September 21 2016 Debbie InnesGomberg PhD Program Manager III Program Support Bureau MSA Implementation and Outcomes Division MHSA 3 Year Program and Expenditure Plan Fiscal Years 201718 201819 and 201920 ID: 724379
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System Leadership Team PresentationSeptember 21, 2016Debbie Innes-Gomberg, Ph.D., Program Manager IIIProgram Support Bureau – MSA Implementation and Outcomes Division
MHSA 3 Year Program and Expenditure Plan Fiscal Years 2017-18, 2018-19 and 2019-20
County of Los Angeles – Department of Mental HealthSlide2
MHSA 3 Year Plan ConsiderationsSlide3
Community Services and Supports (CSS) PlanCSS Work Plan Consolidation proposalAligning our system of care services with our current and future priorities
Key focal populationsService approachesEnsuring services are effectiveWork group participationSlide4
CSS Work Plan ConsolidationWith each new work plan that has been added to the General Systems Development (GSD) part of the Community Services and Supports Plan, specific funding categories have been added which have created fiscal and programmatic challenges for our provider network.
In order to address this and to move in a direction that will be necessary in the future, the Department is proposing to consolidate GSD work plans.Slide5
CSS Work Plan Consolidation
POE
FSP
Alternative Crisis Services
Non-FSP
Linkage
Housing
POE Teams
Community Health
PromotersFSPFCCS (part of)Family Support Services (C)Family Crisis/Respite Care (C)Residential & BridgingUrgent Care CentersIMD Step Down/Enriched Residential Services (A)Countywide Resource ManagementMental Health-Law Enforcement Partnerships (MHSA funded)FCCS (part of)Wellness/Client Run Centers (A)TAY Drop In CentersProbation Camp Services (T)TAY Supported EmploymentFamily Wellness Resource Centers (C)Integrated Care Programs Jail Linkage & Transition (A)Service Area NavigationHousing for TAY and AdultHousing specialistsMHSA Housing ProgramHousing Trust FundHousing support team for No Place Like Home
(A) - Adults (C) - Children (T) - Transition Age YouthSlide6
Implications for CSS Work Plan ConsolidationAdministrative efficiencyFor DMH: Fewer amendments
For providers: Will allow for the provision of a range of services that meets a client/family’s needs without transitioning clients between programs or juggling fundingBenefits for clients and families: Supports a more seamless system of careSlide7
CSS Work Plan Consolidation Work Group Tasks
FSP:Agree upon a method for determining what portion of FCCS will migrate to FSPReview FSP criteria from CSS Regulations
Operationally define “at risk of”
Ensure adequate service area capacity for FSP
Define service intensity and frequency for level 4 and 3 FSP
Identify outcome benchmarks by age groupSlide8
CSS Work Plan Consolidation Work Group TasksNon-FSP:
Map service continuum by age groupIdentify any service continuum gapsDevelop service expectationsIdentify outcome measures by age group
Symptom-based outcome measure (OQ, YOQ, IMR, health measures, etc.)
Functional outcomes relevant to serviceSlide9