Approved County Innovation Projects FY 2019-20

Innovation Project Commission County Name Amount Approved Project Description Name Approval Date Alameda County is requesting authorization to use up to $6,171,599 to develop and operate a supportive housing community land trust. This model proposes Supportive Housing to include supportive services and provides an opportunity for County Alameda 8/22/19 $6,171,599 Community Land Trust Behavioral Health Care clients to live in affordable supportive housing. With this project, clients will be given the opportunity to live in a stable environment, an important element of wellness and recovery. Alameda County requests authorization to support the Innovation-related Community Program Planning Process (CPPP). This process requires ongoing Funding for CPP and support at the county level, and in order to bring those ideas to fruition, the Alameda Stakeholder Input 5/13/20 $750,000 county is proposing to utilize dedicated staffing to design, develop and Project implement a more robust, streamlined and revitalized community planning process. This program trains and supports primary care providers in implementing behavioral health screenings for youth into their practice and provides Physician Committed- intervention and warm hand-offs as appropriate. Butte County is requesting Butte 10/9/19 $464,424 EXTENSION additional funding for $464,424 of innovation spending authority to address the above by incorporating additional staffing, with no changes to the project goals or purpose. The project proposes to utilize existing program volunteers in the County’s Senior Nutrition Program, in partnership with a contracted community Senior Health and El Dorado 1/23/20 $900,000 provider, to engage older adults enrolled in the program by offering mental Nutrition health screening, assessment and linkages to other programs and community services for those with behavioral health needs. The original project intended to promote interagency collaboration and partnered with County Public Health, the First 5 Commission and the County’s Health and Human Services Agency by developing and placing five community HUBS Project hubs in local libraries within the County with the goal of increasing physical El Dorado 3/13/20 $250,000 (EXTENSION) and mental health care access for families, pregnant women, and children from birth through 18 years of age. The County is requesting an additional amount of $2,158.704 to address challenges experienced in relation to staffing, technology, and the analysis of data and reporting. Fresno County hopes to test the success of using a dignity-first model to The Lodge: Researching increase engagement in individuals who are homeless or at risk for Fresno Targeted Engagement 5/28/20 $4,200,000 homelessness, have severe or chronic mental illness, and who are not engaged Approach in care due to being in the pre-contemplation stage of change. Fresno County hopes to develop a rideshare application and provision of Project RydeWell (aka transportation services for behavioral health clients who experience Fresno 5/28/20 $1,200,000 Transporation App) transportation challenges when trying to access care and wellness activities in the geographically large county. This project will develop a rapid-response team to immediately provide Fresno Handle with Care+ 5/28/20 $1,527,000 support to children and families following a traumatic event. Glenn County is proposing to explore and assess whether using a multi- disciplinary team (MDT) comprised of behavioral health clinicians, case Crisis Response and managers and a Sheriff’s Deputy, combined with prevention services to Glenn 9/23/19 $787,535 Community Connections populations at higher risk for crisis, will work in a small rural county to reduce emergency department admissions, help stabilize a person earlier, and link clients to outpatient and follow-up services sooner. Mendocino County hopes to reduce utilization of high-level services, such as Healthy Living Mendocino 6/11/20 $1,230,000 crisis contact and acute psychiatric hospitalization by providing Wellness Community Center style services in a residential setting. Napa County is proposing to join the Learning Health Care Network (LHCN) for existing Early Psychosis (EP) programs, a multi-county collaborative approved by the Commission on November 14, 2018. The LHCN utilizes an application Statewide Early (digital platform) to gather real-time data from clients and their family Napa Psychosis Learning 11/14/19 $258,480 members in existing EP clinic settings, and includes training and technical Health Care Network assistance to EP program providers. The value of the full project will be examined through a statewide evaluation that will assess the impact of the Learning Health Care Network on consumer- and program-level metrics, as well as utilization and cost rates of EP programs. The Counties of Sacramento, San Bernardino, Siskiyou, and Ventura are seeking innovation spending authority to develop standardization practices for FSP service programs by utilizing data driven strategies and evaluation to better coordinate, improve, and implement FSP services statewide. Fresno Sacramento Multi-County FSP Project 6/5/20 $500,000 County received Commission approval to participate in this Full Service (FSP) Multi-County Collaborative on June 24, 2019. San Mateo will utilize unspent CSS funds and -additional CSS funding to participate in the goals and activities of this Multi-County Collaborative alongside the other counties. This project will explore the viability of adapting the Child and Family Team Model (CFT), currently utilized in the child welfare system, and expanding the Forensic Behavioral Sacramento 6/25/20 $9,536,739 teaming model for individuals in the forensic behavioral health population Health (individuals with a serious mental illness who are also involved in the criminal justice system). This project aims to increase the awareness of eating disorders by providing San Eating Disorder 5/28/20 $12,113,426 training, creating a comprehensive assessment tool and multidisciplinary Bernardino Collaborative teams that would ultimately establish a best practice of treatment. The proposed project engages peers to teach and empower participants to San Cracked Eggs 5/28/20 $1,568,143 look past the negative aspects of their mental illness and to utilize their Bernardino symptoms to create art. The Counties of Sacramento, San Bernardino, Siskiyou, and Ventura are seeking innovation spending authority to develop standardization practices for FSP service programs by utilizing data driven strategies and evaluation to San better coordinate, improve, and implement FSP services statewide. Fresno Multi-County FSP Project 6/5/20 $979,634 Bernardino County received Commission approval to participate in this Full Service (FSP) Multi-County Collaborative on June 24, 2019. San Mateo will utilize unspent CSS funds and -additional CSS funding to participate in the goals and activities of this Multi-County Collaborative alongside the other counties. The primary learning goal is to increase access to services by engaging and connecting vulnerable, unserved and underserved socially isolated adults with social networks and behavioral health services through peer-to-peer model support. Services for seniors at risk for mental illness will receive customized services to help meet their recovery goals, increase opportunities for Addressing Socially relationship building, seek gainful employment, find improved housing, San Francisco Isolated Older Adults - 4/9/19 $195,787 increase skills to find enhanced roles in the community, and provide Extension opportunities for seniors to advocate for themselves. In order to remedy the enduring challenges, this extension proposes to utilize time and money to hire additional Peer Staff and provide professional development trainings as well as specialized trainings in understanding the needs of older adults including Understanding Trauma for Aging Seniors, Dementia Signs and Symptoms, and the Grief and Loss Process. In collaboration with the Community Action Partnership of San Luis Obispo (CAPSLO) and two local SLO county high schools, San Luis Obispo County proposes to incorporate mindfulness skills training and voluntary one-on-one health coaching (provided by trained Health Educators), who will provide San Luis Holistic Adolescent 10/30/19 $660,000 additional support for interested students in the areas of mental, physical, and Obispo Health sexual health education into the current health curriculum for students aged 13-18. This new interwoven health education model will add 15 sessions of mindfulness training in conjunction with the current health curriculum to deliver a more holistic approach. San Luis Obispo is requesting authorization to develop a pilot training program for threat assessment that will adapt mainly legal and criminal based threat assessment models used in larger counties, as well as provide an opportunity for the expansion of this practice. The project proposes to deliver San Luis Threat Assessment 10/30/19 $879,930 a new system to learn, assess, and intervene during imminent threats. It will Obispo Program promote interagency and community collaboration by working with law enforcement, mental health systems and the educational system to create a more cohesive approach to the prevention and intervention of school-based threats. In February 2016, Siskiyou County received Commission approval of up to $710,858 for an innovation project to improve the integration and coordination of health care for those receiving behavioral health care services in the County. These services were targeted towards individuals diagnosed Integrated Care Project - with co-occurring serious physical health and mental health conditions. Siskiyou 8/22/19 $518,180 EXT Siskiyou County is now requesting up to an additional $518,180 of innovation spending authority to incorporate additional personnel, transportation, software to facilitate the sharing of client information, increased consultation costs, and the incorporation of additional programs into the Six Stones Wellness Centers. The Counties of Sacramento, San Bernardino, Siskiyou, and Ventura are seeking innovation spending authority to develop standardization practices for FSP service programs by utilizing data driven strategies and evaluation to better coordinate, improve, and implement FSP services statewide. Fresno Siskiyou Multi-County FSP Project 6/5/20 $700,000 County received Commission approval to participate in this Full Service (FSP) Multi-County Collaborative on June 24, 2019. San Mateo will utilize unspent CSS funds and -additional CSS funding to participate in the goals and activities of this Multi-County Collaborative alongside the other counties. Solano County received previous approval for their Interdisciplinary and Collaboration Cultural Transformation Model (ICCTM) innovation project that would partner with UC Davis-Center for Reducing Health Disparities (CRHD) Interdisciplinary and and address health disparities for three (3) identified underserved Collaboration Cultural populations; the Latino, Filipino, and LGBTQ+ communities. The approved Solano 6/11/20 $1,249,797 Transformation Model initial budget did not include funding to directly support expenses related to (ICCTM) - EXT the implementation of the Quality Improvement (QI) action plans that were developed in Phase III. Solano County is requesting additional spending authority to support the implementation of the QI Action plans, with no changes to the project goals or purpose. Sonoma County is requesting to join the Learning Health Care Network for existing Early Psychosis programs, a multi-county collaborative. This project looks to improve outcomes for participants in EP programs while also reducing Sonoma Early Psychosis 623/2020 $475,311 program costs - there is lack of standardization and a lack of infrastructure to properly evaluate the fidelity to evidence-based practice and the effectiveness of these programs, making it impossible to disseminate best practices across programs. This project aims to test a new method for reducing stigma and increasing access to mental health services for youth. Stanislaus County will pair the NAMI on Campus-High School model with an existing, community-based Stanislaus NAMI on Campus 4/2/20 $923,259 successful youth coalition that advances youth leadership, development and organization to advance the mental health outreach efforts in high schools across the county. Sutter-Yuba County Behavioral Health (SYBH) is proposing to create a mobile team to engage with individuals prior to and after hospitalization. This project iCARE (Innovative & will focus on increasing consumer engagement for individuals who recurrently Consistent Application of access emergency room and crisis services when experiencing severe and Sutter-Yuba 9/26/19 $5,228,688 Resources and chronic behavioral health symptoms. Additionally, with the use of MHSA Engagement) Prevention and Early Intervention funds the County will leverage this project to provide community-wide training focusing on mental health in an effort to educate their community and reduce stigma. This project will evaluate and compare the outcomes of consumers with Specialty Mental Health Services both within a traditional clinical setting and Advancing Behavioral Tulare 6/11/20 $6,000,000 in an urban community setting. Services will be provided through a Whole Health Person Care (WPC) delivery system model by a multidisciplinary team (MDT) in both settings. The Counties of Sacramento, San Bernardino, Siskiyou, and Ventura are seeking innovation spending authority to develop standardization practices for FSP service programs by utilizing data driven strategies and evaluation to better coordinate, improve, and implement FSP services statewide. Fresno Ventura Multi-County FSP Project 6/5/20 $979,634 County received Commission approval to participate in this Full Service (FSP) Multi-County Collaborative on June 24, 2019. San Mateo will utilize unspent CSS funds and -additional CSS funding to participate in the goals and activities of this Multi-County Collaborative alongside the other counties. Ventura County hopes to establish shared data streams. These data streams will enable Full-Service Partnership (FSP) client information on law enforcement encounters, hospital stays, health care services and homeless FSP Multi-Platform Data Ventura 6/25/20 $2,011,116 services, to be shared between systems. This will allow the programs working Exchange with FSP clients in Emergency Services, Primary Health, Human Services Agency, and the Sheriff’s office to provide comprehensive service coordination and valid data reporting for FSP performance outcome measures.