 242
Madera .................................................................................................... 76 Stanislaus ............................................................................................ 248
Marin ........................................................................................................ 78 Sutter-Yuba ........................................................................................ 256
Mariposa................................................................................................. 84 Tehama ................................................................................................ 265
Mendocino ........................................................................................... 85 Tri-City Mental Health Services .............................................267
Merced .................................................................................................... 89 Trinity..................................................................................................... 270
Modoc ..................................................................................................... 95 Tulare ..................................................................................................... 271
Mono ........................................................................................................ 96 Tuolumne ........................................................................................... 279
Monterey ............................................................................................... 98 Ventura ................................................................................................. 282
Napa ...................................................................................................... 105 Yolo ......................................................................................................... 290
Nevada ................................................................................................. 110
ACRONYM KEY:
MHSA Mental Health Services Act
CSS Community Services & Supports
FSP Full Service Partnership
OESD Outreach & Engagement/System Development
PEI Prevention & Early Intervention
WET Workforce Education & Training
CFTN Capital Facilities & Technology
INN Innovation
SB 82 Senate Bill 82 funded program (Triage Personnel and CHFFA grants are specifed)
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MHSA Funded Programs Statewide ‐ By County
Compiled by NAMI California, July 2015
County Program Name Component Program Description Website County/City MHSA
Program Contact
ALAMEDA
Alameda Support Housing for TAY CSS - FSP Provides permanent supportive housing for youth who are homeless, aged out of foster care, leaving the justice http://www.acbhcs.org/MHSA/ ACCESS Line:
system or residential treatment. overview.htm 800-491-9099
Alameda Greater HOPE CSS - FSP Adds housing, personal service coordination and medication capacity to existing mobile homeless outreach http://www.acbhcs.org/MHSA/ ACCESS Line:
provider in South and East County. overview.htm 800-491-9099
Alameda CHOICES for Community CSS - FSP Integrates supportive housing, supportive employment, peer counseling and case management to enable clients http://www.acbhcs.org/MHSA/ ACCESS Line:
Living/ Recovery to graduate from Service Teams system. overview.htm 800-491-9099
Education Centers
Alameda Forensic Assertive CSS - FSP Creates a multi-disciplinary community treatment team and community support center for adults with extensive http://www.acbhcs.org/MHSA/ ACCESS Line:
Community Treatment criminal justice histories and those experiencing their frst or second incarceration. overview.htm 800-491-9099
Alameda Mental Health Court CSS - OESD Team of mental health staf at Alameda courtrooms to provide assessment, treatment and advocacy for http://www.askferc.org/uploads/ 510-627-4992
Specialist defendants with serious mental illness (SMI). docs/resources/alameda_cty-court_
County Program Name Component Program Description Website County/City MHSA
Program Contact
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