HomeMy WebLinkAboutMINUTES - 03202001 - P.3 �r
THE BOARD OF SUPERVISORS OF
CONTRA COSTA COUNTY, CALIFORNIA �.� ::.
Adopted this Order on March 20, 2001 by the following vote:
AYES: Supervisors Gioia, Gerber, DeSaulnier, Glover and Uilkema
NOES: None
ABSENT: None
ABSTAIN: None
SUBJECT: Annual Report for the Mental Health Commission
IT IS BY THE BOARD ORDERED that the presentation of Mental Health
Commission Annual Report for the year 1999/2000 is ACCEPTED.
hereby certify that this is a true and correct copy of
an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
Attested:—March 20,2001_
John Sweeten,Clerk of the Board
of Supervisors and County Ad inistrator
0By:
eputy Ulerk
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CONTRA COSTA COUNTY
MENTAL HEALTH COMMISSION
ANNUAL REPORT
FOR
FISCAL YEAR 1999-00
Contra Costa County
Mental Health Commission
595 Center Avenue, Suite 200
Martinez, CA 94553
(925) 313-6409
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Approved by the Mental Health Commission at their meeting of
February 22, 2001
F�
• Contra Costa County
MENTAL HEALTH COMMISSION—ANNUAL REPORT
TABLE OF CONTENTS
Roles&Responsibilities...................................................................................................3
MissionStatement.............................................................................................................5
Section I. MHC Goals and Accomplishments, 99-00 .................................................6
Section II. Mental Health Commission
Planning Process............................................................................... 14
Section III. Standing Committees—Goals and Action Plan Accomplishments, 99-00... 15
• Children's Committee.......................................................................... 15
• Transitional Services Committee (17-25) ............................................ 16
• Adult Program Review Committee....................................................... 17
♦ Criminal Justice Subcommittee....................................................... 18
• Older Adults Committee....................................................................... 19
• • Finance Committee .............................................................................. 19
• Speaker's Bureau .................................................................................20
• Other Organizations and Agencies........................................................21
Section IV. Mental Health Awareness and Education ...................................................23
Section V. Mental Health Commission Membership, Committee Composition............25
Annual Report FY 1999-00 2 Contra Costa County Mental Health Commission
Contra Costa County.
MENTAL HEALTH COMMISSION
Roles and Responsibilities
In order to fulfill its legislatively mandated role, the Mental Health Commission
(hereinafter"MHC") manages its responsibilities in several ways. The MHC first sets its
goals for the year at its annual Retreat. The MHC then reviews these goals on a periodic
basis. Each of the MHC's standing committees sets goals for the year, and these, too, are
reviewed on a quarterly basis. It is through these processes that the MHC meets its
responsibilities as specified in the Welfare and Institutions Code 5604. -This annual
report will detail the successes of the MHC in accomplishing its goals and in meeting its
legislatively mandated responsibilities.
Briefly, the following mechanisms are used in handling the MHC's duties, as outlined in
the Welfare and Institutions Code 5604:
• • Review and evaluate the community's mental health needs, services, facilities and
special problems:
♦ MHC annually sets goals and objectives, which are monitored on a quarterly
basis.
♦ Standing Committees of the MHC each set their own goals and objectives, or plan
of action, which are monitored on a quarterly basis.
♦ The MHC conducts program site visits annually.
♦ An annual report is submitted to the Board of Supervisors.
♦ Committees of the MHC make regular reports to the MHC and staff.
• - Review any county agreements entered into pursuant to Section 5650.
♦ The PATH Grant, SAMHSA Block Grant Renewal, and the Mental Health
Services.State Performance Contract between Contra Costa County and the State
of California are all reviewed and recommended by the Mental Health
Commission at monthly meetings.
• Advise the governing body and the local mental health director as to any aspect of the _
local mental health program.
• ♦ The MHC conducts site visits to contracted programs.
Annual Report FY 1999-00 3 Contra Costa County Mental Health Commission
♦ The MHC provides an annual report to the Board of Supervisors.
• • Review and approve the procedures used to ensure citizen and professional
involvement at all stages of the planning process.
♦ The MHC assures that citizens are involved in planning through all of its open
meetings and through membership on the Quality Improvement Committee,
Consumer Policy and Planning Committee, and Recovery Task Force. In
addition, a member of the Contra Costa Substance Abuse Advisory Board
regularly attends MHC meetings and makes a report, and members of the MHC
participate on advisory committees and taskforces to other departments and
divisions, such as:
■ Contra Costa Children and Families Policy Forum
➢ Parenting Task Force of the above
■ Family and Children's Trust Committee (FACT)
■ Juvenile Systems Planning Advisory Committee (JSPAC)
■ Mental Health Coalition
_• Submit an annual report to the governing body on the needs and performance of the
county's mental health system.
♦ An annual report is submitted to the Board of Supervisors.
• • Review and make recommendations on applications for the appointment of a local
director of mental health services. The board shall be included in the selection
process prior to the vote of the governing body.
♦ The MHC participates through the hiring review panel, when needed.
• Review and comment on the County's performance outcome data and communicate
its findings to the California Mental Health Planning Council.
♦ The process is as directed by the Planning Council.
• Nothing in this part shall be construed to limit the ability of the governing body to
transfer additional duties or authority to the Mental Health Commission.
♦ In 1995, the Board of Supervisors challenged the Mental Health Commission to
educate the public regarding persons with mental disabilities in an effort to de-
stigmatize clients. The MHC, therefore, created the Speaker's Bureau, which
continues to meet and provide public information presentations to various
audiences.
The remainder of this annual report will report what the MHC has accomplished during
the past fiscal year, in terms of its legislative mandates.
•
Annual Report FY 1999-00 4 Contra Costa County Mental Health Commission
•
MISSION STATEMENT
OF THE
CONTRA COSTA COUNTY MENTAL HEALTH COMMISSION
INTRODUCTION:
The State of California has mandated the development of Mental Health Commissions in
each County so that consumers, family members,and other citizens will have an
opportunity to be involved and influential in the planning and implementation of the
public mental health services delivery system.
MISSION:
The Mental Health Commission has a dual mission: First,to influence the County's
Mental Health System to ensure the delivery of quality services which are effective,
• efficient, culturally relevant and responsive to the needs and desires of the clients it
serves, with dignity and respect; and, Second,to advocate with the Board of Supervisors,
the Mental Health Division, and the community on behalf of all Contra Costa residents
who are in need of mental health services.
Revised by the Mental Health Commission September 26, 1998
Reviewed by Mental Health Commission October 16, 1999
Reviewed by Mental Health Commission February 22 2001
•
Annual Report FY 1999-00 5 Contra Costa County Mental Health Commission
Contrta'Costa Coun
ty;
HEALTH COMMISSION:��` ``�°ti�����':�.': �-�-'`:���::: :.::�:-:r.;�::,:::;;:.:;;;.
I. Goals rand Accom lishnents:;`-` 999=00;
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MENTAL HEALTH COMMISSION GOALS
1999-2000
The Mental Health Commission Goals were reviewed and revised at the annual retreat on
October 16, 1999. The Commission periodically reviews these goals, with progress
monitored toward meeting each goal. The following is a synopsis of progress made
toward each of the goals in 1999-2000 fiscal year.
FOLLOW-UP ON AD HOC/LONG RANGE PLAN RECOMMENDATIONS:
• Ongoing 1. Revisit with the Mental Health Division the Ad Hoc/Long Range
Plan recommendations to ensure that progress is being made in
impldmenting the recommendations. (Mental Health Commission
and designated representatives).
• Objective 1 —Every Commissioner will have a copy of the
Ad Hoc/Long Range Plan in order to prepare to revisit the
recommendations.
PROGRESS: Objective#1: Every commissioner has a copy of
the ad hoc plan. New commissioners are briefed on this plan at
their orientation.
The Commission is still advocating for a local IMD.
Ongoing 2. Participate in the Mental Health Division's planning to create a
more consumer-centered system at all age levels and across the life
span. (Mental Health Commission and designated
representatives).
• Objective I —Members of the Commission will participate
on the Consumer Policy and Planning Committee and
Recovery Task Force Committee.
• Objective 2 -Family Partners and members of the Older
• Adult Committee will participate on the Children's
Committee andlor Transitional Age Committee.
Annual Report FY 1999-00 6 Contra Costa County Mental Health Commission
• • Objective 3—Commission members will continue linkage
with the Senior Peer Counseling group, a Mental Health
Department program.
PROGRESS: Objectives 1 and 3 are being accomplished.
Objective 2 is not yet in effect with regard to the Older Adult
Committee.
Ongoing 3. Regularly secure and review information on the Mental Health
Division's implementation of Performance Outcome Measures.
(Mental Health Commission)
• Objective I —Contra Costa County will participate as a pilot
County in the Adult Performance Outcome Measures for the State
of California.
PROGRESS: Information comparing Contra Costa outcomes
with State outcomes is now being received quarterly. The
Commission is now receiving this information and is beginning
its analysis.
Ongoing 4. Report to the Board of Supervisors on the Ad Hoc/Long Range
Plan recommendations which have been implemented and those
• yet to be implemented(these will be included in the Annual Report
of the Commission to the Board of Supervisors). (Mental Health
Commission and designated representatives)
PROGRESS: The following were recommendations from the
Ad Hoc/Long Range Plan (the italicized portions indicate
progress made to date)
• Decrease the reliance on State Hospital and IMD beds:
Use of State Hospital beds remains at 6 and this number
is planned for next year. Use of IMD beds remains at
approximately 100. The Commission is exploring ways
and advocating for bringing IMD patients back into the
community.
• Idents strategies to reduce the utilization and length of
stay in the Psychiatric Wards at the Regional Center. The
Mental Health Commission has serious concerns about
hospital patients who are required to stay in inpatient
psychiatric facilities beyond the period of their acute
illnesses. Not only is this inappropriate to the patient's
needs, but it is also extremely expensive for the County. -
• Expand crisis intervention capability. The Mental Health
• Commission continues to advocate for Mobile Crisis
Teams.
Annual Report FY 1999-00 7 Contra Costa County Mental I lealth Commission
• • Involve consumers at all levels of the system in developing
their treatment plans, evaluating services, working as staff
and serving as members of boards and committees. The
Mental Health Division, in response to the advocacy of
the Mental Health Commission, has hired a Consumer
Services Coordinator. The Consumer Services
Coordinator and the Office for Consumer
Empowerment continue to develop and advocate for the
Recovery Model/Vision. The Mental Health
Commission has actively participated in this process.
Contra Costa County is taking leadership in State
planning for the Recovery Model. There are now three
active consumer run self-help centers. A fourth is in the
planning stages for West County with financial
constraints being the primary deterrent. There are five
consumer representatives serving on the sixteen
member commission. Currently thereis one consumer
representative in districts 1, 3, and 4; two in district 5;
and no consumer representatives in district 2.
• Enhance and strengthen the case management system. The
Commission continues to advocate for the expansion of
the team approach to case management to West
• County.
• Evaluate all current clinic services and day treatment in
light of the possibilities offered by the Rehabilitation
Option and other funding sources. The Mental Health
Commission is advocating for maximization of the
funding opportunities provided by the Rehabilitation
Option.
• Keep funds that are saved from reducing hospital, IMD,
and local inpatient services available for the maintenance
and development of community resources benefiting all age
groups, to the fullest extent possible. The Mental Health
Commission continues to advocate for this goal.
COMPLETE THE PLANNING EFFORT:
Ongoing 5. Arrange linkages between the children's, transition age, adult, and
older adult committees on commonalties. Advocate for services to
address gaps in continuing care from children to adult to older
adult.
• Objective I — The Commission will investigate the
feasibility of a rotating committee member.
• PROGRESS: A Transitional Services Committee has been
established to concentrate on ensuring service delivery to teens
Annual Report FY 1999-00 8 Contra Costa County Mental Health Commission
• and young adults, ages 17-25. Members of the Children's
Committee serve on the Transitional Services Committee (and
visa versa). The chair of the Transitional Services Committee
serves on the Adult Program Review Committee.
IN VIEW OF THE FACT THAT OUR DIVISION HAS FEWER RESOURCES
THAN A DECADE AGO, THE FOLLOWING GOALS HAVE BEEN
ESTABLISHED TO GIVE PRIORITY TO COMMUNITY-BASED HOUSING:
Ongoing 6. Advocate for the maintenance of currently funded housing
resources for both adults and children.
PROGRESS: The SAGE Program continues in the Adult
Program and there are an increased number of augmented
care beds.
Ongoing 7. The Commission will review, update,and publicly publish the
1993-94 Housing Plan, which spells out a range of housing options
and a targeted number of units, to meet the array of housing needs.
• Objective I —At the Commission retreat an initial plan was
made to have a mini housing conference.
• PROGRESS: A date as not been set, but the plan is still being
considered.
Ongoing 8. Advocate and review progress for an organizational mechanism
for accomplishing the housing goals.
• Objective I —Donna M. Wigand, LCSW, Mental Health
Director, will be asked to report regularly on the
Commission's housing goals.
• Objective 2—Encourage and support the development of a
transitional facility (up to 18 months)for persons leaving
acute hospitals and IMDs.
PROGRESS: Objective 1 is being accomplished.
Objective 2 - The Commission worked with the CAO's office
and the Board of Supervisors to establish funding for a
transitional facility. This facility is currently in the advanced
planning stages but needs to identify and achieve approval of
an appropriate location.
Ongoing 9. Advocate for the development of an appropriate array of housing
resources for residents who are in need of mental health services to _
enable them to remain close to their families and communities.
• PROGRESS: Through the Adult Program Review Committee,
Annual Report FY 1999-00 9 Contra Costa County Mental Health Commission
• the Mental Health Commission continues its role of advocacy
for an increased array of housing for the mentally ill. A mini
housing conference is being considered.
Ongoing 10. Appropriate committees will review quarterly the progress and
effectiveness of residential services development.
PROGRESS: Through the Adult Program Review Committee,
the Mental Health Commission continues its role of advocacy
for an increased array of housing for the mentally ill.
EFFECTIVELY FULFILL MENTAL HEALTH COMMISSION
RESPONSIBILITIES:
Annual 11. Review and Update Mission Statement Annually. (Mental Health
Commission) _
PROGRESS: The Mental Health Commission reviewed and
updated its Mission Statement at the October 16, 1999 annual
retreat.
Annual 12. Review the Mental Health Commission's performance of duties as
• specified in AB 14 and in the Mental Health Commission Bylaws.
(Mental Health Commission)
PROGRESS: The Commission reviewed its roles and
responsibilities at the annual retreat in October, 1999. New
Commissioners are appropriately oriented at the time of their
appointment.
KEEP CURRENT ON RELEVANT INFORMATION:
Ongoing 13. Revisit AB 904,the State of California Master Plan and the
• executive summary.
• Objective 1 - The Commission will plan a public forum to
discuss the.State of California Mental Health Master Plan
after the State has completed the revisions.
PROGRESS: The Mental Health Commission has not received
any further information regarding completion of the revisions
to the State of California Mental Health Master Plan.
Ongoing 14. Advocate and keep abreast of Federal/State/Local mandates,
changes, developments, etc., which directly or indirectly effect
Annual Report FY 1999-00 10 Contra Costa County Mental I lealth Commission
those needing mental health services. (Mental Health
Commission)
• Objective I — The Commission will investigate the
feasibility of setting up a Web page to include information
about mental health issues and the means to advocate for
those issues.
• Objective 2— The Commission will have a legislative
coordinator who will communicate regularly with the full
Commission and appropriate committees on legislative
issues that impact their areas of interest.
PROGRESS: Objective 1—The executive assistant will
explore the feasibility of setting up a website. Objective 2—A
legislative advocate has been appointed.
Ongoing 15. Review the County's budget and policies and advocate for
expenditure controls for mental health services. _ -
PROGRESS: The Health Department Chief Financial Officer
now meets regularly with the Commission Executive
Committee to review mental health division financial matters.
• OTHER THINGS TO DO:
Ongoing 16. Advocate and solicit for Vocational Rehabilitation activities in the
County—Jobs for Consumers.
• Objective I — The Commission will research what is being
done to provide jobs for consumers in other counties and
will create recommendations for Contra Costa County.
• Objective 2—Increase job opportunities for consumers in
Contra Costa County.
PROGRESS: Objective 2—The Commission participated in
the development of the Wellness and Recovery Center in
Central County,which includes rehabilitation and vocational
services. The Commission continues to advocate for stronger
vocational rehabilitation services in this County.
Ongoing 17. Advocate for a survey of consumers to determine what meaningful
activities for Clients/Consumers are needed within the County.
• Objective 1 —Create a Consumer Committee to review the
survey and recommend to the Commission, policy and
planning for consumer needs.
PROGRESS: The Older Adult Committee of the Mental
• Health Commission completed a survey of the older adult
Annual Report FY 1999-00 11 Contra Costa County Mental Health Commission
population and its providers. Results of this survey were
widely distributed throughout the County and the State.
The Commission has given support to the Consumer Policy
and Planning Committee and the Recovery Task Force,which
are exploring consumer needs and wants.
ADDITIONAL GOALS:
Ongoing 18. Create a process to maintain ongoing communication between the
Mental Health Division and the Mental Health Commission.
• Objective 1 —improve communication between the
Division and the Commission.
PROGRESS: The Chair and Vice Chair continue to meet
regularly with the Mental Health Director who attends all
regular Mental Health Commission meetings._Appropriate
staff attend Commission Committee meetings.
Ongoing 19. Working with other departments and services, advocate for
alternatives to incarceration for youth and adults along the lines of
the Santa Clara Model or other models.
• PROGRESS: The Santa Clara Model calls for development of
a Mobile Crisis Team. The Mental Health Commission
continues to advocate for this model.
The Commission established a Criminal Justice Committee, a
sub-committee of the Adult Program Review Committee,
which meets bi-monthly. The Contra Costa County Sheriff is
the Co-chair of this committee with a Commissioner Co-Chair.
Two members of the MHC Children's Committee serve on the
Juvenile Systems Planning Advisory Committee (JSPAC). The
Mental Health Division provides significant support to both
the Summit Boys' Center, and the newly established Chris
Adams Girls' Center,which provide intensive services, as an
alternative to Juvenile Hall,with the goal of reuniting and
preserving families and avoiding future incarceration.
Ongoing 20. Advocate for welfare reform services and programs that address
the mental health needs of participants.
• Objective 1 —Keep informed regarding legislative issues _
and advocate for legislation that will improve conditions
for mental health consumers.
Annual Report FY 1999-00 12 Contra Costa County Mental Health Commission
• PROGRESS: The Commission continues to advocate for
improved services for mental health consumers also served by
other departments and divisions. A commissioner has been
appointed as legislative advocate to keep the Commission
informed.
Annual Report FY 1999-00 13 Contra Costa County Mental Health Commission
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PLANNING:
The planning process is continual, but a substantial portion is conducted at the MHC
annual retreat.
Review of Planning Documents:
The Commission has fulfilled its mandate to review various County agreements. It also
`supports the Department in applying for grants. The following formal Commission
reviews occurred during this reporting period:
Date: Action:
• May 25, 2000 PATH Grant Renewal Application, FY
1999-00—Reviewed and Approved
June 22,2000 SAMHSA Substance Abuse and Mental
Health Services Administration Block
Grant Renewal Application for State
Fiscal Year 1999-00—Approved and
Recommended for Funding
To be reviewed in next fiscal year. Mental Health Services State
Performance Contract#96-76197,
between Contra Costa County and the
State of California for Fiscal Year 1999-
2000—Reviewed and Approved
•
Annual Report FY 1999-00 14 Contra Costa County Mental I lealth Commission
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Contra Costa County ` : :.>;:;: .: ..•..;.
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MENTAL-HEALTH COMMISSION
III. STANDING COMMITTEES:.
'Goals and Action-Plan Accomplishments- 1999-00. ..,
CHILDREN and YOUTH
CHILDREN'S COMMITTEE:
The Children's Committee developed its first Mission Statement, which was reviewed
and approved by the Mental Health Commission on December 18, 1998.
Mission Statement: We are dedicated to advocacyfor children's mental health
issues. We promote the growth of healthy children and families of Contra Costa
County, through developing, supporting, and evaluating the children's mental
health system and its related programs.
• Vision: Our vision is to focus on children's mental health through the perspective
of the child as a whole person, considering all their needs through an interface
with other Contra Costa County commissions, advisory boards and committees
that are dealing with children's issues.
The committee developed an Action Plan, bringing it closer toward reaching its goals.
(A copy of the Action Plan is attached to this Report as ADDENDUM B).
The committee also continued its self-education, with presentations by the following
individuals/groups:
• Ross Andelman, MD, Chief of Psychiatry, MH Children's Division
• Michaela Mougenkoff, Director, Summit Center
• Jan Cobeloda-Kegler, Director, Chris Adams Girls' Center
• Liz Stallings, Chief Operating Officer, Mt. Diablo Hospital Pavillion
The Children's Committee accomplishments include: _
■ Establishment of a Transitional Services Committee of the MHC to advocate for
programs and services to serve teens and young adults ages 17-25 (See below for
• mission and vision statements
Annual Report FY 1999-00 15 Contra Costa County Mental Health Commission
• ■ Reviewed the Contra Costa Children's Report Card and made recommendations for
its improvement
■ Provided advise, testimony, and advocacy to the Board of Supervisors regarding the
establishment of the county's Proposition 10 Commission(now the Children and
Families Commission) and the necessity to appoint commissioners knowledgeable
about the mental health needs of children ages 0-5.
■ Provided advise, testimony, and advocacy to the California Proposition 10
Commission(now the California Children and Families Commission) regarding the
mental health needs of children ages 0-5 and the exemplary Contra Costa County
programs serving them.
The Committee has also been fortunate to have as regular attendees, Ruth Ormsby,
Children's Program Chief, and other children's services staff members. In addition to
commissioners, the Committee has a regular attendance of a number of staff from
community based organizations serving children and youth.
TRANSITIONAL SERVICES COMMITTEE:
Mission Statement. To advocate and support transition programs for clients
from adolescence to young adults and provide a linkage between the Contra
Costa Mental Health Commission's Children's and Adult Services Committees.
Vision: Create/develop a system to meet the needs of this age group,find funding
avenues, work to close the gaps, help in locating resources i.e., educational,
vocational, housing, day treatment and residential programs.
This newly established committee began as a sub-committee of the Children's
Committee. It is now a standing committee of MHC—its Mission and Vision were
approved at the MHC February 24, 2000 meeting. It is working on developing a
conference to identify needs and review exemplary programs from other counties. The
committee is also advocating with the Mental Health Division for the establishment of
several EPSDT funded positions to ensure that specific programs and funding requests
are developed for this age group. The committee is also reviewing other community
programs and services and advocating for the development and provision of quality
programming specific to this group of consumers.
The Transitional Services Committee also accomplished the following during the fiscal
year:
• Advocated for more Mental Health case workers and a supervisor(for this age
group)
• Advocated for ongoing training for Mental Health workers and cross training
regarding Dual Diagnosis consumers
• Advocated for ongoing site visits
Annual Report FY 1999-00 16 Contra Costa County Mental Health Commission
The committee continued its self-education, with presentations by the following
individuals:
• Tom Roher—Diablo Valley Ranch, Dual Diagnosis
• Migs Carter—La Chei n School
• Ruth Ormsby—Children's Services
• Ednah Friedman—Adult Services
• Mt. Diablo Hospital—Liz Stallings
• Dr. Annette Blackman—TBS Program
• Independent Living Skills
ADULTS
ADULT PROGRAM REVIEW COMMITTEE:
Mission Statement: The Adult Program Review Committee has a dual mission:
first, to influence the County's mental health system to ensure the delivery of
quality services which are effective, efficient, culturally relevant and responsive to
the needs and desires of the clients it serves, with dignity and respect; and,
secondly, to advocate with the Board of Supervisors, the Mental Health Division,
and the community on behalf of all Contra Costa County adult residents with
mental disabilities.
• Some of the important highlights/accomplishments of the committee include:
Housim:
Over the last five years, the MHC has felt so strongly about housing and vocational
rehabilitation,that these items are included in each year's annual report to the Board of
Supervisors. Therefore,the committee's focus on the need for affordable housing with
appropriate supports for mentally disabled residents of the County remains a high priority
for the committee. The Committee continues to look to the Board of Supervisors for
assistance with continued examination of the ways to create affordable housing with
appropriate support services not only for the homeless mentally disabled, but for those in
sub-standard rooming houses, or for those living with their parents. In addition, the
committee receives regular reports from the Mental Health Division in regard to the
status of current and pending projects in each area of the county in regards to housing
development.
Donna Wigand is in the process of developing a transitional housing facility (16 beds)
which would receive patients from the hospital and the Institutes for Mental Disease
before they return to the community. Specific limited funds have been designated for the
design and development of such a facility.
Annual Report FY 1999-00 17 Contra Costa County Mental Ilealth Commission
• Site Visits and Program Evaluations:
Another focus of the committee has been to conduct site visits and program evaluations
for contract agencies and services, which provide care to persons with mental disabilities.
During the past year, the committee has visited the following sites:
• New Contra Costa Regional Medical Center, Inpatient Psychiatric Ward
• Phoenix Programs, Inc.:
Antioch Shelter
Nierika House, Concord
• Nevin House, Richmond
• Concord Day Treatment
• Rubicon Program, Richmond
• Laurel Creek Facility, Fairfield
Other Mental Health Community Issues:
■ Research continues to be done on the PACT (Program for Assertive-Community
Treatment) program for mental health service.
Proposed changes to the LPS law have been reviewed by the committee and the
Commission. Adult Committee has recommended that the full Commission support
its adoption by the County.
• Self-Education:
The committee has also worked toward its goal of self-education, and in its goal of
staying abreast of the progress made toward goals within the Mental Health Division.
The following individuals have attended and been speakers to the committee:
• Gretchan Freter, Director of Police Academy of the Los Medanos College in
Pittsburg.
• Carlos Morales of Phoenix Programs on Dual Diagnosis Report.
• Jeanette Logan, Pharm.D., Contra Costa County Mental Health Services on her new
role as Contra Costa County, Director of Pharmacology.
The committee has also been fortunate to have as attendees:
• Ednah Beth Friedman, Interim Adult/Older Adult Program Chief, is a regular
participant.
• Mr. Jay Mahler, Consumer Coordinator for the Mental Health Division.
• John Allen, Program Supervisor, Mental Health Division.
Criminal Justice Sub-Committee:
A Criminal Justice Subcommittee has been formed. This committee is formulating
approaches that might be used to consider alternatives to incarceration for persons with
mental disabilities. Attendees include representatives from the local law enforcement
Annual Report FY 1999-00 18 Contra Costa County Mental Health Commission
• agencies and affiliates such as: the Contra Costa County District Attorney, the Contra
Costa County Public Defender, the Probation Department, Contra Costa Mental Health
Division, and the Sheriffs Department, as well as clients, provider agencies, and the
Contra Costa County Mental Health Commission. The Contra Costa County Sheriff co-
chairs this committee.
OLDER ADULT COMMITTEE:
Mission Statement: The mission of the Older Adult Committee is to: ensure the delivery
of quality services with dignity and respect to older adults with mental disabilities. These
services are to be effective, efficient, culturally sensitive and responsive to the needs and
desires of those consumers and to advise,advocate and educate the Mental Health
Commission and the community at large on behalf of all older mentally disabled
residents in Contra Costa County.
Some of the important highlights/accomplishments of the committee include:
• Completed Older Adult consumer and provider survey. Evaluated and summarized
results. Distributed survey results widely within the County and statewide.
• Held National Depression Screening clinics at five Senior Center locations in the
County for older adults. Committee is planning to work with the other MHC
committees to reach a broader age range at this year's depression screenings.
• Committee has embarked upon a program of legislative advocacy to obtain better
• services for the aged population including; elder adult outreach teams, and the
inclusion of dementia services which are presently carved out of the managed care
plan.
Site Visits and Prop-rain Evaluations:
• Mt. Diablo Rehabilitation Center
OTHER COMMITTEES AND PROGRAMS
FINANCE COMMITTEE:
The Finance Committee was created by the approval of the Mental Health Commission in
November of 1997. The purpose of the committee is to carry out the charge of the
Mental Health Commission that it review the County's budget and policies and advocate
for Mental Health Services throughout the budgeting process, and advocate for budgeting
and expenditure controls to be held within the Mental Health Division. Toward that end,
the members of the committee have individually met with, or spoken with, each member
of the Board of Supervisors. The Finance Committee is currently involved in meetings
with Pat Godley, Chief Financial Officer, for the purpose of reviewing fiscal matters -
within the Mental Health Division. The function of this committee has now been
incorporated into the Executive Committee which is scheduled to meet monthly.
•
Annual Report FY 1999-00 19 Contra Costa County Mental Health Commission
• SPEAKER'S BUREAU
The Speaker's Bureau has been very active during this fiscal year. Early in the year, the
committee developed its first Mission Statement.
Mission Statement: The Speaker's Bureau of the Contra Costa County Mental
Health Commission has a twofold mission: 1) to raise the level of awareness
regarding persons with mental disabilities and 2) to work to reduce stigma
towards persons with mental disabilities. This two fold purpose is carried out by
educating the community through Speaker's Bureau presentations to various
organizations and agencies within Contra Costa County.
The committee also developed its "Plan of Action"(A copy of the Plan of Action is
attached to the Report as ADDENDUM F).
The Speaker's Bureau of the Mental Health Commission provides an excellent
presentation full of information about persons with mental disabilities with emphasis
upon erasing stigma, and also for improving housing opportunities. The Speaker's
Bureau provides the organization with a team for speaking engagements—the teams
consist of a mental health client, a family member, and a mental health service provider.
The Team uses a variable format that is adjusted to suit the need of the organization. The
Team brings with them videos such as, " The Way It Is: Mental Health Consumers Speak
Out", which was written and produced by Contra Costa County's Mental Health
• Commission. After the video presentation, the Team makes an approximate 30 minute
presentation, with a question and answer period following.
The following organizations, agencies, etc., have received presentations by a Speaker's
Bureau Team, for a total of 467 people this fiscal year:
• Albany Rotary Club
• St. John's Senior Center
• St. Clement's Episcopal Church
• St. Gregory's Church in San Francisco
• Antioch Senior Citizens Club
• Concord/Diablo Rotary Club
• Contact Care Center
• County Library Staff
• Walnut Creek Police Department
• Diablo Rotary Club, Martinez
• Clayton Valley High School, Concord
• Diablo Valley Masonic Lodge, Concord
• Rotary Club, Pittsburg
• Northgate High School, Walnut Creek
• The Speaker's Bureau has targeted specific agencies in Contra Costa County for
presentations during the next fiscal year. Those agencies include:
Annual Report FY 1999-00 20 Contra Costa County Mental Health Commission
• • Police Departments
• Other Hospitals:
♦ First Hospital/Vallejo
♦ Crisis Unit/Richmond
♦ Delta Memorial Hospital ER
♦ John Muir Medical Center ER
♦ Brookside Hospital ER
• Bus Lines/Services
• Paramedic/Ambulance Companies
• Schools & Colleges:
♦ Graduate Schools
♦ Junior Colleges
♦ High Schools
The Speaker's Bureau has also developed an informational brochure which has been(and
can be) distributed to community civic clubs and organizations, telling those
organizations about the services of the Speaker's Bureau.
LEGISLATIVE ADVOCACY
Dave Kahler is the Commission's legislative advocate. The purpose of this position is to
keep the Commission informed regarding pending legislative issues and to recommend
• legislative advocacy when appropriate.
MANAGED CARE:
The MHC committee structure continues to be utilized as the vehicle for public input for
managed care planning. Through this structure, members of the public are provided an
opportunity to contribute input to the planning process for Medi-Cal Managed Care
consolidation of non-hospital mental health services.
WORK WITH OTHER ORGANIZATIONS/AGENCIES:
• The MHC is an active participant in the Mental Health Coalition. The Coalition
« consists of the major mental health interests in the community including the
Contractor's Alliance, Employees Local 1, Mental Health Association, Network of
Mental Health Clients, and the National Alliance for the Mentally I11 (NAMI-CC), as
well as the Mental Health Commission. MHC has co-sponsored mental health
educational conferences, mental health awareness events such as the Hope Fair 2000,
and awards events.
The commission also has linkages to the following other County Commissions:
• The Children and Families Policy Forum and its Parenting Task Force and
• Fami[yLinks Advisory Board
Annual Report FY 1999-00 21 Contra Costa County Mental Health Commission
• • Juvenile Systems Planning Advisory Committee
• FACT—Families and Children Trust Fund
• Substance Abuse Advisory Board
• Agency on Aging
• Contra Costa Children and Families Commission(Prop 10 Commission)
• Juvenile Justice Commission
•
•
Annual Report FY 1999-00 22 Contra Costa County Mental Health Commission
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Education for Commission Members:
The Commission participated in a planning retreat on October 16, 1999. The subjects
covered in the daylong planning and training retreat included:
• Roles and Responsibilities of the Mental Health Commission _
• The Brown Act
• Committee Procedures and Governance
• Bylaws Revision
• Committee Membership
• Team Building and Role Reversal
• Mission Statement Review
• • Development of Goals and Objectives for the Commission for the 1999-00 year
• Operational izing the Goals
• Creating the Team
Nearly all Commission members attended one of the training conferences, which were
held by CIMH and CALM boards and commissions. Several of the Commission
members have attended educational conferences throughout the year, for the purpose of
bringing information back to Commission members to keep them abreast of Children's
Issues, Housing, etc. Commission members attended the following conferences:
• CMHACY (California Mental Health Advocates for Children and Youth)
• Children's System of Care Conference—"Opening the Doors—Children's
Interagency System of Care—Development in a Managed Care Environment"
• Joint Meeting of California Mental Health Planning Council, the California Mental
Health Directors Association, and the California Association of Local Mental Health
Boards and Commissions
• California DMDA Conference (Depression and Manic Depression Association)
• NAMI Convention and educational meetings
•
Annual Report FY 1999-00 23 Contra Costa County Mental Health Commission
• Outreach to Educate the Community–The Mental Health Commission Speaker's
Bureau:
The Speaker's Bureau is the primary outreach arm of the Mental Health Commission.
The Bureau has been very active in providing presentations to various elements of the
community. It has also developed a brochure to be used as an informational tool to be
handed out whenever deemed appropriate.
Develoament of Mental Health Awareness:
Mental Health Month–May 2000: On May 2, 2000,the Mental Health Commission
received from the Board of Supervisors a Proclamation declaring May as"Mental Health
Month". The Mental Health Commission also requested and received a proclamation
from the City of Concord which was presented to the Commission at Hope Faire 2000 on
May 6, 2000.
Hope Faire—May 6, 2000: The Mental Health Commission and the Mental Health
Division of the Health Services Department, co-sponsored the third annual "Hope Faire",
which was held on May 6, 2000, at Todos Santos Park in downtown Concord. The event
Was promoted as a countywide faire open to the general public to take a mental health
day as part of Mental Health Month. The goal of the planning committee was to raise
awareness, educate the public about mental disabilities and to dispel associated negative
preconceptions about persons with mental disabilities.
• Throughout the day, the stage featured live entertainment from local bands, comedy, and
guest speakers. Some of the speakers included: Supervisor Mark DeSaulnier and Mayor
Helen Allen of the City of Concord who welcomed fair goers.
Other activities included game booths, a carnival store, dunk tank, giant lawn bowling,
bungee run, balloon typhoon, Humpty Dumpty bound, face painting, the Shrine Clowns,
and a host of other activities. Many community organizations disseminated information
at booths, and assisted Faire participants in understanding the various services provided
by their respective organizations. The day was considered to be overwhelmingly
successful and the goals of the fair were achieved.
•
Annual Report FY 1999-00 24 Contra Costa County Mental Health Commission
. . ...:. . ..: .
contra:Costta::Cozen
MENTAL HEAL'THCOMMISSI0IV
Membership.and Composition
MENTAL HEALTH COMMISSION APPOINTMENT PROCESS:
The Board of Supervisors makes all appointments, by State law, to the Mental Health
Commission. The Welfare and Institutions Code has membership requirements relating
to consumers, family members and ethnic representation. At the time of any vacancy, the
Commission makes known to the Board of Supervisors the need for appropriate
representation. Interested persons are encouraged to contact their representative on the
Board of Supervisors directly or contact the Commission Executive Assistant at (925)
313-6409.
• MENTAL HEALTH COMMISSION, OFFICERS, COMMITTEES, AND
LIAISONS:
Mental Health Commission members are appointed for three year terms; terms are
staggered to expire June 30 of each year. Commission Officers are elected annually at
the June meeting, taking office in July. Membership on the Commission is unique—the
Welfare and Institutions Code requires at least 50%of the membership be comprised of
consumers of mental health services and family members of consumers. The balance
may be comprised of interested citizens. County policy calls for the Commission to be
comprised of 5 family members, 5 consumers, and 5 interested citizens.
The Commission meets 11 times a year, and each of the standing committees meets
monthly.
Mental Health Commission— 1999-00:
District One: Taalia Hasan (Family Member)
Bettye Randle (At-Large Member)
Aniece Jackson(Consumer Member)
District Two: Marie Goodman(Family Member)
Cynthia Miller(At-Large Member)
• Robert Torres (Family Member)
Annual Report FY 1999-00 25 Contra Costa County Mental Health Commission
• District Three: Eva Schaffer(Consumer Member) (through November 1999)
Ralph Hoffmann(Consumer Member) (beginning
April 2000)
Scott Singley (Family Member)
William Shryer (At-Large Member)
District Four: Tom Barresi (Consumer Member) (through November 1999)
Herb Putnam(At-Large member through March 2000)
(Consumer Member April 2000 through June 2000))
Diane Greenwood(Family Member)
Dave Kahler (At-Large Member from March 2000)
District Five: Lynn Gurko (Consumer Member)
Kathi McLaughlin(Consumer Member)
Chet Watson(At-Large Member)
Supervisor Representative: John Gioia, Supervisor
Supervisor Alternate: Gayle Uilkema, Supervisor
Executive Committee 1999-00
Chair: Herb Putnam
Vice Chair: Lynn Gurko
• Chair, Children's Comm.: Kathi McLaughlin
Chair, Adult Comm.: Bob Torres
Chair, Speaker's Bureau: Chet Watson
Co-Chairs, Older Adult Comm.: Herb Putnam/Bettye Randle
Chair, Organization Dev. Comm: Marie Goodman
Chair, Transitional Services Comm: Diane Greenwood
Chair, Criminal Justice Sub Comm./Legislative Advocate: Dave Kahler
Adult Program Review Committee 1999-00:
Bob Torres, Chair
Diane Greenwood
Dave Kahler
Herb Putnam
Children's Committee 1999-00:
Kathi McLaughlin, Chair
Cynthia Miller
Taalia Hasan
Bill Shryer _
Diane Greenwood
•
Annual Report FY 1999-00 26 Contra Costa County Mental Health Commission
i
• Older Adults Committee 1999-00:
Herb Putnam, Acting Chair
Juan Bofill
Ednah Friedman
A.C. Hollister
Nancy Houk
Aniece Jackson
Kagey Orosz
Kathy Radke
Bettye Randle
Gus Saucedo
William Shryer
Ken Salonen
Betty Wilgus
Speaker's Bureau 1999-00: _
Chet Watson, Chair
Scott Singley
Lynn Gurko
Organizational Development Committee 1999-00:
• Marie Goodman, Chair
Lynn Gurko
Herb Putnam
Cynthia Miller
Taalia Hasan
Finance Committee 1999-00:
Herb Putnam, Chair
Kathi McLaughlin
Marie Goodman
Lynn Gurko
Chet Watson
Transitional Services Committee 1999-00:
Diane Greenwood, Chair
Kathi McLaughlin
Cynthia Miller
Taalia Hasan _
Dave Kahler
Herb Putnam
•
Annual Report FY 1999-00 27 Contra Costa County Mental Health Commission
I
Commission Liaisons to Other County Committees, Commissions and Task Forces:
•
Consumer Policy & Planning Committee:
Recovery Task Force Steering Committee: Lynn Gurko
Herb Putnam
Hope Faire 2000
Herb Putnam, General Chair
Fund Raising Chair
Bettye Randle, Vice Chair
Bill Shryer, Fund Raising
Scott Singley, Fund Raising
Annual Report FY 1999-00 28 Contra Costa County Mental I lealth Commission