Information Notice 10-01 enclosure 3 by pengtt

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									2010/11 ANNUAL UPDATE                                                                                                                                       EXHIBIT A
                                                                             COUNTY SUMMARY SHEET

This document is intended to be used by the County to provide a summary of the components included within this annual update or update. Additionally, it serves to
provide the County with a listing of the exhibits pertaining to each component.

County:          SIERRA
                                                                                                      Exhibits

                                                   A      B      C     C1    D    D1*   E   E1   E2   E3   E4      E5   F**      F1** F2** F3** F4** F5** G*** H****
For each annual update/update:

 Component        Previously          New
                  Approved
  CSS               $731,018         $731,018

   WET              194,630         263,061

   CF                   0           157,500

   TN
                        0               0

   PEI
                    133,635         181,986

   INN
                        0           138,138

Total              $1,059,283      $1,471,703


Dates of 30-day public review comment period:                                                           May 14, 2010 - June 15, 2010
Date of Public Hearing*****:                                                                                     June 23, 2010

Date of submission of the Annual MHSA Revenue and
Expenditure Report to DMH:                                                                                       July 6, 2010
*Exhibit D1 is only required for program/project elimination.
**Exhibit F - F5 is only required for new programs/projects.
***Exhibit G is only required for assigning funds to the Local Prudent Reserve.
****Exhibit H is only required for assigning funds to the MHSA Housing Program.
*****Public Hearings are required for annual updates, but not for updates.
                                        Sierra County 
                                   Mental Health Services Act

                                2010/11 Annual Plan
                                      Table of Contents

Exhibit B    County Certification                                                      2
Exhibit C    Community Program Planning/Local Review Process                           3
Exhibit C1   Implementation Progress Report on FY 08/09 Activities                     4‐5
Exhibit D    Previously Approved Program Updates
             CSS                                                                       6‐7
             WET                                                                       8‐12
             PEI                                                                       13
Exhibit E    MHSA Summary Funding Request                                              14
Exhibit E1   CSS Budget Summary                                                        15
Exhibit E2   WET Budget Summary                                                        16
Exhibit E3   CFTN Budget Summary                                                       17
Exhibit E4   PEI Budget Summary                                                        18
Exhibit E5   INN Budget Summary                                                        19
Exhibit F    New Program/Project Budget Detail/Narrative
             Ongoing WET                                                               20‐21
             Peer Mentor/Parent Partner                                                22‐23
             Teen Center/Middle School                                                 24‐25
             Student Assistance Program                                                26 27
                                                                                       26‐27
Exhibit F2   Capital Facilities New and Existing Project Description                   28‐29
Exhibit F4   PEI New Program Description                                               30‐31
Exhibit F5   INN New Program Description                                               32‐34
Exhibit I    Training, Technical Assistance and Capacity Building Funds Request Form   35
Appendix A   2010 Innovations ‐ Teen Center Wish List/$ Estimates                      36




                                                       1
2010/11 ANNUAL UPDATE                                                                   EXHIBIT B

                                        COUNTY CERTIFICATION


County: SIERRA

          County Mental Health Director                             Project Lead

    Name: Carol Roberts, Ph.D.                     Name: Kara Yegge, MHSA Coordinator

    Telephone Number: 530-993-6700                 Telephone Number: 530-993-6744

    E-mail: croberts@sierracounty.ws               E-mail: kyegge@sierracounty.ws

    Mailing Address:
                                  Sierra County Human Services
                                           PO Box 1019
                                        Loyalton, CA 96118


I hereby certify that I am the official responsible for the administration of county mental health
services in and for said county and that the County has complied with all pertinent regulations,
laws and statutes for this annual update/update, including all requirements for the Workforce
Education and Training component. Mental Health Services Act funds are and will be used in
compliance with Welfare and Institutions Code section 5891 and Title 9 of the California Code of
Regulations section 3410, Non-Supplant.

This annual update has been developed with the participation of stakeholders, in accordance
with sections 3300, 3310, subdivision (d), and 3315, subdivision (a). The draft FY 2010/11
annual update was circulated for 30 days to stakeholders for review and comment and a public
hearing was held by the local mental health board of commission. All input has been
considered with adjustments made, as appropriate.

The County agrees to participate in a local outcome evaluation for the PEI program(s) identified
in the PEI component. 1

The County Mental Health Director approves all Capital Facilities and Technological Needs
(CFTN) projects.

The County has complied with all requirements for the Workforce Education and Training
component and the Capital Facilities segment of the CFTN component.

The costs of any Capital Facilities renovation projects in this annual update are reasonable and
consistent with what a prudent buyer would incur.

The information provided for each work plan is true and correct.

All documents in the attached FY 2010/11 annual update/update are true and correct.



_________________________________                     __________________________________
Mental Health Director/Designee (PRINT)               Signature                    Date


1
  Counties with fewer than 100,000 residents, per Department of Finance demographic data, are exempt
from this requirement and may strike this line from the certification.
2010/11 ANNUAL UPDATE                                                                                EXHIBIT C

                                      COMMUNITY PROGRAM PLANNING
                                       AND LOCAL REVIEW PROCESS
 County: SIERRA

 Date: MAY 2010

 Instructions: Utilizing the following format please provide a brief description of the Community Program Planning and
 Local Review Processes that were conducted as part of this annual update/update per title 9 of the California Code of
 Regulations, sections 3300 and 3315.

 Counties may elect to attach the Mental Health Board meeting minutes in which the annual update was discussed if it
 provides additional information that augments the responses to these questions.

                                        Community Program Planning
1. Briefly describe the Community Program Planning (CPP) Process for development of the FY
    2010/11 annual update/update. Include the methods used to obtain stakeholder input.
Community Planning has been integral in each step of each plan proposal. Through the combination of
Townhall meetings, MHSA Coordinator presence in mental health department waiting rooms to gather opinion
and commentary, public hearings, advertisements in local media and websites, flyers at heavily trafficked-
locations in each population center across the county, every effort is made to gather stakeholder input. Once
the plans have been written incorporating all public commentary as appropriate, the plans are posted for 30-
review on the county website at www.sierracounty.ws, and hard copies are provided to Human Services
agencies on both sides of the county as well as partner agencies such as the Family Resource Center, County
Clerk/Recorders office, and the Sierra-Plumas Joint Unified School District office.

2. Identify the stakeholder entities involved in the Community Program Planning (CPP) Process.
Stakeholders involved in the Community Program Planning process include county mental health and
drug/alcohol consumers and family members, Human Services agency staff (includes Public Health, Social
Services, and Eligibility staff), parents and students, Sierra-Plumas Joint Unified School District personnel,
Sierra County Children’s & Families Commission/First 5, Senior Centers from both sides of the county, Sierra
County Literacy Program, High Sierras Family Resource Center, Sierra County Child Care Council, Law
Enforcement and Probation, faith-based communities and youth groups, Sierra County Prevention and
Community Outreach staff, as well as members of the community who also dually represent local businesses.

3. If eliminating a program/project, please include how the stakeholders were involved and had the
     opportunity to participate in the decision to eliminate the program/project.
n/a
                                             Local Review Process
4. Describe methods used to circulate, for the purpose of public comment, the annual update or
     update.
This annual plan will be posted on the county website at www.sierracounty.ws from May 14, 2010 through
June 15, 2010 for public review and commentary. Hard copies will be made available at each Human Services
office on both sides of the county as well as the Clerk/Recorder’s office. Final public hearing to approve the
Annual Plan was held during the June 23, 2010 Mental Health Advisory Board meeting. Public comment
expressly supported the Teen Center Innovations Proposal; no substantive changes were suggested.

5. Include substantive comments received during the stakeholder review and public hearing,
   responses to those comments, and a description of any substantive changes made to the proposed
   annual update/update that was circulated. The County should indicate if no substantive comments
   were received.
No substantive comments were received during the 30-day review period, or during the 6/23/10 public hearing.

                                                                                                                         3
2010/11 ANNUAL UPDATE                                                                                      EXHIBIT C1
                                     IMPLEMENTATION PROGRESS REPORT
                                           ON FY 08/09 ACTIVITIES
County: SIERRA

Date: MAY 2010

Instructions: Welfare and Institutions Code section 5848 specifies that DMH shall establish requirements for the content
of the annual update and updates including reports on the achievement of performance outcomes for services. Provide
an update on the overall progress of the County’s implementation of the MHSA including CSS, PEI and WET components
during FY 2008/09.

                                                   CSS, WET and PEI
1. Briefly report on how the implementation of the MHSA is progressing: whether implementation activities are
     generally proceeding as described in the County’s approved Plan, any key differences, and any major
     challenges.
Sierra County’s CSS plan is progressing as described in the approved Plan. The Warm Line continues to be advertised
through the Mental Health Department, Family Resource Center, Victim Assistance/Sexual Assault offices, as well as on
community bulletin boards and in the local high schools. Full Service Partnerships continue to work successfully for the
clients enrolled. The County is planning additional team training on provision of Wraparound services to educate new
team staff and increase the level of service integration through better use of recognized levels of care.

The WET plan is also proceeding as described in the approved Plan. The FTE coordinator continues to plan staff
development and training through community-wide trainings on MHSA-philosophy topics (such as Cultural Competency,
Evidence-Based practices, Person-Centered treatment and recovery), and other trainings as they arrive. Staff has been
oriented to the Essential Learning online education system, and the Community Access Site is up and running, with
marketing and outreach in progress. Peer Mentor and Parent Partner positions have been posted and are in the
interviewing stage. Coordinator has participated in Career Day events for local high schools to increase awareness of
careers in the mental health field.

Sierra County’s PEI plan has been submitted for review, and as of this date has not yet been approved.


2. Provide a brief narrative description of progress in providing services to unserved and underserved
     populations, with emphasis on reducing racial/ethnic service disparities.
Peer Mentors will be tasked with providing outreach into the low-SES and Latino communities. Peer Mentors will also
organize non-traditional group activities for consumers who have historically not been willing to participate in group
therapy activities due to the stigma in this very small rural community. County continues to grow relationship with the
community Literacy group (the primary Spanish-English networking group) in order to maintain greater rapport and
outreach with Latino community. Outreach is also increasingly aimed at education within the local schools to further
visibility of services available to youth.


3. Provide the following information on the number of individuals served:
                                      CSS                PEI                     WET
            Age Group           # of individuals # of individuals  Funding Category                  # of individuals
                                                   (for universal
                                                   prevention, use
                                                   estimated #)
      Child and Youth                    1               N/A         Workforce Staff Support               102
      Transition Age Youth                                “          Training/Technical Assist.            185
      Adult                              17               “          MH Career Pathway
      Older Adult                                         “          Residency & Internship                  2
             Race/Ethnicity                                          Financial Incentive
      White                              16                “
      African/American                                     “         [ ] WET not implemented in 08/09
      Asian                                                “
      Pacific Islander                                     “
                                                                                                                           4
2010/11 ANNUAL UPDATE                                                                                EXHIBIT C1
                                  IMPLEMENTATION PROGRESS REPORT
                                        ON FY 08/09 ACTIVITIES
     Native                           2               “
     Hispanic                         1               “
     Multi                                            “
     Other                            2               “
       Other Cultural Groups
     LGBTQ                                            “
     Other                                            “
         Primary Language
     Spanish                                          “
     Vietnamese                                       “
     Cantonese                                        “
     Mandarin                                         “
     Tagalog                                          “
     Cambodian                                        “
     Hmong                                            “
     Russian                                          “
     Farsi                                            “
     Arabic                                           “
     Other                                            “
                                                          PEI
4. Please provide the following information for each PEI Project:
    a) The problems and needs addressed by the Project.
    b) The type of services provided.
    c) Any outcomes data, if available. (Optional)
    d) The type and dollar amount of leveraged resources and/ or in-kind contributions (if applicable).

   Sierra County’s PEI plan was approved in April 2010; no changes have been made, as no activities have taken place
   as of this date.




                                                                                                                       5
2010/11 ANNUAL UPDATE                                                                                                                                  EXHIBIT D
                                                            PREVIOUSLY APPROVED PROGRAM
                                                                                                                                                    Select one:
     County: SIERRA                                                                                                                                    CSS
                                                                                                                                                       WET
     Program Number/Name:Combined Programs                                                                                                             PEI
                                                                                                                                                       INN
     Date: MAY 2010

                                                                          CSS and WET
Previously Approved
No.                               Question                              Yes   No
1.    Is this an existing program with no changes?                                  If yes, answer question #5 and complete Exh.E1 or E2 accordingly; If no, answer
                                                                                    question #2
2.     Is there a change in the service population to be served?                    If yes, complete Exh. F1; If no, answer question #3
3.     Is there a change in services?                                               If yes, complete Exh. F1; If no, answer question #4
4.     Is there a change in funding amount for the existing program?                If yes, answer question #4(a); If no, complete Exh. E1or E2 accordingly
  a)   Is the change within ±15% of previously approved amount?                     If yes, answer question #5 and complete Exh. E1or E2; If no, complete Exh. F1
                                                                                    and complete table below.
                                                                                      FY 09/10 funding   FY 10/11 funding   Percent Change


5.     For CSS programs: Describe the services/strategies and target population to be served. This should include information about targeted age, gender,
       race/ethnicity and language spoken of the population to be served.
       For WET programs: Describe objectives to be achieved such as days of training, number of scholarships awarded, major milestones to be reached.
Sierra County continues to partner with Plumas County in the operation of the Crisis/Warm Line which operates 24/7, and provides 24/7 access to a mental health
professional. Targeted populations are specified as all underserved/unserved persons in the county, which has essentially been the majority of the county population
(3200). The Crisis/Warm Line phone number has been disseminated to nearly all community agencies including the local Spanish-English Literacy Program as well as
local schools. Wraparound services are provided for children and youth in the behavioral health system; Full Services Partnerships are provided for Transition Age
Youth, Adults, and Older Adults. Services are provided for any person demonstrating need, regardless of gender, race/ethnicity, or language spoken. Translators are
employed as necessary.
Existing Programs to be Consolidated
No.                                  Question                            Yes No
1.     Is this a consolidation of two or more existing programs?                     If yes, answer question #2; If no, answer questions for existing program above
2.     Will all populations of existing program continue to be served?               If yes, answer question #3; If no, complete Exh. F1
3.     Will all services from existing program continue to be offered?               If yes, answer question #4
                                                                                     If no, complete Exh. F1
4.     Is the funding amount ± 15% of the sum of the previously                      If yes, answer question #5 and complete Exh. E1 or E2 accordingly
       approved amounts?                                                             If no, complete Exh. F1
5.     Description of Previously Approved Programs to be consolidated. Include in your description:
       a) The names of Previously Approved programs to be consolidated,
       b) Describe the target population to be served and the services/strategies to be provided (include targeted age, gender, race/ethnicity, and language spoken
            by the population to be served)., and
       c) Provide the rationale for consolidation.

                                                                                                                                                                  6
2010/11 ANNUAL UPDATE                                                                                                                                 EXHIBIT D
                                                             PREVIOUSLY APPROVED PROGRAM
                                                                                                                                                   Select one:
     County: SIERRA                                                                                                                                   CSS
                                                                                                                                                      WET
     Program Number/Name: Workforce Staffing Support – Workforce, Education & Training Coordination                                                   PEI
                                                                                                                                                      INN
     Date: MAY 2010

                                                                         CSS and WET
Previously Approved
No.                               Question                              Yes   No
1.    Is this an existing program with no changes?                                 If yes, answer question #5 and complete Exh.E1 or E2 accordingly; If no, answer
                                                                                   question #2
2.      Is there a change in the service population to be served?                  If yes, complete Exh. F1; If no, answer question #3
3.      Is there a change in services?                                             If yes, complete Exh. F1; If no, answer question #4
4.      Is there a change in funding amount for the existing program?              If yes, answer question #4(a); If no, complete Exh. E1or E2 accordingly
  a)    Is the change within ±15% of previously approved amount?                   If yes, answer question #5 and complete Exh. E1or E2; If no, complete Exh. F1
                                                                                   and complete table below.
                                                                                     FY 09/10 funding   FY 10/11 funding   Percent Change


5.     For CSS programs: Describe the services/strategies and target population to be served. This should include information about targeted age, gender,
       race/ethnicity and language spoken of the population to be served.
       For WET programs: Describe objectives to be achieved such as days of training, number of scholarships awarded, major milestones to be reached.
Objectives for the FTE WET Coordinator include keeping abreast of MHSA-related activities and trainings to relay to county staff; broaden awareness and promote
destigmatization of mental health issues and increase the community’s cultural awareness through outreach, education, and discussion opportunities. Venues for this
include once/month Movie Nights at multiple locations throughout the county (24 nights/year), coordination of four or five one-day community trainings during the
summer, provide access to staff development opportunities in line with the MHSA philosophy (as applicable), and fostering of relationships with community-based
service organizations including Probation, Law Enforcement, Juvenile Justice Commission/MEND program, Sierra County courts, School Administrators and teachers,
Family Resource Center staff/programs, Literacy Program and others as appropriate.
Existing Programs to be Consolidated
No.                                  Question                            Yes No
1.     Is this a consolidation of two or more existing programs?                     If yes, answer question #2; If no, answer questions for existing program above
2.     Will all populations of existing program continue to be served?               If yes, answer question #3; If no, complete Exh. F1
3.     Will all services from existing program continue to be offered?               If yes, answer question #4
                                                                                     If no, complete Exh. F1
4.     Is the funding amount ± 15% of the sum of the previously                      If yes, answer question #5 and complete Exh. E1 or E2 accordingly
       approved amounts?                                                             If no, complete Exh. F1
5.     Description of Previously Approved Programs to be consolidated. Include in your description:
       a) The names of Previously Approved programs to be consolidated,
       b) Describe the target population to be served and the services/strategies to be provided (include targeted age, gender, race/ethnicity, and language spoken
            by the population to be served)., and
       c) Provide the rationale for consolidation.

                                                                                                                                                                 8
2010/11 ANNUAL UPDATE                                                                                                                                                    EXHIBIT D
                                                                   PREVIOUSLY APPROVED PROGRAM
                                                                                                                                                                      Select one:
  County: SIERRA                                                                                                                                                         CSS
                                                                                                                                                                         WET
  Program Number/Name: Training & Technical Assistance - Ongoing Workforce Education & Training                                                                          PEI
                                                                                                                                                                         INN
  Date: MAY 2010

                                                                                   CSS and WET
Previously Approved
No.                               Question                                       Yes    No
1.    Is this an existing program with no changes?                                            If yes, answer question #5 and complete Exh.E1 or E2 accordingly; If no, answer
                                                                                              question #2
2.     Is there a change in the service population to be served?                              If yes, complete Exh. F1; If no, answer question #3
3.     Is there a change in services?                                                         If yes, complete Exh. F1; If no, answer question #4
4.     Is there a change in funding amount for the existing program?                          If yes, answer question #4(a); If no, complete Exh. E1or E2 accordingly
  a)   Is the change within ±15% of previously approved amount?                               If yes, answer question #5 and complete Exh. E1or E2; If no, complete Exh. F1
                                                                                              and complete table below.
                                                                                                FY 09/10 funding     FY 10/11 funding   Percent Change


5.     For WET programs: Describe objectives to be achieved such as days of training, number of scholarships awarded, major milestones to be reached.
Training and Technical Assistance is offered via the Essential Learning online Learning Management System. The LMS is offered to all Human Services staff (35 total
employees, with adjustments as staffing levels change). Goal remains to maintain staff development progress. Community Access Site provides free online courses to
community with a focus on mental health issues, treatment and recovery topics. Additional training is provided through four-five trainings during the summer centered
on topics relevant to the MHSA philosophy of cultural competency and person-centered treatment and recovery. Additional trainings are in the planning stages for
school personnel (estimated 90 including administration, teachers, and support staff) and law enforcement (estimated 25 individuals, including Sheriff’s Office deputies
and personnel, Probation, and court staff). The only change is the purchase of a base laptop and Rosetta Spanish software to provide agency staff with the
opportunity to learn the language and increase and improve outreach capabilities to the7% Spanish-speaking population.
Existing Programs to be Consolidated
No.                                  Question                                 Yes No
1.     Is this a consolidation of two or more existing programs?                            If yes, answer question #2; If no, answer questions for existing program above
2.     Will all populations of existing program continue to be served?                      If yes, answer question #3; If no, complete Exh. F1
3.     Will all services from existing program continue to be offered?                      If yes, answer question #4
                                                                                            If no, complete Exh. F1
4.     Is the funding amount ± 15% of the sum of the previously                             If yes, answer question #5 and complete Exh. E1 or E2 accordingly
       approved amounts?                                                                    If no, complete Exh. F1
5.     Description of Previously Approved Programs to be consolidated. Include in your description:
       a)   The names of Previously Approved programs to be consolidated,
       b)   Describe the target population to be served and the services/strategies to be provided (include targeted age, gender, race/ethnicity, and language spoken by the population
            to be served)., and
       c)   Provide the rationale for consolidation.




                                                                                                                                                                                      9
2010/11 ANNUAL UPDATE                                                                                                                                                   EXHIBIT D
                                                                   PREVIOUSLY APPROVED PROGRAM
                                                                                                                                                                      Select one:
     County: SIERRA                                                                                                                                                      CSS
                                                                                                                                                                         WET
     Program Number/Name: Training & Technical Assistance - Community Education                                                                                          PEI
                                                                                                                                                                         INN
     Date: MAY 2010

                                                                                  CSS and WET
Previously Approved
No.                               Question                                       Yes    No
1.    Is this an existing program with no changes?                                            If yes, answer question #5 and complete Exh.E1 or E2 accordingly; If no, answer
                                                                                              question #2
2.      Is there a change in the service population to be served?                             If yes, complete Exh. F1; If no, answer question #3
3.      Is there a change in services?                                                        If yes, complete Exh. F1; If no, answer question #4
4.      Is there a change in funding amount for the existing program?                         If yes, answer question #4(a); If no, complete Exh. E1or E2 accordingly
  a)    Is the change within ±15% of previously approved amount?                              If yes, answer question #5 and complete Exh. E1or E2; If no, complete Exh. F1
                                                                                              and complete table below.
                                                                                                FY 09/10 funding    FY 10/11 funding    Percent Change


5.    For WET programs: Describe objectives to be achieved such as days of training, number of scholarships awarded, major milestones to be reached.
The Community Education program continues as planned with a series of 5-6 free community academies each summer with a focus on Mental Health Services Act-
based topics. Movie Nights continue at the Loyalton location (first Friday of each month); showings in Downieville were replaced by showings in Sierraville (first
Wednesday of each month) to accommodate better participation.

Existing Programs to be Consolidated
No.                                  Question                                    Yes    No
1.     Is this a consolidation of two or more existing programs?                              If yes, answer question #2; If no, answer questions for existing program above
2.     Will all populations of existing program continue to be served?                        If yes, answer question #3; If no, complete Exh. F1
3.     Will all services from existing program continue to be offered?                        If yes, answer question #4
                                                                                              If no, complete Exh. F1
4.      Is the funding amount ± 15% of the sum of the previously                              If yes, answer question #5 and complete Exh. E1 or E2 accordingly
        approved amounts?                                                                     If no, complete Exh. F1
5.      Description of Previously Approved Programs to be consolidated. Include in your description:
        a) The names of Previously Approved programs to be consolidated,
        b) Describe the target population to be served and the services/strategies to be provided (include targeted age, gender, race/ethnicity, and language spoken by the population
           to be served)., and
        c) Provide the rationale for consolidation.




                                                                                                                                                                                    10
2010/11 ANNUAL UPDATE                                                                                                                                                   EXHIBIT D
                                                                   PREVIOUSLY APPROVED PROGRAM
                                                                                                                                                                      Select one:
     County: SIERRA                                                                                                                                                      CSS
                                                                                                                                                                         WET
     Program Number/Name: MH Career Pathway Program: Peer Mentor/Parent Partner                                                                                          PEI
                                                                                                                                                                         INN
     Date: MAY 2010

                                                                                  CSS and WET
Previously Approved
No.                               Question                                       Yes    No
1.    Is this an existing program with no changes?                                            If yes, answer question #5 and complete Exh.E1 or E2 accordingly; If no, answer
                                                                                              question #2
2.      Is there a change in the service population to be served?                             If yes, complete Exh. F1; If no, answer question #3
3.      Is there a change in services?                                                        If yes, complete Exh. F1; If no, answer question #4
4.      Is there a change in funding amount for the existing program?                         If yes, answer question #4(a); If no, complete Exh. E1or E2 accordingly
  a)    Is the change within ±15% of previously approved amount?                              If yes, answer question #5 and complete Exh. E1or E2; If no, complete Exh. F1
                                                                                              and complete table below.
                                                                                                FY 09/10 funding    FY 10/11 funding    Percent Change


5.     For WET programs: Describe objectives to be achieved such as days of training, number of scholarships awarded, major milestones to be reached.
We partnered with Working Well Together in recruiting consumer candidates for the peer mentor and parent partner positions. A peer mentor has been hired, and we
are requesting funds to hire a second peer mentor to improve outreach to more remote areas of the county. We anticipate the parent partner will be hired by June
2010. Parent Partner is expected to serve between 10-20 individuals countywide and the Peer Mentor is expected to serve the entire county’s un/underserved
population (county population est. 3200).

Existing Programs to be Consolidated
No.                                  Question                                    Yes    No
1.     Is this a consolidation of two or more existing programs?                              If yes, answer question #2; If no, answer questions for existing program above
2.     Will all populations of existing program continue to be served?                        If yes, answer question #3; If no, complete Exh. F1
3.     Will all services from existing program continue to be offered?                        If yes, answer question #4
                                                                                              If no, complete Exh. F1
4.      Is the funding amount ± 15% of the sum of the previously                              If yes, answer question #5 and complete Exh. E1 or E2 accordingly
        approved amounts?                                                                     If no, complete Exh. F1
5.      Description of Previously Approved Programs to be consolidated. Include in your description:
        a) The names of Previously Approved programs to be consolidated,
        b) Describe the target population to be served and the services/strategies to be provided (include targeted age, gender, race/ethnicity, and language spoken by the population
           to be served)., and
        c) Provide the rationale for consolidation.




                                                                                                                                                                                    11
2010/11 ANNUAL UPDATE                                                                                                                                                   EXHIBIT D
                                                                   PREVIOUSLY APPROVED PROGRAM
                                                                                                                                                                      Select one:
     County: SIERRA                                                                                                                                                      CSS
                                                                                                                                                                         WET
     Program Number/Name: Residency, Internship Programs: Clinical Supervisor                                                                                            PEI
                                                                                                                                                                         INN
     Date: MAY 2010

                                                                                  CSS and WET
Previously Approved
No.                               Question                                       Yes    No
1.    Is this an existing program with no changes?                                            If yes, answer question #5 and complete Exh.E1 or E2 accordingly; If no, answer
                                                                                              question #2
2.      Is there a change in the service population to be served?                             If yes, complete Exh. F1; If no, answer question #3
3.      Is there a change in services?                                                        If yes, complete Exh. F1; If no, answer question #4
4.      Is there a change in funding amount for the existing program?                         If yes, answer question #4(a); If no, complete Exh. E1or E2 accordingly
  a)    Is the change within ±15% of previously approved amount?                              If yes, answer question #5 and complete Exh. E1or E2; If no, complete Exh. F1
                                                                                              and complete table below.
                                                                                                FY 09/10 funding    FY 10/11 funding    Percent Change


5.    For WET programs: Describe objectives to be achieved such as days of training, number of scholarships awarded, major milestones to be reached.
The contracted psychologist has been able to increase his hours by one full day, thereby extending access and supervision for therapy interns. The LCSW contract
was rolled into the time and services provided by the contracted psychologist. Assistant Director did not complete licensing requirements for California MFT licensure.


Existing Programs to be Consolidated
No.                                  Question                                    Yes    No
1.     Is this a consolidation of two or more existing programs?                              If yes, answer question #2; If no, answer questions for existing program above
2.     Will all populations of existing program continue to be served?                        If yes, answer question #3; If no, complete Exh. F1
3.     Will all services from existing program continue to be offered?                        If yes, answer question #4
                                                                                              If no, complete Exh. F1
4.      Is the funding amount ± 15% of the sum of the previously                              If yes, answer question #5 and complete Exh. E1 or E2 accordingly
        approved amounts?                                                                     If no, complete Exh. F1
5.      Description of Previously Approved Programs to be consolidated. Include in your description:
        a) The names of Previously Approved programs to be consolidated,
        b) Describe the target population to be served and the services/strategies to be provided (include targeted age, gender, race/ethnicity, and language spoken by the population
           to be served)., and
        c) Provide the rationale for consolidation.




                                                                                                                                                                                    12
2010/11 ANNUAL UPDATE                                                                                                                                      EXHIBIT D
                                                               PREVIOUSLY APPROVED PROGRAM
     County: SIERRA                                                                                                                                     Select one:
                                                                                                                                                           CSS
     Program Number/Name:Student Assistance Program – Project Venture                                                                                      WET
                                                                                                                                                           PEI
     Date: MAY 2010                                                                                                                                        INN

                                                                 Prevention and Early Intervention
No.                                Question                                Yes    No
1.      Is this an existing program with no changes?                                    If yes, complete Exh. E4; If no, answer question #2
2.      Is there a change in the Priority Population or the Community                  If yes, completed Exh. F4; If no, answer question #3
        Mental Health Needs?
3.      Is the current funding requested greater than15% of the                        If yes, complete Exh. F4; If no, answer question #4
        previously approved amount?
4.      Is the current funding requested greater than 35% less of the                  If yes, complete Exh. F4; If no, answer questions 5, 5a, and 5b
        previously approved amount?
5.      Describe the proposed changes to the Previously Approved Program and the rationale for those changes.
Additional funds will support the addition of 1 FTE Behavioral Health Therapist in order to better provide prevention and early intervention services outlined in the
original plan to preschool and elementary school children. The Sierra County schools serve a total of 450 students and as the majority of the students in the 6-12
grade groups are from homes with multiple siblings, the services provided will continue to reach the same families; as such, the number of individuals and families will
not change.

 5a.    If the total number of Individuals to be served annually is different than previously reported please provide revised estimates

       Total Individuals: _______ Total Families: ______                    NO CHANGE
 5b.   If the total number of clients by type of prevention annually is                    Prevention                                 Early Intervention
       different than previously reported please provide revised
       estimates:
                                                      Total Individuals:
                                                        Total Families:
Existing Programs to be Consolidated
No.                                Question                              Yes No
1.    Is this a consolidation of two or more existing programs?                    If yes, answer question #2; If no, answer questions for existing program above
2.    Is there a change in the Priority Population or the Community                If no, answer question #3; If yes, complete Exh. F4
      Mental Health Needs?
3.    Will the consolidated programs continue to serve the same                    If yes, answer question #4; If no, complete Exh. F4
      estimated number of individuals?
4.    Description of Previously Approved Programs to be consolidated. Include in your description:
           a) The names of Previously Approved programs to be consolidated,
           b) How the Previously approved programs will be consolidated; and
           c) Provide the rationale for consolidation


                                                                                                                                                                     13
      2010/11 ANNUAL UPDATE                                                                                                                           EXHIBIT E
                                                            MHSA SUMMARY FUNDING REQUEST


County: Sierra                                                                                                                              Date:          5/14/2010

                                                                                                       MHSA Funding
                                                                                                                                                    Local Prudent
                                                               CSS               WET              CFTN               PEI              INN
                                                                                                                                                      Reserve
A. FY 2010/11 Planning Estimates

     1. Published Planning Estimate                              $779,100                                             $147,400          $110,900

     2. Transfers                                                 $27,561           $27,561

     3. Adjusted Planning Estimates                              $751,539
B. FY 2010/11 Funding Request

     1. Requested Funding in FY 2010/11                          $731,018           $31,590         $157,500          $181,986          $138,138

     2. Requested Funding for CPP

     3. Net Available Unexpended Funds

         a. Unexpended FY 06/07 Funds

         b. Unexpended FY 2007/08 Fundsa/

         c. Unexpended FY 2008/09 Funds                          $112,248

         d. Anticipated Unexpended FY 2009/10 Funds              $200,000

         e. Adjustment for FY 2009/2010                          $112,248                                            -$156,967

         f. Total Net Available Unexpended Funds                       $0                $0                $0         $156,967                 $0

     4. Total FY 2010/11 Funding Request                         $531,018           $31,590         $157,500           $25,019          $138,138
C.   Funds Requested for FY 2010/11
     1. Previously Approved Programs/Projects
         a. Unapproved FY 06/07 Planning Estimates

         b. Unapproved FY 07/08 Planning Estimatesa/

         c. Unapproved FY 08/09 Planning Estimates

         d. Unapproved FY 09/10 Planning Estimates               $441,553

         e. Unapproved FY10/11 Planning Estimates                 $89,465

         Sub-total                                               $531,018                $0                                  $0                $0

         f. Local Prudent Reserve

     2. New Programs/Projects

         a. Unapproved FY 06/07 Planning Estimates

         b. Unapproved FY 07/08 Planning Estimatesa/                                 $4,029         $157,500

         c. Unapproved FY 08/09 Planning Estimates                                                                                       $63,500

         d. Unapproved FY 09/10 Planning Estimates                                                                     $25,019           $63,500

         e. Unapproved FY10/11 Planning Estimates                                                                                        $11,138

         Sub-total                                                     $0            $4,029         $157,500           $25,019          $138,138

         f. Local Prudent Reserve

     3. FY 2010/11 Total Allocation b/                           $531,018            $4,029         $157,500           $25,019          $138,138
a/Only applies to CSS augmentation planning estimates released pursuant to DMH Info. Notice 07-21, as the FY 07/08 Planning Estimate for CSS is scheduled for
reversion on June 30, 2010.
b/ Must equal line B.4. for each component.
         WET - $230,471 is to be saved for Fiscal 09-10 for services in Fiscal year 10-11
         CSS - $200,000 is to be saved for Fiscal 09-10 for services in Fiscal year 10-11
FY 2010/11                                                                                                                                                                                                         EXHIBIT E1
                                                                                                CSS BUDGET SUMMARY
  County: Sierra                                                                                                                                                                                        Date:       5/14/2010

                               CSS Programs                                         FY 10/11        Estimated MHSA Funds by Service Category                              Estimated MHSA Funds by Age Group
                                                                                   Requested   Full Service    General                   MHSA
                                                                                  MHSA Funding Partnerships              Outreach and                               Children and    Transition
        No.                                Name                                                                System                   Housing                                                       Adult        Older Adult
                                                                                                                                      Engagement                       Youth        Age Youth
                                                                                                        (FSP)        Development                        Program
                      Previously Approved Programs
  1.      1                       Combined CSS Budget                                    $577,880        $297,800          $106,273          $173,807                  $129,262       $148,508        $150,055        $150,055
  2.                                                                                           $0
  3.                                                                                           $0
  4.                                                                                           $0
  5.                                                                                           $0
  6.                                                                                           $0
  7.                                                                                           $0
  8.                                                                                           $0
  9.                                                                                           $0
 10.                                                                                           $0
 11.                                                                                           $0
 12.                                                                                           $0
 13.                                                                                           $0
 14.                                                                                           $0
 15.                                                                                           $0
                         a/
 16. Subtotal: Programs                                                                  $577,880        $297,800          $106,273          $173,807          $0      $129,262       $148,508        $150,055        $150,055 Percentage
 17. Plus up to 15% County Administration                                                 $86,682                                                                                                                                     15%
 18. Plus up to 10% Operating Reserve                                                     $
                                                                                          $66,456                                                                                                                                   10.0%
     Subtotal: Previously Approved Programs/County Admin./Operating
19. Reserve                                                                              $731,018
                               New Programs
  1.                                                                                            $0
  2.                                                                                            $0
  3.                                                                                            $0
  4.                                                                                            $0
  5.                                                                                            $0
  6.   Subtotal: Programsa/                                                                     $0              $0               $0                $0          $0            $0               $0              $0              $0 Percentage
  7.   Plus up to 15% County Administration                                                                                                                                                                                       #VALUE!
  8.   Plus up to 10% Operating Reserve                                                                                                                                                                                           #VALUE!
  9.   Subtotal: New Programs/County Admin./Operating Reserve                                  $0
 10.   Total MHSA Funds Requested for CSS                                                $731,018

a/ Majority of funds must be directed towards FSPs (Cal. Code Regs., tit. 9, § 3620, subd. (c)). Percent of Funds directed towards FSPs=                                           51.50%


Additional funding sources for FSP requirement:
County must provide the majority of MHSA funding toward Full Service Partnerships (FSPs). If not, the county must list what additional funding sources and amount to be used for FSPs. In addition, the funding amounts must match the
Annual Cost Report. Refer to DMH FAQs at http://www.dmh.ca.gov/Prop_63/ MHSA/Community_Services_and_Supports/docs/FSP_FAQs_04-17-09.pdf

                                                                                                                                    CSS Majority of Funding to FSPs
                                                                                                                                            Other Funding Sources
                                                                      CSS          State General     Other State     Medi-Cal FFP          Medicare      Other           Re-         County        Other Funds        Total      Total %
                                                                                       Fund            Funds                                            Federal      alignment       Funds
                                                                                                                                                         Funds
                            Total Mental Health Expenditures:          $297,800                 $0              $0               $0                $0          $0            $0               $0              $0      $297,800           103%



                                                                                                                                                                                                                                    15
2010/11 ANNUAL UPDATE                                                                                                                                                                   EXHIBIT E2


  County: Sierra                                                                                                                                                    Date:              5/14/2010


                    Workforce Education and Training                                                                         Estimated MHSA Funds by Category
                                                                           FY 10/11 Requested
                                                                             MHSA Funding                            Training and
                                                                                                Workforce Staffing                      Mental Health     Residency and
        No.                              Name                                                                         Technical                                                Financial Incentive
                                                                                                    Support                            Career Pathway       Internship
                                                                                                                      Assistance

                     Previously Approved Programs
   1.      1 Workforce Ed & Training Coord                                            $54,309              $54,309
   2.      2 Ongoing Workforce Ed & Training (see below)
   3.      3 Community Academy Ed Series                                              $52,452                                $52,452
   4.      4 Peer Mentor/Parent Partner (see below)
   5.      5 Clinical Supervisor                                                      $47,097                                                                     $47,097
   6.                                                                                      $0
   7.                                                                                      $0
   8.                                                                                      $0
   9.                                                                                      $0
  10.                                                                                      $0
  11.                                                                                      $0
  12.                                                                                      $0
  13.                                                                                      $0
  14.                                                                                      $0
  15.                                                                                      $0
  16.
  16 Subtotal: Previously Approved Programs                                          $153 858
                                                                                     $153,858              $54 309
                                                                                                           $54,309           $52 452
                                                                                                                             $52,452                $0            $47,097
                                                                                                                                                                  $47 097                       $0 Percentage
  17. Plus up to 15% County Administration                                            $23,079                                                                                                           15.0%
  18. Plus up to 10% Operating Reserve                                                $17,694                                                                                                           10.0%
      Subtotal: Previously Approved Programs/County
  19. Admin./Operating Reserve                                                       $194,630
                              New Programs
                Ongoing Workforce Ed & Training (Budget amount
                decreased since the set up costs for office mostly
   1.         2 occurred on 09/10)                                                    $14,995                                $14,995
                Peer Mentor/Parent Partner (Budget is increased by
                adding an addition Peer Mentor to serve West Side of
                County. All staff are budgeted @ $15 hr X 15 hr per wk X
                52 weeks X 3 persons. Office expense =$200-210 per mo
   2.         4 and $1500 for education materials)                                 $39,100                                                      $39,100
   3.                                                                                    $0
   4.                                                                                    $0
   5.                                                                                    $0
   6. Subtotal: WET New Programs                                                   $54,095                      $0           $14,995            $39,100                   $0                    $0 Percentage
   7. Plus up to 15% County Administration                                          $8,114                                                                                                              15.0%
   8. Plus up to 10% Operating Reserve                                              $6,221                                                                                                              10.0%
   9. Subtotal: New Programs/County Admin./Operating Reserve                       $68,430
  10. Total MHSA Funds Requested                                                 $263,061
 Note: Previously Approved programs to be expanded, reduced, eliminated and consolidated are considered New.

                                                                                                                                                                                                16
2010/11 ANNUAL UPDATE                                                                                                                               EXHIBIT E3
                                                                      CFTN BUDGET SUMMARY

County: Sierra County                                                                                                               Date: 5/14/2010

                                 Capital Facilities and Technological Needs
                                                                                                    TOTAL FY 10/11                Type of Project
                                            Work Plans/Projects
                                                                                                    Required MHSA
                                                                                 New (N) Existing                                           Technological
          No.                                       Name                                               Funding         Capital Facilities
                                                                                       (E)                                                     Needs
    1.          1 Teen Center-Middle School (Proposed location)                        (N)                   150000              $150,000
    2.
    3.
    4.
    5.
    6.
    7.
    8.
    9.
   10.
   11.
   12.
   13.
   14.
   15.
   16.
   17.
   18.
   19.
   20.
   21.
   22.
   23.
   24.
   25.                                                                                                                                                           Percentage
   26.   Subtotal: Work Plans/Projects                                                                      $150,000             $150,000                   $0
   27.   Plus up to 15% County Administration                                                                  7,500                                                     5.0%
   28.   Plus up to 10% Operating Reserve                                                                                                                           #VALUE!
   29.   Total MHSA Funds Requested                                                                         $157,500




                                                                                                                                                            17
FY 2010/11                                                                                                                                                                               EXHIBIT E4
                                                                                        PEI BUDGET SUMMARY
 County: Sierra                                                                                                                                                 Date:       5/14/2010

                          PEI Programs                                                    Estimated MHSA Funds by Type of             Estimated MHSA Funds by Age Group
                                                                         FY 10/11
                                                                                                      Selected/
                                                                        Requested       Universal                   Early    Children and Transition
       No.                           Name                                                             Indicated                                           Adult     Older Adult
                                                                       MHSA Funding     Prevention              Intervention    Youth       Age Youth
                                                                                                     Prevention
               Previously Approved Programs
  1.       Student Assistance Program - Project Venture                      $123,417       $18,479          $18,479         $86,459          $74,050         $49,367
  2.                                                                               $0
  3.                                                                               $0
  4.                                                                               $0
  5.                                                                               $0
  6.                                                                               $0
  7.                                                                               $0
  8.                                                                               $0
  9.                                                                               $0
 10.                                                                               $0
 11.                                                                               $0
 15.                                                                               $0
 16. Subtotal: Programs                                                      $123,417       $18,479          $18,479         $86,459          $74,050         $49,367               $0                $0 Percentage
 17 Plus up to 15% County Administration
 17.                                                                          $10,218
                                                                              $10 218                                                                                                                            8%
 18. Plus up to 10% Operating Reserve                                              $0                                                                                                                          0.0%
     Subtotal: Previously Approved Programs/County
 19. Admin./Operating Reserve                                                $133,635
                         New Programs
  1.       1 Student Assistance Program - Project Venture                     $38,222       $12,427          $12,427         $13,368          $34,557           $3,665
             Same program with the addition of the a Behavioral
             Intervention Specialist @37.75% FTE of Salaries and
             Benefits $80160 = $30260. The Existing Behavioral
             Intervention Specialist salaries and benefits increased
             to reflect no furloughs $7362. Other costs are $600 for
  2.         operating supplies annually                                           $0
  3.                                                                               $0
  4.                                                                               $0
  5.                                                                               $0
  6.   Subtotal: Programs                                                     $38,222       $12,427          $12,427         $13,368          $34,557           $3,665              $0                $0 Percentage
  7.   Plus up to 15% County Administration                                    $5,733                                                                                                                         15.0%
  8.   Plus up to 10% Operating Reserve                                        $4,396                                                                                                                         10.0%
  9.   Subtotal: New Programs/County Admin./Operating Reserve                 $48,351
 10.   Total MHSA Funds Requested for PEI                                    $181,986



Note: Previously Approved Programs that propose changes to Key Community Health Needs, Priority Populations, and/or funding as described in the Information Notice are considered New.                18
FY 2010/11                                                                                                                                                                    EXHIBIT E5
                                                                                 INN BUDGET SUMMARY

  County: Sierra                                                                                                                                                  Date:        5/14/2010

                             INN Programs                                                                          Estimated MHSA Funds by Age Group (if applicable)
                                                                             FY 10/11 Requested
                                                                                                         Children and      Transition Age
        No.                               Name                                 MHSA Funding                                                     Adult            Older Adult
                                                                                                            Youth              Youth
                    Previously Approved Programs
  1.                                                                                              $0
  2.                                                                                              $0
  3.                                                                                              $0
  4.                                                                                              $0
  5.                                                                                              $0
  6.                                                                                              $0
  7.                                                                                              $0
  8.                                                                                              $0
  9.                                                                                              $0
 10.                                                                                              $0
 11.                                                                                              $0
 12.                                                                                              $0
 13.                                                                                              $0
 14.                                                                                              $0
 15.                                                                                              $0
 16. Subtotal: Programs                                                                           $0                     $0                    $0                        $0           $0 Percentage
 17. Plus up to 15% County Administration                                                         $0                                                                                        #DIV/0!
 18. Plus up to 10% Operating Reserve                                                             $0                                                                                        #DIV/0!
     Subtotal: Previously Approved Programs/County Admin./Operating
 19. Reserve                                                                                      $0
                             New Programs
  1.       1 Teen Center- Middle School                                                    $109,200                $54,600                $54,600
  2.                                                                                             $0
  3.                                                                                             $0
  4.                                                                                             $0
  5.                                                                                             $0
  6.   Subtotal: Programs                                                                  $109,200                $54,600                $54,600                        $0           $0 Percentage
  7.   Plus up to 15% County Administration                                                 $16,380                                                                                               15%
  8.   Plus up to 10% Operating Reserve                                                      $6,279                                                                                              5.0%
  9.   Subtotal: New Programs/County Admin./Operating Reserve                              $131,859
 10.   Total MHSA Funds Requested for INN                                                  $138,138

Note: Previously Approved Programs that propose changes to essential purpose, learning goal, and/or funding as described in the Information Notice are considered New.



                                                                                                                                                                                      19
2010/11 ANNUAL UPDATE                              NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                              EXHIBIT F




County:              Sierra                                                                                                         Date:        5/14/2010


Program/Project Name and #:             # 2 Ongoing Workforce Ed & Training



                                                                                                                        Community Mental
                                                                              County Mental Health Other Governmental
                                                                                                                         Health Contract       Total
                                                                                  Department            Agencies
                                                                                                                           Providers
A. EXPENDITURES
Community Services and Supports
     1. Client, Family Member and Caregiver Support Expenditures
          a. Individual-based Housing                                                                                                                   $0
          b. Other Supports                                                                                                                             $0
     2. General System Development Housing                                                                                                              $0
     3. Personnel Expenditures                                                                                                                          $0
     4. Operating Expenditures                                                                                                                          $0
     5. Estimated Expenditures when service provider is not known                                                                                       $0
     6. Non-recurring expenditures                                                                                                                      $0
     7. Other Expenditures*                                                                                                                             $0
     8. Total Proposed Expenditures                                                            $0                  $0                  $0               $0


Workforce Education and Training
     1. Personnel Expenditures                                                                                                                          $0
     2. Operating Expenditures                                                           $12,495                                                  $12,495
     3. Training Expenditures                                                                                                                           $0
     4. Training Consultant Contracts                                                                                                                   $0
     5. Residency Expenditures                                                                                                                          $0
     6. Internship Expenditures                                                                                                                         $0
     7. Mental Health Career Pathway Expenditures                                                                                                       $0
     8. Stipend Funds                                                                                                                                   $0
     9. Scholarship Funds                                                                                                                               $0
     10. Loan Repayment Funds                                                                                                                           $0
     11. Non-recurring Expenditures                                                        $2,500                                                  $2,500
     12. Other Expenditures*                                                                                                                            $0
     13. Total Proposed Expenditures                                                     $
                                                                                         $14,995                   $
                                                                                                                   $0                  $
                                                                                                                                       $0         $
                                                                                                                                                  $14,995


Capital Facilities
     1. Pre-Development Costs                                                                                                                           $0
     2. Building/Land Acquisition                                                                                                                       $0
     3. Renovation                                                                                                                                      $0
     4. Construction                                                                                                                                    $0
     5. Repair/Replacement Reserve                                                                                                                      $0
     6. Other Expenditures*                                                                                                                             $0
     7. Total Proposed Expenditures                                                            $0                  $0                  $0               $0


Technological Needs
     1. Personnel                                                                                                                                       $0
     2. Hardware                                                                                                                                        $0
     3. Software                                                                                                                                        $0
     4. Contract Services                                                                                                                               $0
     5. Other Expenditures*                                                                                                                             $0
     6. Total Proposed Expenditures                                                            $0                  $0                  $0               $0


Prevention and Early Intervention (PEI)
     1. Personnel                                                                                                                                       $0
     2. Operating Expenditures                                                                                                                          $0
     3. Non-recurring Expenditures                                                                                                                      $0
     4. Project Venture                                                                                                                                 $0
     5. Other                                                                                                                                           $0
     6. Total Proposed Expenditures                                                            $0                  $0                  $0               $0
2010/11 ANNUAL UPDATE                             NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                                EXHIBIT F




County:          Sierra                                                                                                              Date:        5/14/2010


Program/Project Name and #:            # 2 Ongoing Workforce Ed & Training



                                                                                                                         Community Mental
                                                                               County Mental Health Other Governmental
                                                                                                                          Health Contract       Total
                                                                                   Department            Agencies
                                                                                                                            Providers


Innovation (INN)
    1. Personnel                                                                                                                                         $0
    2. Operating Expenditures                                                                                                                            $0
    3. Non-recurring Expenditures                                                                                                                        $0
    4. Training Consultant Contracts                                                                                                                     $0
    5. Work Plan Management                                                                                                                              $0
    6. Other                                                                                                                                             $0
    7. Total Proposed Expenditures                                                               $0                 $0                  $0               $0

B. REVENUES
    1. New Revenues
         a. Medi-Cal (FFP only)                                                                                                                          $0
         b. State General Funds                                                                                                                          $0
         c. Other Revenue                                                                                                                                $0
    2. Total Revenues                                                                            $0                 $0                  $0               $0

C. TOTAL FUNDING REQUESTED                                                                 $14,995                  $0                  $0         $14,995


             *Enter the justification for items that are requested under the "Other Expenditures" category.
             Justification:

             Please include your budget narrative on a separate page.

                 Prepared by:                      Lea Salas

           Telephone Number:                    (530) 993-6791
2010-11 #2 Ongoing WET Narrative

Operating Expenditures                     10145
Plan change is below the 15% as we had
start up funds from FY 09-10 for E-
Learning and office setup. This FY E-
Leaning is budgeted for annual licensing
and mainance at $7645 and one
computer set up with desk which was not
purchased last fiscal year.



Utilities                                  4850
Including but not limited to; electric,
kerosene, water, sewer with an average
of $404 per month




Total                                      14995
2010/11 ANNUAL UPDATE                              NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                           EXHIBIT F




County:              Sierra                                                                                                      Date:        5/14/2010


Program/Project Name and #:               # 4 Peer Mentor/Parent Partner



                                                                                                                     Community Mental
                                                                           County Mental Health Other Governmental
                                                                                                                      Health Contract       Total
                                                                               Department            Agencies
                                                                                                                        Providers
A. EXPENDITURES
Community Services and Supports
     1. Client, Family Member and Caregiver Support Expenditures
          a. Individual-based Housing                                                                                                                $0
          b. Other Supports                                                                                                                          $0
     2. General System Development Housing                                                                                                           $0
     3. Personnel Expenditures                                                                                                                       $0
     4. Operating Expenditures                                                                                                                       $0
     5. Estimated Expenditures when service provider is not known                                                                                    $0
     6. Non-recurring expenditures                                                                                                                   $0
     7. Other Expenditures*                                                                                                                          $0
     8. Total Proposed Expenditures                                                         $0                  $0                  $0               $0


Workforce Education and Training
     1. Personnel Expenditures                                                        $35,100                                                  $35,100
     2. Operating Expenditures                                                          $4,000                                                  $4,000
     3. Training Expenditures                                                                                                                        $0
     4. Training Consultant Contracts                                                                                                                $0
     5. Residency Expenditures                                                                                                                       $0
     6. Internship Expenditures                                                                                                                      $0
     7. Mental Health Career Pathway Expenditures                                                                                                    $0
     8. Stipend Funds                                                                                                                                $0
     9. Scholarship Funds                                                                                                                            $0
     10. Loan Repayment Funds                                                                                                                        $0
     11. Non-recurring Expenditures                                                                                                                  $0
     12. Other Expenditures*                                                                                                                         $0
     13. Total Proposed Expenditures                                                  $
                                                                                      $39,100                   $
                                                                                                                $0                  $
                                                                                                                                    $0         $
                                                                                                                                               $39,100


Capital Facilities
     1. Pre-Development Costs                                                                                                                        $0
     2. Building/Land Acquisition                                                                                                                    $0
     3. Renovation                                                                                                                                   $0
     4. Construction                                                                                                                                 $0
     5. Repair/Replacement Reserve                                                                                                                   $0
     6. Other Expenditures*                                                                                                                          $0
     7. Total Proposed Expenditures                                                         $0                  $0                  $0               $0


Technological Needs
     1. Personnel                                                                                                                                    $0
     2. Hardware                                                                                                                                     $0
     3. Software                                                                                                                                     $0
     4. Contract Services                                                                                                                            $0
     5. Other Expenditures*                                                                                                                          $0
     6. Total Proposed Expenditures                                                         $0                  $0                  $0               $0


Prevention and Early Intervention (PEI)
     1. Personnel                                                                                                                                    $0
     2. Operating Expenditures                                                                                                                       $0
     3. Non-recurring Expenditures                                                                                                                   $0
     4. Project Venture                                                                                                                              $0
     5. Other                                                                                                                                        $0
     6. Total Proposed Expenditures                                                         $0                  $0                  $0               $0
2010/11 ANNUAL UPDATE                            NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                                 EXHIBIT F




County:          Sierra                                                                                                              Date:        5/14/2010


Program/Project Name and #:             # 4 Peer Mentor/Parent Partner



                                                                                                                         Community Mental
                                                                               County Mental Health Other Governmental
                                                                                                                          Health Contract       Total
                                                                                   Department            Agencies
                                                                                                                            Providers


Innovation (INN)
    1. Personnel                                                                                                                                         $0
    2. Operating Expenditures                                                                                                                            $0
    3. Non-recurring Expenditures                                                                                                                        $0
    4. Training Consultant Contracts                                                                                                                     $0
    5. Work Plan Management                                                                                                                              $0
    6. Other                                                                                                                                             $0
    7. Total Proposed Expenditures                                                               $0                 $0                  $0               $0

B. REVENUES
    1. New Revenues
         a. Medi-Cal (FFP only)                                                                                                                          $0
         b. State General Funds                                                                                                                          $0
         c. Other Revenue                                                                                                                                $0
    2. Total Revenues                                                                            $0                 $0                  $0               $0

C. TOTAL FUNDING REQUESTED                                                                 $39,100                  $0                  $0         $39,100


             *Enter the justification for items that are requested under the "Other Expenditures" category.
             Justification:

             Please include your budget narrative on a separate page.

                 Prepared by:                     Lea Salas

           Telephone Number:                   (530) 993-6791
2010-11 Budget Narrative #4 Peer Mentor/Parent Partner

Personnel Expenses                                          35100


This is a plan increase over 15% as we have added
an Parent Partner. Budget now includes:(2) Peer
Mentors and (1) Parent Partner working 15 hours
per week X 3 persons X $15 per hour X 52 Weeks.
This will increase outreach to the remote areas of
the county.

General Operating                                            4000

Including but not limited to: Education materials to
assist in mental health services in the amount of
$1500. General offices expenditures including
postage, photocopy expenses, offices expenses,
local and long distance communications, internet,
travel and transportation expenses, meeting room
rental fees, equipment leases and utilities.
Estimated at $208 per month.



Tota
T t l                                                  $   39,100
                                                           39 100
2010/11 ANNUAL UPDATE                                 NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                                    EXHIBIT F




County:              Sierra                                                                                                                  Date:        5/14/2010


Program/Project Name and #:          Teen Center - Middle School (proposed location)



                                                                                                                                 Community Mental
                                                                                       County Mental Health Other Governmental
                                                                                                                                  Health Contract       Total
                                                                                           Department            Agencies
                                                                                                                                    Providers
A. EXPENDITURES
Community Services and Supports
     1. Client, Family Member and Caregiver Support Expenditures
          a. Individual-based Housing                                                                                                                            $0
          b. Other Supports                                                                                                                                      $0
     2. General System Development Housing                                                                                                                       $0
     3. Personnel Expenditures                                                                                                                                   $0
     4. Operating Expenditures                                                                                                                                   $0
     5. Estimated Expenditures when service provider is not known                                                                                                $0
     6. Non-recurring expenditures                                                                                                                               $0
     7. Other Expenditures*                                                                                                                                      $0
     8. Total Proposed Expenditures                                                                     $0                  $0                  $0               $0


Workforce Education and Training
     1. Personnel Expenditures                                                                                                                                   $0
     2. Operating Expenditures                                                                                                                                   $0
     3. Training Expenditures                                                                                                                                    $0
     4. Training Consultant Contracts                                                                                                                            $0
     5. Residency Expenditures                                                                                                                                   $0
     6. Internship Expenditures                                                                                                                                  $0
     7. Mental Health Career Pathway Expenditures                                                                                                                $0
     8. Stipend Funds                                                                                                                                            $0
     9. Scholarship Funds                                                                                                                                        $0
     10. Loan Repayment Funds                                                                                                                                    $0
     11. Non-recurring Expenditures                                                                                                                              $0
     12. Other Expenditures*                                                                                                                                     $0
     13. Total Proposed Expenditures                                                                    $
                                                                                                        $0                  $
                                                                                                                            $0                  $
                                                                                                                                                $0               $
                                                                                                                                                                 $0


Capital Facilities
     1. Pre-Development Costs                                                                                                                                    $0
     2. Building/Land Acquisition                                                                                                                                $0
     3. Renovation                                                                                                                                               $0
     4. Construction                                                                                                                                             $0
     5. Repair/Replacement Reserve                                                                                                                               $0
     6. Other Expenditures*                                                                                                                                      $0
     7. Total Proposed Expenditures                                                                     $0                  $0                  $0               $0


Technological Needs
     1. Personnel                                                                                                                                                $0
     2. Hardware                                                                                                                                                 $0
     3. Software                                                                                                                                                 $0
     4. Contract Services                                                                                                                                        $0
     5. Other Expenditures*                                                                                                                                      $0
     6. Total Proposed Expenditures                                                                     $0                  $0                  $0               $0


Prevention and Early Intervention (PEI)
     1. Personnel                                                                                                                                                $0
     2. Operating Expenditures                                                                                                                                   $0
     3. Non-recurring Expenditures                                                                                                                               $0
     4. Project Venture                                                                                                                                          $0
     5. Other                                                                                                                                                    $0
     6. Total Proposed Expenditures                                                                     $0                  $0                  $0               $0
2010/11 ANNUAL UPDATE                                NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                                    EXHIBIT F




County:          Sierra                                                                                                                     Date:        5/14/2010


Program/Project Name and #:         Teen Center - Middle School (proposed location)



                                                                                                                                Community Mental
                                                                                      County Mental Health Other Governmental
                                                                                                                                 Health Contract       Total
                                                                                          Department            Agencies
                                                                                                                                   Providers


Innovation (INN)
    1. Personnel                                                                                 $66,610                                                  $66,610
    2. Operating Expenditures                                                                    $24,840                                                  $24,840
    3. Non-recurring Expenditures                                                                $18,350                                                  $18,350
    4. Training Consultant Contracts                                                                                                                           $0
    5. Work Plan Management                                                                                                                                    $0
    6. Other                                                                                                                                                   $0
    7. Total Proposed Expenditures                                                              $109,800                   $0                  $0        $109,800

B. REVENUES
    1. New Revenues
         a. Medi-Cal (FFP only)                                                                                                                                 $0
         b. State General Funds                                                                                                                                 $0
         c. Other Revenue                                                                                                                                       $0
    2. Total Revenues                                                                                  $0                  $0                  $0               $0

C. TOTAL FUNDING REQUESTED                                                                      $109,800                   $0                  $0        $109,800


             *Enter the justification for items that are requested under the "Other Expenditures" category.
             Justification:

             Please include your budget narrative on a separate page.

                 Prepared by:                         Lea Salas

           Telephone Number:                       (530) 993-4926
2010-11 Innovation Budget Narrative - New Program


Personnel

Behavioral Intervention Specialist:                                 7413
To provide opportunity to expand mental health services to the
adolescent population through the activities to a teen-run teen
center and supervision. Person shall work 4 hours per week @
$22.50 per hour X 52 weeks. Benefit package is at $58.40% per
salaries


Sierra County Extra Help Workers                                   49140
(4) County Extra Help Workers @ $15 per hour X 15 hours per
week X 52 Weeks for the teen center. Benefits only include state
and federal taxes.

Janitor                                                            10057
Janitoral Services $ $15.35 per hour X 12 hours per week X52
weeks. Benefits only include state and federal taxes.
Sub‐Total                                                          66610

Operating
Internet high speed 70*12                                            840
Lease of Building
                g                                                  12000
utilities                                                          12000
Sub‐Total                                                          24840

Non‐Recurring Expenditures
Set up of games systems ‐Wii ,2  @$200  ea Xbox 2 @ $400 
each                                                                1200
Games‐ 10 for each  system @ $50 per game                           2000
Pool Table                                                          3000
Air Hocky                                                            600
3 ‐laptops or note pads with 1 printer                              2900
TV, DVD and 20 movies                                               1400
BBQ                                                                  500
20 Bean Bags @ $30                                                   600


Equipment ‐ Baseball, basketball, volleyball, frisbees ect.         1000
Pop corn machine                                                     350
Sound system with Cd player ipod connector                           300
Ping pong table                                                      400
Sofa set                                                            1000
Table and chairs for indoor and outdoor                             1500
Snack Bar supplies                                 1000
Sub‐Total                                         17750

County Administration @15%                        16380
Operating Reserve                                  6279


Total MHSA Innovation funding requested   $   131,859.00
2010/11 ANNUAL UPDATE                                NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                                   EXHIBIT F




County:              Sierra                                                                                                                Date:        5/14/2010


Program/Project Name and #:           Student Assistance Program - Project Venture



                                                                                                                               Community Mental
                                                                                     County Mental Health Other Governmental
                                                                                                                                Health Contract       Total
                                                                                         Department            Agencies
                                                                                                                                  Providers
A. EXPENDITURES
Community Services and Supports
     1. Client, Family Member and Caregiver Support Expenditures
          a. Individual-based Housing                                                                                                                          $0
          b. Other Supports                                                                                                                                    $0
     2. General System Development Housing                                                                                                                     $0
     3. Personnel Expenditures                                                                                                                                 $0
     4. Operating Expenditures                                                                                                                                 $0
     5. Estimated Expenditures when service provider is not known                                                                                              $0
     6. Non-recurring expenditures                                                                                                                             $0
     7. Other Expenditures*                                                                                                                                    $0
     8. Total Proposed Expenditures                                                                   $0                  $0                  $0               $0


Workforce Education and Training
     1. Personnel Expenditures                                                                                                                                 $0
     2. Operating Expenditures                                                                                                                                 $0
     3. Training Expenditures                                                                                                                                  $0
     4. Training Consultant Contracts                                                                                                                          $0
     5. Residency Expenditures                                                                                                                                 $0
     6. Internship Expenditures                                                                                                                                $0
     7. Mental Health Career Pathway Expenditures                                                                                                              $0
     8. Stipend Funds                                                                                                                                          $0
     9. Scholarship Funds                                                                                                                                      $0
     10. Loan Repayment Funds                                                                                                                                  $0
     11. Non-recurring Expenditures                                                                                                                            $0
     12. Other Expenditures*                                                                                                                                   $0
     13. Total Proposed Expenditures                                                                  $
                                                                                                      $0                  $
                                                                                                                          $0                  $
                                                                                                                                              $0               $
                                                                                                                                                               $0


Capital Facilities
     1. Pre-Development Costs                                                                                                                                  $0
     2. Building/Land Acquisition                                                                                                                              $0
     3. Renovation                                                                                                                                             $0
     4. Construction                                                                                                                                           $0
     5. Repair/Replacement Reserve                                                                                                                             $0
     6. Other Expenditures*                                                                                                                                    $0
     7. Total Proposed Expenditures                                                                   $0                  $0                  $0               $0


Technological Needs
     1. Personnel                                                                                                                                              $0
     2. Hardware                                                                                                                                               $0
     3. Software                                                                                                                                               $0
     4. Contract Services                                                                                                                                      $0
     5. Other Expenditures*                                                                                                                                    $0
     6. Total Proposed Expenditures                                                                   $0                  $0                  $0               $0


Prevention and Early Intervention (PEI)
     1. Personnel                                                                              $105,139                                                 $105,139
     2. Operating Expenditures                                                                  $11,500                                                  $11,500
     3. Non-recurring Expenditures                                                                                                                             $0
     4. Project Venture                                                                         $45,000                                                  $45,000
     5. Other                                                                                                                                                 $0
     6. Total Proposed Expenditures                                                            $161,639                   $0                  $0        $161,639
2010/11 ANNUAL UPDATE                              NEW PROGRAM/PROJECT BUDGET DETAIL/NARRATIVE                                                   EXHIBIT F




County:          Sierra                                                                                                                  Date:        5/14/2010


Program/Project Name and #:         Student Assistance Program - Project Venture



                                                                                                                             Community Mental
                                                                                   County Mental Health Other Governmental
                                                                                                                              Health Contract       Total
                                                                                       Department            Agencies
                                                                                                                                Providers


Innovation (INN)
    1. Personnel                                                                                                                                             $0
    2. Operating Expenditures                                                                                                                                $0
    3. Non-recurring Expenditures                                                                                                                            $0
    4. Training Consultant Contracts                                                                                                                         $0
    5. Work Plan Management                                                                                                                                  $0
    6. Other                                                                                                                                                 $0
    7. Total Proposed Expenditures                                                                  $0                  $0                  $0               $0

B. REVENUES
    1. New Revenues
         a. Medi-Cal (FFP only)                                                                                                                              $0
         b. State General Funds                                                                                                                              $0
         c. Other Revenue                                                                                                                                    $0
    2. Total Revenues                                                                               $0                  $0                  $0               $0

C. TOTAL FUNDING REQUESTED                                                                   $161,639                   $0                  $0        $161,639


             *Enter the justification for items that are requested under the "Other Expenditures" category.
             Justification:

             Please include your budget narrative on a separate page.

                 Prepared by:                       Lea Salas

           Telephone Number:                      (530) 993-6791
PEI Budget Narrative 2010-11 for New Program Changes

                                                                            Previously               New
                                                                            Approved              Program/C
                                                                             Amount      FTE       hanges
Personnel
Behavioral Intervention Specialist                                                        100%

Changes in funding are increased to reflect no furloughs being
implemented for FY 2010-11. The function of this position will be to
provide Student Assistant Program services including outreach and
education, training and technical assistance, the identification/referral
process between schools and Department of Human Services, and
implementation/coordination of Project Venture activities.
Salaries                                                                        42576                   4667
Benefits                                                                        24941                   2695

Behavioral Intervention Specialist Preschool/Elementary Age                              37.75%

Additional funds will support the addition of 1 FTE Behavioral Health
Therapist in order to better provide prevention and early intervention
services outlined in the original plan to preschool and elementary school
children. The Sierra County schools serve a total of 450 students and as
the majority of the students in the 6-12 grade groups are from homes with
multiple siblings, the services provided will continue to reach the same
families; as such, the number of individuals and families will not change
Salaries                                                                                               19338
Benefits
Benefits                                                                                               10922

Operating Program Expense
Project Venture                                                                 45000
Start up Materials for Project Venture                                           2750

General Operating                                                                2750                   1200
Including but not limited to: General office expenditures including
postage, photocopy expenses, offices expenses, local and long
distance communications, internet, travel and transportation
expenses, meeting room rental fees, equipment leases and
utilities. Estimated at $100 per month.

Facility costs                                                                   4800

Administration at 15% of budget                                                 10218                   5733

Operating Reserve                                                                                       4396

Total MHSA Funds Requested for PEI                                          $ 133,035             $   48,951
2010/11 ANNUAL UPDATE                                                                                      EXHIBIT F2

                      CAPITAL FACILITIES NEW and EXISTING PROJECT DESCRIPTION

County: SIERRA                                                                                         Select one:
                                                                                                          New
                                                                                                          Existing
Project Number/Name: TEEN CENTER

Project Address: 605 School Street, Loyalton, CA 96118                                                Date: MAY 2010

                                        Type of Building (Check all that apply)
  New Construction                        Acquired Leased with Renovation               Acquired without Renovation
  Existing Facility                       County owned                                  Privately owned
  Leasing (Rent) to Own Building          Restrictive Setting                           Land only


                                                  NEW PROJECTS ONLY
1. Describe the type of building(s). Include (as applicable):
   • Prior use and ownership.
   • Scope of renovation.
   • When proposing to renovate an existing facility, describe how the renovation will result in an expansion
        of the capacity/access to existing services or the provision of new services.
   • When renovation is for administrative services, describe how the offices augment/support the County’s
        ability to provide programs/services.
   • If facility is privately owned, describe the method used for protecting the County’s capital interest in the
        renovation and use of the property.
   The structure in question was Loyalton’s Middle School for a number of years before being closed due to school
   district budget cuts. The campus consists of an ‘L’ shaped school building with classrooms, offices and auditorium
   which includes a stage and small kitchenette, a paved courtyard with basketball hoops, and a sports gymnasium with
   changing rooms and a snack bar. The school district retains ownership of the building and is in agreement with Sierra
   County Human Services securing a 20-year lease of one wing of the building, retaining maintenance and upkeep of
   the facilities. Renovation, within the main building, will consist of getting the entrance and bathrooms ADA compliant
   and sealing the floor tiles in the auditorium and hallway. Lease of this space provides the opportunity to expand
   mental health services to the adolescent population through the activities of a teen-run teen center. Prevention and
   early intervention programs will be housed in the main building, but no administrative services are included.

2. Describe the intended purpose, including programs/services to be provided and the projected number of
   clients/individuals and families and age groups to be served, if applicable.
    The intended purpose of this space will be detailed more specifically in Sierra County’s Innovations funding proposal.
    For the purposes of this form, this space is intended to operate as a teen-designed, teen-run, Teen Center, providing
    space for teens to access afterschool homework/tutoring assistance, structured and un-structured recreation time,
    and stigma-free space for mental health/prevention and early intervention services. Sierra County schools on the
    whole serve a total of 450 students; projected clients/individuals will include teens aged 13-18, or youth in grades 7-
    12. The estimate for those students is between 180-200 students and their families. Local teens have indicated they
    would like for some activities to include community adults through mentoring activities and scheduled recreational
    events to encourage a holistic sense of community.

3. Provide a description of project location. Include proximity to public transportation and type of structures
   and property uses in the surrounding area.
   The building is located near the center of town, one block north of Main Street, in the middle of a clean, safe
   neighborhood. As it has previously operated as a school, neighbors are used to the area being used by youth, and
   have posed no opposition to the proposed use as a Teen Center. There is no public transportation in Sierra County.




                                                                                                                              28
2010/11 ANNUAL UPDATE                                                                                     EXHIBIT F2
4. Describe whether the building(s) will be used exclusively to provide MHSA programs/services and supports
   or whether it will also be used for other purposes. If being used for other purposes, indicate the percentages
   of space that will be designated for mental health programs/services and for other uses. Explain the
   relationship between the mental health program/services and other uses. (NOTE: Use of MHSA funds for
   facilities providing integrated services for alcohol and drug programs and mental health is allowed as long as
   the services are demonstrated to be integrated.)
   Sixty-percent of the main building will be included in the Capital Facilities renovation proposal; the other 40% will
   remain empty at this point, under ownership of the School District. Within the 60% of the county’s space, 100% will be
   either MHSA-specific youth mental health activities, programs, and services of some type, or a combination of
   alcohol/drug prevention/treatment/counseling programs.

5. Describe the steps the County will take to ensure the property/facility is maintained and will be used to
   provide MHSA programs/services for a minimum of twenty (20) years.
   20-year lease will be secured between County of Sierra and Sierra-Plumas Unified School District. Sierra County
   Health and Human Services employees full-time maintenance personnel for all campus buildings and would include
   county-used portions of this building. The SPJUSD would partner in using their existing maintenance staff for all other
   areas of the school. An MOU between the County and SPJUSD would specify which entity would be responsible for
   which specific areas of maintenance.
6. If proposing Leasing (Rent) to Own Building provide a justification why “leasing (rent) to own” the property is
   needed in lieu of purchase. Include description of length and terms of lease prior to transfer of ownership to
   the County.
   Purchase of the entire building would be cost-prohibitive for one entity in terms of complete renovation and
   maintenance. This lease agreement ensures use of one portion of the school building, and makes use of the courts
   and gymnasium.

7. If proposing a purchase of land with no MHSA funds budgeted for building/construction, explain this choice
   and provide a timeline with expected sources of income for construction or purchasing of building upon this
   land and how this serves to increase the County’s infrastructure.

   n/a
8. If proposing to develop a restrictive setting, submit specific facts and justifications that demonstrate the
   need for a building with a restrictive setting. (Must be in accordance with Welf. & Inst. Code §5847, subd.
   (a)(5).)

   n/a
9. If the proposed project deviates from the information presented in the CFTN component approved in the
   Three-Year Program and Expenditure Plan, describe the stakeholder involvement and support for the
   deviation.
   This deviates from our previously approved CFTN component plan in that the Teen Center on this location will
   substitute the originally planned on-campus secured-foundation portable unit Wellness Center. This location will
   provide the same services outlined with the on-campus Wellness Center in addition to provided enhanced stigma-
   reduction capabilities and activity structure.

                                           EXISTING PROJECTS ONLY
1. Provide a summary of the originally approved CF project.
   n/a

2. Explain why the initial funding was insufficient to complete the project.
   n/a

3. Explain how the additional funds will be used.
   n/a

4. Explain how the stakeholders were provided an opportunity to participate in the request for additional funds.
   n/a


                                                                                                                             29
2010/11 ANNUAL UPDATE                                                                                          EXHIBIT F4
                                         PEI NEW PROGRAM DESCRIPTION

County: SIERRA

Program Number/Name: Student Assistance Program – Project Venture

Date: MAY 2010
Instructions: Utilizing the following format please provide responses and refer to the instructions provided in the original
PEI Guidelines, as noted in DMH Information Notices No.: 07-19 and 08-23. Complete this form for each new PEI Program
and existing PEI Programs that made changes to Key Community Mental Health Needs, Priority Population, and/or funding
as described in the Information Notice.
1. PEI Key Community Mental Health Needs                                                    Age Group
                                                                         Children       Transition- Adult         Older
                                                                        and Youth Age Youth                       Adult
1. Disparities in Access to Mental Health Services
2. Psycho-Social Impact of Trauma
3. At-Risk Children, Youth and Young Adult Populations
4. Stigma and Discrimination
5. Suicide Risk

2. PEI Priority Population(s)                                                             Age Group
Note: All PEI programs must address underserved racial/ethnic             Children     Transition- Adult        Older
and cultural populations.                                                and Youth     Age Youth                Adult
1. Trauma Exposed Individuals
2. Individuals Experiencing Onset of Serious Psychiatric Illness
3. Children and Youth in Stressed Families
4. Children and Youth at Risk for School Failure
5. Children and Youth at Risk of or Experiencing Juvenile Justice
   Involvement
6. Underserved Cultural Populations

a. Summarize the stakeholder input and data analysis that resulted in the selection of the priority population(s)
    and describe how the PEI program will reach/engage unserved and underserved multicultural communities.
As outlined in our initial proposal, stakeholder demand for counseling services in the schools was paramount. Community
members have expressed a need for services designed specifically for children, adolescents, and TAY. Community
members identified Spanish-speaking families as a priority population which can also be reached through the Student
Assistance Program, as these families have indicated they are more comfortable seeking and receiving services at locations
not associated with government agencies. Stakeholder input for this change and subsequent approval was attained via a
public comment period of 30-days, May 14, 2010 to June 15, 2010, posting of this plan followed by a public hearing on June
23, 2010.
3. PEI Program Description (attach additional pages, if necessary).
There are no new programs being submitted, only the addition of a Behavioral Health Specialist to the original plan in order
to extend previously approved prevention and early intervention services to preschool-elementary age children. Services will
not have changed except that they are now expanding to better serve the county’s younger children as well.
4. Activities
                                                     Proposed number of individuals or families through         Number of
                                                     PEI expansion to be served through June 2011 by            months in
                  Activity Title                     type of prevention:                                        operation
                                                                        Prevention         Early Intervention   through
                                                                                                                June 2011
                                                     Individuals:   230                   45
                                                     Families:      150-200               30-40                       10
                                                     Individuals:
                                                     Families:
                                                     Individuals:
                                                     Families:
Total PEI Program Estimated Unduplicated             Individuals:   230                   45
Count of Individuals to be Served                    Families:      150-200               30-40
                                                                                                                           30
2010/11 ANNUAL UPDATE                                                                                          EXHIBIT F4
                                         PEI NEW PROGRAM DESCRIPTION

5. Describe how the program links PEI participants to County Mental Health and providers of other needed
     services.
There is no change to the linkages described in the originally approved PEI plan with the exception that families of younger
children with no siblings in middle-high school age groups will now be included in those services linkages.

6. Describe collaboration with and system enhancements of other partners such as community based
    organizations, schools, and primary care.
There are no changes to the originally described collaborations described in the previously approved PEI plan, with the
exception of including partnerships with the Sierra County Children’s & Families Commission/First 5, Sierra Nevada
Children’s Services, local child care providers, and the Sierra County Literacy Program which is the primary source for
English-Spanish literacy services.

7. Describe intended outcomes.
Intended outcomes will remain the same, and will now directly include younger children who were previously outside the
scope of the Student Assistance Program. Having a Behavioral Health Specialist working directly with preschool and
elementary age children increases the level of prevention and early intervention benefits before the youth get to the SAP
middle-high school identification point.

8. Describe coordination with Other MHSA Components.
No change to the previously approved plan.




9. Provide a budget narrative for costs identified for this Program, as outlined in Exhibit F. Please include the
   number of FTE personnel positions/classifications and a brief description of each FTE’s functions. Please
   include a brief description of operating costs, subcontracts/professional services, and non-recurring
   expenditures associated with this PEI Program.
Behavioral Intervention Specialist salary $19,338 Benefits $10,922 FTE is 37.75% and will increase in subsequence years.
Operating Cost include not limited to, communications, general office supplies = 12 months X $50.00 per month.




10. Additional Comments (Optional)




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2010/11 ANNUAL UPDATE                                                                                            EXHIBIT F5
                                         INN NEW PROGRAM DESCRIPTION

County: SIERRA

Program Number/Name: Teen Center

Date: MAY 2010


Select one of the following purposes that corresponds to          Increase access to underserved groups
the Innovation’s key learning goal. Please note that while        Increase the quality of services, including better outcomes
the program might embody all four purposes, a learning            Promote interagency collaboration
goal cluster around a single Essential Purpose.                   Increase access to services

1. Describe why your selected essential purpose for Innovation is most relevant to your learning goal and why
     this essential purpose is a priority for your county.
Increasing access to underserved/unserved groups is most relevant to our learning goal because through the Teen Center,
we hope to establish an entirely new avenue for reaching out to youth and being visible for youth who are seeking to reach
back. Sierra County is home to a total of 450 youth; at least 200 are between the ages of 13 and 18 at the Loyalton Middle
School and High School campuses. The Loyalton teens lost a peer to suicide in April 2010 and are seeking opportunities to
help the community address some of the potential issues that led to the death of their friend, including social isolation,
bullying, anti-gay sentiments, substance abuse and addiction, and youth who struggle with family relationships. Local teens
have since come together voicing a need for a space of their own, not just for “more stuff to do”, but a place where they can
“give back” and lead activities designed to promote cooperation, “interaction among the teens, their families and the
community”, and in that interaction, resuscitate the identity of their town. This purpose is a priority for our county because
the community is in complete agreement that the youth need something new and different to help develop their potential.
Letting the youth design the plan for this community intervention is paramount.

2. Describe the INN Program, the issue and key learning goals it addresses, and the expected learning outcomes.
    State specifically how the Innovation meets the definition of Innovation to create positive change; introduces a
    new mental health practice; integrates practices/approaches that are developed within communities through a
    process that is inclusive and representative of unserved and underserved individuals; makes a specific change
    to an existing mental health practice; or introduces to the mental health system a community defined approach
    that has been successful in a non-mental health context.
Sierra County’s INN proposal consists of implementing a Teen Center fully designed by local youth through a series of
surveys at the local high school and middle school. The community youth were in complete control with developing and
conducting the surveys to determine what services, programs, and activities would be available, what the hours and days of
operation would be, and what the general purpose of the Teen Center might be. The youth have identified a need for a
sense of community in a town dispirited from economic devastation and population loss, and have requested a central
location intended solely for teens, but where teens could embrace a community spirit and encourage their peers to thrive.

The goal for this project is to learn from our kids; What will happen if the youth are given the chance to change their
community through the creation of a Teen Center with a community focus? Will adolescent depression rates decrease? Will
the overall number of individuals – of all ages – seeking mental health services, needing medications and hospitalizations
decrease? Will the numbers of co-occurring disorders for youth and their families decrease? Will the Teen Center activities
work holistically to increase tolerance, diversity, and cultural competence?

This Teen Center will meet the definition of Innovation because of the grassroots youth-led planning team and the activities
these youth design. The proposed location of the Teen Center is a former middle school campus, comprised of a main
building (includes classrooms which would be renovated into offices and meeting rooms, an auditorium with stage and
kitchenette), and a second structure which includes a gymnasium, changing rooms, and a snack bar. The campus grounds
include a soccer/softball field, a paved outdoor basketball court. The teens’ Wish List includes sports equipment (volleyball,
softball, basketball, soccer) for use in the gymnasium and on the basketball courts and the fields; computer equipment for
use in a study/homework/tutor center; music system and entertainment center (television/DVD player with an assortment of
movies); a variety of board games; inside/outside tables and chairs and bean bags; a barbeque (for hosting community
gatherings); ping pong/foosball table and pool/air hockey table (copy of the teens’ wish list with cost estimates and student-
generated brochure proposal is included with annual plan).

By leasing office space at the Teen Center, Sierra County mental health and substance abuse prevention programs would
partner with the school district in order to provide supervision and adult mentors during regular office hours in a location
completely removed from agency-stigma, along with part-time staff hired from within the community to supervise/mentor
                                                                                                                            32
2010/11 ANNUAL UPDATE                                                                                              EXHIBIT F5
                                          INN NEW PROGRAM DESCRIPTION
after-hours activities. The result is an entirely youth-driven wraparound-like ‘one-stop’ location for youth and their families,
which ultimately promote inclusive well-being for the entire community.
2a. Include a description of how the project supports and is consistent with the applicable General Standards as
    set forth in CCR, Title 9, Section 3320.
Community youth were instrumental in providing the ground work and surveying what local youth would want in a Teen
Center. The findings were presented to the community at a Townhall meeting where attendees offered commentary,
opinion, and support. Attendees represented consumers and family members, parents, students, teachers and other school
administration, and members of City Council, County Board of Supervisors, School District, faith communities, law
enforcement and probation, and Sierra County Children’s and Families Commission/First 5.

The Teen Center would have an office available for a mental health therapist during scheduled hours, and would house the
two full-time drug/alcohol/tobacco prevention Community Outreach staff, both of whom are involved with the youth activities
on a daily basis.

After their peer’s suicide in early April, local teens hung a piece of butcher paper in the hallway of their school, titled “We
need more…”, on which students continue leave comments (a photo of this is list is included with the submission of the
annual plan). This list includes: “support, acceptance, grass, empathy, trust, communication, companionship, togetherness,
forgiveness, common courtesy, apologies, hope, unity, a sense of safety, and strength within ourselves and one another”.
This list is the tone of the driving force behind the Teen Center in terms of providing a space for activities (structured and
unstructured) and services devoted to holistic wellness, inclusion, and resiliency.

2b. If applicable, describe the population to be served, number of clients to be served annually, and demographic
     information including age, gender, race, ethnicity, language spoken, and situational characteristic(s) of the
     population to be served.
The population to be served is the teenage population of the Loyalton community, the primary population center for Sierra
County. As mentioned above, Sierra County is home to 450 youth, 200 of which are between the ages 13 and 18 in the
Loyalton area (there are approximately 150-180 students in the Loyalton Elementary School and approximately 50 students
in the Downieville K-12 school). Sierra County demographics include 92% Caucasian and 7% Latino population estimates
as of the 2008 Census. Teen Center activities and services would be designed to promote cultural competency with regard
to and inclusion of Spanish- and English-speaking Latino communities, low socio-economic families and LGBT families.

3. Describe the timeframe of the program. In your description include key actions of the timeline and milestones
     related to assessing your Innovation and communicating results and lessons learned. Provide a brief
     explanation of why this timeline will allow sufficient time for the desired learning to occur and to demonstrate
     the feasibility of replicating the Innovation.
The building proposed for the Teen Center would need to be renovated in order to meet ADA requirements; these
renovation plans are included within this Annual Plan as a change to the previously approved Capital Facilities Plan
Proposal. Upon approval of these proposals, Sierra County will partner with the Sierra-Plumas Joint Unified School District
in the renovating process, and will lease the building for a term not shorter than 20 years. Upon completion of the
renovation, Sierra County MHSA coordinator will begin working with a teen-organized task force for equipping and
furnishing the Teen Center, and to develop a schedule of activities. The Teen Center would be fully operational by June
2011. The community estimates within one year of operation, youth involvement with law enforcement and probation will
decrease as will the number of youth requiring mental health-related and substance use-related services. Within two years,
the community expects to see a decrease in the overall numbers of individual and families requiring the above interventions.
Within five years, the community expects to see a town thriving around a central youth-inspired movement of resiliency.

4. Describe how you plan to measure the results, impacts, and lessons learned from your Innovation, with a focus
    on what is new or changed. Include in your description how the perspectives of stakeholders will be included
    in assessing and communicating results.
We intend to measure the results and impact of the Teen Center project via monitoring the referrals to Mental Health from
the school as well as overall new cases from the first date of operation compared to numbers one year prior and one year
after. A pre-operational survey will be designed and conducted with direction from the Teen Task Force to gauge the
community’s current perception of the qualities indicated on the teens’ “We Need More of…” list, and a one year post-
operation survey to gauge perceptions of impact the Teen Center will have had on these characteristics.

5. Please provide a Budget Narrative that includes the entire budget for each Innovation Program, and also
   provide for each Innovation Program projected expenditure dollar amount by each fiscal year during the
   program time frame. (For Example, Program 01- XXXX, the entire project is $1,000,000. The first year projected
   amount will be $250,000, the second year projected amount is $250,000, the third year is $250,000 and the fourth year
   is $250,000.) Please also describe briefly the logic for this budget: how your proposed expenditures will allow
   you to test your model and meet your learning and communication goals.
                                                                                                                       33
2010/11 ANNUAL UPDATE                                                                                              EXHIBIT F5
                                          INN NEW PROGRAM DESCRIPTION
Please refer to Exhibit E5, Innovations Budget Summary. The goal of this project is to learn whether a town’s teens can
change their community with a little bit of front-end support from the adults. This plan is intended to provide that support by
securing a location/structure and providing staff, activities, and equipment.

6. If applicable, provide a list of resources to be leveraged.
Sierra-Plumas Joint Unified School District will maintain ownership of the campus structures, and will partner with the
following community groups and programs in providing and supervising the activities and services requested by the teens:
Student Assistance Program; Project Venture; Friday Night Live/Club Live; Family Resource Center; Tobacco Prevention
Program; Sierra Arts Council. The Teen Center will also be supported through donations from members of the community.




                                                                                                                              34
                                                                                                         Exhibit I



       Training, Technical Assistance and Capacity Building Funds Request Form
                  (Prevention and Early Intervention Statewide Project)
                          X Previously approved with no changes
                                              New

Date: MAY 2010                                     County Name: SIERRA
Amount Requested for FY 2010/11: $0.00
A. Briefly describe your plan for using the Training, Technical Assistance and Capacity Building funding
and indicate (if known) potential partner(s) or contractor(s).




B. The County and its contractor(s) for these services agree to comply with the following criteria:

 1) This funding established pursuant to the Mental Health Services Act (MHSA) shall be utilized for
    activities consistent with the intent of the Act and proposed guidelines for the Prevention and Early
    Intervention component of the County’s Three-Year Program and Expenditure Plan.
 2) Funds shall not be used to supplant existing state or county funds utilized to provide mental health
    services.
 3) These funds shall only be used to pay for the programs authorized in WIC Section 5892.
 4) These funds may not be used to pay for any other program.
 5) These funds may not be loaned to the state General Fund or any other fund of the state, or a
    county general fund or any other county fund for any purpose other than those authorized by WIC
    Section 5892.
 6) These funds shall be used to support a project(s) that demonstrates the capacity to develop and
    provide statewide training, technical assistance and capacity building services and programs in
    partnership with local and community partners via subcontracts or other arrangements to assure the
    appropriate provision of community-based prevention and early intervention activities.
 7) These funds shall be used to support a project(s) that utilizes training methods that have
    demonstrated the capacity to increase skills and promote positive outcomes consistent with the
    MHSA and PEI proposed guidelines.


Certification
I HEREBY CERTIFY to the best of my knowledge and belief this request in all respects is true, correct, and in
accordance with the law.
___________________________________________________
Director, County Mental Health Program (original signature)




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                                                                                 Appendix A


2010 Innovation

Wish List price estimates
Set up of games systems ‐Wii ,2  @$200  ea Xbox 2 @ $400 each             1200
Games‐ 10 for each  system @ $50 per game                                 2000
Pool Table                                                                3000
Air Hocky                                                                  600
3 ‐laptops or note pads with 1 printer                                    2900
TV, DVD and 20 movies                                                     1400
BBQ                                                                        500
10 Bean Bags @ $100                                                       1000
Board games‐ 10 X $20 ea                                                   200
Equipment ‐ Baseball, basketball, volleyball, frisbees ect.               1000
Pop corn machine                                                           350
Sound system with Cd player ipod connector                                 300
Ping pong table                                                            400
Sofa set                                                                  1000
Table and chairs for indoor and outdoor                                   1500
Snack Bar supplies                                                        1000

Total                                                           $    18,350.00




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