Summary Community Services and Supports Plan (CSS Plan) Work

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					MENDOCINO COUNTY HEALTH HUMAN SERVICES AGENCY                                                  MENTAL HEALTH SERVICES ACT
MENTAL HEALTH SERVICES BRANCH                                                                       WINTER 2006/07
                                            Summary
                          Community Services and Supports Plan (CSS Plan)
                                                2005/06 - 2006/07 – 2007/08
                                                                                                              Page 1 of 5

Work Plan 1. Community Action for Recovery and Education (CARE) Program



The Community Action for Recovery and Education (CARE) Program is a coordinated effort to identify,
empower, and train client leadership; provide training and resources for emerging client groups; and
train MHSA partners and the community in recovery issues. CARE is a client-operated and client-driven
program of support to un/underserved clients of all ages and ethnicities.




          Strategy                            Activity                              Resp          Date     MHSA
                         Develop contract with CBO.                              MCMHD          Month 2
     a, Recovery Coach   Schedule and conduct fist 12-14 week training.          CBO            Month 3
     Program             Recruit and hire 3.00 FTE Recovery Coaches.             CBO            Month 6    $183,000
                         Begin providing services.                               Coaches        Month 7
                         Conduct second 12-14 week training.                     CBO            Month 9
                         Develop contract with CBO.                              MCMHD          Month 2
                         Recruit and Hire Resource Center Coordinator.           CBO            Month 3
     b. CARE Resource    Rent and furnish centers in up to 3 communities.        Coordinator    Month 5    $90,000
     Centers             Secure meeting space in outlying communities.           Coordinator    Month 6
                         Develop operating schedules.                            Coordinator    Month 6
                         Recruit and schedule community volunteers.              Coordinator    Month 6
                         Begin operations.                                       Coordinator    Month 7
                         Develop contract with CBO.                              MCMHD          Month 2
                         Train volunteers.                                       CBO            Month 3
     c. Warm Line        Establish toll-free number.                             CBO            Month 6    $16,000
                         Publicize in the community and promote to partners.     CBO            Month 6
                         Develop volunteer schedule.                             CBO            Month 6
                         Begin operation.                                        CBO            Month 7
                         Develop contract with CBO and MOU with UPD.             MCMHD          Month 2
     d. Mobil Crisis     Develop cross-training schedule and conduct training.   MCMHD          Month 5    1)$22,500
     Response            Develop on-call system and schedule.                    MCMHD          Month 6    2)$22,500
                         Initiate response.                                      MCMHD/UPD      Month 6
                         Begin planning program expansion.                       MCMHD          Month 12
                         Recruit and hire Client Empowerment Coordinator.        MCMHD          Month 2
     e. Client           Develop detailed job description and work plan,         Coordinator    Month 3    $25,000
     Empowerment              including training schedule.
     Coordination        Begin meeting with CBOs and client networks.            Coordinator    Month 4




CARE 06/07 MHSA Allocation: $359,000

Additional One-Time Allocations: $50,000 (CARE Mini-Grant Program for Hispanic and American Indian
                                                   communities; any age group)
                                      $15,000 (CARE brochures, flyers, and self-help educational materials)
                                      $85,000 (Intensive Peer Support/Peer Counseling Training)
                                     $150,000
MENDOCINO COUNTY HEALTH HUMAN SERVICES AGENCY                                                     MENTAL HEALTH SERVICES ACT
MENTAL HEALTH SERVICES BRANCH                                                                          WINTER 2006/07
                                              Summary
                            Community Services and Supports Plan (CSS Plan)
                                                  2005/06 - 2006/07 – 2007/08
                                                                                                                Page 2 of 5
Work Plan 2. Children and Families Services Program (CFSP)

The Children and Families Services Plan will address unmet needs throughout the county utilizing a
variety of strategies, including: Parent Partners; wraparound services; culture-specific treatment
services for Hispanic and American Indian children and families; broad screening and assessment of
very young children (ages 0-5); and coordination of Family Respite Services. The Children and Families
Service Plan will serve children of all ages with a focus on the underserved 0-5 age group and
underserved Hispanic and American Indian children.

A total of eighteen (15 inland, 3 coast) children in the 0-5 age group (identified through the Screening,
Assessment, and Treatment strategy) will receive Full Service Partnerships, and, if appropriate,
Bicultural Therapy services through contracts with Nuestra Casa (and local clinics) and Consolidated
Tribal Health Project (and local clinics).

         Strategy                                 Activity                             Resp            Date      MHSA
                           Recruit and hire Mental Health Clinician.                MCMHD             Month 3
    a, Mental Health       Develop protocol for positive screening referrals.       Clinician         Month 4
    Screening,             Identify providers for assessment and treatment.         Clinician         Month 5   $21,000
    Assessment, and        Begin accepting referrals and providing services.        Clinician         Month 5
    Treatment for
    children ages 0-5      First Five Mendocino screening up to 500 over 2 years
    countywide
                           Recruit and hire Family Respite Coordinator.             MCMHD             Month 3
                           Conduct needs/resource assessment.                       Coordinator       Month 4
    b. Family Respite      Coalesce network of foster families and community        Coordinator       Month 4
    Service Pilot                support agencies.                                                              $13,000
    Program                Develop and maintain listing of respite options.         Coordinator       Month 5
                           Publicize service in the community and promote through                     Month 5
                                 presentations to service providers.                Coordinator
                           Begin coordination of respite services.                  Coordinator       Month 5
                                        Program serves up to 40 families
    c. Bilingual/          Develop MOU with Nuestra Casa.                           MCMHD             Month 1
    bicultural therapy     Recruit and hire bilingual/bicultural clinician.         Nuestra Casa      Month 2
    for Hispanic           Publicize service countywide and promote through         Clinician         Month 2   $45,000
    children and                 presentations to service providers.
    families               Begin providing services.                                Clinician         Month 3
                                    To serve up to 200 children & families
                           Develop contracts with community partners.               MCMHD             Month 2
    d. Parent Partner      Recruit and hire Parent Partners.                        Partners          Month 3
    Program Expansion      Provide initial training.                                Partners          Month 4   $35,000
    to 5 rural             Develop schedules and work plans.                        Parent Partners   Month 4
    communities            Begin providing services.                                Parent Partners   Month 5   (5 @
    (Laytonville,                                                                                               $7,000 ea)
    Boonville, Gualala ,                      To serve up to 75
    Round Valley,
    Nuestra Casa )
                           Develop MOU with Consolidated Tribal Health Pjt.         MCMHD             Month 1
    e. Bicultural          Recruit and hire bicultural child psychologist.          Consolidated      Month 3
    Therapy for            Publicize service countywide and promote through         Psychologist      Month 4   $45,000
    American Indian              presentations to tribes and service providers.
    children               Begin providing services.                                Psychologist      Month 5
                                           To serve up to 80 children
    Office Expense                                                                                              $4,000


18 Full Service Partnerships (3 coast, 15 inland)

CFSP MHSA Allocation 06/07: $163,000
One-Time Allocation: $30,000 (Respite Care match)
MENDOCINO COUNTY HEALTH HUMAN SERVICES AGENCY                                                      MENTAL HEALTH SERVICES ACT
MENTAL HEALTH SERVICES BRANCH                                                                           WINTER 2006/07
                                              Summary
                            Community Services and Supports Plan (CSS Plan)
                                                    2005/06 - 2006/07 – 2007/08
                                                                                                                   Page 3 of 5
Work Plan 3. Transition Age Youth (TAY) Program

The Transition Age Youth program contains the initial components of a Transition Age Youth System of
Care (TSOC). Building on the principles of resiliency and recovery, the proposed strategies seek to
minimize risk factors and increase protective factors for TAY’s by assisting them to:
   • Develop healthy relationships with family, peers, mentors, employers, teachers, and counselors;
   • Access employment, education and career or vocational development;
   • Obtain housing in supportive, clean, affordable, and productive environments;
   • Access mental and physical health care;
   • Learn healthy strategies for coping with stress and setbacks; and
   • Be in control of their own lives.

The TSOC Program will serve all transition age youth, with special focus on those who are transitioning
from the foster care system, pursuing educational goals, and seeking to enter the work environment. A
total of twelve transitional age youth will receive Full Service Partnership services. Twenty-five percent
(3) of these slots will be reserved for TAY’s of Hispanic and American Indian ethnicity.

         Strategy                                   Activity                              Resp          Date       MHSA
                           Identify Congregate Living Facility operator.               MCMHD           Month 2
    a, Congregate Living   Recruit and hire House Manager.                             Operator        Month 4
    Facility               Develop protocols and procedures.                           Operator        Month 4
                           Select initial applicants.                                  Operator        Month 5    $78,860
    Serves 4 TAYs          Involve youth in development of house rules.                House Mgr.      On-going
                           Provide PSC services.                                       MCMHD           On-going
                           Provide cultural competency, gender sensitivity, and        MCMHD/          Annually
                               resiliency training.                                    Operator
                           Identify Peer Mentoring Program operator.                   MCMHD           Month 2
                           Recruit and hire peer mentors.                              Operator        Month 3
    b. Peer Mentoring      Provide training in peer support, resiliency, cultural      Operator        Month 3    $27,260
    Program                competency and gender sensitivity training
                           Begin publicizing program.                                  Operator        Month 4
    Serves 90 TAYs in      Begin providing mentoring to TAYs.                          Operator        Month 4
    Ukiah, Willits, and    Provide mentors with on-going support, supervision and      Operator        On-going
    Fort Bragg                 recognition.
    c. Family-based        Identify partners and develop MOUs.                         MCMHD           Month 2
    Support to Rural       Recruit or assign Mental Health Clinician.                  MCMHD           Month 3
    Communities            In collaboration with community partners, develop           Clinician       Month 4    $51,000
                               community schedule.
    Serves up to 120       Begin providing strength-based services.                    Clinician       Month 4
    TAYs & families        Respond to community needs for training.                    Clinician       On-going

                           Gualala , Laytonville,    Boonville   , Round Valley

                           Develop scope of work with college.                         MCMHD           Month 2
    d. Supported           Recruit College Coach.                                      MCMHD           Month 3
    Education              Develop office and group schedule.                          Coach           Month 4    $15,000
                           Develop training plan for college staff.                    Coach           Month 4
    Serves 40 TAYs         Begin publicizing and referring TAYs.                       Coach           Month 5
                           Conduct outreach activities.                                Coach           On-going
    e. Full Service        Reassign older adult clients served by PSC.                 MCMHD           Month 1
    Partnerships and       Assign TAYs to PSC and FSP slots.                           MCMHD           Month 1
    Personal Service       Begin providing PSC services.                               PSC             Month 2    $27,700
    Coordinators
                           4 FSP slots in Willits & Ukiah and funding for 4 existing
                           FSP in Ukiah


12 Full Service Partnerships
TAY System of Care MHSA Allocation 06/07: $199,820
One-Time Allocation: $27,600 (Congregate housing setup costs)
MENDOCINO COUNTY HEALTH HUMAN SERVICES AGENCY                                                       MENTAL HEALTH SERVICES ACT
MENTAL HEALTH SERVICES BRANCH                                                                            WINTER 2006/07
                                                Summary
                              Community Services and Supports Plan (CSS Plan)
                                                     2005/06 - 2006/07 – 2007/08
                                                                                                                  Page 4 of 5
Work Plan 4. Adult System of Care (ASOC) Program
The Adult System of Care (ASOC) will establish Full Service Partnerships to provide intensive services
to three distinct populations groups: homeless, or at-risk of homelessness, individuals with dual
diagnosis in Willits (10 clients); clients in Ukiah and Willits who are referred by the clinics for chronic
mental illnesses (10 clients); and clients who are or have been incarcerated (10 clients). ASOC also
includes a Crisis Residential Facility and a Revolving Housing Fund. The Adult System of Care
Program will serve homeless adults, incarcerated adults, and adults with chronic mental illnesses.

Twenty-five adults with Axis 1 diagnosis will have Full Service Partnerships. The North County
Wraparound and Ukiah/Willits Health Clinic programs will give highest priority to serving clients of
American Indian and Hispanic ethnicity. The Forensic Mental Health Program will give the highest
priority to serving females of American Indian and Hispanic ethnicity.

          Strategy                                    Activity                               Resp         Date         MHSA
                             Recruit and hire CSS (consumer).                             MCMHD         Month 2
     a, North County         In coordination with partners, enroll participants.          CSS/CSA       Month 3
     Wraparound              Provide services.                                                          Month 3       $28,000
     Services
                                                Serves 10 homeless

                             Recruit and hire CSS                                         MCMHD         Month 2
     b. Health Clinic-       Establish on-site presence at clinics.                       CSS/CSA       Month 3
     Based Full Service      In coordination with partners, enroll participants.          CSS/CSA       Month 3
     Partnerships in         Provide services.                                            CSS/CSA       Month 3       $25,000
     Ukiah and Willits


                             Recruit and hire Forensic Mental Health Coordinator          MCMHD         Completed
     c. Forensic Mental      Establish service schedule.                                  Coordinator   Month 1
     Health Program          Establish parameters for treatment team.                     Coordinator   Month 1       $30,000
                             Begin providing services.                                    Coordinator   Month 1

                             Finalize contract with Phoenix Program.                      MCMHD         Month 2       (1)
     d. 7 beds 3 beds at     Establish referral protocols and process.                    MCMHD         Month 3       One-Time
     a Regional Crisis       Begin providing services.                                    Coach         Month 4
     Residential Facility*                                                                Coach         Month 4
                                                                                          Coach         Month 5
                                                                                          Coach         On-going
     e. Start-up costs for   Finalize contract with Phoenix Program.                      MCMHD         Completed
     4-bed Single Room       Establish referral protocols and process                     MCMHD         Month 3
     Occupancy units*        Complete remodeling of SRO units and kitchen.                Phoenix       Month 4
                             Housing available.                                           Phoenix       Month 4
     e. Housing Support      North County will have first priority for $50,000 One-Time   MVMHD         To be         (2)
     for Full Service        revolving housing fund, although the funds will not be                     determined     One-Time
     Partnerships, using     limited to North County clients.
     One-Time Funds to
     establish a
     Revolving Housing
     fund
* d. 4/19/06 Revision due to lack of need. 3 beds are reserved for Mendocino County clients. Additional beds are available if
      needed, just not reserved.
 * e. 4/19/06 Revision to correct error in the CSS Plan.

Programs a, b, & c will result in a total of 25 Full Service Partnerships

ASOC MHSA Allocation 06/07: $83,000
One-Time Allocations: $200,000 (1) Regional Crisis Beds (funding for up to14 days needed by non-Medi-Cal clients)
                       $50,000 (2) Revolving housing fund
                      $250,000
MENDOCINO COUNTY HEALTH HUMAN SERVICES AGENCY                                                    MENTAL HEALTH SERVICES ACT
MENTAL HEALTH SERVICES BRANCH                                                                         WINTER 2006/07
                                                 Summary
                               Community Services and Supports Plan (CSS Plan)
                                                     2005/06 - 2006/07 – 2007/08
                                                                                                                 Page 5 of 5
Work Plan 5. Older Adult System of Care (OASOC) Program

Mendocino County’s Older Adult System of Care (OASOC) was initiated through the funds from The
California Endowment’s Mental Health Initiative in 2001. The program has successfully improved the
mental health status of many frail, home-bound older adults but gaps exist in terms of the diversity of
clients served and communities reached. The proposed expansion and enhancements to the OASOC
will provide a seamless system of services to meet serious unmet mental health needs of older adults.
OASOC’s core staff and services will continue without additional MHSA funding. The OASOC serves
mentally ill older adults who need access to mental health services, including older adults in the
Hispanic and American Indian communities.

Although the twenty-six new Full Service Partnerships (Axis 1 diagnosis) are available to older adults
from all ethnic and cultural groups, the CSS Plan builds in additional outreach to Hispanic (through
Nuestra Casa) and American Indians (through the Indian Senior Center) to address needs and
disparities.


           Strategy                                   Activity                          Resp             Date         MHSA
                              Recruit and hire MH Clinician.                         MCDSS             Month 3
      a, Geriatric            In collaboration with partners, develop schedule for   Clinician         Month 4
      Assessment and              outlying communities.                                                              $28,000
      Treatment               Begin providing treatment.                             Clinician         Month 5


                              Recruit and hire Personal Services Coordinator.        MCDSS             Month 3
      b. Intensive Client     Develop schedule for outlying communities.             PSC               Month 4       $42,500
      Driven Treatment for    Coordinate services with partners.                     PSC               On-going
      Older Adults
                              Establish priority communities.                        MCDSS             Month 6
      c. Senior Peer          Conduct targeted recruiting.                           MCDSS             Month 8
      Counseling Program      Begin 15-week training.                                MCDSS             Month 9
                              Peer counselors begin serving seniors.                 Peers             Month 12      $9,000
                              Promote program in community.                          MCDSS             On-going
                              Provide on-going support and supervision.              MCDSS             On-going
                              Provide recognition of peer services.                  MCDSS             On-going
                                         To develop up to 24 peer counselors
                              Through Nuestra Casa, recruit AmeriCorps member as     MCDSS             Month 4
      d. (1) Outreach and        Hispanic outreach worker.
      Engagement to           Provide training in peer support, etc.                 MCDSS             Month 5       $8,000
      Reduce Ethnic           Develop written outreach plan.                         Outreach Worker   Month 6
      Racial Disparities*     Promote program in community and with program          OutreachWorker    Month 6
                                 partners.
                              Provide on-going support and supervision.              MCDSS             On-going
                                                                                     OutreachWorker
                              Conduct outreach activities.                                             On-going

      d. (2) Outreach and     Through American Indian outreach worker.               MCDSS             Month 4
      Engagement to           Provide training in peer support, etc.
      Reduce Ethnic           Develop written outreach plan.                         MCDSS             Month 5
      Racial Disparities*     Promote program in community and with program          Outreach Worker   Month 6       $5,000
                                 partners.                                           OutreachWorker    Month 6
                              Provide on-going support and supervision.
                              Conduct outreach activities.                           MCDSS             On-going
                                                                                     OutreachWorker
                                                                                                       On-going
*d. (1) & (2) to serve up to 100 individuals

26 Full Service Partnerships

Older Adult System of Care MHSA 06/07: $92,500
One-Time Allocation: $15,000 (Public & provider training on senior mental wellness)
MENDOCINO COUNTY HEALTH HUMAN SERVICES AGENCY                     MENTAL HEALTH SERVICES ACT
MENTAL HEALTH SERVICES BRANCH                                          WINTER 2006/07
                                        Summary
                      Community Services and Supports Plan (CSS Plan)
                                    2005/06 - 2006/07 – 2007/08