Approved County Innovation Projects FY 2017-18

Innovation Project Commission County Name Amount Approved Project Description Name Approval Date Yolo County proposes to conduct a Board and Care study project to Board and Care Study assess and address the need for additional supervised environments Yolo 7/27/2017 $ 8 9,125 Project with ancillary services including case management, social rehabilitation, and medication monitoring. The County proposes to develop a multi-disciplinary team Yolo First Responders Initiative 7/27/2017 $ 1 ,725,139 integrating law enforcement first responders and non-law enforcement first responders into a multi-disciplinary team (MDT). Contra Costa County proposes to use the Cognitive Behavioral Social Skills Training practice with individuals living in augmented Cognitive Behavioral board and care facilities - adults with SMI will learn skills to enable Social Skills Training in them to achieve recovery based skills. The project will involve a Contra Costa 8/24/2017 $ 1 ,247,200 Board and Care Facilities team designed of one Mental Health Clinical Specialist and one (CBSST) Community Support Worker with lived experience whose primary responsibility will be to lead CBSST groups at augmented board and care facilities that house consumers. The CORE Project is an intensive outpatient treatment program offering three levels of care: intensive, transitional and continuing Center for Recovery and care to adolescents dually diagnosed with substance use and Contra Costa 8/24/2017 $ 2 ,502,022 Empowerment (CORE) mental health disorders. Services will be provided by a multi- disciplinary team, and includes individual, group and family therapy, and linkage to community services. Mono County proposes to develop a regional collaborative with the Eastern Sierra Strengths neighboring Counties of Inyo and Alpine as well as the following Based Learning community partners: Mammoth Hospital, law enforcement, and the Mono Collaborative: A County 9/28/2017 $ 259,046 Wild Iris Crisis and Counseling Center. In this INN project the Drive Regional collaborative will focus on training County staff and partners on the Partnership Strengths Model, developed by the University of Kansas School of Social Welfare. Napa County is proposing to develop a training program for paraprofessionals, who work in and around mental health Napa Adverse Childhood Napa 9/28/2017 $ 438,869 programs, to help them identify their own adverse childhood Experience experiences and to help them use this knowledge in their practices and in their interactions with their respective consumers. Napa County is proposing to develop a program to increase Understanding the Mental empathy and understanding of the needs of Filipino students and Health Needs of the parents, increase their willingness to utilize mental health supports Napa 9/28/2017 $ 461,016 American Canyon Filipino and make changes to the screening processes currently being used Community identify students and their families and to increase access for them to access supports available to them. Napa County is proposing to develop a program to increase cultural Native American competency by establishing a training program to educate mental Napa Historical Trauma and 9/28/2017 $ 479,518 health practitioners about historical trauma and Native American Traditional Healing healing traditions. Napa County is proposing to develop a platform where employers, supported employment providers and individuals with SMI create Napa Work for Wellness 9/28/2017 $ 309,250 shared measures of success, change how they relate to each other and develop and test ideas for measuring shared success Los Angeles and Kern Counties propose to increase access to mental Increasing Access to health services to underserved groups by working with the Joint Mental Health Services Powers Authority, CalMHSA, on a multi-county demonstration and Supports Utilizing a Kern 10/26/2017 $ 2 ,000,000 project to implement a group of technology-based mental health Suite of Technology - solutions that utilize chat rooms and passive data collection to Based Mental Health identify the early signal biomarkers for mental health symptoms and Solutions offer prompt intervention. Los Angeles and Kern Counties propose to increase access to mental Increasing Access to health services to underserved groups by working with the Joint Mental Health Services Powers Authority, CalMHSA, on a multi-county demonstration and Supports Utilizing a Los Angeles 10/26/2017 $ 3 3,000,000 project to implement a group of technology-based mental health Suite of Technology - solutions that utilize chat rooms and passive data collection to Based Mental Health identify the early signal biomarkers for mental health symptoms and Solutions offer prompt intervention. The Round Valley Crisis Response Services project seeks to learn how institutional and governmental agencies can work effectively with the local and tribal community to meet the needs of these communities. Mendocino County hopes to identify an effective and culturally responsive crisis response system for this remote Round Valley Crisis community. Working with American Indian / Alaskan Native Mendocino 10/26/2017 $ 1 ,124,293 Response Services stakeholders, they will develop a model for integrated one-stop crisis response services, adapted for Round Valley’s unique needs. This project will provide a blend of Native American healing practices with County Specialty Mental Health and co-occurring substance abuse services to both Native and Non-Native members of the community. San Diego County is requesting an extension of time and funds so that the Urban Beats, a multi-tiered approach to mental health through artistic expression, social media workshops and one to one coaching, can address the needs of the previously unaddressed areas of North County and the East African Community in San Diego. Additionally, the additional funds will be used to assist with San Diego Urban Beats Extension 10/26/2017 $ 2 ,259,447 transportation barriers identified in the first stages of the program and allow for additional clinical staff. Initially approved in 2015, Urban Beats was designed as a behavioral health program using a multi-tiered approach to mental health to promote all of the following: education, wellness, leadership development and employment readiness for Transition Aged Youth (TAY) in lieu of traditional behavioral health services. San Diego is requesting an extension of time and funds to expand county-wide and include bilingual social workers. It had been limited previously due to budgetary constraints from being able to Cognitive Rehabilitation meet the need identified in the first stages of this program. Initially and Exposure/Sorting San Diego 10/26/2017 $ 2 ,913,159 approved in 2015 and formerly known as the Innovative Mobile Therapy (CREST) Mobile Hoarding Intervention Program, CREST was designed to reduce Hoarding Units Extension hoarding, improve health and safety, quality of life and housing stability to older adults suffering from serious mental illness, with hoarding behaviors and who may be at risk for homelessness. The County proposes to increase access to behavioral health services after a psychiatric emergency by providing Telemental San Diego Telemental Health 10/26/2017 $ 5 ,253,376 Health services to a specific population of psychiatric patients who do not follow up with mental health services after their discharge in order to reduce recidivism. Santa Clara County is roposing to implement the headspace model, based out of Australia, in an effort to provide youth between the ages of 12-25 years old with coping skills and support systems to allow successful transition into adult-hood and may also provide early identification and intervention related to the signs of mental illness and suicide. The County plans to present the plan to the commission and ask for funding to support an initial 8 months Santa Clara Headspace 11/16/2017 $ 572,273 (ramp up phase) of the project to be used for initial startup and planning costs. The County will focus the ramp up phase on research, site visits, programmatic planning, and facility procurement. The County will return to the Mental Health Services Oversight & Accountability Commission (MHSOAC) to request the augmentation of the budget in order to begin the remaining 40 months (implementation phase) of the headspace project. Santa Clara County is proposing to develop a customized training program for faith/spiritual leaders among five (5) target populations Faith Based Training and Santa Clara 11/16/2017 $ 608,964 in an effort to engage and provide outreach to those targeted Supports Project populations who may need services but are not currently referred to behavioral health specialists by their faith/spiritual leader. Santa Clara County is proposing to implement an employment program for clients with mental health conditions as well as those Client and Consumer Santa Clara 11/16/2017 $ 2 ,525,148 with co-occurring disorders by implementing the Individual Employment Project Placement and Support Supported Employment (IPS/SE) model in an effort to assist clients to acquire a position of their choice. Santa Clara County is proposing to implement a model, originally developed in San Diego, which will teach law enforcement to Psychiatric Emergency recognize mental health issues and diffuse crisis situations without Santa Clara 11/16/2017 $ 3 ,688,511 Response Team (PERT) using force by including a licensed mental health clinician to accompany law enforcement on emergency calls and the use of peer support to offer post-crisis services. The County proposes to adapt the Housing First model for individuals who are homeless and have serious mental illness and possibly co-occurring disorders. To accomplish this, the County proposes a system of housing that will reflect an individual’s San Joaquin Progressive Housing 1/26/2018 $ 6 ,461,517 probable development through stages of recovery. The County will provide four (4) distinct levels of services at each of the houses; including pre/post assessment, engagement and linkage to routine mental health services, stabilization and recovery support, and finally, independent permanent housing. In order to address barriers in access to services and reverse utilization trends, San Joaquin County proposes to develop a Screening, Assessment and Referral Center to address barriers getting services to their target population of the unserved, Assessment and Respite underserved, and high-risk individuals. The County states that San Joaquin 1/26/2018 $ 1 1,216,688 Center conducting on the ground outreach and providing new services is not sufficient to address the County’s need. Subsequently, the County proposes it will pilot a new screening and assessment policy to create more consumer focused and culturally responsive services. Mono County proposes to increase access to mental health services to underserved groups by working with the Joint Powers Authority, CalMHSA, to join Los Angeles County and Kern County in a multi- Mono LA County Joint Project 2/22/2018 $ 8 5,000 county demonstration project to implement a group of technology- based mental health solutions that utilize chat rooms and passive data collection to identify the early signal biomarkers for mental health symptoms and offer prompt intervention. Kern County proposes to increase the quality of mental health services received by individuals living with co-occurring disorders by opening two recovery stations. These stations are aimed at Kern The Healing Project 2/22/2018 $ 1 4,685,510 providing individuals a peer-led, safe environment to “sober-up” while also offering mental health screening, access and comprehensive linkage to care. Trinity County proposes to continue to promote the importance of lived experience in the delivery of quality mental health services by opening Cedar Home, a peer-led respite program. This project is a Trinity Cedar Home Peer Respite 3/22/2018 $ 267,000 pilot study to determine the effectiveness of peer respite in a rural, home-based setting to see if peer respite services are a more efficient, humane and culturally competent way to support individuals through a mental health crisis. San Francisco County proposes to implement a peer linkage team to provide wraparound services for clients transitioning from intensive Intensive Case Mgmt / case management or full-service partnerships to outpatient San Francisco FSP to Outpatient 3/22/2018 $ 3 ,750,000 services. Peers will be trained and compensated to serve as step- Transition Support down specialists, ensuring that clients are provided with seamless connections to resources. Los Angeles proposes to develop and implement a Mobile Transcranial Magnetic Stimulation (TMS) Program to reduce Mobile Transcranial symptoms in clients with major depressive disorders. This project Los Angeles Magnetic Stimulation 4/26/2018 $ 2 ,499,102 will be implemented in two or more phases: first phase will involve (TMS) mobile TMS delivered to adult clients currently receiving FSP services. The second phase will involve the expansion of mobile TMS treatment to clients living in Board and Care facilities. Los Angeles County proposes to implement a Full-Service Partnership (FSP) model comprised of peers with lived experiences Peer Support Specialist Los Angeles 4/26/2018 $ 9 ,874,886 as mental health consumers and/or justice-involved individuals to (FSP) assist in serving the justice-involved population who meet the criteria to receive FSP services within the County Modoc and Orange County are proposing to join Los Angeles County, Kern County and Mono County in a multi-county collaboration project to implement a group of technology-based mental health solutions that utilize a web-based network of trained, on-call, peers Modoc LA County Joint Project 4/26/2018 $ 270,000 to chat 24/7 with individuals experiencing symptoms of mental illness; digital detection of emotional, thought and behavioral disturbances through passively collected data; and virtual, evidence- based on-line treatment protocols that use avatars to deliver clinical care. Orange and Modoc Counties propose to increase access to mental health services to underserved groups by working with the Joint Powers Authority, CalMHSA, to join Los Angeles County, Kern County and Mono County in a multi-county demonstration project to Orange LA County Joint Project 4/26/2018 $ 2 4,000,000 implement a group of technology-based mental health solutions that utilize chat rooms and passive data collection to identify the early signal biomarkers for mental health symptoms and offer prompt intervention. Butte County Behavioral Health proposes to promote interagency collaboration by partnering with the Butte-Glenn Medical Society, Butte County Office of Education and local primary care physicians Butte Physician Committed 5/24/2018 $ 767,900 in order to expand their ability to identify and intervene with adolescents who have risk factors of experiencing mental health and substance use issues. Sacramento County proposes to implement the Behavioral Health Crisis Services Collaborative in partnership with Placer County Behavioral Health and Dignity Health. To address the needs of the behavioral health population in the Northeastern segment of Behavioral Health Crisis Sacramento 5/24/2018 $ 1 3,885,361 Sacramento County, the County wishes to provide adult crisis Services Collaborative stabilization services on the Mercy San Juan Medical Center hospital campus. The location of the adult crisis stabilization will serve residents, 18 and older, within both Sacramento and Placer Counties. EXTENSION APPROVAL - APPROVED BY EXECUTIVE DIRECTOR The County’s program, originally approved in February 2015 by the Commission, had as a primary purpose to increase access to services by engaging and connecting vulnerable, socially isolated adults with social networks and behavioral health services through Addressing the Needs of the use of the peer-to-peer model. This project was designed to San Francisco Socially Isolated Older 6/5/2018 $ 170,250 engage with low-income, isolated, older adults in the Tenderloin Adults District, many of whom reside in Single Room Occupancy hotels, through trained Peer Outreach Specialists. Extension approval was granted on 7/28/2016 for additional funding and time and again, another extension approval in the amount of $170,250 was granted on 6/5/2018. The County’s plan, Transgender Pilot Program, was originally approved in February 2015 and had a primary purpose to increase Transgender Pilot San Francisco 6/5/2018 $ 159,000 access to services for underserved groups by creating social support Program networks to engage Trans Women of Color into culturally responsive mental health services.