Approved County Innovation Projects FY 2021-22

Innovation Project Commission County Name Amount Approved Project Description Name Approval Date Alameda County requested up to $4,759,312 in additional Community Innovation spending authority to improve mobile crisis Assessment and Alameda 11/18/2021 $ 4,759,312.00 response services by hiring additional staff, increase salaries Transport Team for the emergency medical technicians/project coordinator (CATT) EXTENSION and expansion of services to more regions of the county. BMH proposes to utilize a mobilized wellness center to visit various homeless encampment locations in order to provide and bring customized services, resources, and linkages to Encampment Based meet individuals where they are. BMH will select and work Berkeley Mobile Wellness 4/28/2022 $ 2,802,400.00 closely with a Community Based Organization with Center extensive knowledge of the local unhoused community and will also be knowledgeable in all areas of service provision described below. Resilience Empowerment Support Team (REST) will be comprised of a team adapted from the Assertive Community Treatment (ACT) model, to provide outreach, engagement, referrals and appropriate linkages and services for individuals who are homeless and have not been able to REST at Everhart engage in behavioral health services. Through REST, the Butte 4/28/2022 $ 3,510,520.00 Village County will build a collective framework to promote engagement in services by offering a “menu of services and support” including an emergency shelter of tiny house style sleeping cabins embedded within Everhart Village and supportive services and care coordination provided through partnerships with community-based organizations. The project is intended to explore and assess strategies to use psychiatric advance directives, combined with supported decision-making, to improve the effectiveness of PADs - Multi County Contra Costa 5/26/2022 $ 1,500,058.00 community mental health services for people with serious Collaborative mental illness who are at risk of needing involuntary care, criminal justice involvement and involuntary hospitalization. This project will focus on relationship building and measure the effects of outreach and engagement of individuals Mobile Clinic Street experiencing homelessness using the Relational Stages of Kern 3/24/2022 $ 8,774,098.00 Psychiatry Outreach and Engagement Model (ROEM) delivered by a fully mobile team of peers, outreach workers, a substance use counselor, therapist, nurse, and psychiatrist. The proposed Innovation project seeks to: Develop an EP learning health care network (LHCN) software application Early Psychosis (app) to support ongoing data-driven learning and program Kern Learning Health Care 5/26/2022 $ 1,632,257.00 development across the state; Utilize a collaborative Network statewide evaluation to examine the impact of the LHCN on the EP care network and evaluate the effect of EP programs on the consumer- and program-level outcomes. Lake County requested up to $765,000 in spending authority to join the Full-Service Partnership (FSP) Multi-County FSP Multi-County Lake 11/2/2021 $ 765,000.00 Collaborative for existing specific FSP programs, originally Collaborative approved by the Commission starting with Fresno County on June 25, 2019. Marin County requested up to $1,648,000 of Innovation Student Wellness spending authority to support students during critical Ambassador transition points and throughout their high school years by Marin Program (SWAP): A 9/23/2021 $ 1,648,000.00 creating a centralized, county-wide, collaborative approach County -Wide Equity to peer wellness programming called the Student Wellness Focused Approach Ambassador Program. The project seeks to prevent or reduce negative health impacts of metabolic syndrome in individuals receiving specialty mental health services and who are prescribed Integrated Health antipsychotic medication. The County proposes to Care for Individuals Modoc 5/25/2022 $ 480,000.00 implement and evaluate an integrated approach to with Severe Mental healthcare utilizing metabolic screening and various Illness interventions coordinated through partnerships with Modoc’s Public Health Department, Modoc Medical Center, and Sunrays peer-ran wellness center. Monterey County requested authorization for the one-time time use of up to $792,130 of Innovation funding to Residential Care complete phase one of a two-phased Innovation project Monterey 11/1/2021 $ 792,130.00 Facility Incubator which seeks to increase the availability of culturally competent housing for individuals living with serious mental illness. The County proposes to use these funds towards the following activities to meaningfully engage their partners in proposal development and feedback throughout the duration of the project: Innovation staff time to research concepts, develop materials, and coordinate meetings; Community Translation and Interpretation services to support County’s Orange Program Planning 5/25/2022 $ 950,000.00 diverse community; Consultants and Subject Matter Request Experts to assist in facilitating meetings; Marketing Strategies to reach the broader community; Program supplies (stipends, transportation costs for partners to attend meetings, cost of printing and discussion materials, etc.) The project intends to expand a research study and examine whether integrating early intervention behavioral health Orange Young Adult Court 5/26/2022 $ 12,000,000.00 services into a specialized young adult court improves the well-being of justice-involved young adult men. Placer County requested up to $2,750,000 of Innovation spending authority to develop a respite center, following the 24/7 Adult Crisis best practice model established by Crisis Now, an MHSOAC Placer 8/26/2021 $ 2,750,000.00 Respite Center funded “academy” to facilitate the learning process for counties interested in enhancing their crisis responses to mental health issues. Shasta County requested up to $1,750,000 of Innovation The Hope Park spending authority to test a pilot program that will bring Shasta 11/18/2021 $ 1,750,000.00 Project together youth and older adults in an effort to address challenges in both of these target populations. Sonoma County requested up to $2,500,000 to test whether a multi-modality approach will improve outcomes for adult diversion clients who are determined to be at-risk for Incompetent to Stand Trial by adding intensive peer support Sonoma Crossroads to Hope 2/24/2022 $ 2,500,000.00 services for up to 6 individuals at one time within a transitional housing environment. The program meets the general requirement category of “supports participation in a housing program designed to stabilize a person’s living situation while also providing supportive services onsite”. Stanislaus County requested up to $425,000 to support the Innovation-related Community Program Planning Process (CPPP). The County would like to expand their efforts to reflect the diversity of their community while ensuring CPPP Planning inclusivity of both unserved and underserved communities. Stanislaus 3/3/2022 $ 425,000.00 Request This process requires continuous quality improvement at the county level, and in order to bring those ideas to fruition, the county is proposing to hire a consultant to design, develop and implement a more robust, streamlined and revitalized community planning process. Tri-City requested up to $789,360 to explore and assess strategies to use psychiatric advance directives, combined with supported decision-making, to improve the PADs Multi County Tri-City 5/26/2022 $ 789,360.00 effectiveness of community mental health services for Collaborative people with serious mental illness who are at risk of needing involuntary care, criminal justice involvement and involuntary hospitalization. Tulare requested up to $1,000,000 for this two-phased Innovation project which seeks to make a change to an existing practice in the field of mental health, specifically, the practice of documentation of care provision. Tulare County will partner with CalMHSA on the Semi-Statewide Semi-Statewide Electronic Health Record (EHR) Project and multiple Enterprise Health counties to affect local level system change by creating a Tulare 6/20/2022 $ 1,000,000.00 Record System more integrated, holistic approach to county health Improvement information technology collection, storage, and reporting, with the goal to increase the quality of mental health services, including measurable outcomes. The EHR Project hypothesizes that reducing the impacts of documentation will improve provider satisfaction, employee retention, and improve patient care and outcomes.