Golden County PEI Programs Overview and Description

Golden County PEI Programs Overview and Description

Presentation to GROUP

DATE

Goals

• Do our current PEI programs and activities address local priorities? What local priorities are not being met? Are there areas that are getting too much attention?

• Do the types of programs reflect our community values? Do the programs promote access and acceptance for the diverse people of California?

• Is this the right allocation of our budget across programs and activities?

• Do we have the right distribution of programs between Prevention and Early Intervention?

• Do our programs link people with early onset of serious mental illness with medically necessary care provided by county mental health programs? Are we doing enough outreach to potential responders to help them identify early signs of potentially severe mental illnesses?

• Are we meeting the needs of different underserved populations and age groups?

• Are there public health goals we are not addressing that we should?

Overview

• Background

• Golden County PEI Programs Description

• Stakeholder feedback and discussion

MHSA Requires Counties Prepare a 3-Year Program and Expenditure Plan

• Plan must be developed with “meaningful stakeholder input”

• Clients and families must be involved in all aspects of community planning process

• Plan must be updated annually

• “Knowledge is power”

How We Collected Program Information

Program 2

Program 1

Program 3

Program 4

Program 6

Program 5

Program 7

Program 8

Program 10

Program 9

All Program Description ExcelWorkbook

StakeholderPresentationsSlide Deck

Individual Program Questionnaire

Individual Program Description Questionnaire

• Filled out individually for each PEI program in the county

• Purpose: Collect accurate data about each PEI program

Questionnaire Design Guided By Logic Model

PEI Funding

Com

munity Planning Process

•Identified needs

•Target populations

Are there public health benefits?Reduced suicide Mental-health related• Prolonged suffering• Incarceration• Homelessness• School drop out• Foster care• Unemployment• Differences across

groups

Where is it going?

(Programs)New and enhanced prevention resources• Outreach and public

awareness campaigns• Community

strengthening programs

• Gatekeeper training and education

• Counseling and support

New and enhancedearly intervention• Screening/ referral• Treatment of mild-

moderate mental illness

• Treatment for new onset SMI

Increasedcollaboration and coordination among agencies• System change

efforts

What is it doing?(People served, #

of visits)More and better prevention• Exposure to social

marketing efforts• More teachers trained• More parents

receiving coping skills training

More and better early intervention• Access/utilization of

first-break early intervention programs

• Use of school-based counseling services

Does it make a difference?

(Short and long-term goals)

Changed knowledge, behaviors and attitudes• Increased general

knowledge and supportive attitudes about mental illness

• Increased identification of at-risk clients

• Increased help-seeking• Decreased risk

behaviors Improved resilience and emotional well-being• Decreased

psychological distress• Improved individual

functioning• Improved family

functioning• Increased community

resiliency

Golden County PEI Programs –What Information We Will Provide

• List of programs and characteristics– Cost– Count of participants– Intensity

• What activities programs are doing and distribution of dollars across activities

• Target participant characteristics

• Short term goals

• Public health goals

List of Programs and Characteristics

Distribution of Programs by Primary Focus

• Outreach and public awareness campaigns

• Community strengthening

• Gatekeeper education and training

• Counseling and support

• Screening and referral

• System change efforts

• Clinical services for early intervention

Types of Activity

How Many Programs are Doing Each Type of Activity?

How are PEI Funds Distributed Across Activities?

How Intensive are Programs?

• Race/Ethnicity

• Primary Language

• Age groups (children, school-age, TAY, adults, seniors)

• Gender

• Special populations– Veterans, military– Foster care, undocumented, undeserved– Low income, Medicaid eligible– LGBTQ

Demographics of Participants

How many programs mainly target each racial/ethnic group?

How many programs mainly target each age group?

How Many Programs Target Special or Underserved Groups?

Are Materials and Program Activities Provided in Languages Other than English?

How Many Programs Mainly Address Each Short-Term Goal?

How Many Programs Seek to Reduce Each Public Health Problem?

Questions for Stakeholders

• Do our current PEI programs and activities address local priorities? What local priorities are not being met? Are there areas that are getting too much attention?

• Do the types of programs reflect our community values? Do the programs promote access and acceptance for the diverse people of California?

• Is this the right allocation of our budget across programs and activities?

• Do we have the right distribution of programs between Prevention and Early Intervention?

• Do our programs link people with early onset of serious mental illness with medically necessary care provided by county mental health programs? Are we doing enough outreach to potential responders to help them identify early signs of potentially severe mental illnesses?

• Are we meeting the needs of different underserved populations and age groups?

• Are there public health goals we are not addressing that we should?

Back-Up SlidesCan Be Used If More Detail Is

Required

Overview of Questionnaire Items

1. What is the name of the program you are describing? (Please provide full name and any acronym commonly used)

2. Is this program primarily focused on:(Please check one box)

1 Prevention, or2 Early intervention, or3 System change efforts

3. What are the main activities that this program carries out? Many programs do a bit of everything, so try to identify the most important activities for this program, which are directed at the target population for the program. Please refer to Guide below in determining program activities.(Check all that apply)

1 Outreach and public awareness campaigns2 Community strengthening3 Gatekeeper education and training (including program

staff training)4 Counseling and support5 Screening and referral6 System change efforts7 Clinical services for early intervention8 Other – what activity? __________________________

4. What was the approximate total amount of PEI funding for this program in fiscal year 2012-13? Do not include funding for the program that comes from other sources.

$ ____________

5. Please indicate as best you can how the total funding was used across the main activities of this program in fiscal year 2012-13. If an activity is not part of this program, leave the line blank.

ACTIVITIES % OF total program FUNDING Outreach and public awareness campaigns %_________Community strengthening %_________Gatekeeper education and training %_________Counseling and support %_________Screening and referral %_________System change efforts %_________Clinical services for early intervention %_________Other – what activity? %_________ 

100% = TOTAL FUNDING

6. What is the intensity of this program’s main activities taken as a whole?(Please check one box)

1 Single or light touch activities2 More intensive activities3 Both levels

About how many individuals were served by this program in 2012, based on a duplicated and/or unduplicated count? • Duplicated count – individuals may be counted more than one time if

they receive several services within one program within the same reporting period.

• Unduplicated count – individuals are counted only once, no matter how many different services a client is receiving within a program in the same reporting period.

7. Please provide an unduplicated count if possible.

 ______________ Number of unduplicated individuals

or [ ] Unduplicated count not available

8. Please provide a duplicated count if available.

 ______________ Number of duplicated individuals

or [ ] Duplicated count not available

9. What are the age groups mainly targeted by this program?(Check all that apply)

1 Children – Age 0-152 TAY – Age 16-253 Adults – Age 26-59 4 Seniors – Age 60+5 No main group(s) – targets all ages equally

10. What are the race/ethnicities mainly targeted by this program?(Check all that apply)

1 Hispanic/Latino2 White3 Black/African American4 Asian5 American Indian, Native American, Alaskan Native6 Native Hawaiian, Pacific Islander7 Other8 No main group(s) – targets all equally

11. Are materials and program activities provided in languages other than English?(Please check one box)

1 Yes – most of them2 Yes – some of them3 Materials and activities are

in English only

12. What special groups are mainly served by this program?(Check all that apply)

1 Veterans2 Military3 Foster care children/youth and/or families4 LBGTQ5 Undocumented immigrants6 Low income, Medicaid eligible7 Underserved8 Program designed to serve everyone, no targeting of

any special group9 Other10 NONE OF THESE

13. In the design or operations of this program have there been any specific adaptations to make it more culturally appropriate for the target group(s)?(Please check one box)

1 Yes2 No3 Not applicable

14. We are going to ask about the program and public health goals targeted by this program. Programs may have multiple goals so please try to identify the main goals for the program. What are the main goals for this program? By goals we mean the most immediate intended results of this program. (Check all that apply)

1 Increased knowledge and more supportive attitudes about mental illness2 Decreased risk behaviors and/or increased coping skills3 Decreased distress and/or fewer and less severe symptoms Could also

include preventing crisis situations from escalating4 Improved individual functioning (could be at home, school, and work) and increased resilience and well-being5 Improved family functioning

6 Increased help-seeking and utilization of additional assessment and/or treatment services7 Increased community resiliency, such as improved social climate, reduced stigma and discrimination, and more social supports available in the community8 Improved systems of care which could include more coordinated and culturally responsive services, increased capacity and access, improved policies and protocols for how individuals move between systems (e.g., primary care to specialty care, or juvenile justice to the school system)

15. Programs may or may not directly target public health goals, but may be intended to contribute to reducing mental health related public health problems. What main public health problems is this program intended to reduce:(Check all that apply)

1 Suicide2 School dropout related to mental health3 Removal of children from the home related to

mental health4 Incarceration related to mental health5 Homelessness related to mental health6 Unemployment related to mental health7 Stigma and discrimination related to mental health8 Prolonged suffering related to mental health9 Disparities related to mental health treatment access

and/or utilization

16. Are there main program goals that were not covered in these questions?(Please check one box)

1 Yes -> What goals?2 NO, ALL WERE COVERED

Guide to classifying program activities

OUTREACH AND PUBLIC AWARENESS CAMPAIGNS

Purpose: To increase public knowledge and awareness.

Target: General public - individuals not identified on the basis of a specific risk factor.

Examples: Public service announcements; developing and hosting informational websites; creating and distributing pamphlets or other printed material for wide scale distribution; stigma reduction campaigns; hosting health fairs.

Note: Do not include outreach intended to recruit program participants or build community partnerships in this category.

Guide to classifying program activities

COMMUNITY STRENGTHENING

Purpose: To increase community resources and resiliency, or to improve social climate and increase social support.

Target: These are universal prevention activities and are not directed towards individuals who have specific risk factors.

Examples: A resource or drop in center (if the primary purpose of the resource program is community strengthening); a school-based anti-bullying program directed at the entire school or community; an exercise program for the elderly; NAMI Family to Family programs and vocational programs; Parent education programs for all parents; school readiness programs that are targeted at all children.

Guide to classifying program activities

GATEKEEPER EDUCATION AND TRAINING

Purpose: To train and educate individuals to recognize someone who is in distress and could benefit from further evaluation or treatment and/or to create a safe and non-stigmatizing environment where someone can self-identify as needing help.

Target: Community leaders, school personnel, emergency workers, and other gatekeepers.

Examples: Teacher training programs, training for suicide hotline operators, training for outreach workers and community leaders.

Note: This category includes training of program staff.

Guide to classifying program activities

COUNSELING AND SUPPORT

Purpose: To reduce risk factors and increase copies skills.

Target: At-risk individuals, rather than individuals with a known diagnosis. These programs do not include universal prevention programs.

Examples: Peer support programs; Resource centers (if the primary purpose is to provide counseling and support); Suicide hot and warm lines; Parent training programs for children with identified needs or risk factors; Violence prevention programs directed at selected children or youth; Promotoras home visiting programs.

Note: These activities are generally conducted by individuals who are not licensed mental health clinicians.

Guide to classifying program activities

SCREENING AND REFERRAL

Purpose: To identify individuals who might benefit from additional assessment and/or counseling.

Target: At risk individuals such as foster youth, new moms, frail elderly.

Examples: School-based screening; suicide hot and warm lines, some Promotoras programs.

Guide to classifying program activities

SYSTEM CHANGE EFFORTS

Purpose: To improve system functioning in order to increase appropriate identification of need and access to services.

Target: Public and private systems.

Examples: Efforts to develop and disseminate culturally appropriate policies and procedures and culturally competent services, as well as data systems to track individuals. Development of referral networks and efforts to increase and make more efficient collaboration across systems and programs. Efforts to increase access and capacity by reducing inefficiencies could also be included here.

Guide to classifying program activities

CLINICAL SERVICES FOR EARLY INTERVENTION

Purpose: To keep mental illnesses from becoming chronic and increasing in severity.

Target: Individuals with either a known or likely diagnosis or symptoms related to a diagnosis.

Examples: First break psychosis programs, PTSD/PTSD symptom treatment programs; primary care integration programs; school-based trauma treatment; family therapy.

Note: These activities are generally conducted by licensed mental health clinicians.

Duplicated vs. Unduplicated Counts

47

• Duplicated Count: Refers to a program participant who may be counted more than one time in a grant year. This might occur if a client received multiple services in the same reporting period within one program or across multiple programs

• Unduplicated Count: is one (1) person/client that is counted only once, no matter how many different services the client is receiving during the funding period – could be within or across programs.

• Can we get unduplicated counts?– Within individual PEI programs?– Across PEI programs in a county?

• Enroll participants and assign program IDs– Use an online system to support unique records– Create prepopulated service forms with client name and ID for

providers

• Train providers in the importance and methods for enrolling and tracking services

• Have programs submit data on individuals (without personal identifiers) for more meaningful analyses

• Or – agree that unduplicated counts are OK, but be consistent and clear

Methods for Capturing Unduplicated Counts

How We Handle Counts

• Collected “duplicated” counts for all programs– This is most common form of information counties have

• Graphic displays based on “duplicated” counts since most programs can provide this information