Serving Children, Youth and their Families

with Mental Health Services in New and

Innovative Ways

Karen George

Patrick Ma

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What is it & How did we get it in California?Showcase of statewide project example

How has it helped Sacramento County specifically?

Proposition 63

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What is Prop 63?

More than 2 million adults—about 8% of the population—are  affected by potentially disabling mental illnesses every year in California.

Proposition 63, the Mental Health Services Act, emphasizes transformation of the mental health system with the intention of expanding services while improving the quality of life for Californians living with or at risk of serious mental illness.

Proposition 63 is funded by levying a 1% tax on personal income above $1 million.

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Overview of programs and services

Community Services & Support

Capital Facilities and Technological Needs

Workforce Education & Training

Prevention & Early Intervention

Innovation

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MHSA Steering Committee

To dramatically transform the Sacramento County mental health system so that all individuals with serious emotional disturbances and psychiatric disabilities achieve a high quality of life through prevention, early intervention and on-going innovative services provided within the local community.

The Sacramento County Mental Health Services Act (MHSA) Steering Committee makes program recommendations to the Sacramento County Division of Behavioral Health Services for MHSA funding.

Track, evaluate and support

Open to concerned consumers and family members5

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Steering Committee

Current Membership includes:

Mental Health Board (1)

County Departments (7)

Service Providers (3)

Law Enforcement (1)

Education (1)

Cultural Competence (1)

Veterans (1)

Consumers (6)

Family Member/Caregivers (6)

Consumer/Family – at large (1)

This committee meets monthly for approximately 2 hours

An executive committee meets before hand to create the

agendas

The public is welcome and there are opportunities for

public comment

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Components Include:

Statewide projects & campaigns

Stigma & Discrimination Programs

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http://walkinourshoes.org/our-stories/harry

Prop 63 in actions

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My journey

Statewide project- collaboration with Walk in Our Shoes project and Runyon Saltzman Einhorn, Inc.

My name was changed for identity protection.

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http://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime#t-624524

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Contributing Factors

There is a strong correlation between genetics and mental illness.

Ex: If one of the identical twins have Bipolar I disorder, the other twin has 80% chance of developing either Major Depressive Disorder or Bipolar I disorder (Crow, 2011).

Environmental factors, such as stress, poverty, and abuse also increase the risk of an individual to develop a mental illness (Whittle et al., 2014).

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Facts about mental illnesses

- 1 in 4 adults in the U.S. currently has or will develop a mental illness at some point in his or her life.

- Contrary to the common stereotype, people with mental illness are more likely to be the victims of violence rather than the perpetrators.

- Mental illness claims many lives and can leave many more incapable of functioning normally if goes untreated.

- However, recovery is possible. People who recovered from a mental illness or are living with a mental illness can still be productive members of society.

Source: stopstigmaSacramento.org12

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Mental Illness

1 in 4 of homeless individuals, including children shows sign of PTSD after 3 days experiencing homelessness

FACT: People can develop a mental illness when simply dealing with life normal transitions: after pregnancy, job loss, death of a loved one, etc.

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An important topic

Issues associated with having a mental illness include:

+ Stigma

+ Discrimination

+ Shame that leads to suppressing or hiding the illness

+ Subjective distress that amplifies the illness

Source: stopstigmaSacramento.org14

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Prop 63- Beyond services for homeless populations

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Past and Present

In CA, Prop 63 was passed in 2004 to tax millionaires and provide funding for mental illness prevention, intervention, and treatment.

In May of 2013, President Obama called for a national dialogue about mental illness in response to the tragedies happened around the country.

Sacramento was the first city to take on that task.

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Statewide campaign

“Mental Illness: It’s not always what you think” is a multimedia campaign created in 2013 in hope of reducing stigma and discrimination associated with mental illness.

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My Involvement

My involvement

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My involvement

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What can YOU do?

Be sympathetic and nonjudgmental

Educate yourself about mental illness

You will have to eradicate your own bias before you can even think about helping others. Unintentional negative gestures or comments toward individuals with mental illness can break their trust.

Know about the available resources and direct individual who needs help to appropriate services

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Resources

For more information, please visit:

- Stopstigmasacramento.org

- Your-voice.org

- Call 211 (all inclusive FREE mental health information line)

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Other statewide projects:

Statewide projects & campaigns

Stigma & Discrimination Programs

Regional Programs

Regional K-12 Student Mental Health Initiative

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K-12 Mental Health Initative

http://regionalk12smhi.org

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Components Include:

Statewide projects & campaigns

Regional Campaigns

Local Programs

Sacramento County DBHS

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Sacramento County

Department of Behavioral Health Services

Community Services & Support

Capital Facilities and Technological Needs

Workforce Education & Training

Prevention & Early Intervention

Innovation

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Sacramento County

The Process –

Community Input & Planning

30 day review

Public Hearing

Steering Committee & County Mental Health Board review

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Vision

The Sacramento County Mental Health Services Act Steering Committee will lead the community in creating a comprehensive, integrated, culturally responsive system of mental health services that promotes resilience, recovery, wellness and stigma-free integration into the fabric of the community. The transformed system will be easy to access, responsive to consumers and family members, and allow maximum consumer choice. Services will be research-based, innovative, effective and accountable. The new system will embrace prevention and early intervention and provide seamless services for individuals of all ages. Outcomes will be evaluated based on improvement in the quality of life of individuals served by the system.

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Mission

To dramatically transform the Sacramento County mental health system so that all individuals with psychiatric disabilities achieve a high quality of life through prevention, early intervention and on-going innovative services provided within the local community.

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Values

1. Everyone who needs help has access to a full array of timely, integrated, and high quality individualized services.

2. A seamless system of coordinated services is available in community settings close to home.

3. Prevention and early intervention are fundamental to the service system.

4. Services build on cultural strengths and are responsive to individual and community needs related to culture, language, age, disability, gender, sexual orientation and spirituality.

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5. Individuals are treated with respect and afforded the opportunity for self-determination in an environment free of stigma and prejudice.

6. Services promote resilience and are recovery-centered and wellness focused with full integration into all aspects of community life as the ultimate goal.

7. The service system is innovative, research-based, and continually evaluated for effectiveness in improving the quality of life for the individuals served.

8. Consumers and their families have a primary role in planning and evaluating program and personal services in alliance with providers.

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Children & Family Services

http://www.dhhs.saccounty.net/BHS/Documents/Provider-Forms/Brochures/Child-Family-Brochure.pdf

http://www.dhhs.saccounty.net/BHS/Pages/Childrens-Mental-Health/Childrens-Mental-Health.aspx

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References Crow, T. J. (2011). 'The missing genes: What Happened to the Heritability of Psychiatric

Disorders?'. Molecular Psychiatry, 16(4), 362-364. doi:10.1038/mp.2010.92.

Cochran, S. D., Mays, V. M., Alegria, M., Ortega, A. N., & Takeuchi, D. (2007). Mental Health and Substance Use Disorders Among Latino and Asian American Lesbian, Gay, and Bisexual Adults. Journal of Consulting and Clinical Psychology, 75(5), 785-794. doi:http://dx.doi.org/10.1037/0022-006X.75.5.785

Graber, J., & Sontag, L. (2009). Internalizing Problems During Adolescence. In R. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (3rd ed., Vol. 1. pp. 642-682). New York: Wiley

Whittle, S., Lichter, R., Dennison, M., Vijayakumar, N., Schwartz, O., Byrne, M. L., Allen, N. B. (2014). Structural Brain Development and Depression Onset During Adolescence: A Prospective Longitudinal Study. American Journal of Psychiatry, 171(5), 564-571. doi: 10.1176/appi.ajp.2013.13070920

Liddell, B. J., Chey, T., Silove, D., Phan, T. T. B., Giao, N. M., & Steel, Z. (2013). Patterns of Risk for Anxiety-Depression Amongst Vietnamese-Immigrants: A Comparison with Source and Host Populations. BMC Psychiatry, 13 doi:http://dx.doi.org/10.1186/1471-244X-13-329

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Q&A

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Contact information

Karen George

kgeorge@scoe.net

(916) 228-3904

Patrick Ma

hiepma@me.com

(916) 595-537135