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Good morning. Good morning. Good morning. Good morning. Good morning. Great to see you all here. I know you all are chit chatting and connecting, and it's a beautiful sight to see when there's good energy. Let me go through the core announcements as we get started today. My name is Rigo Rodriguez.

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My, my, my, I got some residents here. My pronouns are he and his. I'll be facilitating today's session.

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And here go the announcement. So if you are chatting, just keep it low so that we can translate and folks who are online can hear us.

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We are recording today's session. It's a public meeting. So just as an FYI,

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As science, if you are a member of the public,

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please use the QR code that you see here,

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or a link that will be placed in the chat box.

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If you are a BHSA member and you are joining us online,

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you don't have to do anything else.

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You are already signed in.

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Today's materials can also be accessed using this QR code.

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And for those of you who are here in person,

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It's the agenda, there's also background material from the housing forum, sorry, from the housing input that you gave at the last session.

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And then there are, I think, four sets of slides. Two of them have to do with prevention and early intervention.

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And the last two have to do with the continuum of services for children and transition age youth.

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So those are the documents for today.

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Hopefully you have them all.

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They are available also in Spanish and Korean.

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ASL is provided today, both in person and online.

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And to pin the ASL interpreter on your screen,

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if you are joining us online, hover over their picture,

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click the three dots, and then select pin for me.

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That'll stable like the picture.

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and cart service is available over on my left-hand side and there is also a link in the

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chat box for you to access cart services. Spanish and Korean interpretation are also being

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provided in person if you can go to the corner table they have the headsets and everything over

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there and if you're joining us online and need access to interpretation again look at the links

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in the chat box for the telephone line for interpretation.

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The chat box for those of you joining us online

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is mainly to access all the items and resources

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that I just mentioned.

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And also to communicate with us at any point

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during the meeting, something shuts off.

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And we just aren't communicating well, just let us know.

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And again, we encourage you to use the chat box just

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when we ask you to use it.

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And if all else fails, please use the following email

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community stakeholder at dmh.lycounty.gov.

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That's community stakeholder at dmh.lycounty.gov.

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Members of the public, you're welcome

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to participate on equal terms today

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and CPT members, welcome.

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And last two announcements,

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we always try to make this a safe space

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for everybody because if we're feeling safe, we can be creative and so be present, speak from

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your own experience, it helps connect with others to know where you're coming from, in your

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small group conversations, practice confidentiality when someone says something sensitive, step

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up when you need to say something but also step back when to give other people an opportunity

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to speak. We usually have about a one minute rule so that when you get to speak, just think

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I've got one minute to say what I got to say so that you allow other people to share their thoughts and it really helps when you first seek to understand what someone has said versus reacting and then and then seeking to be understood.

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It's not stated here, but it's just always implicit, I'll just say it now that no personal attacks, it just focus on the issues.

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Last announcement before we go to the acknowledgments, there are times when we're dealing with the items that are pretty heavy and so if you're feeling like you need to take a break feel free to take a break as well.

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Okay, let me go through the land acknowledgement as well as the labor acknowledgement if I can have you

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Attention. The county of Los Angeles recognizes that we occupied land originally and still inhabited and cared for by the Tongva,

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Tatabian, Serrano, Keesh, and Shumash peoples. We honor and pay respect to their elders and descendents past, present and emerging.

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As they continue their stewardship of these lands and waters. We acknowledge that settler, colonization resulted in land seizure,

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disease, subjugation, slavery, relocation, broken promises, genocide and multi-generational

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trauma. This acknowledgement demonstrates our responsibility in commitment to truth, healing

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and reconciliation and to elevating the story's culture and community of the original

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inhabitants of Los Angeles County. We are grateful to have the opportunity to live and work

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on these ancestral lands.

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Then our labor acknowledgment is this.

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We must acknowledge that much of what we know of this country today, including its culture,

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economic growth, and development throughout history, and across time, has been made possible

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by the labor of enslaved Africans and their descendants who suffered the horror of the transatlantic

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trafficking of their people, chattel slavery, and Jim Crow.

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We are indebted to their labor and their sacrifice and we must acknowledge the tremors of that violence throughout the generations and the resulting impact that can still be felt in witness today.

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Thank you for taking the time to start off with our labor and landing knowledge.

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And so what are we here to do today? We're going to focus on three items.

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The first is sharing updates as we do every time on the community planning process on the community planning team.

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and other important items for this planning process.

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The second objective is to share with you all

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and discuss prevention and early intervention programs.

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And the third item is to discuss and present

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the services in the continuum of services

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for children and transition age youth.

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So this should be three objectives for today.

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Here's what the general agenda looks like.

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It's different, then, or slightly different than the one you have, we made some general changes.

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The structure is going to be the same, but we're going to move folks around a little bit differently.

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We're going to do updates from here to about 1015, and that includes doing some polling and figuring out where you want to go, which group you want to go to and so forth.

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And then around 1015, we'll go into two breakout groups. One group will stay here, the group that has the largest group will stay here.

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And then the group that has the smallest number of people will go upstairs as we have done in previous sessions.

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While you are up there, after the presentations, then you'll take your break up there.

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I'll give you more information on that in a second.

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So we'll do the breakouts and in the breakouts, that's where you can spend the remainder of your time here.

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And then at the end, they'll do a closing.

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The closing will be part of your breakouts.

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We won't need to come back together again.

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So I'll see you at gender four today, let me now welcome and invite Dr. Darley Shorn and Catherine Lee to welcome you and to give you some updates.

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Good morning, everyone.

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Morning.

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I would like to start off by saying we always always appreciate your time and commitment to this process.

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It's been a long road, but we are almost to the finish line for this phase of the process, but don't get too excited because we're already ready for the next process.

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So just give yourselves an applause for getting to this point.

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We've met a lot of strides in getting our integrated plans together.

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So again, thank you.

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We are always grateful that you chose to be committed to what we are moving for our behavioral

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health system in 2026.

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We go in over a little bit earlier about what today is going to be about, we're going

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to look at our prevention and child and take continuum, but we want to get to our next meeting

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in January.

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So January 20th will be an extended session so I want you all to put that on your calendar that normally these meetings last from 930 to 1230 but on January 20th we will be going through to 330 and there's a number of reasons why that session will be extended is because we want to honor your voices.

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Without being enough time to really hear the information, process the information and be able to give feedback in the moment where we present our draft in a great plan. So we have subject matters early on in the morning on the 20th. We're going to go through, but then the afternoon of the 20th through 330, we will present our draft. So please put that on your calendar. I understand it is a heavy commitment to spend virtually all day with us.

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But I do want to see all of you as possible and invite others to really really see and be able to provide the feedback.

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So that session is going to be Tuesday, January the 20th.

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It's going to be from my 30 to 330.

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We are going to be at DMH Terrace.

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Okay, so lots of parking, free parking.

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And so just know that's going to be at 510 South Vermont on a terrace level.

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So please mark your calendars and extend the meeting time for that date.

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During that session, we're going to go over again to integrated plan.

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We're going to have some other presentations about the budget, follow up on some housing

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interventions, as well as if there are feedback items or questions that you have that come out

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of this session today.

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We encourage you to bring those as well to the 20th because there will be space to also discuss

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those and give feedback around those areas.

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Next slide.

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Again, we're membership.

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So CPT membership.

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For those who here is a formal CPT member, can you raise your hand?

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You've got the land here.

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You've got the land here.

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If you're a formal CPT member, that means you are representing a group and interest.

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And so once again, thank you for your increased level of commitment to this process.

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as Bob being a CPT, formal CPT member.

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For those of you who would like to become a CPT member,

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we really want to extend warmly extend you membership.

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We are looking at inclusivity as much as inclusiveness

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as we can get.

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So if you know someone that represents an interest

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that you don't build is really supported

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or has not supported as much as you would like it

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be supported, maybe a group or an issue. We want to hear from you. We want people to represent

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their interests and for this process to continue to be inclusive as possible. We look for

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diverse representation and we look for people who really want to come to the table and talk about

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gaps in our system and how we can best address them collectively, especially as we move into

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be at you say in 2026. So we're extending membership through June 2026 for those who are already on a CPT membership,

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you will remain on there until June 2026. If for whatever reason you don't want to extend your

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membership to that timeframe, just please reach out to me and let me know. My team is in the back at the table.

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You can let them know or you can just merely send me an email. We appreciate your commitment to this point.

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but we do understand things happen and then maybe you can also help us identify someone else that

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may be interested in filling your spot behind you. If you want to end your membership please let us

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know by January 30th and that's just mainly so we have time to really search for another representative

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for your group as we move into our second phase of integration and looking at plan implementation

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and outcomes and that's going to start on February the 10th, 2026. So if you can please,

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please let us know if you want to end your role as a CPT member by January 30th.

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Next slide. Just to take you guys on the journey that we've been through together, we're holding hands,

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we're on the bus together, we're on the train together. So this is our roadmap and where we are.

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Back in December of last year, can you believe it?

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It's been a year, time flies when you're having fun.

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So back in December, we started this process around BHC site planning.

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We brought on U.S. CPT members, we opened it up to the public,

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and we began the process of going through this plan.

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Now we're at the end of that process, which is today, December 9.

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And today is between today and January 20th is sort of our wrap up of that stakeholder process.

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But I want to encourage you whether you're on the line or here in person, it is not your last opportunity to provide feedback.

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I'm going to point out some really specific areas that you still have the opportunity to provide feedback, our members of the public have the opportunity to provide feedback.

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Once we end our session on January 20, that draft plan and all of the collective feedback we received over the course of these many, many months will go into the draft integrated plan.

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That draft will then go to the directors, both the SAFC and the DMH director, and they will have an opportunity to review to ensure that it meets their approval of what we need to go for in terms of a plan to implement.

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That plan will then go to the board offices.

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We do like to provide a preview to our different board offices,

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so that they can provide their feedback and really

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chime in on the process that allow us to

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arrive to that draft plan.

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Then that plan after the board office goes to the CEO

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for their feedback and input and then finally after all

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that is collected and then overlay into the draft. It will then go through a public posting period.

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So once again, this is not your last opportunity to provide feedback. There is the 30-day public

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hosting period that we hope to begin in the early months around March, February, so that you can

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on lines to make sure written feedback, there will be a session with the behavioral health

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commission on January 8th, right? With the behavioral health commission on January 8th,

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that is an opportunity on January 8th and noon at headquarters again to again review what

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we're presenting as a draft plan and to give feedback in that session. You then will have another

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opportunity when it is publicly posted for 30 days, and then you all have another opportunity

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when we do the formal public hearing with the PI Bureau Health Commission on April the 9th.

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So please mark those dates on your calendar share with your respective groups that you

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represent that there are multiple multiple avenues and opportunities for feedback before we get to the finalized

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plan. Once the 30-day posting is complete, the commission has the opportunity during the public hearing

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to share their formal feedback and to respond to us accordingly. There is public comment in that

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session. And then once we get support within the behavioral health commission and in the public feedback

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session, in that arena, then we can finalize the plan to actually go for a formal board hearing.

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So it will be a formal agenda item on one of the Tuesday board days and so you're also welcome at that time to attend the board meeting.

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There's always a public comment period there as well when it does go for board hearing and approval.

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We help to get formal board hearing approval and may and then at that point we can finalize the plan and then submit it to the state for approval.

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So that's our little journey, our big journey, our courageous journey collectively, and so we're almost at the end of the raw revivals with our destination thanks to your help.

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So the only, my last update is about updates from the state.

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So as of November 13th, the California Department of Public Health released its prevention guide.

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And so you are welcome to go online and view that.

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The comments for that guide were due on the second of December.

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So that time period has unfortunately passed,

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but it is available for you to review to see

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what the state has described for us around prevention.

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And so I encourage you to stay updated with state information.

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If you need emails or where to subscribe to get updates,

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we're here to help you, please reach out to community,

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stay colder, at BMH.ly.com.gov or just stop at the table.

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my staff here here to support you. Again I'm going to leave on that note, but thanks thanks thanks

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thanks for always showing up and being a part of this process and I look forward to working with you

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well into our next phase. I'm going to turn it over to Katherine from Stephanie.

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Thank you,

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Darlige. I think similarly I wanted to say when we were driving over here it was kind of reflecting

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on the journey that we've been through and thank you to everyone but particularly I'd like to

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Thank also our SDBCP team members who are very new to this process. We have shown up and spent a lot of time with us.

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So thank you for bringing forward this SDD community voices. I know at the beginning we were wondering how that might look.

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So thank you so much for showing up. Your voices have been heard. You'll see them represented in our integrated plan and look forward to continuing to clever if you all.

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So, I think, you know, really just shared a lot of really useful information. And as

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as we always do, we want to make sure that we are responsive to the feedback that we get from

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all of you. So, needing feedback that will also be reflecting on as we think about the new

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year and the meetings that we have. So, what we heard from your last meeting was that

211
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really appreciated the informative information that you were given that we covered dual diagnosis,

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housing, SUD, the Q&A session, breakout discussions, did okay, seemed to be appreciated and was

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well-managed and inclusive way to make sure that people could contribute.

214
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Some things that we heard we could improve is providing more time for Q&A in discussion to

215
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fully explore the topics and for example, implementing a better system to track question order,

216
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limiting comments and ensuring that everyone can participate fully, and we also heard a little bit about logistical details, and so as we go forward, you know, we will continue to prioritize time as we talked about, it's a fine balance between giving you the information you need, having enough time for discussion and exploring how we continue to track questions in an inclusive way,

217
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and, you know, in particular, we heard providing space for table voices and representatives,

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to share their perspectives, which we've been working on with youth and others to see how we can incorporate them,

219
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and then we know there were some specific net questions as well that we will follow up on.

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Did I have any additional slides?

221
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Was it, did we want to mention module four?

222
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Sure, go ahead.

223
00:22:05,340 --> 00:22:09,360
Okay, so speaking of state guidance and fun things to read through,

224
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module four of the county policy module manual has been released.

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This module contains information about your evidence-based practices, your community

226
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to find evidence-based practices which we've heard a lot of people speak about.

227
00:22:24,260 --> 00:22:27,920
There's a biennial list so you probably want to look at that and see what's included.

228
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There's more information also around oversight and accountability.

229
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So if you're curious how the state plans to keep counties accountable and track that,

230
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Um, I think there was something, was there something else to be said, uh, but those are the main things.

231
00:22:44,060 --> 00:22:49,320
Okay. Those are the main things. So as usual, it's available through the DHCS website.

232
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Um, if you can't find it, let us know. We're happy to share that with you. And then I don't recall the comment period due date. Do you have the day for that?

233
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December 19th. Okay, December 19th, the comments are due for that. So please do review if you have comments submit to the state so that they can hear the voices as well.

234
00:23:12,520 --> 00:23:15,000
Okay, thank you.

235
00:23:15,080 --> 00:23:16,480
Thank you so much, Kevin.

236
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We've been getting so much information that sometimes it's hard to track, but on that last one on module four we will also when we send you an email will remind you about the December 19th.

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deadline to continue to add your voices to and feedback to the state on these rules that

238
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that they're developing around the work that we're doing.

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Let me now start transitioning us into today's content and let me start off by reminding us

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that this is the behavioral health continuum. The state, as you may recall,

241
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is playing a much more directive role in this work compared to the MHSA era, which the state

242
00:24:07,320 --> 00:24:11,200
delegated a lot of autonomy and power to the counties.

243
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BHSA, the state is playing a more directive role.

244
00:24:15,400 --> 00:24:21,280
This is also why it's great if you can give comments on whenever they have an open

245
00:24:21,280 --> 00:24:30,100
common period to send in your comments, so that the rules that they end up developing are informed by our voices, right?

246
00:24:30,280 --> 00:24:41,820
So take advantage of that. Still, they're playing a directive role and one of the areas that they have established for us is the continuum of care, right?

247
00:24:41,820 --> 00:24:47,140
There's these population-level goals, like decreasing homelessness, decreasing incarceration,

248
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those are population-level goals.

249
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We will come back to those during our forum on the 20th of January, but what we're trying

250
00:24:55,800 --> 00:24:58,880
to do now is finish up the continuum, right?

251
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So, they can see.

252
00:25:00,000 --> 00:25:24,020
In goes from prevention on one end, all the way to impatient services on the SUD, and with the mental health, it's primary prevention, all the way to subacute long-term care, and then you'll see housing intervention in both, and then medications for assisted treatment and workforce education and training, which we addressed on the 14th and then later on the 18th of November, those are cross-cutting, right?

253
00:25:24,020 --> 00:25:30,600
So far, we've covered all of these components of the continuum of care so by now you probably

254
00:25:30,600 --> 00:25:38,600
have a pile of PowerPoint presentations that have covered each one of those.

255
00:25:38,920 --> 00:25:45,680
One of the things that we've noticed is that whenever we do polling of how much and

256
00:25:45,680 --> 00:25:53,920
how familiar you are with the services, we're seeing that most of you might be familiar

257
00:25:53,920 --> 00:25:59,680
with the SAFC services but not the DMH and then vice versa that mental health might be familiar

258
00:25:59,680 --> 00:26:04,740
with mental health but not necessarily with the public health side. So we are in a phase

259
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of learning about each other's services and so far we've covered these services that are embedded

260
00:26:13,920 --> 00:26:21,140
within each of these segments of the continuum. What we're going to focus on today is the primary

261
00:26:21,140 --> 00:26:25,640
prevention and the early intervention components of the continuum.

262
00:26:26,440 --> 00:26:27,580
Checking me so far.

263
00:26:28,680 --> 00:26:28,780
All right.

264
00:26:30,060 --> 00:26:33,960
And so to start with, Christian, can you open up this slide?

265
00:26:34,120 --> 00:26:37,180
I'm going to, you all have the clickers.

266
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Does everyone have a clicker?

267
00:26:40,160 --> 00:26:42,520
If you don't have a clicker, raise your hand,

268
00:26:42,700 --> 00:26:46,300
and we will have a team walking around with the clickers

269
00:26:46,300 --> 00:26:48,380
as Christian sets up the slides.

270
00:26:50,500 --> 00:26:55,660
Just after today, after you're done with the polling, just make sure that if you need to leave early,

271
00:26:55,900 --> 00:27:01,380
if you are a CPT member, you should have your clicker on your lanyard, right?

272
00:27:02,140 --> 00:27:06,800
And then if you have to leave early, just leave the clicker on the table, then we'll pick it up.

273
00:27:06,840 --> 00:27:11,060
And I think someone may have left with a clicker last time.

274
00:27:12,100 --> 00:27:14,860
So in the honor system, just kind of leave it on the table.

275
00:27:14,860 --> 00:27:18,400
We won't know that it was, it was Pastor E.

276
00:27:18,540 --> 00:27:19,120
I just kidding.

277
00:27:20,000 --> 00:27:20,760
That was in here.

278
00:27:20,760 --> 00:27:21,380
It wasn't you.

279
00:27:21,520 --> 00:27:22,000
We'll just talk.

280
00:27:22,920 --> 00:27:24,840
It's not seeing what you did today.

281
00:27:25,600 --> 00:27:25,880
You know.

282
00:27:27,440 --> 00:27:30,180
So just in case this is your first time polling.

283
00:27:30,900 --> 00:27:32,900
Again, you have five options.

284
00:27:33,100 --> 00:27:38,300
And if you're online, you'll have a link in the chat box

285
00:27:38,860 --> 00:27:42,100
where you can also express your views.

286
00:27:42,280 --> 00:27:43,800
So again, you'll have five options.

287
00:27:43,800 --> 00:27:48,740
And just press the button that has the number that you want to use.

288
00:27:50,060 --> 00:27:51,220
And that's all you have to do.

289
00:27:51,300 --> 00:27:53,000
You don't have to press this little arrow.

290
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It'll automatically record.

291
00:27:55,260 --> 00:27:57,700
And once you press it, it'll say OK.

292
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And it'll flash.

293
00:27:59,540 --> 00:28:00,860
It'll tell you that it's been recorded.

294
00:28:01,780 --> 00:28:03,800
So that's the polling device.

295
00:28:04,120 --> 00:28:06,480
We've tried to keep it as simple as possible.

296
00:28:08,300 --> 00:28:10,320
And Christian, do you want to say that?

297
00:28:18,080 --> 00:28:28,280
So what we're going to ask you for, we're going to start with a question around, where do you want to, which breakout do you want to go to?

298
00:28:28,380 --> 00:28:37,800
The first breakout is going to be prevention early intervention and the other one is going to be on the children and take continuum.

299
00:28:37,800 --> 00:28:41,340
So, do you have the...

300
00:28:53,660 --> 00:28:54,520
Can we

301
00:28:59,260 --> 00:28:59,540
vote?

302
00:28:59,780 --> 00:29:00,020
Yeah.

303
00:29:01,220 --> 00:29:01,840
We're...

304
00:29:02,800 --> 00:29:03,780
It's polling.

305
00:29:04,600 --> 00:29:04,740
Yeah.

306
00:29:05,160 --> 00:29:06,880
It's, say, start.

307
00:29:07,100 --> 00:29:07,580
Start.

308
00:29:07,780 --> 00:29:09,300
We haven't started yet.

309
00:29:10,340 --> 00:29:10,640
Yeah.

310
00:29:10,860 --> 00:29:11,440
We haven't...

311
00:29:11,440 --> 00:29:15,860
Now, if you are online, you can go ahead and use the online format,

312
00:29:16,060 --> 00:29:20,080
but I'm just waiting for the technical set up here.

313
00:29:29,930 --> 00:29:32,810
Is it an announcement mark?

314
00:29:33,010 --> 00:29:33,870
No, it's not.

315
00:29:34,190 --> 00:29:35,270
It's not in a way.

316
00:29:35,810 --> 00:29:36,270
It is.

317
00:29:36,570 --> 00:29:37,610
Something that.

318
00:29:38,490 --> 00:29:38,510
Having.

319
00:29:39,290 --> 00:29:39,950
College hospital.

320
00:29:40,170 --> 00:29:40,670
They are.

321
00:29:41,150 --> 00:29:41,610
They are.

322
00:29:44,590 --> 00:29:46,190
They are.

323
00:29:46,190 --> 00:29:47,590
They are.

324
00:29:50,960 --> 00:29:52,160
They are.

325
00:29:56,170 --> 00:29:56,610
They are.

326
00:29:56,610 --> 00:29:56,750
They are.

327
00:29:56,750 --> 00:29:57,350
They are.

328
00:29:57,350 --> 00:29:58,650
Thank you.

329
00:30:12,660 --> 00:30:19,240
So if you could just, if they want to go to breakout group one, they just press one, right? And

330
00:30:19,240 --> 00:30:23,620
breakout group two would be this. So which of the two do you want to go to? Do you want to attend the

331
00:30:23,620 --> 00:30:28,380
prevention and early intervention programs, both for DMH and DPH

332
00:30:28,380 --> 00:30:33,460
Sapsy, or you interested more in the child and take continuum of services

333
00:30:33,460 --> 00:30:35,600
both for mental health and Sapsy Glodin.

334
00:30:35,880 --> 00:30:41,020
And press if you're interested in one or in two, and we'll give you how many

335
00:30:41,020 --> 00:30:42,020
more seconds.

336
00:30:47,410 --> 00:30:52,690
I'll count to five, five, four, three, two.

337
00:30:52,690 --> 00:30:56,800
When there's only 26 who've responded and I know there's more,

338
00:30:58,030 --> 00:31:01,990
okay, 44, if you can, it's the last one that counts, okay.

339
00:31:03,510 --> 00:31:05,330
So there's 16 more seconds,

340
00:31:15,380 --> 00:31:16,640
okay, there's a delay, right.

341
00:31:17,080 --> 00:31:18,790
So you tell me when you're going to close.

342
00:31:21,400 --> 00:31:23,490
All right, so then here's.

343
00:31:26,320 --> 00:31:30,310
All right, so that means like how many is that?

344
00:31:33,000 --> 00:31:35,920
What's 43 in your B.I.

345
00:31:35,920 --> 00:31:38,380
I mentioned earlier in 2016 before.

346
00:31:39,220 --> 00:31:39,480
Okay.

347
00:31:40,020 --> 00:31:44,460
So then if you're interested in P.E.E.I, then you'll stay here, go ahead and go to the next question

348
00:31:44,460 --> 00:31:44,920
person.

349
00:31:45,720 --> 00:31:50,120
So if you're interested in P.I, you're going to stay here, so the presenters for P.E.I will

350
00:31:50,120 --> 00:31:50,720
stay here.

351
00:31:50,740 --> 00:31:55,840
And then children and take continuum, Mary, Leslie, your teens will go upstairs and we'll

352
00:31:55,840 --> 00:31:57,980
walk with you upstairs and we'll present there.

353
00:31:58,260 --> 00:31:58,460
Okay.

354
00:31:58,460 --> 00:32:02,200
So how well you can start answering now, right?

355
00:32:02,600 --> 00:32:05,280
Okay, so how well do you know

356
00:32:05,940 --> 00:32:08,760
DMH's prevention and early intervention programs?

357
00:32:09,260 --> 00:32:10,580
I have never heard of them.

358
00:32:10,780 --> 00:32:12,740
I have heard of them, but don't know much.

359
00:32:13,120 --> 00:32:14,920
I know a little bit about them.

360
00:32:15,160 --> 00:32:19,040
I know them fairly well, and I know it very well,

361
00:32:19,060 --> 00:32:20,080
and can explain.

362
00:32:20,660 --> 00:32:23,820
In Christian D. should be 1, 2, 3, 4, 5, or...

363
00:32:24,980 --> 00:32:25,600
Okay,

364
00:32:33,550 --> 00:32:42,470
so nine seconds to go six, five, four, three, two, one. Okay, it's good and reveal.

365
00:32:45,250 --> 00:32:45,710
All right,

366
00:32:46,210 --> 00:32:56,870
so we have a group. We have a 21, 33, 34 that know a little bit about, okay so this is a

367
00:32:56,870 --> 00:32:58,530
different than what we've had in the past,

368
00:32:58,710 --> 00:33:01,030
where most folks are in one or two, right?

369
00:33:01,730 --> 00:33:03,270
So, okay, so looks like the starting point

370
00:33:03,270 --> 00:33:04,470
is a little bit more robust.

371
00:33:04,810 --> 00:33:07,810
Now, about 36% already have heard about them.

372
00:33:08,490 --> 00:33:11,230
And about one in five already know them fairly well.

373
00:33:11,910 --> 00:33:12,970
So, for those of you that are presenting

374
00:33:12,970 --> 00:33:14,210
and prevention or the intervention,

375
00:33:14,410 --> 00:33:18,130
you have a, I think, a more solid foundation to start with.

376
00:33:18,370 --> 00:33:19,470
All right, let's go to the next question.

377
00:33:19,630 --> 00:33:26,150
This is, next question is about how well do you know,

378
00:33:30,830 --> 00:33:36,760
It's the same option, so you can go ahead and start pressing now.

379
00:33:37,100 --> 00:33:37,480
All

380
00:33:47,240 --> 00:33:52,020
right,

381
00:33:58,310 --> 00:34:07,050
so here we have, I'm just going to look at the 29, 38, 45.

382
00:34:07,330 --> 00:34:13,030
So 45% are already know a little bit about them or know them fairly well.

383
00:34:13,350 --> 00:34:18,690
to DMH. So it sounds like, how many of you were able to go to one of the forums for prevention

384
00:34:18,690 --> 00:34:25,750
or were online? Yeah, raise your hand. Okay. So it sounds like some of this is really from all the

385
00:34:25,750 --> 00:34:30,830
information that we've given you. All right, let's go to the next question. So definitely it sounds like

386
00:34:30,830 --> 00:34:36,110
there's at least the beginning knowledge of this. So you don't have to cover everything, right?

387
00:34:36,750 --> 00:34:42,170
Okay. How about the children and take continuum? How familiar are you with them?

388
00:34:42,170 --> 00:34:45,250
With it, again, a through e,

389
00:34:58,690 --> 00:34:59,770
four, three,

390
00:35:00,370 --> 00:35:04,670
To one, okay, let's look at the results.

391
00:35:07,540 --> 00:35:12,380
So for those that are in the children taking a team, I think you have a different starting point.

392
00:35:13,260 --> 00:35:22,340
So the 66% are a one and a two. So I think going a little bit slow on the front and it's going to help build that foundation with the group.

393
00:35:22,340 --> 00:35:28,640
Okay, and then let's go over to the last question, which has to do with DPH apps,

394
00:35:29,300 --> 00:35:34,890
these continuum for TAID, to transition age youth and so go ahead and click,

395
00:35:36,200 --> 00:35:40,900
which one represents your level of familiarity with that.

396
00:35:41,740 --> 00:35:44,980
And we've got about 15 seconds to go.

397
00:35:58,090 --> 00:36:00,910
Okay, let's look at the result.

398
00:36:09,740 --> 00:36:14,240
Okay, that would be about

399
00:36:16,710 --> 00:36:19,750
70% or one in the two.

400
00:36:19,910 --> 00:36:22,450
So I think folks that are going to join that one

401
00:36:22,450 --> 00:36:24,830
are to have a different starting point

402
00:36:24,830 --> 00:36:26,290
and need more foundation building.

403
00:36:26,550 --> 00:36:27,470
All right, thank you.

404
00:36:28,230 --> 00:36:29,580
So let me put up my name.

405
00:36:30,950 --> 00:36:32,370
Is there anything else you can do?

406
00:36:32,490 --> 00:36:33,970
In a shot, it's quite, all right.

407
00:37:05,860 --> 00:37:08,620
Well, I hope that you're finding the polls.

408
00:37:08,620 --> 00:37:15,360
helpful just so that you all know what you're starting point as you saw for those that are going to be here in prevention or the intervention.

409
00:37:15,740 --> 00:37:20,660
There's a different starting point than children and tape. So here are subject matter experts.

410
00:37:21,180 --> 00:37:29,020
Stephanie Chen, where are you? I think over here from from DPHSFC, Dr. Robert Bird,

411
00:37:29,980 --> 00:37:35,700
Dr. Kerry Pesantia, I'm not sure if she's here today, but I can't take this here. Okay,

412
00:37:35,700 --> 00:37:42,640
going to be presenting for the prevention or the intervention, Stephanie is going to get a

413
00:37:42,640 --> 00:37:51,400
started there and then followed by Dr. Bird and Kanchi. For breakout group two, we have Mary

414
00:37:51,400 --> 00:37:55,260
Burraza and these are the other folks that were listed but I'm not sure if they're going to

415
00:37:55,260 --> 00:38:03,020
present with you today but it's Dr. Lori Willis, there she is. Erica, Dr. Karina Saur, right

416
00:38:03,020 --> 00:38:11,300
I'm presenting behalf of DMH and then Leslie Lopez over the corridor, great to see you from DPH-Safcy.

417
00:38:12,320 --> 00:38:20,740
So here's some final instructions for Kristen Dizarre, the instructions for people who are online, right?

418
00:38:21,600 --> 00:38:23,940
So why don't we do this?

419
00:38:24,020 --> 00:38:27,620
Those of you that are going to be at the child take continuum.

420
00:38:27,620 --> 00:38:33,660
You can actually stand up and start walking over there as I give the instructions for those who are going to be online that way.

421
00:38:33,880 --> 00:38:40,800
Don't keep you from waste your time. So the facilitation team can go up there.

422
00:38:41,520 --> 00:38:50,740
And if again, if you're interested in the children and take a team and you're going to walk upstairs through the stairway and the meeting room is all the way to the end in the corridor.

423
00:38:50,740 --> 00:39:07,860
And if you are online and you want to join the children, if you're online and you want to attend the prevention and early intervention presentation, you don't have to do anything to stay on this particular line.

424
00:39:08,260 --> 00:39:16,060
If you're interested in the presentation on children and take continuum of care, then here's what you're going to do.

425
00:39:16,060 --> 00:39:22,900
You're going to click on the link in the chat to open the Microsoft Teams meeting for breakout room too.

426
00:39:23,200 --> 00:39:25,360
So in the chat box, go ahead and do that.

427
00:39:25,680 --> 00:39:31,240
The initial meeting will be placed on hold, a new MS Teams will appear active.

428
00:39:31,940 --> 00:39:34,900
So if that works for you, if you're on a computer, go ahead and do that.

429
00:39:35,580 --> 00:39:41,320
If you're on a mobile device, MS Teams might not let you join another meeting while

430
00:39:41,320 --> 00:39:47,920
Another active meeting is open, so you'll need to leave this meeting and open up breakout room too.

431
00:39:48,420 --> 00:39:56,420
So copy and paste the meeting link in the chat and then close this meeting and then use the breakout link to open the new MS teams.

432
00:39:57,080 --> 00:39:59,660
You hopefully you're aware on how to do this.

433
00:40:00,000 --> 00:40:08,480
If you've done this last time. And then lastly, if you want to call in to the TA, child continuum,

434
00:40:09,440 --> 00:40:13,000
here are the numbers I'm going to leave these up here for a little bit as we transition.

435
00:40:14,120 --> 00:40:18,980
So hopefully we can transition and start around 10, 20, so about eight or so minutes.

436
00:40:19,940 --> 00:40:26,660
So get comfortable if you're staying here and you don't want to be next to the person that you were sitting with that you can move.

437
00:40:26,660 --> 00:40:33,700
That was a joke, but okay, so we'll start at about 10, 20.

438
00:40:37,300 --> 00:40:41,300
If you guys can please also take your clicker to the challenge.

439
00:40:42,280 --> 00:40:43,780
We're going to do one more polling.

440
00:41:01,790 --> 00:41:03,970
Oh no, how you do it?

441
00:41:04,910 --> 00:41:06,710
That is funny.

442
00:41:08,730 --> 00:41:10,050
My voice is burning.

443
00:41:12,670 --> 00:41:14,010
My voice is burning.

444
00:41:14,010 --> 00:41:14,110
My voice is burning.

445
00:41:14,150 --> 00:41:16,570
I mean, I just thought I was sick like that.

446
00:41:16,670 --> 00:41:18,090
Yeah, I was sick of that.

447
00:41:19,030 --> 00:41:19,590
I was sick of that.

448
00:41:20,810 --> 00:41:21,750
I'm talking about your back.

449
00:41:23,650 --> 00:41:26,110
I'm gonna knock you like this.

450
00:41:28,730 --> 00:41:30,370
I'm gonna knock you like this.

451
00:43:44,740 --> 00:43:48,540
I think I'm just like that.

452
00:43:48,540 --> 00:43:49,240
You were like that.

453
00:43:49,900 --> 00:43:51,200
I just wanted to take it.

454
00:43:52,620 --> 00:43:54,140
Like I was like, I'm like a kid.

455
00:43:57,740 --> 00:44:00,660
I was like, I thought that himself.

456
00:44:01,760 --> 00:44:03,800
That was the whole baby.

457
00:44:04,200 --> 00:44:04,360
That was the whole baby.

458
00:44:04,800 --> 00:44:06,220
There's things out.

459
00:44:06,760 --> 00:44:07,960
She's not so big yet.

460
00:44:08,800 --> 00:44:10,620
I just want to do it.

461
00:44:10,820 --> 00:44:11,420
I'm wearing a hat.

462
00:44:12,500 --> 00:44:13,780
I'm wearing a hat.

463
00:44:13,840 --> 00:44:14,320
Yes, man.

464
00:44:49,560 --> 00:44:51,060
I'm just gonna ask.

465
00:44:52,380 --> 00:44:53,360
I'm just gonna ask.

466
00:44:54,180 --> 00:44:55,020
I'm

467
00:44:57,170 --> 00:44:58,230
gonna ask.

468
00:44:58,550 --> 00:44:59,250
I'm just gonna ask.

469
00:45:15,510 --> 00:45:16,110
We're

470
00:45:18,220 --> 00:45:24,500
going to get started in about three minutes, not three minutes, okay? So, get ready.

471
00:47:35,360 --> 00:47:41,320
Let's come together for this particular breakout. Please find your seats. We're gonna get started

472
00:47:48,830 --> 00:47:55,470
Hi everyone, good morning. If you could please find your seats, we're going to get started for our breakout on prevention and early intervention.

473
00:48:03,630 --> 00:48:12,750
All right, good morning everyone. My name is Renee Castro. I'll be your facilitator for this breakout session along with Dr. Ruth Chambers who's over here.

474
00:48:12,750 --> 00:48:16,350
and Christian will be helping as well.

475
00:48:16,990 --> 00:48:18,810
So for those of you online,

476
00:48:20,370 --> 00:48:22,110
there are a number of ways for you to participate.

477
00:48:22,750 --> 00:48:24,910
Christian will be posting a link in the chat.

478
00:48:26,810 --> 00:48:28,870
So you can provide your comments in the chat.

479
00:48:29,050 --> 00:48:31,650
You can also respond to the link.

480
00:48:31,810 --> 00:48:34,550
And there's a worksheet for you to participate as well.

481
00:48:35,570 --> 00:48:38,430
Again, this is our breakout on prevention and early intervention.

482
00:48:40,050 --> 00:48:41,170
I'm just going to go over.

483
00:48:41,170 --> 00:48:43,190
So we're going to start this morning, of course,

484
00:48:43,370 --> 00:48:45,070
you're all familiar with our process now

485
00:48:45,790 --> 00:48:48,650
with 40 minutes of presentations.

486
00:48:50,130 --> 00:48:52,330
Then we will take a 10 minute break,

487
00:48:52,970 --> 00:48:54,870
and then we'll have 80 minutes of dialogue

488
00:48:54,870 --> 00:48:57,530
for you and opportunity as deeper level questions

489
00:48:57,530 --> 00:49:00,090
of our subject matter experts,

490
00:49:00,350 --> 00:49:01,910
and then we'll go into closing,

491
00:49:02,090 --> 00:49:03,910
and of course, we'll give us feedback on the session

492
00:49:03,910 --> 00:49:04,770
and how it went.

493
00:49:06,980 --> 00:49:11,620
Our presenters this morning, our Stephanie Chen, LCSWMPH,

494
00:49:11,620 --> 00:49:19,380
Division Chief Prevention Services Division with DPH Sapsy, Dr. Robert Burr, Deputy Director of Prevention

495
00:49:19,380 --> 00:49:26,400
Services with the Department of Mental Health, Carey Pesanti, SID, Program Manager 3, Prevention

496
00:49:26,400 --> 00:49:35,000
Services, and Kanchana T, LCSW Program Manager of Prevention Services at DMH. We're going to begin

497
00:49:35,000 --> 00:49:43,680
this morning with Stephanie Chen and all about you, Stephanie, to come out up and we have

498
00:49:43,680 --> 00:49:46,040
your PowerPoint, I'll keep you up.

499
00:49:50,300 --> 00:49:50,480
Thank you.

500
00:49:55,220 --> 00:49:55,480
Bye.

501
00:49:55,900 --> 00:49:57,260
Oh, okay, that's right.

502
00:49:57,660 --> 00:49:59,160
Thank you.

503
00:49:59,560 --> 00:49:59,960
Stephanie did-

504
00:50:00,960 --> 00:50:01,520
Thank

505
00:50:05,360 --> 00:50:13,880
you. Thank you. Thank you. I'm obviously not Stephanie. But I'm going to kick us off before Stephanie joins us on the stage.

506
00:50:15,040 --> 00:50:20,400
So many of you I think had already joined us at the prevention forums, so this will feel very familiar.

507
00:50:21,100 --> 00:50:29,580
So you're going to go rather quickly through these initial definitions, and then Stephanie will kind of bring us through more of the programs that are specific to SAFC.

508
00:50:30,660 --> 00:50:54,080
So, again, just to familiarize yourself with the JSA prevention requirements, per the statute minimum of 4% of the JSA funding is a lot to the California Department of Public Health, for population-based prevention, and at least 51% of those funds must be used for populations who are 25 years old or younger.

509
00:50:54,080 --> 00:50:59,740
There are also more details about this in module 4, which I mentioned earlier, about what types

510
00:50:59,740 --> 00:51:03,000
of programs qualify for this.

511
00:51:04,060 --> 00:51:10,580
And then the requirements for the types of programs, actually, sorry, module 4 doesn't

512
00:51:10,580 --> 00:51:14,420
relate to prevention, it refers to earlier interventions, so scratch that comment.

513
00:51:15,240 --> 00:51:19,820
But for prevention, the types of things that we're looking for are the items on the right

514
00:51:19,820 --> 00:51:26,000
site of the screen so those bullet points are what qualify programs for being population-based

515
00:51:26,000 --> 00:51:27,680
prevention programs.

516
00:51:29,800 --> 00:51:34,300
And then again, these are some of the focus areas for the behavioral

517
00:51:34,300 --> 00:51:40,240
health prevention funding. And again, the population-based prevention program guide that was recently

518
00:51:40,240 --> 00:51:46,120
released has many more details about what some of those statewide initiatives are, what the funding

519
00:51:46,120 --> 00:51:49,060
might look like things like that.

520
00:51:53,050 --> 00:51:56,650
The state-wide behavior of health goals, hopefully you are all very, very familiar with these

521
00:51:56,650 --> 00:52:02,090
by now, but these are what kind of we're focusing on overall as a strategy across all

522
00:52:02,090 --> 00:52:02,890
of our programming.

523
00:52:05,710 --> 00:52:11,230
So for prevention, just as a reminder, there's a very specific definition that the state has

524
00:52:11,230 --> 00:52:15,050
provided for what BHSA prevention looks like.

525
00:52:15,050 --> 00:52:19,370
The first category is promotion.

526
00:52:19,890 --> 00:52:26,370
So promotion strikes to improve the well-being of whole communities through strategies such

527
00:52:26,370 --> 00:52:32,470
as raising public awareness, reducing stigma, and ensuring access to activities and resources

528
00:52:32,470 --> 00:52:35,130
that ensure and support well-being.

529
00:52:35,630 --> 00:52:39,930
So really creating environments and conditions best support behavioral health and the ability

530
00:52:39,930 --> 00:52:42,230
of these communities to withstand challenges.

531
00:52:43,130 --> 00:52:53,430
And we have universal prevention, which focuses on the general public or whole population, that has not yet been identified on the basis of increased risk.

532
00:52:54,530 --> 00:53:11,210
Then we have selective prevention, which focuses on individuals or subgroups, whose risk of developing a mental health or substance use condition is significantly higher than average based on biological psychological or social risk factors.

533
00:53:12,650 --> 00:53:14,990
And with that being said, I'm going to hand it off to Stephanie.

534
00:53:20,360 --> 00:53:21,440
Thank you so much, Katherine.

535
00:53:21,800 --> 00:53:22,820
Again, nice to see everybody.

536
00:53:23,040 --> 00:53:25,700
My name is Stephanie Chen for those who haven't met me before.

537
00:53:26,040 --> 00:53:31,460
I'm here to talk about generally what are programs are at SAFC in terms of primary prevention.

538
00:53:31,960 --> 00:53:34,560
And I'm happy to also answer any questions at the end.

539
00:53:35,440 --> 00:53:45,320
So in general, our goal is to focus on primary prevention, which is definitely using the strategies of programs to change social conditions, social norms,

540
00:53:45,320 --> 00:53:51,100
and individual risky behaviors that overall minimize and prevent substances due to initiation

541
00:53:51,100 --> 00:53:55,040
before it leads to addiction.

542
00:53:56,180 --> 00:54:00,760
So a lot of our work is working closely with community partners, county partners,

543
00:54:01,220 --> 00:54:05,640
community members to address this issue using a prevention lens.

544
00:54:06,240 --> 00:54:10,300
So we served over 69,000 individuals annually.

545
00:54:10,300 --> 00:54:15,120
We closely partner with subcontracted CBOs

546
00:54:15,120 --> 00:54:18,300
or provider agencies, some of which we're here today, I can see.

547
00:54:18,920 --> 00:54:21,100
And we also have multiple site locations

548
00:54:21,100 --> 00:54:23,280
about LA County to ensure coverage

549
00:54:23,280 --> 00:54:26,720
with all the catchment areas throughout LA County.

550
00:54:27,840 --> 00:54:29,440
In general, we have all got prevention

551
00:54:29,440 --> 00:54:31,100
from four main strategies.

552
00:54:31,940 --> 00:54:34,600
One is to increase community education awareness

553
00:54:35,020 --> 00:54:39,620
by focusing on youth, developing their skillsets, leadership skills,

554
00:54:39,620 --> 00:54:45,480
ways to promote and prevent access and availability of substances, as well as making healthy

555
00:54:45,480 --> 00:54:51,820
decisions. The next strategy is mobilizing community. We use that word intentionally because we work

556
00:54:51,820 --> 00:54:58,860
with community partners who then work with other community members, stakeholders to ensure that

557
00:54:58,860 --> 00:54:59,920
we are reaching audience.

558
00:55:00,000 --> 00:55:20,100
We're working with everyone closely, we utilize coalition networking strategies, which are evidence-based to help individuals understand the local concerns and issues within your jurisdiction within your city that you can advocate for on behalf of your families, your schools, your community.

559
00:55:20,820 --> 00:55:28,080
Another strategy is to look at our data. We can't understand the problem of prevention as a science if we don't understand the problem.

560
00:55:28,080 --> 00:55:35,180
So we devote a lot of resources to having needs assessments, doing environmental scans

561
00:55:35,180 --> 00:55:40,140
so that we can collect better information about what the scope of the problem is in our county.

562
00:55:40,860 --> 00:55:47,420
And then lastly, we devote a lot of resources to creating and implementing mass media campaigns.

563
00:55:48,000 --> 00:55:52,280
Because there are millions of residents here in our county, one of the strategies we use

564
00:55:52,280 --> 00:55:56,680
is to have a creative, positive, public health messaging

565
00:55:56,680 --> 00:56:01,920
that increases exposure of messages that hopefully influence

566
00:56:01,920 --> 00:56:04,040
your individual collective decision-making

567
00:56:04,040 --> 00:56:05,720
on whether or not to use substances.

568
00:56:07,480 --> 00:56:10,020
This is just a general slide to summarize

569
00:56:10,020 --> 00:56:13,260
the different types of providers and partners we work with

570
00:56:13,260 --> 00:56:14,520
and collaborate with daily.

571
00:56:15,060 --> 00:56:18,920
So it ranges from working on co-located well-being centers

572
00:56:18,920 --> 00:56:26,140
in over 45 high schools across LA County, we also are embedded with public health centers,

573
00:56:26,620 --> 00:56:33,080
we work closely with Lake O, other county agencies such as DMH, Parks and Recreation,

574
00:56:33,800 --> 00:56:41,320
all of our libraries, as well as with our individual CVOs. This is one example slide. It's a

575
00:56:41,320 --> 00:56:47,480
lot of information, but the end goal here is to share how we take data that we collect from a

576
00:56:47,480 --> 00:56:54,380
this lesson, looking at different factors such as access and availability, how accessible

577
00:56:54,380 --> 00:57:01,220
are alcohol retailers in your city? What is the density level that we need to be concerned about?

578
00:57:01,400 --> 00:57:06,620
What are the social norms in your culture that influence individual and collective use?

579
00:57:06,900 --> 00:57:12,340
What is the prevalence of substance use in your area? How does all this come together to see

580
00:57:12,340 --> 00:57:15,420
how we look at perceived risk of harm,

581
00:57:15,960 --> 00:57:18,680
whether or not you perceive that using with friends

582
00:57:18,680 --> 00:57:21,480
and family is perceived to be normal and acceptable.

583
00:57:22,080 --> 00:57:23,480
A lot of this is what we collect,

584
00:57:23,580 --> 00:57:27,120
to better understand within each service planning area,

585
00:57:27,820 --> 00:57:29,540
how we want to implement interventions.

586
00:57:30,040 --> 00:57:31,580
And so a lot of it is data driven.

587
00:57:32,680 --> 00:57:36,560
And after that, we obviously work with our partners

588
00:57:36,560 --> 00:57:38,740
to design and implement specific interventions

589
00:57:39,200 --> 00:57:40,600
to address local needs.

590
00:57:40,600 --> 00:57:44,080
because not all programs are designed for everyone.

591
00:57:44,620 --> 00:57:47,940
We want to adapt specific interventions that specifically

592
00:57:47,940 --> 00:57:50,700
need the needs of that target community.

593
00:57:50,880 --> 00:57:54,140
And that's what we try to do by conducting our assessments.

594
00:57:54,500 --> 00:57:55,800
We do one every three years.

595
00:57:56,020 --> 00:57:57,680
We reach over 10,000 individuals.

596
00:57:58,040 --> 00:58:01,980
We collect that data, analyze it, and produce really good analysis

597
00:58:01,980 --> 00:58:05,420
for which we use that to derive interventions in evaluation.

598
00:58:06,680 --> 00:58:10,460
So with Kath and Shood before, we also look at these different categories

599
00:58:11,660 --> 00:58:17,680
help us understand also who we're targeting and why we're targeting them and for what purpose.

600
00:58:18,040 --> 00:58:25,640
And so a lot of our work really does span all the way from promotion to indicated and case identification, which is similar to DMH's work.

601
00:58:26,840 --> 00:58:33,560
There's some examples of what we do. I'll go into some detail into what these are, but I can also answer some questions later.

602
00:58:34,500 --> 00:58:38,480
One example is a most recent media campaign that we launched.

603
00:58:39,300 --> 00:58:40,200
It's called Frontline.

604
00:58:40,400 --> 00:58:43,500
Together we do feed overdose, obviously for those who are aware.

605
00:58:43,800 --> 00:58:49,120
The federal crisis is a big issue here in our communities, particularly among youth.

606
00:58:49,700 --> 00:58:58,580
And so what we are doing is kind of combating that by addressing the messaging and the perceived risk

607
00:58:58,580 --> 00:59:06,840
harm that some communities feel and so a lot of that is looking at target populations looking

608
00:59:06,840 --> 00:59:14,240
at general non users, some experimenters and teams. We look at campaign awareness goals,

609
00:59:14,500 --> 00:59:20,800
so changing attitudes, increasing education, also increasing access to calling our hotline

610
00:59:20,800 --> 00:59:26,960
if you feel like an individual needs additional support. We also did general to meet our

611
00:59:26,960 --> 00:59:32,420
education every day all the time out on the community going to health fairs, preventing

612
00:59:32,420 --> 00:59:40,660
at schools, doing parent, parent meetings, addressing issues that neighborhood council meetings,

613
00:59:41,120 --> 00:59:47,820
conducting town halls, meeting with pharmacies, we do a lot in the community to build that

614
00:59:47,820 --> 00:59:54,120
relationship and also to increase awareness about the different risk factors inherent in the

615
00:59:54,120 --> 00:59:59,200
this is today from cannabis to alcohol to prescription drugs to nothing but me.

616
01:00:00,000 --> 01:00:19,940
Another way that we look at our programs is how do we reach youth effectively by influencing the ways that they develop community building life skills, leadership skills, ways that are protective factors that protect against substance use and other risky behaviors.

617
01:00:19,940 --> 01:00:29,240
So we do partner with Parks Recreation to provide annual services to over 13 parks.

618
01:00:29,540 --> 01:00:35,080
And so what they do is provide essential after school services that are not traditionally seen

619
01:00:35,080 --> 01:00:40,920
as substance use programming but to us it is because we're giving these youth an alternative to use.

620
01:00:41,140 --> 01:00:47,280
We're giving them opportunities to expand their leadership skills as a way where they can build a social emotional capacity

621
01:00:47,280 --> 01:00:52,600
to make healthy decisions not only for themselves, but to be effective models for those around them.

622
01:00:53,820 --> 01:00:58,440
We also work with public health to support the Youth Advisory Council,

623
01:00:58,960 --> 01:01:04,320
which again is another strategy to ensure that youth are officially mentored,

624
01:01:04,620 --> 01:01:10,600
and have the skills they need to develop collaboration and Christianity impacts and be involved

625
01:01:10,600 --> 01:01:15,760
with the system, giving us feedback on the needy campaigns. So a lot of the work that we do

626
01:01:15,760 --> 01:01:22,820
really does involve youth feedback because we know youth really do have an expert opinion that we want

627
01:01:22,820 --> 01:01:30,200
to honor and involve them in the community planning process. We also have a project here that addresses

628
01:01:30,200 --> 01:01:35,560
the harms associated with fentanyl, opioids, and also prescription drug misuse interviews.

629
01:01:36,220 --> 01:01:44,260
So our strategy is to look at print multimedia, expanding that knowledge, that way we also do extensive

630
01:01:44,260 --> 01:01:50,220
recruitment of pharmacies that are willing to support our campaign. We also support the drug take

631
01:01:50,220 --> 01:01:57,920
back days, which is where community members bring back medications that are unused and unneeded

632
01:01:57,920 --> 01:02:04,460
in a safe way. And then lastly, we partner with, again, schools, childcare centers, CVOs,

633
01:02:04,800 --> 01:02:10,560
health plans, et cetera, so that they're also committed to this as well. Most recently, we've been

634
01:02:10,560 --> 01:02:16,500
conducting a large project county wide looking at snow shops more particularly unlicensed cannabis

635
01:02:16,500 --> 01:02:21,660
products that are unregulated, but sold in unlicensed cannabis, and series and traditional

636
01:02:21,660 --> 01:02:26,980
snow shops. This is important because it addresses the accessibility issue. If we have

637
01:02:26,980 --> 01:02:31,740
availability of this products that are shown to cause harm, have additional pesticides and

638
01:02:31,740 --> 01:02:37,320
chemicals that could do not aware of, and also hold high THC content that is not being enforced

639
01:02:37,320 --> 01:02:42,820
correct with anywhere. We've had efforts here that have led to environmental scans, official

640
01:02:42,820 --> 01:02:48,760
complaints to regulatory agencies and authorities, and the notification letters to tobacco

641
01:02:48,760 --> 01:02:55,420
retailers across LA County, and most recently statewide emergency ban on products. So that

642
01:02:55,420 --> 01:03:03,380
is direct effect of the local efforts here in LA County. We have also influenced other counties

643
01:03:03,380 --> 01:03:06,040
such as Santa Clara County, Ventura County,

644
01:03:06,180 --> 01:03:07,860
who are now doing something very similar

645
01:03:07,860 --> 01:03:08,860
because of our work.

646
01:03:08,880 --> 01:03:09,840
So it's being replicated.

647
01:03:10,400 --> 01:03:12,400
So it's a very exciting way to see how

648
01:03:12,400 --> 01:03:13,860
LA County is taking the lead

649
01:03:13,860 --> 01:03:15,980
and identifying the problem early

650
01:03:15,980 --> 01:03:17,800
and working with community partners

651
01:03:17,800 --> 01:03:19,380
and community members and tandem

652
01:03:20,020 --> 01:03:23,500
to build advocacy efforts to lead to statewide policy change.

653
01:03:24,440 --> 01:03:25,960
And then we also provide

654
01:03:25,960 --> 01:03:27,540
special centers and communities

655
01:03:27,540 --> 01:03:29,820
where individuals can seek our services.

656
01:03:30,480 --> 01:03:32,080
We also have field-based opportunities

657
01:03:32,080 --> 01:03:38,940
where we go out to you, we can conduct also additional streamings and support. So we want to be available

658
01:03:38,940 --> 01:03:42,720
to communities and not have them come to us, but we go to you.

659
01:03:45,510 --> 01:03:47,690
And thank you so much. And with that,

660
01:03:47,750 --> 01:03:52,550
I will let DMH kind of take the next step, but I appreciate you. Thank you.

661
01:04:10,560 --> 01:04:12,740
Okay. Good morning.

662
01:04:16,320 --> 01:04:24,020
How many of you participated in the planning process for MHSA, either the annual update, or the

663
01:04:24,020 --> 01:04:25,520
three year planning in the past?

664
01:04:28,630 --> 01:04:33,030
Okay, like a good third to a half. Okay, so this process looks

665
01:04:33,030 --> 01:04:41,790
a little different from the prior process. Agreed? Okay, I want to highlight two very important

666
01:04:41,790 --> 01:04:49,710
things that Dr. Corn pointed out when we started this morning. Today, December 29th,

667
01:04:52,090 --> 01:04:59,070
and then Tuesday, December 20th, are technically the last two days to provide feedback.

668
01:05:00,000 --> 01:05:13,060
For this planning process, for the integrated plan, for our first three year plan under BHSA. So if you have not taken advantage

669
01:05:13,060 --> 01:05:18,680
of opportunities to use these poster boards, the papers on your tables, to ask questions and get

670
01:05:18,680 --> 01:05:24,000
them on record, this is your opportunity, and again on December 20th.

671
01:05:24,000 --> 01:05:34,260
to January 20th. Thank you, January 20th, to make sure that we have your feedback, right?

672
01:05:34,360 --> 01:05:39,660
Because this is a stakeholder process. We need to make sure that we hear your voices, what

673
01:05:39,660 --> 01:05:45,260
you think is needed, what you think is missing. And I know she covered it really quickly, and I thought

674
01:05:46,520 --> 01:05:51,740
we should probably really highlight that. So before we start, there you go. I want to make sure

675
01:05:51,740 --> 01:05:57,400
people are dialed into that, and are tracking that, and people are already writing.

676
01:05:59,040 --> 01:06:01,120
Okay, we can go to the next slide.

677
01:06:04,160 --> 01:06:05,440
Am I doing the next slide?

678
01:06:05,720 --> 01:06:07,480
Do I go like this?

679
01:06:10,080 --> 01:06:11,440
I have the power.

680
01:06:13,000 --> 01:06:23,220
So just in summary, BHSA is the first big reform of the Mental Health Services Act or the

681
01:06:23,220 --> 01:06:32,880
in 2004. BHSA kind of transforms things a little bit. Focus is on vulnerable at risk, set aside,

682
01:06:33,840 --> 01:06:41,440
specific funding allocations for children in youth. It brightens the priority population to include

683
01:06:41,440 --> 01:06:50,120
individuals with substance use needs and it allocates allocations for local services state,

684
01:06:50,120 --> 01:06:55,560
delivered services, states, vision for prevention, et cetera.

685
01:06:58,200 --> 01:07:04,740
Right on. This is kind of a summary of some of the changes that are coming with

686
01:07:04,740 --> 01:07:13,880
BHSA. You have this in your slide, tech, so you can read this. As July 1 hits us,

687
01:07:13,880 --> 01:07:19,880
image as they go away, the HSA stands up. So these new things are coming.

688
01:07:22,120 --> 01:07:22,700
I'm going to go

689
01:07:22,700 --> 01:07:27,620
kind of high level because I saw the poll results at the beginning, and I know I have the room

690
01:07:27,620 --> 01:07:33,620
with the most knowledge. Here's the target populations. If we compare it, it may just say with the

691
01:07:33,620 --> 01:07:43,230
HSA. So image as they target populations were participants who were potentially risk for a series

692
01:07:43,230 --> 01:07:47,950
mental illness, membership in a group of population with greater than average risk,

693
01:07:49,690 --> 01:07:54,790
be it just a kind of broad inset, as I said, as other people here have said,

694
01:07:55,490 --> 01:08:02,710
to really expand the target populations. It also takes away population base. So once we move

695
01:08:02,710 --> 01:08:08,410
into PHS a early intervention, which is what counties are responsible for, the population-based

696
01:08:08,410 --> 01:08:13,770
prevention services, of which we've done many, no longer

697
01:08:13,770 --> 01:08:15,050
risk with us.

698
01:08:15,550 --> 01:08:18,430
Those dollars go up to the state and the California

699
01:08:18,430 --> 01:08:20,610
Department of Public Health will be responsible for

700
01:08:20,610 --> 01:08:22,170
managing those dollars,

701
01:08:24,200 --> 01:08:25,120
hopefully meeting the needs

702
01:08:25,120 --> 01:08:25,620
locally.

703
01:08:26,820 --> 01:08:28,880
Yeah, I feel to be interested in those of

704
01:08:32,240 --> 01:08:33,060
Okay.

705
01:08:43,640 --> 01:08:52,980
Here's the services that we were able to include under MHSA early intervention, the services

706
01:08:52,980 --> 01:08:59,760
that are coming with BHSA early intervention. We had a provider meeting last Friday and

707
01:08:59,760 --> 01:09:04,360
One of the things I really want to highlight around the services that are coming with

708
01:09:04,360 --> 01:09:06,320
BHSA is increased flexibility.

709
01:09:07,780 --> 01:09:13,160
I think that when the state started pulling together listening sessions, when the California

710
01:09:13,160 --> 01:09:16,920
Behavioral Health Directorial Association started pulling together listening sessions,

711
01:09:17,380 --> 01:09:21,500
we were pretty vocal that with these changes, we would like some more flexibility.

712
01:09:22,460 --> 01:09:28,460
Under MHSA, early intervention was really capped at 18 months, unless it was a first

713
01:09:28,460 --> 01:09:33,490
or first episode psychosis, in which case we could see an individual for four years.

714
01:09:35,700 --> 01:09:39,840
Needs don't necessarily go away in 18 months or four years.

715
01:09:41,520 --> 01:09:48,270
So we advocated for some more flexibility and under the HSA, we don't have those

716
01:09:49,200 --> 01:09:55,740
cut-off dates. So if somebody needs services for 20 months that are early intervention or 24

717
01:09:55,740 --> 01:09:59,260
We can continue to deliver services to those individuals.

718
01:10:00,000 --> 01:10:07,040
Without exiting them from early intervention and into a different type of service. So it gives more

719
01:10:07,040 --> 01:10:14,040
flexibility to the client. They get to keep their treatment in. It gives more flexibility to

720
01:10:14,040 --> 01:10:22,040
our legal entity providers. They don't have to disassemble somebody from EI, put them in FSB. And it's

721
01:10:22,040 --> 01:10:28,480
less administrative burden because it's not to for now comes. It's not all of the new paperwork

722
01:10:28,480 --> 01:10:30,500
that's required for disenrolling, re-enrolling.

723
01:10:31,040 --> 01:10:33,940
So I do think that BHSA's bringing some really good things,

724
01:10:38,240 --> 01:10:42,360
including the broadening to include services for substance use disorders.

725
01:10:47,200 --> 01:10:58,280
So this slide includes a sample of some of the programs that we funded with MHSA prevention dollars.

726
01:10:58,780 --> 01:11:01,620
It's not all inclusive because

727
01:11:02,780 --> 01:11:12,240
MSA has been alive for 20 years, and this would be 18 pages, but we looked at like the last two or three years.

728
01:11:13,180 --> 01:11:19,600
Also, a big initiative we funded with MSA Prevention Dollars was the incubation academy.

729
01:11:20,480 --> 01:11:29,920
So some of you have been through our incubation academy, where we tried to train up individuals or agencies to become providers with one of the county departments.

730
01:11:33,440 --> 01:11:35,560
Do you want the good news to add that news?

731
01:11:37,940 --> 01:11:45,460
So with the state with our BHSA prevention dollars going up to the state, some of these programs

732
01:11:45,460 --> 01:11:48,840
are being sunset, like the incubation academy.

733
01:11:52,840 --> 01:11:59,020
So we can go to more detail later about which ones we're going to try to advocate to continue,

734
01:11:59,020 --> 01:12:06,080
But we did do a lot of work, we talked about the continuum earlier,

735
01:12:08,900 --> 01:12:11,060
we are this little red box right there.

736
01:12:11,340 --> 01:12:12,800
That's what we're focusing on today.

737
01:12:16,800 --> 01:12:23,420
So like I said, the responsibility for primary prevention, which is the state's defining as promotion, universal prevention,

738
01:12:23,420 --> 01:12:26,980
select a prevention is going up to California Department of Public Health.

739
01:12:27,680 --> 01:12:32,340
They're having listening sessions, they have stakeholder groups, go to their website, join

740
01:12:32,340 --> 01:12:38,700
their listserv, if you have an interest in prevention services, if you have an interest in prevention

741
01:12:38,700 --> 01:12:45,600
services at the local level that are informed at the local level, I would say get under this

742
01:12:45,600 --> 01:12:50,900
serve. Make sure you're showing up to their listening sessions. The county's responsibility

743
01:12:50,900 --> 01:12:57,740
under the HSA will be for early intervention. Again, flexibility, right? So one of the things

744
01:12:57,740 --> 01:13:07,580
we got to keep was indicated prevention. It was on a prior side. In that nice little arc,

745
01:13:08,040 --> 01:13:13,260
it's the very first part of early intervention, but indicated prevention is part of what we get to keep

746
01:13:13,260 --> 01:13:14,380
to deliver locally,

747
01:13:17,360 --> 01:13:24,800
so that's good, because what we did, I'll hold that thought for a second.

748
01:13:26,520 --> 01:13:32,040
Catherine talked about this really briefly. The seven that are circled in red are the seven

749
01:13:32,040 --> 01:13:38,960
population health goals we have to report out on. There will be more coming about that in future sessions.

750
01:13:43,180 --> 01:14:00,900
So basically, from our BHSA allocation that we're getting, or should be getting, 10% is going to the state, 4% for prevention, 3% for statewide workforce initiatives activities, and then 3% for administrative costs.

751
01:14:01,720 --> 01:14:04,340
Locally, 30% of the dollars have to go to housing,

752
01:14:06,930 --> 01:14:15,110
35% have to go to FSP, and then 35% have to go to the behavioral health support services category.

753
01:14:19,270 --> 01:14:30,250
So under the behavioral health services support services category, here are the different things that are included under there under that broader category for that 35% of our funding.

754
01:14:33,060 --> 01:14:41,420
again, we're focused on this section right here. So we're going to focus on these three areas for

755
01:14:42,140 --> 01:14:42,660
VHSA,

756
01:14:46,140 --> 01:14:50,960
and hopefully because you've been to prior meetings, you're ready to have some comments and some feedback.

757
01:14:52,240 --> 01:14:59,400
So this just kind of walks you down through the breakthrough, break out of the funding. So under VHSA.

758
01:15:00,000 --> 01:15:15,980
Could be HSS, the behavioral health support services. For early intervention, 51% of our BHSS dollars have to go to early intervention. So that 35%, 51% are dedicated to early intervention.

759
01:15:17,880 --> 01:15:24,520
Of that amount, 51% have to be carved out for children in youth services.

760
01:15:26,380 --> 01:15:30,820
So it goes from 35 and then half of that and then a little bit more than half of that.

761
01:15:31,900 --> 01:15:35,780
So the pipe narrows and becomes smaller.

762
01:15:36,260 --> 01:15:40,560
But it's dedicated funding specifically to address the needs of children in youth.

763
01:15:44,840 --> 01:15:44,920
Okay.

764
01:15:50,450 --> 01:15:59,930
So the goal of BHSA is to help counties maximize our federal financial

765
01:15:59,930 --> 01:16:01,210
participation funding.

766
01:16:03,710 --> 01:16:09,770
So we lovingly refer to it as FFP, but people who don't speak in acronyms,

767
01:16:10,230 --> 01:16:14,570
it's the federal financial dollars. It's the match that we get from the feds for every service we deliver.

768
01:16:15,890 --> 01:16:23,410
So to the extent we can open cases and build something to medical, we get money from the feds

769
01:16:23,410 --> 01:16:29,470
for those programs or services that we're not opening a case or claiming to medical,

770
01:16:30,810 --> 01:16:33,130
We don't get dollars from the federal government.

771
01:16:34,450 --> 01:16:38,930
So, we are trying to pivot more toward opening cases,

772
01:16:39,710 --> 01:16:41,910
and maximizing our federal financial participation

773
01:16:41,910 --> 01:16:45,550
because that means that our dollars stretch much further.

774
01:16:46,310 --> 01:16:49,330
If we have the Fed's kicking in 50% of the dollar,

775
01:16:50,070 --> 01:16:51,690
we can deliver a lot more services.

776
01:16:54,290 --> 01:16:54,950
So,

777
01:16:57,940 --> 01:17:01,260
these are the three components that are defined under BHSA or the intervention.

778
01:17:01,260 --> 01:17:07,020
outreach, access, and linkage, and then mental health and substance use to sort of services.

779
01:17:14,280 --> 01:17:14,280
Okay.

780
01:17:17,740 --> 01:17:17,980
So,

781
01:17:20,320 --> 01:17:25,740
for the intervention, it would be HSA really aims to reduce the likelihood of certain adverse outcomes.

782
01:17:26,040 --> 01:17:37,960
Here's a list of certain adverse outcomes. A lot of this is for long-suffering. If you're not getting services or if you're being delayed access to services, you're suffering increases.

783
01:17:37,960 --> 01:17:44,200
this. You're a greater risk for suicide or so far. We want to avoid unemployment. We want

784
01:17:44,200 --> 01:17:50,620
to avoid becoming homeless. We want to avoid incursorations, right? So the whole goal of early

785
01:17:50,620 --> 01:17:57,640
intervention is to reduce known adverse outcomes from not being able to access services.

786
01:18:00,400 --> 01:18:07,600
Okay, so those three pieces of early intervention that were required to provide

787
01:18:09,020 --> 01:18:15,060
So if you haven't read the manual that keeps growing in length, there are the three pieces

788
01:18:15,060 --> 01:18:17,360
we're required to provide indicated prevention,

789
01:18:20,060 --> 01:18:24,100
so this is focused really on people who are

790
01:18:24,100 --> 01:18:30,860
at risk of mental health disorders. They don't have to have a diagnosis yet. They just need

791
01:18:30,860 --> 01:18:39,160
be showing signs or symptoms that are indicative of risk, right? So we have programs that

792
01:18:39,160 --> 01:18:45,920
were really advocating to continue from that long list of prevention projects, because

793
01:18:45,920 --> 01:18:49,420
they align well with early intervention, indicated prevention.

794
01:18:51,440 --> 01:18:54,380
So shortly before, shortly

795
01:18:54,380 --> 01:19:03,140
after I don't remember, the law passed, my team and I started mapping out the different programs

796
01:19:03,140 --> 01:19:10,520
that we were currently funding through prevention dollars and cross-walking them to BHSA regulations.

797
01:19:11,440 --> 01:19:17,860
Where did they fall in terms of early intervention? Could they be indicated prevention? Could they be

798
01:19:17,860 --> 01:19:22,960
case identification? Could they be straight up services that we could actually claim?

799
01:19:23,600 --> 01:19:30,160
So we did a lot of work and we came up with some that kind of aligned really well with

800
01:19:30,860 --> 01:19:32,080
indicated prevention.

801
01:19:35,360 --> 01:19:41,520
So we know for sure that the prevention and aftercare network are partnership with DCFS

802
01:19:42,260 --> 01:19:47,700
that the Home Visitation Program, our partnership with Versvivalet and the Wolf connection

803
01:19:47,700 --> 01:19:54,980
was in which is a non-traditional mental health service that we have partnered with spring

804
01:19:54,980 --> 01:19:59,960
evolution, who is a parent company of wealth connection, to deliver services to.

805
01:20:00,000 --> 01:20:08,880
Two children in youth, primarily in child welfare or juvenile justice. We know that these are three priorities

806
01:20:08,880 --> 01:20:15,140
for our director. But this also gives you a good example of other programs that could fit within

807
01:20:15,140 --> 01:20:24,900
that indicated prevention definition. Case identification includes assessment, diagnosis, brief interventions,

808
01:20:24,900 --> 01:20:35,240
and activities needed to create access and actually link somebody to care normally so that they actually show up to their appointment.

809
01:20:37,600 --> 01:20:41,580
To help reduce prolonged suffering in those other adverse outcomes.

810
01:20:42,860 --> 01:20:53,080
We mapped a couple of our internal programs to case identification and the multidisciplinary assessment team.

811
01:20:53,080 --> 01:20:59,540
the DCFS multidisciplinary assessment team map, okay, good. And the qualified individual,

812
01:20:59,740 --> 01:21:03,120
which is a new program under the continuum of care reform,

813
01:21:05,760 --> 01:21:06,880
those who really fit nicely

814
01:21:06,880 --> 01:21:12,060
under case identification. So I do think that those programs will continue, they'll be able to

815
01:21:12,060 --> 01:21:18,900
get funded through this funding source, and like, we'll be good. And then the standard treatment

816
01:21:18,900 --> 01:21:23,820
for known disorders is sort of this.

817
01:21:24,280 --> 01:21:29,200
It's our traditional menu of specialty mental health services.

818
01:21:30,420 --> 01:21:32,940
From the assessment to case management,

819
01:21:34,100 --> 01:21:37,020
to individual therapy group therapy, family therapy,

820
01:21:38,220 --> 01:21:40,860
medication appointments, rehab therapy,

821
01:21:40,920 --> 01:21:42,400
therapeutic behavioral health services,

822
01:21:43,540 --> 01:21:46,240
the gamut of the specialty mental health services

823
01:21:46,240 --> 01:21:51,520
that we contract with our legal entity network to provide in deliver and that we deliver through

824
01:21:51,520 --> 01:21:53,240
our directly operated clinics.

825
01:21:56,460 --> 01:21:58,040
Okay, we talked about this.

826
01:22:00,360 --> 01:22:01,140
It's absolutely did.

827
01:22:02,560 --> 01:22:11,780
So basically a quick summary of early intervention. We know for sure that some of our programs are

828
01:22:11,780 --> 01:22:20,940
to be continuing. We know that there's a commitment from our director for the community family resource

829
01:22:20,940 --> 01:22:26,860
centers. We know that there's a commitment from our director for to continue supporting the work

830
01:22:26,860 --> 01:22:33,040
we've been doing with the Department of Arts and Culture for creative well-being. And that we use them

831
01:22:33,040 --> 01:22:39,800
in our short-term residential therapeutic programs. We use them in our society some of it. We use them

832
01:22:39,800 --> 01:22:43,020
or the parks project after the fires.

833
01:22:44,800 --> 01:22:46,880
We know that the Department of Youth Development

834
01:22:46,880 --> 01:22:49,740
is a credible messenger program is continuing.

835
01:22:53,680 --> 01:22:55,040
Prevention aftercare,

836
01:22:55,620 --> 01:22:58,240
the home visitation, friends of the children,

837
01:22:58,380 --> 01:22:59,760
Los Angeles is continuing.

838
01:23:00,340 --> 01:23:02,200
The wolf connections in the continuing.

839
01:23:05,020 --> 01:23:09,100
We have two grants for the behavioral health

840
01:23:10,240 --> 01:23:11,360
student services,

841
01:23:13,900 --> 01:23:18,140
like Kanchi is really the brains, I'm just the face, so I keep looking

842
01:23:18,140 --> 01:23:23,880
at her to confirm. There's a grant we have with Los Angeles County Office of Education

843
01:23:24,500 --> 01:23:32,160
and then beach cities for these two BHSSA grants to support the communities school initiative that

844
01:23:32,160 --> 01:23:35,340
was stood up there. So those two programs are also continuing.

845
01:23:38,630 --> 01:23:39,810
There's also programs we're going to

846
01:23:39,810 --> 01:23:46,270
to sunset because we couldn't cross walk them cleanly to BHSA early intervention funding.

847
01:23:47,370 --> 01:23:54,270
So we know that our partnership that we've really valued with the Department of Parks

848
01:23:54,270 --> 01:24:00,310
and Rec, we have several programs with Parks and Rec that we've been supporting, we're

849
01:24:00,310 --> 01:24:03,030
having to sunset those as a June 30th.

850
01:24:03,330 --> 01:24:09,790
We have some programs with County Library that we've supported for many, many years that

851
01:24:09,790 --> 01:24:18,610
We're going to have to sunset as January, June 30th, one of our DYD programs, we're

852
01:24:18,610 --> 01:24:22,850
able to continue with credible messengers, we're not going to be able to continue with

853
01:24:22,850 --> 01:24:26,850
the youth development networks program, so that's being sunset.

854
01:24:32,650 --> 01:24:34,030
Also, I prevail.

855
01:24:34,770 --> 01:24:38,030
Have any of you access I prevail on our county website?

856
01:24:38,030 --> 01:24:41,950
It's very likely that that's also going to sunset in June.

857
01:24:43,290 --> 01:24:49,030
So there are two new apps that were set up at the state level for children in youth that

858
01:24:49,030 --> 01:24:55,130
are available, but it looks like the one that's operated through us will probably sunset.

859
01:24:55,130 --> 01:24:58,850
And then incubation Academy, as I mentioned, is properly synthetic.

860
01:25:00,000 --> 01:25:09,900
At least for now, I think that there's an opportunity in a year or two years as the dust has settled, and we see what revenue really looks like.

861
01:25:10,100 --> 01:25:23,180
There's an opportunity for other programs to come back again, but we're operating from a very conservative stance knowing that our funding is shifting and moving around. So those programs for sure will set.

862
01:25:26,840 --> 01:25:28,640
That's all I have.

863
01:25:29,000 --> 01:25:29,940
Thank you, Dr. Burke.

864
01:25:30,440 --> 01:25:31,560
Everyone, let's give him a hand.

865
01:25:31,920 --> 01:25:33,240
Thank you so much.

866
01:25:34,460 --> 01:25:35,560
What we're going to do at this point,

867
01:25:35,660 --> 01:25:37,940
everyone is take a quick 10 minute break.

868
01:25:38,220 --> 01:25:40,760
We're going to come back and we'll have a good 80 minutes

869
01:25:40,760 --> 01:25:43,560
for discussion with our subject matter experts.

870
01:25:43,940 --> 01:25:46,400
So let's reconvene at 11 10, please.

871
01:25:46,560 --> 01:25:48,220
Thank you so much.

872
01:29:36,570 --> 01:29:39,610
It's not about the

873
01:29:41,790 --> 01:29:42,550
AI thing.

874
01:29:45,400 --> 01:29:47,080
Yes, it's about the AI thing, so.

875
01:29:47,440 --> 01:29:50,540
And now it's just got enough has to go.

876
01:29:51,480 --> 01:29:57,180
So as you know, it doesn't seem to be the one that you call this.

877
01:29:57,880 --> 01:29:58,560
Yes, it's just about the AI thing.

878
01:29:58,560 --> 01:29:59,580
Yeah, that's great.

879
01:30:00,000 --> 01:30:06,080
On behalf of the committee, on behalf of the committee, we're working on some of the committee.

880
01:30:06,340 --> 01:30:14,160
I think it's just a little bit of a big deal.

881
01:31:12,810 --> 01:31:15,610
I don't know how to do this.

882
01:35:00,000 --> 01:35:07,760
In front of the police, it's wrong.

883
01:35:08,140 --> 01:35:11,540
It's a fact

884
01:35:15,570 --> 01:35:20,150
that I've probably been in a meeting a few months.

885
01:36:47,890 --> 01:37:00,150
I think there are all the steps, that's what I think about not that much, that's what

886
01:37:00,150 --> 01:37:04,130
I need to say, that's what I need to say, that's what I need to say.

887
01:37:04,350 --> 01:37:12,730
All right, everyone about 30 seconds left, and we're going to bring our subject matter experts

888
01:37:12,730 --> 01:37:13,670
us up for discussion.

889
01:37:16,190 --> 01:37:17,630
I was like a official safe.

890
01:37:20,840 --> 01:37:21,220
Yeah, okay.

891
01:37:21,420 --> 01:37:22,200
Oh wow.

892
01:37:23,520 --> 01:37:24,780
I didn't expect it.

893
01:37:25,700 --> 01:37:25,940
I didn't expect it.

894
01:37:26,560 --> 01:37:27,600
I was like on Amazon.

895
01:37:28,160 --> 01:37:28,880
People in the neighborhood.

896
01:37:29,820 --> 01:37:31,920
Oh, yeah, I just like my Instagram.

897
01:37:31,920 --> 01:37:32,520
I'm still alive.

898
01:37:33,720 --> 01:37:34,220
I'm not.

899
01:37:36,160 --> 01:37:36,700
I'm not.

900
01:37:38,420 --> 01:37:38,640
I'm not.

901
01:37:38,640 --> 01:37:38,860
I'm not.

902
01:37:38,860 --> 01:37:40,360
But I think that's not.

903
01:37:40,360 --> 01:37:41,320
I'm just having a look.

904
01:37:41,680 --> 01:37:42,560
All right, everyone.

905
01:37:42,680 --> 01:37:45,140
We'll go ahead and get started with our

906
01:37:45,960 --> 01:37:46,520
discussion.

907
01:37:51,500 --> 01:37:56,080
So if you all could take your seats, we'll get started.

908
01:37:56,820 --> 01:37:58,420
So all of you are familiar now.

909
01:37:58,640 --> 01:38:03,220
We're doing this as a panel discussion on our panel.

910
01:38:03,240 --> 01:38:04,960
Of course, we have Dr. Robert Bird.

911
01:38:05,760 --> 01:38:10,600
And I'm Katana Tate, both with the Department of Mental Health

912
01:38:10,600 --> 01:38:12,320
Prevention Services.

913
01:38:13,300 --> 01:38:15,580
And from the Department of Public Health, again,

914
01:38:15,580 --> 01:38:20,540
We have Stephanie Chen, who's the Division Chief for Prevention Services.

915
01:38:21,120 --> 01:38:28,560
If you're gathering from us online, you can post questions to the chat or to the worksheet

916
01:38:29,100 --> 01:38:33,280
and Christians going to post that worksheet right now, just so I can have access to those

917
01:38:33,280 --> 01:38:34,080
questions as well.

918
01:38:34,260 --> 01:38:37,740
So we want to engage those of you who are online first.

919
01:38:38,160 --> 01:38:42,500
So if you have a question or comment, please raise your hand and Dr. Ruth Chambers will

920
01:38:42,500 --> 01:38:43,480
give you the mic.

921
01:38:46,520 --> 01:38:49,840
Good morning, my name is Sinai from African Coalition.

922
01:38:50,520 --> 01:38:54,080
So I have a question, all this prevention and early intervention.

923
01:38:55,100 --> 01:39:00,280
Back in the days, how many years ago, we really work hard to come up with this

924
01:39:01,900 --> 01:39:05,480
USEC group, which we have a capacity building.

925
01:39:06,080 --> 01:39:14,100
That's because a lot of us know how to reach out the community and also make sure we provide

926
01:39:14,100 --> 01:39:21,400
prevention and outreach, and that is like reducing health disparity, right? But we've found out

927
01:39:21,400 --> 01:39:30,080
that fund has been taken away. We just wanted to learn how, why? Because I know for sure a lot

928
01:39:30,080 --> 01:39:37,820
of us working out front and there has a great outcomes of that's what you're looking for. So which one's

929
01:39:37,820 --> 01:39:42,370
a better way to reach out to the community, especially the ethnic community? Thank you.

930
01:39:45,060 --> 01:39:47,360
That was slide, I like that.

931
01:39:48,580 --> 01:39:55,540
So I to answer your question, I would include it in feedbacks on these examples and on the table.

932
01:39:55,980 --> 01:39:59,960
That would be a good place to actually record your concern to make sure...

933
01:40:00,000 --> 01:40:01,040
We have it.

934
01:40:03,360 --> 01:40:15,360
So the funds are going away because of the transformation from the mental health services act to the behavioral health services act. We don't have the same funding buckets that we had under the mental health services act.

935
01:40:15,360 --> 01:40:28,460
The funds are not going away completely, but what the underserved cultural community subgroups will do is going to look a little differently.

936
01:40:29,340 --> 01:40:37,300
So it's going to be more around capacity building, outreaching, engaging them to participate in our planning process.

937
01:40:37,300 --> 01:40:51,500
So it'll look a little bit different, it'll be opportunities for those specific communities to come together to lift up what's available for the community and what's missing for the community.

938
01:40:52,360 --> 01:41:02,760
But we won't have that money to do the capacity building projects that we've been contracting out because the funds that funding stream is changing.

939
01:41:05,100 --> 01:41:07,320
So, you were saying that

940
01:41:11,160 --> 01:41:13,680
this lady could pass the building?

941
01:41:14,220 --> 01:41:16,800
Let's get you the mic so everyone can hear you please.

942
01:41:18,460 --> 01:41:22,320
So, the name probably misled the whole thing that could pass to building.

943
01:41:22,360 --> 01:41:25,600
This wasn't about a capacity in the organization where the provider.

944
01:41:26,040 --> 01:41:29,440
This is about prevention, I would say.

945
01:41:29,560 --> 01:41:34,420
The community, because in a way, we are strengthened in committee defined practices

946
01:41:34,420 --> 01:41:37,100
where otherwise traditional service doesn't provide.

947
01:41:37,100 --> 01:41:42,340
So am I hearing is going to come different way of funding or is going forever?

948
01:41:42,980 --> 01:41:44,780
The funding is transforming.

949
01:41:45,440 --> 01:41:49,240
So the money that was available to do the capacity building projects,

950
01:41:50,020 --> 01:41:52,500
we no longer have as a July one.

951
01:41:53,900 --> 01:41:56,120
What we do have is,

952
01:42:00,210 --> 01:42:02,010
what is the new name for it?

953
01:42:02,390 --> 01:42:03,190
I totally blanked.

954
01:42:04,590 --> 01:42:07,190
We probably will have his planning meet plans.

955
01:42:08,150 --> 01:42:08,910
And I'm sorry.

956
01:42:10,070 --> 01:42:12,970
I'm so sorry, and I'm sorry to take over your panel.

957
01:42:13,630 --> 01:42:14,590
Okay, it's tonight.

958
01:42:14,850 --> 01:42:19,090
If I say tonight, in response to your question, yes, under BHSA,

959
01:42:19,330 --> 01:42:23,050
we will not be having dollars for capacity building projects

960
01:42:23,050 --> 01:42:25,050
for the underserved cultural communities.

961
01:42:25,670 --> 01:42:28,330
But what we're working with, we're working with Dr.

962
01:42:28,450 --> 01:42:32,350
Horn and her team under planning for community

963
01:42:32,350 --> 01:42:36,130
stakeholder process, there will be an opportunity for the U.S.

964
01:42:36,130 --> 01:42:46,010
to obtain a budget, much smaller than what they have right now, but that budget will be

965
01:42:46,010 --> 01:42:52,530
specifically for planning activities as an opportunity to engage underserved communities

966
01:42:52,530 --> 01:43:00,470
to be part of the community planning process, which is going to be having community engagements

967
01:43:00,470 --> 01:43:08,350
that will engage this process at this meetings. I am going to be going to all the U.S.CCs

968
01:43:08,350 --> 01:43:14,530
and providing updates and add meetings. I will be there and people have more questions.

969
01:43:15,370 --> 01:43:18,250
I'll be happy to entertain them. What is your name? I'm sorry.

970
01:43:18,730 --> 01:43:24,750
Mita Lappara Award. I'm the manager three over the U.S.CC unit. Thank you.

971
01:43:26,480 --> 01:43:30,260
I think that's definitely anything you want to add on to that response.

972
01:43:30,600 --> 01:43:33,580
No, thank you. Okay. All right. Other questions?

973
01:43:35,400 --> 01:43:39,600
Please raise your hand. Okay. We have went from Ricardo over here.

974
01:43:43,810 --> 01:43:46,910
And if you all could introduce yourself before you post your question, please.

975
01:43:47,990 --> 01:43:52,250
My name is Ricardo Kim. I'm a L.A. County stakeholder. So now it's great to meet you

976
01:43:52,250 --> 01:43:54,830
from the U.S.CC African African American.

977
01:43:55,950 --> 01:44:00,470
It's just want to get to know more the U.S.C. co-chairs and members.

978
01:44:01,130 --> 01:44:11,170
Just to direct that, everything that's going on, one of the things that I would say is if this funding student is changing for the U.S.C.s, please reach out to our peer resource centers and leave information there.

979
01:44:11,850 --> 01:44:14,590
A lot of us don't know what's happening in the U.S.C.s.

980
01:44:15,530 --> 01:44:23,410
We don't know the projects, the podcasts, the movie screenings, the wonderful stuff that each and every group does.

981
01:44:23,410 --> 01:44:28,530
You don't know about it because we don't see the co-chairs or the members or the members talk.

982
01:44:29,290 --> 01:44:34,870
So I would just say leave some materials, leave the things that you're doing to each of the peer resources.

983
01:44:35,070 --> 01:44:38,650
That's one way many of us know the great work that you guys are doing.

984
01:44:38,930 --> 01:44:39,730
Thank you.

985
01:44:42,550 --> 01:44:43,270
Thank you, Ricardo.

986
01:44:46,160 --> 01:44:47,240
Okay, right here.

987
01:44:47,940 --> 01:44:48,680
Just a bit.

988
01:44:49,020 --> 01:44:50,600
Go back to Ricardo real quickly.

989
01:44:50,880 --> 01:44:53,120
Ricardo, if you get in touch with Martala.

990
01:44:54,040 --> 01:44:56,020
It's the manager for the USCCs.

991
01:44:56,020 --> 01:44:59,920
We can give you links to the projects they're posted on our web.

992
01:45:00,000 --> 01:45:07,000
Page, but we all thank you.

993
01:45:08,200 --> 01:45:16,040
Yeah. Sorry. It's a record of high record. We just got all of our projects awarded.

994
01:45:17,180 --> 01:45:23,260
Wait, take that back. We have 24 out of 26 projects awarded as of today.

995
01:45:23,260 --> 01:45:30,320
We have met with all 24 vendors and the projects are in the process of being implemented.

996
01:45:30,720 --> 01:45:38,380
Once we have flyers for all the community engagement pieces that will come out of all those 26 projects

997
01:45:38,380 --> 01:45:45,520
we will share them through PIO and we will make sure to share them through the south and the BRCs.

998
01:45:45,900 --> 01:45:47,260
Thank you.

999
01:45:47,260 --> 01:46:03,300
And then we also in addition, there's a lot of different priorities that come out in this projects and community gets to go to these events and provide feedback and we collect that data as well.

1000
01:46:05,120 --> 01:46:11,440
So we'll do a better job and for sure we will make sure that we disseminate that information within the PRC.

1001
01:46:11,860 --> 01:46:13,160
Thank you.

1002
01:46:14,780 --> 01:46:17,540
I'm going to invite you, yep, please stay on the panel.

1003
01:46:18,660 --> 01:46:20,520
Okay, okay, question the back.

1004
01:46:20,860 --> 01:46:22,360
And again, please introduce yourself.

1005
01:46:22,580 --> 01:46:23,160
Good morning.

1006
01:46:23,480 --> 01:46:25,820
Rick, please do a culture for Salt E.

1007
01:46:26,720 --> 01:46:27,800
A couple questions.

1008
01:46:28,400 --> 01:46:29,560
One on page seven.

1009
01:46:30,180 --> 01:46:33,160
I know this is just a sample, kind of this example.

1010
01:46:34,520 --> 01:46:40,020
But it caught my eye that Salt EAT is probably one of the highest at the highest.

1011
01:46:40,020 --> 01:46:44,240
6.5% of access and availability.

1012
01:46:45,780 --> 01:46:51,580
That's my first concern there is how are we getting this data, you know, how is it being

1013
01:46:51,580 --> 01:46:56,000
processed, how did we come up with this, that didn't realize our area was one of the hot

1014
01:46:56,000 --> 01:46:57,020
hot items for it.

1015
01:46:57,020 --> 01:47:01,960
I know everybody's thinking about, you know, what's affecting our young people, especially

1016
01:47:01,960 --> 01:47:07,660
fentanyl and another thing that's affecting them today, in the morning I was watching the

1017
01:47:07,660 --> 01:47:10,440
Now, they're talking about the sixth portion.

1018
01:47:11,040 --> 01:47:12,160
It's affecting our young people.

1019
01:47:12,180 --> 01:47:13,920
And I don't see that on here at all.

1020
01:47:14,160 --> 01:47:16,180
How we can combine it or what, you know,

1021
01:47:16,340 --> 01:47:17,860
subtitle or what, what it's under.

1022
01:47:18,180 --> 01:47:20,780
But let's just keep back to that A6% issue.

1023
01:47:21,400 --> 01:47:23,580
How do we collect our data?

1024
01:47:23,920 --> 01:47:28,760
How do we, we need a comprehensive lead to a master data program,

1025
01:47:28,960 --> 01:47:29,880
starting July 1st.

1026
01:47:29,960 --> 01:47:30,640
I would presume.

1027
01:47:31,340 --> 01:47:32,940
But we all have to be on a standard,

1028
01:47:33,480 --> 01:47:36,000
and uniform be very uniform on this.

1029
01:47:36,000 --> 01:47:39,480
It can't just be hospice or like in the past years.

1030
01:47:39,980 --> 01:47:41,900
So if you get addressed that question, doctors,

1031
01:47:42,140 --> 01:47:43,080
or one of the panelists,

1032
01:47:43,540 --> 01:47:44,960
then I have one other follow-up question.

1033
01:47:45,320 --> 01:47:46,060
Thank you.

1034
01:47:46,320 --> 01:47:47,500
Thank you so much for that question.

1035
01:47:47,660 --> 01:47:49,160
I'm glad you noticed that detail.

1036
01:47:50,160 --> 01:47:50,960
So again, you know,

1037
01:47:51,040 --> 01:47:54,180
SAF-Cs prevention programs don't utilize any BHSA dollars,

1038
01:47:54,240 --> 01:47:55,460
so our process is different.

1039
01:47:55,700 --> 01:47:59,160
However, this information is public data.

1040
01:47:59,460 --> 01:48:01,020
So I'm happy that you afterwards

1041
01:48:01,020 --> 01:48:03,500
and give you that links you can access the document.

1042
01:48:03,500 --> 01:48:09,660
So, every three years, our team in collaboration with our QE based partner, some work here today,

1043
01:48:10,000 --> 01:48:14,740
worked together to comprise the questions with our PhD level research analysts,

1044
01:48:15,060 --> 01:48:22,340
and then we actually disseminate the surveys for about 52 item questionnaire to over 9,000,

1045
01:48:22,540 --> 01:48:24,580
10,000 individuals, all throughout LA County.

1046
01:48:25,200 --> 01:48:30,300
Three years ago, it was during COVID, we did a mix of, you know, hybrid of virtual and person.

1047
01:48:30,300 --> 01:48:39,700
We're starting the process again next year and what we do is collect that data and we look at the different factors that we look at when you're looking as perceived access to cannabis.

1048
01:48:40,920 --> 01:48:46,140
So we look at that to see, we'll do you think that getting access to cannabis is easy.

1049
01:48:46,740 --> 01:48:50,660
A lot do. So a lot of that points to other questions of density.

1050
01:48:51,460 --> 01:48:56,900
We look at over-concentration of cannabis dispensaries in specific communities and we use

1051
01:48:56,900 --> 01:49:02,440
that information right collectively to think about ways we intervene and so I'm happy

1052
01:49:02,440 --> 01:49:07,860
to also connect you to some providers in small eight because they are doing this work day

1053
01:49:07,860 --> 01:49:09,800
and day out to kind of address the issue.

1054
01:49:10,060 --> 01:49:14,900
Most of looking at cannabis use for youth as one example, but there are also questions here

1055
01:49:14,900 --> 01:49:20,640
that look at alcohol prescription drugs, meth and fed immunobioids so there's a lot of

1056
01:49:20,640 --> 01:49:25,760
really good information that is accessible and available to you, so I'm happy to get that over.

1057
01:49:25,900 --> 01:49:29,100
We're trying to find ways to share that more widely, so if there's a salt meeting that you

1058
01:49:29,100 --> 01:49:33,260
want us to go to to present that we're happy to do so, so whatever is helpful.

1059
01:49:33,760 --> 01:49:36,580
Yeah, I will be inviting you next year to one of our salt meetings.

1060
01:49:36,580 --> 01:49:39,880
Sounds great, Dr. Lastly, you touched on it really quickly right now.

1061
01:49:40,060 --> 01:49:46,000
The prescription drugs, the pharmacies, there was a broad stroke on pharmacies and

1062
01:49:46,980 --> 01:49:49,760
can you elaborate on that a little bit? What is the pharmacies?

1063
01:49:49,760 --> 01:49:53,520
So we basically invite pharmacists and engage pharmacists

1064
01:49:53,520 --> 01:49:56,660
going in person, meeting the pharmacists there

1065
01:49:56,660 --> 01:49:59,400
and seeing if they're willing to commit to a pledge.

1066
01:50:00,000 --> 01:50:09,240
The judge says I commit to making sure that we're giving our can and we're walks on to all of our patients. That we're ensuring safe disposal of medications. Right?

1067
01:50:09,240 --> 01:50:15,760
Because that is one of the biggest reasons why we're seeing increased access of prescription drugs among youth. Right?

1068
01:50:15,940 --> 01:50:20,400
Seeing that in their homes, they're not locked. They're not safely stored.

1069
01:50:21,120 --> 01:50:28,080
So that's one of our strategies is to engage with pharmacies and pharmacists to kind of work with us in a larger collective pledge.

1070
01:50:28,700 --> 01:50:30,720
So we'll talk separately, but thank you so much.

1071
01:50:30,940 --> 01:50:31,380
Appreciate that.

1072
01:50:31,560 --> 01:50:31,660
Great.

1073
01:50:31,880 --> 01:50:37,260
We have another question right here, and then we'll go there and then there.

1074
01:50:38,120 --> 01:50:38,840
Good morning.

1075
01:50:39,040 --> 01:50:41,100
Pastor E would sought six.

1076
01:50:41,520 --> 01:50:44,640
I'm slow, so this question might not catch it up with everybody.

1077
01:50:44,900 --> 01:50:48,380
But I know in transition, I hear a lot of pivoting and things like that.

1078
01:50:48,440 --> 01:50:51,160
And we hear just a key, let me use just a key word, housing.

1079
01:50:52,720 --> 01:50:57,700
The thing for me is that we hear housing, but we're not getting a full definition of how

1080
01:50:57,700 --> 01:51:02,700
we pivot with housing. How do we, when we go out to our constituents and we're saying, okay,

1081
01:51:02,880 --> 01:51:07,660
the Department of Mental Health is saying they're shifting from this area to having more funding

1082
01:51:07,660 --> 01:51:15,700
in this area, housing is such a wide range. Word do we get the full information on how we can't

1083
01:51:15,700 --> 01:51:21,780
help people pivot from one area because we're servicing or helping the county to address the issues

1084
01:51:21,780 --> 01:51:27,100
that we've been giving money for before. Now that money's gone, how do we take that same organization?

1085
01:51:27,100 --> 01:51:33,680
not a new organization. How do we take an operating organization and show them my hand?

1086
01:51:34,040 --> 01:51:38,980
How to pivot into housing and how I can all work together that everybody is still working.

1087
01:51:41,120 --> 01:51:44,320
Thank you, Pastor. Any responses from our panel?

1088
01:51:50,780 --> 01:51:57,080
I don't know if Dr. Horne is still here, but there was a housing meeting just like this

1089
01:51:57,080 --> 01:52:01,080
a few weeks ago. Here she is, right there.

1090
01:52:02,000 --> 01:52:03,740
Come on up.

1091
01:52:09,200 --> 01:52:10,340
Look at those guys.

1092
01:52:12,640 --> 01:52:13,700
My fault.

1093
01:52:16,660 --> 01:52:20,320
So, with the transformation from image as a DPHSA,

1094
01:52:20,480 --> 01:52:23,300
there's a lot of words like transforming pivoting,

1095
01:52:23,780 --> 01:52:25,440
changing with regard to housing.

1096
01:52:26,020 --> 01:52:31,200
How do stakeholders better understand what is going to become available?

1097
01:52:31,200 --> 01:52:38,480
What, how people move from this prior funding source of housing into a new funding source of housing?

1098
01:52:38,880 --> 01:52:43,360
How do they gain that information so they can work within the community to educate?

1099
01:52:43,960 --> 01:52:47,340
Sure. So the first thing that I would, is that the question?

1100
01:52:47,740 --> 01:52:53,960
Okay, so the first thing that I would recommend is for folks that have not been a part of the housing forum.

1101
01:52:53,960 --> 01:53:01,420
I don't know if how many people attended the housing forum that we had a few months ago.

1102
01:53:01,800 --> 01:53:06,500
The first thing that I would do if you had not, if you did not attend the housing forum

1103
01:53:06,500 --> 01:53:13,360
is to review the video because a lot of the foundational information about what is and housing

1104
01:53:13,360 --> 01:53:21,420
and what's going to become. Housing under BHSA is gone over very foundational during that housing

1105
01:53:21,420 --> 01:53:31,460
So the link is hosted. I would encourage you to educate yourself just foundation on what the about what is and what will come.

1106
01:53:32,120 --> 01:53:40,420
The second is we will have again on the January 20th out of all of the meetings that we've had around housing, we've had two.

1107
01:53:41,420 --> 01:53:55,800
One in which was presented at a CPT much like these subject matter experts are here, there was one of Hannah for housing and then housing form and then a follow up meeting that was our last meeting, we're housing was presented.

1108
01:53:57,160 --> 01:54:10,240
If you weren't at a part of those conversations, please come on January 20th, even if you joined online because our subject matter expert doctor Funk will do kind of like a final roundup of where we landed

1109
01:54:10,240 --> 01:54:15,260
in terms of the things that can be funded under housing and what's going to be a part of the

1110
01:54:15,260 --> 01:54:20,500
plan. So I encourage you if you want to provide input, it's feedback and have a voice in that

1111
01:54:20,500 --> 01:54:29,600
conversation. The 20th is your opportunity. So beyond that, we will shift then onto like the January 8

1112
01:54:31,180 --> 01:54:39,880
commission meeting in which you'll have an opportunity to hear. But really the time for you to

1113
01:54:39,880 --> 01:54:43,240
give me back in here and understand where it's going

1114
01:54:43,240 --> 01:54:45,680
is on January 20th.

1115
01:54:48,230 --> 01:54:49,430
It's just great.

1116
01:54:50,840 --> 01:54:51,060
OK.

1117
01:54:51,260 --> 01:54:51,420
Yeah.

1118
01:54:51,820 --> 01:54:53,160
Take me into the question right here.

1119
01:54:54,640 --> 01:54:54,740
Yep.

1120
01:54:55,440 --> 01:54:56,460
Hi, everyone.

1121
01:54:56,780 --> 01:54:57,760
I'm Nora Admasu.

1122
01:54:57,820 --> 01:54:59,140
I'm with Nani Urban LA.

1123
01:55:00,000 --> 01:55:17,980
First of all, thank you for the presentations. I really appreciate the work that DMH is doing to think through what continuity expansion growth of prevention early intervention can look like regardless of how the policy landscape is changing beneath our feet.

1124
01:55:17,980 --> 01:55:34,140
But with that in mind, you know, well, first, I guess two questions, in looking at the slide you present to Dr. Bird, the one that has basically the crosswalk for the BHSA indicated prevention.

1125
01:55:34,920 --> 01:55:46,040
There are two colors there, and I know that you specifically mentioned the three coded and read as being continued as part of indicated prevention.

1126
01:55:46,040 --> 01:55:49,560
I was just wondering what the other colors signify.

1127
01:55:50,000 --> 01:55:51,620
There's the blue colors as well.

1128
01:55:52,560 --> 01:55:56,140
My organization is on there as some other initiatives,

1129
01:55:56,320 --> 01:55:58,440
just wondering what was meant by that.

1130
01:55:58,620 --> 01:55:59,980
That's question one.

1131
01:56:04,190 --> 01:56:04,710
So, that's okay.

1132
01:56:05,510 --> 01:56:07,050
I need to remind myself.

1133
01:56:08,030 --> 01:56:13,270
Okay, so we prepared these slides a while ago

1134
01:56:13,270 --> 01:56:15,970
because this meeting was supposed to happen a while ago.

1135
01:56:17,630 --> 01:56:21,910
The three were really key examples of things that easily mapped

1136
01:56:21,910 --> 01:56:25,370
to indicate a prevention that we knew that our department

1137
01:56:25,370 --> 01:56:26,790
had was supporting.

1138
01:56:27,550 --> 01:56:29,370
So those orange ones were clear.

1139
01:56:29,570 --> 01:56:34,250
We had clear messaging from Dr. Wong,

1140
01:56:34,530 --> 01:56:36,830
that these three were going to be priorities for it.

1141
01:56:37,130 --> 01:56:42,390
The rest in looking at this list, I think we are safe to say,

1142
01:56:42,630 --> 01:56:44,930
are also all being funded for another year.

1143
01:56:44,930 --> 01:56:55,110
So we have commitments for some that we can fund for another year, only continue to explore and see what happens as the just settles.

1144
01:56:57,510 --> 01:57:00,610
It's just kind of like a shell game right now with money.

1145
01:57:01,210 --> 01:57:04,250
So I think we're still learning each week something new.

1146
01:57:06,530 --> 01:57:07,470
Thank you.

1147
01:57:08,630 --> 01:57:14,670
And you know, just as an organization, I can say it's reassuring to know that a lot of the work that we're doing is, you know,

1148
01:57:14,670 --> 01:57:22,050
talks of like that continuity is happening behind the scenes. We are super grateful in that.

1149
01:57:23,090 --> 01:57:28,510
But I also just want to share that, you know, it's really hard not knowing, not just for,

1150
01:57:28,510 --> 01:57:34,310
you know, our organization as we plan, just in general when we think about all of the organizations

1151
01:57:34,310 --> 01:57:40,750
we work with all of the community members that have multiple layers of mental health needs that,

1152
01:57:40,750 --> 01:57:47,770
you know, in some ways touch on prevention, and we're just talking about six months away at this point,

1153
01:57:48,450 --> 01:57:52,910
and some of that is holidays, some of that is different things, and so I'm just wondering, you know,

1154
01:57:52,910 --> 01:58:02,110
I know we had our prevention forum, and one of my big things that I shared during that time,

1155
01:58:02,310 --> 01:58:07,370
and I don't think this is solely the responsibility of the Department of Mental Health,

1156
01:58:07,370 --> 01:58:34,390
is that, that bridge building, you know, we're all here, you know, and I know that the state has a lot of stipulations about, you know, who needs to be in this room, as a CPT, a lot of stipulations, all these different stakeholder groups, so DMH is art fully engaged, a lot of us to be here, and we've built relationships with each other, we've built a literacy of programming and terminology and alphabet soup.

1157
01:58:34,390 --> 01:58:37,710
And we already have our community level expertise,

1158
01:58:38,310 --> 01:58:40,790
so I'm wondering how the state and DMH

1159
01:58:40,790 --> 01:58:43,590
can share this space to engage us.

1160
01:58:45,030 --> 01:58:47,130
You know, like, I think the state should be here.

1161
01:58:47,370 --> 01:58:49,070
The state should be co-presenting.

1162
01:58:49,070 --> 01:58:52,470
What prevention is going to look like in 2026?

1163
01:58:53,010 --> 01:58:56,830
I think the image is doing a lot of work to fill in the gaps

1164
01:58:56,830 --> 01:58:57,990
and there's a lot of uncertainty,

1165
01:58:58,450 --> 01:59:00,770
but I think that should be happening in tandem

1166
01:59:01,410 --> 01:59:03,470
with the work that's happening at the state

1167
01:59:03,470 --> 01:59:07,010
because a lot of us, it's very demanding for us to be here,

1168
01:59:07,270 --> 01:59:09,450
to have to be in another space as well,

1169
01:59:10,130 --> 01:59:13,210
it's unreasonable when we have community work that we have to do.

1170
01:59:13,610 --> 01:59:15,670
So I'm just wondering, what conversations are happening

1171
01:59:15,670 --> 01:59:21,670
with the state to have some kind of engagement

1172
01:59:21,670 --> 01:59:24,190
that's happening with us here at the CBT,

1173
01:59:24,450 --> 01:59:29,730
and also what's being done with the feedback from the form,

1174
01:59:29,870 --> 01:59:31,510
the prevention form that we had together.

1175
01:59:35,730 --> 01:59:43,010
So I can say that we haven't engaged this date to partner with us, that I do know has happened.

1176
01:59:43,210 --> 01:59:45,750
We did have a forum a few months ago.

1177
01:59:45,890 --> 01:59:47,810
I don't know. I could have been a few weeks ago.

1178
01:59:48,950 --> 01:59:57,950
I think a few months ago for all of the child programming for the state CVSS, the California Department of Social Services was there,

1179
01:59:58,530 --> 01:59:59,950
the California Department of Health.

1180
02:00:00,340 --> 02:00:08,960
Care Services was present, county folk, office of child protection, public health, mental health,

1181
02:00:11,140 --> 02:00:15,900
DCFS, etc., were present, and the

1182
02:00:15,900 --> 02:00:23,000
state did participate. So I do think that they're willing to participate. I think that they probably need

1183
02:00:23,000 --> 02:00:24,280
more of the time.

1184
02:00:25,060 --> 02:00:27,360
So I know that those conversations are happening.

1185
02:00:29,480 --> 02:00:31,160
The guidance from,

1186
02:00:31,400 --> 02:00:35,700
and I've heard this from many people here,

1187
02:00:36,140 --> 02:00:37,800
because we've talked.

1188
02:00:38,280 --> 02:00:39,900
The guidance put out by public health,

1189
02:00:39,960 --> 02:00:41,440
a California Department of Public Health

1190
02:00:41,440 --> 02:00:42,940
about the prevention programming,

1191
02:00:43,420 --> 02:00:45,340
feels like they're still developing their plan.

1192
02:00:46,000 --> 02:00:49,200
So I don't know that they can clearly speak to it yet

1193
02:00:49,200 --> 02:00:57,460
because it feels that skeleton they published still feels like a thought process happening.

1194
02:00:59,020 --> 02:01:03,480
So it may be a little bit more challenging getting them here with something substantial.

1195
02:01:04,540 --> 02:01:12,020
The listening session that I attended shortly after they presented that felt very opaque.

1196
02:01:13,220 --> 02:01:16,120
So I think that they're still really hammering it out.

1197
02:01:20,240 --> 02:01:24,140
And so I definitely agree with Dr. Bird.

1198
02:01:24,840 --> 02:01:29,240
They're still working on crystallizing what exactly is their direction,

1199
02:01:29,920 --> 02:01:37,020
but to your point, you all have raised in not just this meeting

1200
02:01:37,660 --> 02:01:39,240
and other meetings and forums.

1201
02:01:40,120 --> 02:01:44,440
How can we collectively advocate and give our feedback

1202
02:01:44,440 --> 02:01:47,580
to the state around these areas that are still very nebulous

1203
02:01:47,580 --> 02:02:00,380
to us. And so I've raised that and we started talking about maybe having separate forums with this group to really collectively, of course, the image.

1204
02:02:01,980 --> 02:02:11,060
That has to separate guidance for you all in supporting you and where you can advocate and what you want to advocate around.

1205
02:02:11,060 --> 02:02:32,160
So we do need to have that separation, but we are willing to call together, subject specific work groups are formed to really talk about where is the appropriate place for you to advocate, how can you all collectively come together to look at the areas in which you want to formally address to say and how that works out.

1206
02:02:32,260 --> 02:02:35,060
So if that's something and I didn't get a chance to raise that earlier.

1207
02:02:35,060 --> 02:02:47,680
So thank you, but if that is something that folks are interested in, we'll send out a survey and see if we can schedule some sessions around that and how to work together around that.

1208
02:02:47,920 --> 02:02:48,580
That's 20.

1209
02:02:48,920 --> 02:02:51,400
You recorded on your paper, the poster.

1210
02:02:52,740 --> 02:02:55,640
Yeah, I just thank you for adjusting it.

1211
02:02:55,760 --> 02:03:03,360
And again, I mean, everything I say about I know the image is doing this work to try to make this as smooth of a transition as possible.

1212
02:03:04,060 --> 02:03:11,400
And I'm wondering if, you know, maybe even something as simple as like mentioning the next meetings during this space,

1213
02:03:11,560 --> 02:03:15,460
like that the state is having, could help people to just have that on their radar.

1214
02:03:15,960 --> 02:03:21,460
And then also, you know, just, yeah, I think like when we think about the kind of part of this is,

1215
02:03:21,920 --> 02:03:30,140
you know, as people are doing state-funded prevention, it's going to be referring people to locally funded programs through DMH.

1216
02:03:30,140 --> 02:03:32,720
So we want to have that seamless relationship

1217
02:03:33,300 --> 02:03:35,240
like every step of the way.

1218
02:03:35,300 --> 02:03:37,140
And I think this is kind of what it looks like.

1219
02:03:37,680 --> 02:03:39,920
So I want us to use our collective voice

1220
02:03:39,920 --> 02:03:43,620
to hold the state accountable for connecting to the work

1221
02:03:43,620 --> 02:03:47,000
that DMH is doing, which I know is been a lot.

1222
02:03:47,540 --> 02:03:49,180
So thank you all.

1223
02:03:49,300 --> 02:03:51,820
Thank you, thank you, thank you, thank you.

1224
02:03:51,820 --> 02:03:53,220
Thank you, thank you, thank you.

1225
02:03:53,220 --> 02:03:56,940
Yeah, there were a couple more hands over here on this side.

1226
02:04:02,300 --> 02:04:06,760
They'd be available services oversight in the county to build a community commission

1227
02:04:06,760 --> 02:04:13,100
meets on the third fourth Thursday of the month, and it's usually from about 9 a.m. to about

1228
02:04:13,100 --> 02:04:23,660
four. And my people can connect on the internet with them. And so if they want to make a comment

1229
02:04:23,660 --> 02:04:30,360
there, that's available. It's online. Mark, do you have a question for the panel?

1230
02:04:30,360 --> 02:04:31,800
I don't have to answer the question.

1231
02:04:32,580 --> 02:04:37,680
When regards to a wager that we connect with them,

1232
02:04:39,300 --> 02:04:44,220
that's the basis that we may be able to use as a buy,

1233
02:04:44,500 --> 02:04:46,740
getting to the state attending their meetings.

1234
02:04:50,320 --> 02:04:54,080
They have them on the 4th or 3rd of the month.

1235
02:04:54,400 --> 02:04:56,420
That's also ABM.

1236
02:05:11,520 --> 02:05:26,100
Thank you. Thank you. Thank you. Thank you, Mark. Okay. Additional questions over here from the pastor. Oh, sorry. Go ahead. Please. Oh, right here. Okay.

1237
02:05:28,780 --> 02:05:29,920
We're getting you a,

1238
02:05:33,170 --> 02:05:34,510
like, give it to the interpreter,

1239
02:05:36,810 --> 02:05:36,810
yeah.

1240
02:05:37,210 --> 02:05:37,290
Hi.

1241
02:05:38,170 --> 02:05:40,890
Hello. My name is Jun Kohl.

1242
02:05:42,110 --> 02:05:45,030
And I'm representing death,

1243
02:05:45,230 --> 02:05:46,690
card of hearing community.

1244
02:05:47,970 --> 02:05:48,890
From a glad.

1245
02:05:48,950 --> 02:05:50,110
I work for glad.

1246
02:05:50,830 --> 02:05:51,890
Greater Los Angeles,

1247
02:05:52,330 --> 02:05:52,630
death.

1248
02:05:53,710 --> 02:05:56,850
And I'm provide healthcare services program

1249
02:05:58,610 --> 02:06:02,050
through the incubator school Academy.

1250
02:06:02,050 --> 02:06:06,450
And you just said that, I went to one of the presentations there.

1251
02:06:06,810 --> 02:06:11,750
So our program is, we've been, for 30 years,

1252
02:06:12,130 --> 02:06:24,750
we've been continuing our program for MSHS, SHA, and now we're going to transfer to the BHSA.

1253
02:06:24,750 --> 02:06:33,910
wondering how we're going to budget our allocation for supportive underserved communities

1254
02:06:33,910 --> 02:06:41,590
for the deaf and hard of hearing community. For example, our approach for our direct ASL

1255
02:06:41,590 --> 02:06:49,110
services. How are we going to budget for that? Is it going to be supported under culturally

1256
02:06:49,110 --> 02:06:55,690
linguistic approach, linguistically appropriate approach, because it seems like that budget

1257
02:06:55,690 --> 02:07:04,680
program is going to be closed. And so how are we going to, how is VHSA going to handle that?

1258
02:07:05,230 --> 02:07:14,170
Help us. Okay, so over the past few years, we've taken a few different approaches. So first,

1259
02:07:14,170 --> 02:07:19,330
We advocated pretty strongly to bring in ASL interpreters to the department.

1260
02:07:21,770 --> 02:07:28,310
We created a budget that would create an internal death and heart of hearing program within DMH,

1261
02:07:29,410 --> 02:07:32,730
so that we're trying to build out that resource within our own department.

1262
02:07:34,850 --> 02:07:42,390
We, in our job postings for clinical items, community health worker items, supervisor items,

1263
02:07:43,710 --> 02:07:55,410
We're indicating that ASL, fluency ASL certification is not required,

1264
02:07:58,550 --> 02:07:59,090
but recommended.

1265
02:07:59,510 --> 02:08:00,410
Thank you.

1266
02:08:01,090 --> 02:08:05,390
And we give people some extra points if they come to us ASL fluent.

1267
02:08:06,210 --> 02:08:13,650
So we are trying to build our internal workforce so that we can have direct ASL services available to community members who come through our doors.

1268
02:08:14,510 --> 02:08:32,790
We also contracted, we have a contract with five acres that we expanded and we continue to support that expansion because there are one of our few medical providers within the county that delivers ASL services to the deaf and hard of hearing community.

1269
02:08:34,630 --> 02:08:40,650
So we recognize that this is a big need. I really appreciate you being here to bring it up.

1270
02:08:40,650 --> 02:08:49,150
We're continuing to figure out how do we recruit specifically for clinicians to meet the needs of the community.

1271
02:08:54,740 --> 02:08:57,300
Okay, thank you for that response.

1272
02:08:58,280 --> 02:09:04,160
I just like to add, our organization, glad, has expert deaf and hard of hearing.

1273
02:09:04,700 --> 02:09:13,380
And what we're trying to figure out is how to better collaborate with your money and your,

1274
02:09:13,380 --> 02:09:16,400
and how you can collaborate with us

1275
02:09:16,400 --> 02:09:19,720
and how we can, what resources and services

1276
02:09:19,720 --> 02:09:23,520
because five acres, just yesterday,

1277
02:09:23,860 --> 02:09:29,320
they said they lost some services for under 21.

1278
02:09:30,800 --> 02:09:32,700
And you were saying there was like a 30%

1279
02:09:32,700 --> 02:09:37,080
and there's like the 26 to 65 age group.

1280
02:09:37,140 --> 02:09:40,680
A lot of these resources are going away for us.

1281
02:09:42,480 --> 02:09:45,220
Like the adult services are going to be less.

1282
02:09:45,220 --> 02:09:55,320
So we're trying to ask for us to who to collaborate with, so we can build up the services better.

1283
02:09:55,620 --> 02:09:59,960
And then we, yes, to develop.

1284
02:10:00,000 --> 02:10:14,220
Our collaborations, sorry. So for my clarification, live acres lost services for 21 in yesterday when 21 and over. Oh, the adults. Okay.

1285
02:10:15,100 --> 02:10:22,360
It's only going to be kids under 20 that they're going to accept for resources now.

1286
02:10:23,100 --> 02:10:28,260
So we're trying to refer, we tried to refer to them and they couldn't accept them.

1287
02:10:28,260 --> 02:10:37,800
Okay, I know that CEO, I can reach out to her to see if it's a funding issue, or if it's a staffing issue.

1288
02:10:38,360 --> 02:10:44,420
To see if it's because of funding changes, or if it's because they lost some staff.

1289
02:10:44,940 --> 02:10:50,780
And if they lost staff, like are they planning to hire back the staff to deliver those services?

1290
02:10:53,500 --> 02:10:54,180
That's interesting.

1291
02:10:54,940 --> 02:10:55,900
Because it could be fun.

1292
02:10:57,640 --> 02:11:01,040
So, no, you don't have to, I will.

1293
02:11:01,940 --> 02:11:03,580
Okay, thank you, Dr. Britt.

1294
02:11:03,580 --> 02:11:04,680
Oh, thank you so very much.

1295
02:11:04,680 --> 02:11:05,420
Thank you for the question.

1296
02:11:05,800 --> 02:11:06,800
I really appreciate it.

1297
02:11:06,840 --> 02:11:09,440
I'm going to take a question real quick from the worksheet.

1298
02:11:09,640 --> 02:11:13,080
We have a number of people who have added and then we'll definitely come back here.

1299
02:11:14,060 --> 02:11:16,600
So first of all, this person responded,

1300
02:11:16,820 --> 02:11:20,140
this is John Goldfinger, which just whole care said,

1301
02:11:20,600 --> 02:11:24,020
thank you for the clarity, repetition of complex concepts,

1302
02:11:24,020 --> 02:11:28,440
Dr. Bert's lawful explanation of what will sunset and why.

1303
02:11:29,240 --> 02:11:33,800
So the question is, by some estimates, DMH has funded three times the amount of annual

1304
02:11:33,800 --> 02:11:39,820
CBO prevention work compared to what CDPH has in its latest plan for the CBOs annually in

1305
02:11:39,820 --> 02:11:40,660
the entire state.

1306
02:11:41,140 --> 02:11:46,340
This DMH able to share and be expected to mount the prevention dollars lost in LA County

1307
02:11:46,340 --> 02:11:53,080
from the BHSA's shift to CDPH, in addition to transitioning some prevention providers

1308
02:11:53,080 --> 02:11:57,620
to be HSA-EI, what are the funny options quite there be?

1309
02:12:05,260 --> 02:12:08,720
I was trying to make sure I wrote down the follow-up action item.

1310
02:12:09,920 --> 02:12:16,000
So we're losing 4% of our dollars, 4% off the top of our BHSA allocation strictly for prevention.

1311
02:12:18,020 --> 02:12:22,880
So if you've been in this party previously, you know, year to year that funding goes up

1312
02:12:22,880 --> 02:12:27,360
and down, depending on state revenue, depending on how many millionaires we have in the state

1313
02:12:27,360 --> 02:12:31,060
at any given time, sometimes throughout the year,

1314
02:12:31,200 --> 02:12:35,040
we get right sized a few times so that those dollars pivot,

1315
02:12:35,960 --> 02:12:39,160
but I would say about 4% of that.

1316
02:12:41,210 --> 02:12:42,130
Did that answer the question?

1317
02:12:43,190 --> 02:12:43,950
I think so.

1318
02:12:44,330 --> 02:12:45,610
Percent had some suggestions.

1319
02:12:45,890 --> 02:12:48,690
I can read those as well and reflect on those.

1320
02:12:49,010 --> 02:12:52,450
In addition to pivot pathways, DMH,

1321
02:12:52,710 --> 02:12:55,850
could partner with managed care plans and other funders,

1322
02:12:55,850 --> 02:12:57,910
First Fives, for example, to collectively

1323
02:12:57,910 --> 02:12:59,730
fund training in technical assistance,

1324
02:13:00,470 --> 02:13:02,630
for prevention funded CDOs to transition

1325
02:13:02,630 --> 02:13:06,690
to MCP contracts, for diatic services.

1326
02:13:07,630 --> 02:13:10,970
Similarly, DMH could guide prevention funded CDOs

1327
02:13:10,970 --> 02:13:14,650
in the pursuit of local CDPH prevention grants,

1328
02:13:15,130 --> 02:13:17,430
or ideas can be found in white paper that we provide.

1329
02:13:17,730 --> 02:13:19,190
Say, any thoughts or reflections?

1330
02:13:22,090 --> 02:13:22,630
That comment.

1331
02:13:28,120 --> 02:13:30,660
I think it's something we can certainly explore.

1332
02:13:30,900 --> 02:13:35,920
I know that first five across California are losing money because of Prop 10,

1333
02:13:38,700 --> 02:13:44,940
as, in case you don't know, first five's are funded through Prop 10 taxes.

1334
02:13:45,100 --> 02:13:46,600
So that's the tobacco tax.

1335
02:13:47,360 --> 02:13:58,000
And as fewer people smoke, fewer people buy cigarettes, there is fewer tax collected from the cigarette, the tobacco tax, right?

1336
02:13:58,000 --> 02:14:03,040
So, first five throughout the state are really feeling that hurt.

1337
02:14:04,000 --> 02:14:05,620
Our lungs are feeling the benefit.

1338
02:14:07,200 --> 02:14:10,860
But, and I do know that there are some counties that are really really struggling.

1339
02:14:11,260 --> 02:14:14,980
The first five in LA has a pretty strong strategic plan.

1340
02:14:15,060 --> 02:14:19,440
They recently redid their strategic plan to ensure fiscal viability,

1341
02:14:19,580 --> 02:14:25,860
but I don't know that they have a lot of dollars to fund training.

1342
02:14:25,860 --> 02:14:36,580
I think that it could be maybe there's room for working with our managed care plans.

1343
02:14:36,880 --> 02:14:43,520
They are part of the group we do have to take feedback from and work with in terms of our integrated plan.

1344
02:14:44,260 --> 02:14:55,160
So I do think that this is something we could actually follow up on to see if they're spending available to help bridge community based organizations into managed care role.

1345
02:14:55,160 --> 02:14:59,920
like, for diatic, um, for other, the dualists.

1346
02:15:00,000 --> 02:15:05,220
Residents, etc. Things that they've received through transformation as well.

1347
02:15:07,710 --> 02:15:11,150
And we are actively meeting with the managed care plan.

1348
02:15:11,290 --> 02:15:18,230
I think we had a meeting day before yesterday, right, Catherine, where we've had several meetings.

1349
02:15:18,310 --> 02:15:25,270
So we definitely take that feedback and input forward into those discussions and be able to follow up.

1350
02:15:25,270 --> 02:15:31,410
Thank you, Dr. Hark. One more question and then we'll go here. This is more of a comment.

1351
02:15:31,610 --> 02:15:35,830
First of all, I'll just recommend thanking Dr. Bird's humanity and sensitivity and sharing.

1352
02:15:36,470 --> 02:15:39,970
This difficult information about some of the programs that are being suncited.

1353
02:15:40,890 --> 02:15:46,190
Person asks, can we see the list of programs Dr. Bird's share that will be continuing?

1354
02:15:46,390 --> 02:15:51,170
Those will be sun setting. It's important for our community partnership to know this so we don't refer

1355
02:15:51,170 --> 02:15:57,310
families correctly. Thank you. We had a question right here.

1356
02:15:57,550 --> 02:15:58,510
Rosie, that was great.

1357
02:16:01,760 --> 02:16:05,800
My name is Allison. I'm with Long Beach Department of Health and Human Services.

1358
02:16:06,300 --> 02:16:13,700
I just had a question about crisis response and where it falls on the continuum of care

1359
02:16:13,700 --> 02:16:19,440
because it's listed. I've seen it listed under the early intervention and in the outpatient

1360
02:16:19,440 --> 02:16:25,200
services, and I'm just curious because there's been such a big push recently with

1361
02:16:26,860 --> 02:16:32,520
crisis response teams, especially field-based teams, where it falls, where the funding is going to

1362
02:16:32,520 --> 02:16:41,780
be allocated for that under BHSA, or is that something that's also moving to the state with the

1363
02:16:49,170 --> 02:17:09,610
So I can start and then Dr. Warren, feel free to correct me. So it depends on how you're defining it. We have crisis services that are that are part of our specialty mental service programming, right? So crisis for crisis intervention that are part of those services that can be claimed through the legal entity contract.

1364
02:17:09,610 --> 02:17:18,650
those continue. They're entitlement services that are available. So if somebody's in one of our programs and has a crisis, that clinical team can respond.

1365
02:17:19,790 --> 02:17:20,810
We have,

1366
02:17:21,190 --> 02:17:23,010
Presently, and going forward.

1367
02:17:26,610 --> 02:17:28,710
Right. Already in a program.

1368
02:17:29,670 --> 02:17:33,730
They can, if somebody's in a crisis, we do have our access line that's a warm line.

1369
02:17:33,730 --> 02:17:48,550
We have 98 locally, where 98 will actually connect them to services, but if they're looking for if somebody's in a crisis and needs an appointment more immediately, I would say call our access fine.

1370
02:17:49,070 --> 02:17:52,570
They're trained, they can do a triage in that moment, they can connect.

1371
02:17:53,050 --> 02:18:01,110
We do have appointments available that they can actually put somebody into. So I would say that would be my suggestion.

1372
02:18:04,450 --> 02:18:27,270
suicide prevention is interesting. We do have a partnership with Public Health. They do have a grant around suicide prevention, so we work very closely with Public Health over on that grant. We also have our own suicide prevention network internally to my knowledge neither one of those things are going away. Our alternative crisis response team is continuing.

1373
02:18:29,330 --> 02:18:32,750
Do you mention something else that I forgot?

1374
02:18:33,550 --> 02:18:35,490
No, it's okay, good.

1375
02:18:35,850 --> 02:18:36,710
The mobile response.

1376
02:18:37,050 --> 02:18:42,830
So I guess I'm thinking about all the books that have lost access to their care teams

1377
02:18:42,830 --> 02:18:45,150
or don't know how to access their care teams.

1378
02:18:45,930 --> 02:18:49,170
But we're responding to out in the field.

1379
02:18:50,490 --> 02:18:55,890
Or folks who have not been linked to services, especially in the,

1380
02:18:55,890 --> 02:18:58,950
I guess I'm thinking about with the outreach and engagement part.

1381
02:18:58,970 --> 02:19:02,910
It seems like the crisis, part, the crisis,

1382
02:19:03,330 --> 02:19:12,030
interventions, all more in the early, early intervention category

1383
02:19:12,840 --> 02:19:15,350
for a lot of folks that are not yet connected.

1384
02:19:15,350 --> 02:19:22,910
I'm just under that bucket of the 35% to FSB and the 35%

1385
02:19:22,910 --> 02:19:26,430
to, I just curious how it, where the funding for that is.

1386
02:19:26,610 --> 02:19:28,150
So I think it's blended, right?

1387
02:19:28,530 --> 02:19:28,530
I

1388
02:19:31,480 --> 02:19:33,900
don't go, to answer your question.

1389
02:19:34,080 --> 02:19:36,340
It is under OCS alternative crisis services.

1390
02:19:36,520 --> 02:19:38,220
And it's being moved into early intervention.

1391
02:19:38,720 --> 02:19:39,580
And it's being founded.

1392
02:19:39,580 --> 02:19:40,820
It's a better fit.

1393
02:19:41,140 --> 02:19:46,080
So we're always trying to find a base on the, the components of the, to say, where can we fit?

1394
02:19:46,400 --> 02:19:48,240
And it actually based on some of the language.

1395
02:19:48,240 --> 02:19:50,020
It does fit better under early intervention.

1396
02:19:50,400 --> 02:19:53,680
It's just another way to continue alternative crisis services.

1397
02:19:53,680 --> 02:19:55,580
should would be under EI.

1398
02:19:57,600 --> 02:19:59,960
But I also think too.

1399
02:20:00,000 --> 02:20:10,120
We should, for some of the situations you mentioned, like the people who, the field-based services, right? I think that we have teams

1400
02:20:10,120 --> 02:20:19,900
were still finding through FSPICM that are field-based. They're going out into the streets. They're meeting people where they are. That's going to be funded through FSPICM.

1401
02:20:19,900 --> 02:20:23,760
And so that we'll still be available to people

1402
02:20:23,760 --> 02:20:26,180
to help bring them into services.

1403
02:20:29,270 --> 02:20:32,370
So I don't think in terms of what could be available locally,

1404
02:20:32,950 --> 02:20:34,990
I don't think we're going to be losing anything

1405
02:20:34,990 --> 02:20:35,750
for crisis.

1406
02:20:38,050 --> 02:20:39,670
Okay, thank you, Dr. Bird.

1407
02:20:39,790 --> 02:20:41,690
We'll take another question for the worksheet.

1408
02:20:42,530 --> 02:20:45,610
If early intervention is 51%

1409
02:20:45,610 --> 02:20:49,450
where people zero to 25 is that more dollars

1410
02:20:49,450 --> 02:20:53,990
or less in LA County for early intervention in this age range.

1411
02:20:54,150 --> 02:20:57,970
The slides for the other breakout show more slots for FSB slash

1412
02:20:58,750 --> 02:21:02,730
HFW. Can we see similar estimates for early intervention treatment slots?

1413
02:21:10,120 --> 02:21:15,140
So this is a complicated question because as Alex just said we're going to fund

1414
02:21:15,140 --> 02:21:20,740
some programs with early intervention dollars so that won't necessarily be treatment slots for

1415
02:21:20,740 --> 02:21:29,960
going treatment services, right? I think that we, I think we did the math early on in the process.

1416
02:21:30,460 --> 02:21:38,140
It's kind of, it's the same amount of funding we were getting for MHSAPEI that we're getting for

1417
02:21:39,180 --> 02:21:46,180
BHSAEI. We're just losing the prevention dollars. Because because our county was engaging with

1418
02:21:46,180 --> 02:21:55,440
the youth commission with other youth serving organizations, we held listening sessions,

1419
02:21:55,760 --> 02:22:00,240
we were able to get feedback from youth specifically about what they, what type of services

1420
02:22:00,240 --> 02:22:11,640
they need. We created some non-traditional services like the Wolf Connection. The reality centers

1421
02:22:11,640 --> 02:22:18,160
services neurofeedback. So things that were non-traditional. And if we funded them through prevention

1422
02:22:18,160 --> 02:22:23,700
only and they can't move over to early intervention, those are things we potentially will

1423
02:22:23,700 --> 02:22:29,500
lose, right? So I think it just depends. Previously, we captured those under the prevention

1424
02:22:29,500 --> 02:22:35,420
dollars. But as we're crosswalking them over, we're growing our early intervention dollars.

1425
02:22:37,380 --> 02:22:45,480
I think just to build on what Dr. Breder said and going back to Alex mentioned a little

1426
02:22:45,480 --> 02:22:51,680
while earlier the shifting and the pivoting and going back to shifting and pivoting

1427
02:22:51,680 --> 02:22:57,500
is really looking at what programs can be re-aligned if you will if we were paying

1428
02:22:57,500 --> 02:23:03,340
for an under prevention but now that's we take a second look at it if it could be re-aligned

1429
02:23:03,340 --> 02:23:06,960
under the parameters of our early intervention, and it's a fit,

1430
02:23:07,580 --> 02:23:12,800
then you won't be losing that, but that needs consideration program by programs

1431
02:23:12,800 --> 02:23:16,180
service by service. And so that's the work that's happening now.

1432
02:23:18,180 --> 02:23:24,400
Thank you. Uh, Christian, we have a, say, hand raised online. Is it possible to unmute someone who's

1433
02:23:24,400 --> 02:23:31,980
online? I think it was. Okay. Uh, Romalee, I see your hand is raised. So, uh, it's good

1434
02:23:31,980 --> 02:23:35,160
Molly Taylor? Okay, Mike is good.

1435
02:23:35,420 --> 02:23:36,980
Molly, please go ahead with your question.

1436
02:23:38,600 --> 02:23:40,160
Yeah, I put in on.

1437
02:23:44,700 --> 02:23:47,090
Please speak up. We could barely hear you.

1438
02:23:48,220 --> 02:23:53,920
I said I have two questions that I put in the chat and on the sheet.

1439
02:23:53,920 --> 02:23:55,640
How are you doing today?

1440
02:23:57,860 --> 02:24:03,500
The stood and mental health services under a B.H.S.A.

1441
02:24:03,580 --> 02:24:04,860
actually relevant.

1442
02:24:09,980 --> 02:24:13,520
And breaking up is how are you going to meet

1443
02:24:13,520 --> 02:24:19,940
that families are having fun and getting with their children,

1444
02:24:23,420 --> 02:24:49,360
I have your question online, actually I was going to read it next so I believe this is the one so I'll read it for our panel panelists the BHSA services and include reduced disparities in health care and expand CDAPs are not addressed by crosswalking prevention programs in what specific ways or mental health disparities for African Americans specifically being addressed by the programs you are keeping.

1445
02:24:56,710 --> 02:24:57,210
Thank you very much.

1446
02:25:00,000 --> 02:25:02,260
I'm sorry. Renek, can you repeat that?

1447
02:25:02,280 --> 02:25:06,920
Sure, absolutely. We're mulling just asking, you know, so given to the crosswalk,

1448
02:25:07,320 --> 02:25:13,060
powery preserving, you know, addressing mental health disparities for African-Americans,

1449
02:25:14,040 --> 02:25:16,340
specifically being addressed by the programs you're keeping.

1450
02:25:25,900 --> 02:25:31,340
So, one of the things that we do at the cultural competency units, we look at health disparities,

1451
02:25:31,340 --> 02:25:38,520
we look at all the needs of our communities and that's something that drives our system of care.

1452
02:25:39,140 --> 02:25:44,840
We have the equity explorer that really looks at all the communities of all of our neighborhoods,

1453
02:25:45,400 --> 02:25:47,480
where people live, where people reside.

1454
02:25:48,180 --> 02:25:50,700
And that drives our service delivery.

1455
02:25:51,700 --> 02:25:55,280
So with BHSA, we will continue to use those tools.

1456
02:25:55,640 --> 02:25:59,420
We'll continue to look at disparities and align our programming importantly.

1457
02:26:00,460 --> 02:26:07,700
I think that's a commitment from our director, it's a commitment from the state because now the

1458
02:26:07,700 --> 02:26:13,960
state has given us specific goals and looking at disparities. Under BHSA, looking at cultural

1459
02:26:13,960 --> 02:26:23,500
disparities in treatment, it's very much anchored across the new plan. So I think similar to

1460
02:26:23,500 --> 02:26:27,300
I might just say, BHSA, we will continue with that work.

1461
02:26:28,180 --> 02:26:32,660
The MA has a very strong connection with our underserved communities.

1462
02:26:33,040 --> 02:26:36,520
We've dedicated a lot of programming, and that continues

1463
02:26:36,520 --> 02:26:40,960
to be the driving force behind how we implement programming,

1464
02:26:40,960 --> 02:26:42,760
and how we roll them.

1465
02:26:44,020 --> 02:26:48,760
So, but we are going to be publishing the cultural competency plan

1466
02:26:48,760 --> 02:26:52,380
in the coming months, and it's going to be posted on the website.

1467
02:26:52,380 --> 02:26:55,780
And in there, you can specifically look at the data

1468
02:26:55,780 --> 02:26:58,900
and the disparities based on race, ethnicity.

1469
02:27:00,000 --> 02:27:02,020
And you can look at the medical population

1470
02:27:02,020 --> 02:27:06,160
and the population that also is getting services

1471
02:27:06,160 --> 02:27:07,340
who we serve.

1472
02:27:07,760 --> 02:27:10,540
Latinos continues to be the largest group

1473
02:27:10,540 --> 02:27:12,700
in the county, fellow African Americans,

1474
02:27:12,880 --> 02:27:16,080
Armenians, and Koreans, and we talk that data.

1475
02:27:16,600 --> 02:27:18,740
And not only do we track the data for disparities,

1476
02:27:18,740 --> 02:27:22,020
but we also track the utilization of language access.

1477
02:27:22,940 --> 02:27:25,540
So that all falls under the cultural competency umbrella.

1478
02:27:25,800 --> 02:27:28,320
And I think the department is very committed to that.

1479
02:27:29,620 --> 02:27:33,480
And it's under the arise division, under my school work.

1480
02:27:34,000 --> 02:27:37,460
So I guarantee that the USCC list in the arise division.

1481
02:27:37,800 --> 02:27:40,360
So I would very closely with all of our stakeholders.

1482
02:27:40,620 --> 02:27:42,640
I don't see that changing under BHSA.

1483
02:27:44,750 --> 02:27:45,670
Okay, thank you.

1484
02:27:45,830 --> 02:27:47,730
We have a question over here again.

1485
02:27:47,730 --> 02:27:48,930
Please, please, from Ricardo,

1486
02:27:50,970 --> 02:27:52,330
and then we'll go back online.

1487
02:27:54,750 --> 02:27:57,190
My name is Ricardo Kim, LA County stakeholder.

1488
02:27:57,930 --> 02:28:01,050
I just want to thank everybody, the panel members, DMH,

1489
02:28:01,410 --> 02:28:03,790
everyone in this room for all the hard work that we're doing.

1490
02:28:04,630 --> 02:28:08,650
I want to say thank you to Dr. Horn for her comments this morning.

1491
02:28:09,170 --> 02:28:12,570
I think this year, we've all grown and learned a lot about one another.

1492
02:28:12,570 --> 02:28:20,390
people that come into this room, month in, month out, and for you to expand CPT membership.

1493
02:28:21,930 --> 02:28:26,370
Thank you for that. It means a lot to many of us who are not and are seeking belonging and

1494
02:28:26,370 --> 02:28:31,950
purpose. With that said, this comment is directed in follow up to what Nori was saying.

1495
02:28:32,490 --> 02:28:39,290
It is my understanding, March 17th to 1826, the arrived division of LA County Department of

1496
02:28:39,290 --> 02:28:47,310
will be putting on the 2026 multi-cultural mental health conference at downtown LA Intercontinental.

1497
02:28:48,410 --> 02:28:53,610
So going back to what Lori was saying, this is during the public comments the public comment

1498
02:28:53,610 --> 02:29:00,450
30 day period before the behavioral health commission needs to vote. So March 17, 18th, can we get

1499
02:29:00,450 --> 02:29:06,230
somebody from the state to comment talk about how this is going to affect us in the next six

1500
02:29:06,230 --> 02:29:11,470
maybe the governor he might be looking at higher offices right now but somebody from the state

1501
02:29:11,470 --> 02:29:18,670
to come and talk to us during our multi-cultural healing in the land of diversity, a multi-cultural

1502
02:29:18,670 --> 02:29:24,310
approach to mental health, the 2026 mental health, multi-cultural mental health conference and we get

1503
02:29:24,310 --> 02:29:32,410
somebody to come in just like when Noree was saying during that conference. So then when the behavioral

1504
02:29:32,410 --> 02:29:36,870
health commission needs on 4 or 9 maybe that could help maybe the 30-day period maybe

1505
02:29:36,870 --> 02:29:46,070
people have things to say. Thank you. Thank you for your feedback. I think that is an excellent

1506
02:29:46,070 --> 02:29:54,810
idea and just seeing the nods from the SNES on the panel who are actually over that conference.

1507
02:29:54,810 --> 02:29:59,950
I think we're all in agreement, that having a workshop of some type where...

1508
02:30:00,000 --> 02:30:15,160
A representative from the State can come and call present or answer some questions would be great. We will work together to see if we can make that happen. So really appreciate the comment and I will definitely get back to you.

1509
02:30:15,820 --> 02:30:16,640
Great idea.

1510
02:30:18,020 --> 02:30:22,960
Okay. Let me go back online and mark your next to the queue.

1511
02:30:24,400 --> 02:30:31,300
So let's see, another question for the panel, so first of all, just acknowledging, thank you

1512
02:30:31,300 --> 02:30:34,160
for your thorough answers in the Q&A, it's much appreciated.

1513
02:30:35,000 --> 02:30:42,540
Which DMH programs focus on ACEs such as trauma as the risk factors for quote-unquote indicated

1514
02:30:42,540 --> 02:30:48,720
prevention, like was shared, which focus on ACEs trauma for early intervention treatment?

1515
02:30:53,490 --> 02:30:54,730
Not here.

1516
02:30:55,210 --> 02:30:55,570
Sure.

1517
02:30:55,770 --> 02:30:56,050
Hey Pat.

1518
02:30:57,870 --> 02:30:59,090
Did you ever get a permits?

1519
02:30:59,610 --> 02:30:59,810
Sure.

1520
02:31:00,150 --> 02:31:01,910
The question is right from the.

1521
02:31:02,230 --> 02:31:02,370
Yes.

1522
02:31:02,550 --> 02:31:05,970
So, over you did again, which DMH programs focus on a decision?

1523
02:31:05,970 --> 02:31:13,150
ACES trauma As the risk factors for political indicated prevention like was shared.

1524
02:31:13,250 --> 02:31:16,190
Which focus on ACES trauma for early intervention treatment.

1525
02:31:17,530 --> 02:31:24,410
So, many of the programs that were on that slide that was blue and orange, many of those

1526
02:31:24,410 --> 02:31:30,530
do address the ACEs, so like your community family resource center definitely address risk

1527
02:31:30,530 --> 02:31:38,450
factors, protective factors, the stuff we do with the credible messenger also does that as

1528
02:31:38,450 --> 02:31:39,310
well.

1529
02:31:40,350 --> 02:31:46,170
I would say all of these programs does address address trauma because that was a focus and we

1530
02:31:46,170 --> 02:31:52,330
first implemented these that trauma had to be something that was like censor for all these

1531
02:31:52,330 --> 02:31:59,770
comments. Thank you, Kanchi. Okay. Mark on it. Yeah, but I just basically want to say that

1532
02:31:59,770 --> 02:32:06,890
Stacy here, motor is part of the challenge when we do seem disparity, part of the fact that

1533
02:32:06,890 --> 02:32:14,890
that's her organization, a concept of meadow. And she's always at the oversight and accountability

1534
02:32:14,890 --> 02:32:16,230
with a commission meetings.

1535
02:32:18,070 --> 02:32:20,870
And I'm thinking she and there are other people,

1536
02:32:24,290 --> 02:32:29,210
Rachel, Rachel, what's your name from...

1537
02:32:29,210 --> 02:32:31,030
I'm flipping the name with you.

1538
02:32:31,070 --> 02:32:32,650
Mark, do you have a question for the panel?

1539
02:32:33,330 --> 02:32:34,730
Yeah, it's kind of when you reduce

1540
02:32:34,730 --> 02:32:36,770
the disparities project, there's one.

1541
02:32:38,730 --> 02:32:41,550
No, I just, I have a comment.

1542
02:32:42,550 --> 02:32:43,610
Okay, go ahead, please.

1543
02:32:43,610 --> 02:32:52,390
Well, I'm saying this that California reducing disparities project might be available for that.

1544
02:32:52,470 --> 02:32:54,410
There are based up in Sacramento,

1545
02:32:56,830 --> 02:33:00,310
Daisy here in Motor is the head there.

1546
02:33:00,430 --> 02:33:07,250
There are people on the, on the overshows chambers, it's on the overshown, it's barely,

1547
02:33:07,410 --> 02:33:07,410
can

1548
02:33:09,460 --> 02:33:11,780
overshown the county building commission.

1549
02:33:11,780 --> 02:33:16,240
if she's part of, I don't want to say back up, let's go.

1550
02:33:16,940 --> 02:33:19,600
Okay, thanks Mark, we're going to continue on, okay?

1551
02:33:20,700 --> 02:33:21,320
Other questions?

1552
02:33:22,660 --> 02:33:23,840
Okay, here we go, right here.

1553
02:33:24,020 --> 02:33:24,840
Ruthie, we could.

1554
02:33:28,220 --> 02:33:30,280
Hi, my name's John O'Malley from Dan.

1555
02:33:30,540 --> 02:33:32,540
I just had a question on the math.

1556
02:33:33,580 --> 02:33:37,240
My understanding is then that the 35%

1557
02:33:37,240 --> 02:33:41,380
that is BHSS dollars.

1558
02:33:42,780 --> 02:33:46,900
That's what the, let me say, I get the word right,

1559
02:33:47,560 --> 02:33:50,100
the indicated prevention comes from.

1560
02:33:50,380 --> 02:33:50,980
Is that right?

1561
02:33:53,460 --> 02:33:54,140
Am I missed?

1562
02:33:55,540 --> 02:33:57,980
So it is within that bucket.

1563
02:33:58,700 --> 02:33:58,920
Right.

1564
02:33:59,440 --> 02:34:05,160
So my question is with respect to indicated prevention versus the other items

1565
02:34:05,160 --> 02:34:09,160
that will be coming out of that 35% bucket has there been a percentage.

1566
02:34:09,160 --> 02:34:13,480
just signed to indicate it prevention as opposed to the others.

1567
02:34:13,580 --> 02:34:19,240
In other words, is there a share of that 35% that you've designated to go to the indicated

1568
02:34:19,240 --> 02:34:22,440
prevention versus the other components or as that's still to be determined?

1569
02:34:23,300 --> 02:34:23,760
No, not yet.

1570
02:34:23,980 --> 02:34:24,440
We have not.

1571
02:34:25,120 --> 02:34:31,060
So, it's of that 35% that's VHSS, 51% has to go to early intervention, right?

1572
02:34:31,060 --> 02:34:35,800
And it has to fund one of the, and of that, 51% has to go to children and youth.

1573
02:34:35,800 --> 02:34:40,400
And it has to fund one of those three components of or the intervention.

1574
02:34:41,220 --> 02:34:43,640
So we have an identified yet.

1575
02:34:44,840 --> 02:34:47,540
The specific amount that goes to early intervention.

1576
02:34:48,460 --> 02:34:50,980
Well, I'll say this.

1577
02:34:51,780 --> 02:34:54,220
To my knowledge, we have not identified that.

1578
02:34:54,480 --> 02:34:59,760
I think that there may be, there may be discussions about how do we use EI.

1579
02:35:00,000 --> 02:35:08,160
Our local match for programs like the crisis response that Alex was talking about or other programming.

1580
02:35:09,140 --> 02:35:17,820
But I don't know that we're looking at dividing up equally those three buckets with a percentage.

1581
02:35:18,260 --> 02:35:22,540
I think we're really looking at how do we match what are the priorities?

1582
02:35:24,080 --> 02:35:28,570
And then praying, there's an up money.

1583
02:35:29,590 --> 02:35:32,830
All right, thank you, thank you for your question.

1584
02:35:33,750 --> 02:35:36,730
Just really quickly going to go online and then we'll go here again.

1585
02:35:37,950 --> 02:35:42,050
So where do LA care and health net funding fit into all this?

1586
02:35:42,510 --> 02:35:48,270
And the suggestion is, in the integrated plan, DMH should more explicitly state how

1587
02:35:48,270 --> 02:35:53,170
MCPs are being engaged in this planning process and where MCP money,

1588
02:35:58,550 --> 02:35:58,550
like

1589
02:36:00,950 --> 02:36:04,770
I will let Catherine respond to this one.

1590
02:36:05,110 --> 02:36:06,170
Okay, thank you.

1591
02:36:06,290 --> 02:36:08,730
We're using a lot of people in the room today.

1592
02:36:09,170 --> 02:36:09,930
It's good.

1593
02:36:11,110 --> 02:36:14,410
So to this question, there is a space in the integrated plan.

1594
02:36:14,570 --> 02:36:17,530
And when we walk through that in more detail, you'll see where that is.

1595
02:36:17,770 --> 02:36:22,610
So there's a section in the integrated plan under the local health jurisdictions and partners.

1596
02:36:23,170 --> 02:36:28,630
And so we do have specific requirements that the state is asking us to work towards.

1597
02:36:28,630 --> 02:36:33,330
not only with the managed care plans, but also with our local health jurisdictions, which we have

1598
02:36:33,330 --> 02:36:39,950
Alec County, DPH, we have City of Pasadena, and we also have Long Beach, and so ask us several

1599
02:36:39,950 --> 02:36:44,610
questions like how are we working with them with stakeholders, how are we sharing data, how are we

1600
02:36:44,610 --> 02:36:50,270
collaborating, and there's also a specific section on the community reinvestment requirement that

1601
02:36:50,270 --> 02:36:54,410
you're all referring to. So there will be more details and thank you for bringing that up

1602
02:36:54,410 --> 02:36:59,570
and that's part of the conversations that Dr. Horne was mentioning earlier that we're starting to have.

1603
02:37:00,710 --> 02:37:01,650
Thank you, Leslie.

1604
02:37:03,030 --> 02:37:04,130
Okay, right here.

1605
02:37:07,040 --> 02:37:08,540
Allison, we'll let's get along me.

1606
02:37:09,400 --> 02:37:24,920
Sorry, I just declare if I, because I know there's been a lot of discussions about we'll provide more information, but just I think looking at the the broader picture across the county.

1607
02:37:24,920 --> 02:37:44,640
It's really hard for folks to visualize how all of the different departments and funding flows are going to work and where the collaboration is going to happen, especially when we know like for BHSA 30% has to go to housing.

1608
02:37:44,640 --> 02:37:55,540
How are we gonna ensure that that funding is maximized and use the most efficiently through the evidence-based practice of supportive housing?

1609
02:37:55,980 --> 02:38:10,520
The supportive parts are being provided by the providers, the DMH and staff see providers, but they're not always necessarily directly connected with the housing agencies and departments that are doing that at the county level.

1610
02:38:10,520 --> 02:38:20,960
of that new HSH, there's housing for health and then as we were talking about this also in

1611
02:38:20,960 --> 02:38:27,200
all of this is the community planning efforts with the MCP and integrated but you know and all

1612
02:38:27,200 --> 02:38:34,940
of that that's happening also and all these silos and as was mentioned earlier we don't have

1613
02:38:34,940 --> 02:38:43,480
time to North funding. And I know some of it is going is in that phase to draft from the HCS.

1614
02:38:44,340 --> 02:38:49,000
But currently, we don't have the funding to go to all of these stakeholder meetings for the

1615
02:38:49,000 --> 02:38:54,480
time while we're also doing our services. So here at BHSA, CPT takes a lot of time. And there's

1616
02:38:54,480 --> 02:39:00,900
the state level population prevention, stakeholder stuff, and feedback that's being requested.

1617
02:39:00,900 --> 02:39:28,600
And then there's the new housing for health stakeholder engagement process and then there's separately the community planning processes with the various local health jurisdictions and I don't know, but it is every time I think about another part of it, it's so hard to visualize how it's all going to work and how it's all going to work together.

1618
02:39:28,600 --> 02:39:36,720
I think as part of that discussion, there really needs to be a visual mapping of how agencies are going

1619
02:39:36,720 --> 02:39:43,800
to be working together so that and communicating, especially when it comes to data sharing.

1620
02:39:44,600 --> 02:39:47,280
I know we all do a lot of work in silos already.

1621
02:39:47,580 --> 02:39:50,580
How are we going to, you know, not continue that cycle?

1622
02:39:51,700 --> 02:39:58,100
We have all these parallel planning processes that are happening, but it's really hard to see

1623
02:39:58,100 --> 02:39:59,760
what it looks like in the bigger picture.

1624
02:40:00,980 --> 02:40:19,880
Yeah, thank you. And I just want to honor and lift up your feedback because we absolutely understand the struggle is real. When you talk about having to do the work and then be a part of these different discussions from different levels.

1625
02:40:19,880 --> 02:40:28,560
and so we do try to attempt to like when there are housing stakeholder meetings with the new

1626
02:40:28,560 --> 02:40:35,040
department and with the state, we do have the MH subject matter experts on those calls that

1627
02:40:35,040 --> 02:40:40,860
do attempt to collect that information and then drive hours stakeholder meetings so that you're

1628
02:40:40,860 --> 02:40:47,960
informed about what is happening in different areas around most different topics to be completely

1629
02:40:47,960 --> 02:41:17,060
We transparent it on is, I cannot say that will stop because everyone has to run the area of service provision that they do and so sometimes that means different departments different tables that have to, you know, you have to get, but we do to the extent that we can bring back the information and try to use it into this larger stakeholder meeting through the subject matter.

1630
02:41:17,060 --> 02:41:23,100
for presentations. So if you can't attend just an even if you can't attend these meetings in

1631
02:41:23,100 --> 02:41:29,080
person or like we always post a video or we always post the links of that you can actually hear

1632
02:41:29,080 --> 02:41:35,980
some of those updates. To your point of the funding and how the blow is and what's the mapping,

1633
02:41:36,540 --> 02:41:42,180
I think because if you would attend the 120 meeting when we go over our budget presentation

1634
02:41:42,180 --> 02:41:46,400
and you all have a little bit more or be closer to that information.

1635
02:41:46,920 --> 02:41:52,560
A part of the integrated plan is not just infusing programs that are funded by the HSA, right?

1636
02:41:52,560 --> 02:41:58,760
We're looking at how those programs are intertwined and braided with other funded programs

1637
02:41:58,760 --> 02:42:01,300
that make up our system, right?

1638
02:42:01,760 --> 02:42:06,720
And so I think today's thing that you can start with a budget presentation on January 20th,

1639
02:42:06,760 --> 02:42:10,500
so that we can give you a little bit more information about how that's going to work.

1640
02:42:10,500 --> 02:42:26,300
I think we can start there and give you feedback and you can ask your questions, I will also suggest the mapping. I love maps and I think it really puts into play, you know, how things kind of interconnect with one another, so we'll work on that.

1641
02:42:26,900 --> 02:42:30,980
And then lastly, you mentioned,

1642
02:42:30,980 --> 02:42:36,190
That was one more thing.

1643
02:42:37,140 --> 02:42:40,020
Housing housing in the age of eight.

1644
02:42:43,220 --> 02:42:43,920
I cannot think.

1645
02:42:44,360 --> 02:42:45,100
The mapping.

1646
02:42:45,440 --> 02:42:46,900
We're going to work to see if we can.

1647
02:42:47,140 --> 02:42:50,840
But there's one thing you may say and we'll go back.

1648
02:42:50,900 --> 02:42:54,560
I'm sorry if I didn't respond, but there was an additional thing.

1649
02:42:55,040 --> 02:43:02,330
But definitely this is where when we can create a mapping and get better understanding of how things are intertwined.

1650
02:43:02,330 --> 02:43:05,970
one, that may be the focus of the previous earlier

1651
02:43:05,970 --> 02:43:08,550
as having some sort of group or form,

1652
02:43:08,930 --> 02:43:10,810
where we can collectively provide guidance

1653
02:43:10,810 --> 02:43:14,330
on where individuals would like to advocate

1654
02:43:14,330 --> 02:43:16,290
or support more conversations.

1655
02:43:17,390 --> 02:43:18,430
So I'm a stop there.

1656
02:43:18,590 --> 02:43:21,590
If I missed any part of that question, Renee is going to keep

1657
02:43:21,590 --> 02:43:24,010
the honest and you'll give her this one.

1658
02:43:24,050 --> 02:43:25,030
Thank you, Dr. Horne.

1659
02:43:25,750 --> 02:43:27,430
So I've actually given our panelists,

1660
02:43:27,630 --> 02:43:29,750
we have a number of questions on the worksheet.

1661
02:43:29,750 --> 02:43:36,170
have given our panels my laptop so they could scroll them. Is there one particular, uh, you want to address?

1662
02:43:37,770 --> 02:43:45,030
Yeah, I won't pick one, but I want to say to the last question, I think it's a really good, um,

1663
02:43:45,510 --> 02:43:49,730
vision and goal. I would actually make sure it's recorded on the, um,

1664
02:43:49,990 --> 02:43:57,330
Tated top paperwork because I know that the Board of Supervisors had a motion around an integrated

1665
02:43:57,330 --> 02:44:05,130
prevention promotion services team that eventually evolved into the PPECIT, PPESGC,

1666
02:44:05,810 --> 02:44:10,150
where they were trying to bring county departments together to map out what prevention

1667
02:44:10,850 --> 02:44:16,210
promotions services are being delivered across different departments with the goal of

1668
02:44:16,210 --> 02:44:21,290
reducing duplication, right, and maximizing reach. So I do think that this is very

1669
02:44:21,290 --> 02:44:28,170
your questions very much in line with that vision to bring to break down the silos a little bit,

1670
02:44:28,170 --> 02:44:32,490
to bring together all of the funding sources and programming to help us maximize those.

1671
02:44:32,750 --> 02:44:38,120
So I do think it's worth exploring some create-have ways to capture it.

1672
02:44:39,030 --> 02:44:40,090
Thank you for your time.

1673
02:44:41,550 --> 02:44:42,750
Had to sing your moment.

1674
02:44:44,910 --> 02:44:59,930
So, you mentioned what this integration look like amongst the provider community as we move forward and as a matter of fact that's what we're preparing to talk about from February 10th.

1675
02:45:00,000 --> 02:45:06,680
All the way to June, I mentioned, I don't know if we reflected the calendar early on, but the meeting

1676
02:45:06,680 --> 02:45:13,760
starting on February the 10th through June. That's all about integration. How now do we integrate

1677
02:45:13,760 --> 02:45:19,500
the services that are moving forward? Where are services that are going to be real like and how do we

1678
02:45:19,500 --> 02:45:28,440
work together as a system not to be deplicated? And that's the work of the CPT, starting February 10th through June.

1679
02:45:28,440 --> 02:45:33,180
And then July through December of 2026 is really about accountability.

1680
02:45:33,980 --> 02:45:38,620
So now that we know how we're going to work together and streamline services based

1681
02:45:38,620 --> 02:45:45,420
on what it is, and we make some agreements about that and timelines and plans and implementation

1682
02:45:45,420 --> 02:45:46,320
plans.

1683
02:45:46,680 --> 02:45:54,000
Now July through December, how do we look at holding the system accountable, did we serve

1684
02:45:54,000 --> 02:45:57,400
who we said we were started, did we do what we said we would do?

1685
02:45:57,400 --> 02:46:17,220
So that's the process that I, if you hear nothing else, I want you guys to continue to engage in because that's where your voices can really talk about accountability and if there are changes that need to happen midstream with our midyear planning and our voter, which is our report out.

1686
02:46:17,220 --> 02:46:18,400
Thank you, Dr. Hart.

1687
02:46:25,160 --> 02:46:28,220
I think the goal would be broader.

1688
02:46:29,740 --> 02:46:29,860
Okay.

1689
02:46:30,120 --> 02:46:33,560
As you mentioned, housing, there are so many hands in that.

1690
02:46:33,560 --> 02:46:35,160
So many cooks in that kitchen right now.

1691
02:46:35,480 --> 02:46:38,940
I think bringing together all of the experts around what are the funding sources.

1692
02:46:39,380 --> 02:46:40,580
Going back to the earlier question.

1693
02:46:40,700 --> 02:46:41,820
How do we learn about it?

1694
02:46:41,980 --> 02:46:48,180
How do we make sure that we have enough knowledge to connect our community members to the appropriate programming?

1695
02:46:48,180 --> 02:46:54,060
And I think that the only way to do that is by bringing together the program experts.

1696
02:46:54,280 --> 02:46:54,640
Okay.

1697
02:46:54,860 --> 02:46:56,960
Quick time check with six minutes left.

1698
02:46:57,080 --> 02:46:59,180
Can I say for the people on line?

1699
02:46:59,560 --> 02:47:03,120
We have very few questions for Sapsy.

1700
02:47:03,480 --> 02:47:03,740
So, right.

1701
02:47:03,860 --> 02:47:05,180
Questions for Sapsy?

1702
02:47:05,220 --> 02:47:05,560
Yeah.

1703
02:47:06,780 --> 02:47:09,440
So, we can make sure we answer all your questions.

1704
02:47:12,080 --> 02:47:13,160
Introduce yourself, please.

1705
02:47:13,560 --> 02:47:13,580
Yeah.

1706
02:47:13,580 --> 02:47:16,140
I'm Martin O'Gene with the Los Angeles District Attorney's Office.

1707
02:47:16,140 --> 02:47:23,100
And I'd of course, I'm not sure this is the right place for the question itself, but they have a

1708
02:47:23,100 --> 02:47:28,840
grievance system, the DMH, and I was wondering, is that being considered in all of this funding

1709
02:47:30,660 --> 02:47:34,820
and, as far as investigators and stuff like that for that particular department?

1710
02:47:35,720 --> 02:47:41,700
Maybe this is a two narrow of a question, but we have experience with that department as well.

1711
02:47:41,700 --> 02:47:47,980
can you sell it a more because we have a grievance system that's directly about patient care

1712
02:47:47,980 --> 02:47:54,140
in issues with patient care, which is patient's rights. But then we also do have what was

1713
02:47:54,140 --> 02:48:03,960
images said, but now a BHSA where people can make complaints or address issues. So are you speaking

1714
02:48:03,960 --> 02:48:10,220
about the particular patient care or the process? I know that the part of them, I believe they

1715
02:48:10,220 --> 02:48:12,180
departments of Syria or Lisa, I believe.

1716
02:48:12,860 --> 02:48:13,980
And you know what I'm talking about?

1717
02:48:14,240 --> 02:48:14,340
But why?

1718
02:48:15,340 --> 02:48:17,400
And there are the ones that had that department.

1719
02:48:17,700 --> 02:48:21,940
The reason I asked is we deal with them in the past and, you know, I'm just wondering

1720
02:48:22,360 --> 02:48:25,880
because I know they're, they're pretty booked up and takes a while to get the grievance

1721
02:48:25,880 --> 02:48:26,740
through and all that.

1722
02:48:27,040 --> 02:48:32,380
And we've had other people tell us, you know, are they going to get back to me, which I'm

1723
02:48:32,380 --> 02:48:33,000
just wondering if.

1724
02:48:33,000 --> 02:48:33,440
Sure.

1725
02:48:33,900 --> 02:48:38,640
I would love to work with you collectively because, again, there's two sides of it.

1726
02:48:38,640 --> 02:48:56,260
If you're talking about patients rice, that's one process and we can figure out where the bottleneck is if there is, but then there's an image is say resolution process or our grievance process. So if we can connect and then work to the problem.

1727
02:48:56,260 --> 02:48:58,080
Yeah, and we'll get in touch.

1728
02:48:58,220 --> 02:49:00,640
Right here. Thanks, Rosie.

1729
02:49:02,980 --> 02:49:06,360
Hi, County Winters with Nami Greater LA County.

1730
02:49:07,380 --> 02:49:08,860
The timeline of the plan.

1731
02:49:09,260 --> 02:49:13,660
It's not going to get approval or go to the state told June, right?

1732
02:49:14,380 --> 02:49:18,680
So how, you know, the

1733
02:49:18,680 --> 02:49:21,200
BHSA starts to live first.

1734
02:49:22,000 --> 02:49:24,500
What's the approval timeline, you know,

1735
02:49:24,500 --> 02:49:35,080
How do we ensure that, you know, contracts with CBOs and continuation of services start July 1st

1736
02:49:35,080 --> 02:49:41,580
because I know the last time with MHSA there were many months between contracts and that

1737
02:49:41,580 --> 02:49:48,820
makes it very difficult for CBOs if there's a lapse, you know, in that support.

1738
02:49:49,160 --> 02:49:54,000
So just wondering, you know, how do we get approval and make sure that the continuation

1739
02:49:54,000 --> 02:49:59,960
of services are their July 1st so that we don't have a lapse of months with that.

1740
02:50:00,000 --> 02:50:07,680
Oh, you know, contracts or support. Thank you. That's a great question. Thank you for raising in.

1741
02:50:08,380 --> 02:50:15,620
So, what you're speaking about is the difference between approval of the planning implementation of the plan, right?

1742
02:50:15,620 --> 02:50:28,020
So, while the plan is being approved, and it has to start on July 1st, if in fact, you were a CVL that was going to be the funded,

1743
02:50:28,020 --> 02:50:34,620
under funded, giving less funding, you would have be formally alerted.

1744
02:50:35,420 --> 02:50:42,720
What prior to July 1st? That won't be turn on a July 1st, 8am, and what happened?

1745
02:50:43,720 --> 02:50:46,400
We're definitely formally notifying people.

1746
02:50:47,300 --> 02:50:50,600
I know specifically even, you know, the last couple of weeks Dr. Borden

1747
02:50:50,600 --> 02:50:55,060
has seen have been reaching out to providers to give them

1748
02:50:55,060 --> 02:50:58,780
a notification. Like certain programs like our

1749
02:50:58,780 --> 02:51:02,960
incubation academy, we've notified folks way in advance

1750
02:51:02,960 --> 02:51:06,040
that that's something that's not going to continue.

1751
02:51:06,840 --> 02:51:08,720
So to answer the first piece of your question,

1752
02:51:09,360 --> 02:51:15,980
If funding was going to be cut or changed in any way, you would know way before July 1st.

1753
02:51:16,220 --> 02:51:21,900
The second piece of your question, if I'm hearing correctly, is what happens after July 1st

1754
02:51:21,900 --> 02:51:29,520
when we know what's going to be funded and how can providers maybe tap into that funding and so forth and so on, right?

1755
02:51:30,640 --> 02:51:33,860
And that's all about implementation, so I'll give you an example.

1756
02:51:33,860 --> 02:51:50,840
So if we are expanding FSP and we are bringing our new FSP providers, then that will go through a contracting process in which organizations that are interested in applying need to engage that process.

1757
02:51:51,300 --> 02:52:02,440
So that is not something besides the fact of telling you we're going to expand FSP that is not something that we would bring into this place because guess what if I tell you too much.

1758
02:52:02,440 --> 02:52:06,020
Well, we'll be able to apply, right?

1759
02:52:06,160 --> 02:52:12,140
So there's a difference between us getting a plan for implementation and doing what I call

1760
02:52:12,140 --> 02:52:18,520
logistical planning around how to put contracts in place and how to fund services that

1761
02:52:18,520 --> 02:52:23,260
are not already a part of what we're moving forward with, but we have to do a process around

1762
02:52:23,260 --> 02:52:23,680
these.

1763
02:52:23,920 --> 02:52:28,880
So I hope that kind of answer to your question, but nothing that you're not aware of,

1764
02:52:28,880 --> 02:52:32,880
is just going to stop immediately on July 1st.

1765
02:52:34,000 --> 02:52:35,900
But our contracts and, right?

1766
02:52:39,910 --> 02:52:43,950
Yeah, I guess there's no contract in place or funding.

1767
02:52:45,110 --> 02:52:46,850
But what's still there?

1768
02:52:46,850 --> 02:52:48,150
There are going to be a lapse.

1769
02:52:48,550 --> 02:52:50,490
Like there was last time with MHSA.

1770
02:52:50,750 --> 02:52:54,050
Well, if I guess to be more specific,

1771
02:52:54,690 --> 02:52:57,250
if your contract is going to end in June,

1772
02:52:57,350 --> 02:53:00,870
chances are you probably already been formally notified.

1773
02:53:00,870 --> 02:53:13,190
that it's going to end in June. So from that perspective, that's not a lapse because the contract has formally ended in June.

1774
02:53:14,230 --> 02:53:29,310
If the department moves forward with an implementation plan to continue those services, then the process will be shared publicly, that the department is now moving forward with this set of services or programs.

1775
02:53:29,310 --> 02:53:35,810
And if you're interested in applying to be a provider of those services, then this is the process.

1776
02:53:36,750 --> 02:53:40,950
So what's the timeline then for that process to apply?

1777
02:53:41,710 --> 02:53:43,070
So it depends once it's posted.

1778
02:53:43,570 --> 02:53:46,550
I just to be clear, like if contracts are ending,

1779
02:53:47,230 --> 02:53:57,210
generally most of our contracts have an option to execute a one-year extension or an option to execute two-one-year extensions.

1780
02:53:57,210 --> 02:54:00,450
So to the extent we have that available for those

1781
02:54:00,450 --> 02:54:02,450
to part for those organizations

1782
02:54:02,450 --> 02:54:03,810
we're continuing with,

1783
02:54:04,330 --> 02:54:06,550
we're going to leverage that option.

1784
02:54:07,950 --> 02:54:09,630
So it may say June 30th,

1785
02:54:09,750 --> 02:54:11,370
but probably within the contract,

1786
02:54:12,030 --> 02:54:14,110
you'll read that it has options to extend.

1787
02:54:14,810 --> 02:54:17,130
And so the department will likely be leveraging those

1788
02:54:17,130 --> 02:54:20,110
for the organizations we're continuing with.

1789
02:54:20,510 --> 02:54:23,410
But I just want to clarify that

1790
02:54:23,410 --> 02:54:25,350
you would definitely be notified

1791
02:54:25,350 --> 02:54:34,450
If that is a service or a program, that's going to be extended and the department's, well, the department lead.

1792
02:54:35,330 --> 02:54:41,390
If it's Dr. Barrett, I don't remember we'll reach out and say we're looking to extend your contract past your third year.

1793
02:54:41,950 --> 02:54:45,630
We want to know if you want to exercise this one or two year extension.

1794
02:54:46,110 --> 02:54:50,790
That will be a formal notification reach out and then you would go from there.

1795
02:54:50,970 --> 02:54:53,530
Otherwise, if that contract is ending.

1796
02:54:54,790 --> 02:54:56,970
It's ending and you'll be notified.

1797
02:54:57,770 --> 02:54:59,930
Okay, let's give a hand to our panelists everyone.

1798
02:55:00,000 --> 02:55:25,300
Good. Thank you so much. Like this time, we want to get some feedback from all of you. So if you're here in the room, if there are any questions you have, there's still remaining, like Pastor, I'm sorry, I didn't get a chance to get to you. A couple of you were just about another time, but please, if you're in the room, use the sheets, the yellow sheets and pink sheets on your tables to answer any remaining questions.

1799
02:55:25,300 --> 02:55:32,200
If you're online, please, please use the link in the chat to complete an online poll and provide input.

1800
02:55:32,660 --> 02:55:38,300
And here's the QR code for this view in the room who want to provide some feedback.

1801
02:55:39,660 --> 02:55:41,900
No, we're doing

1802
02:55:48,490 --> 02:55:48,890
it.

1803
02:55:55,090 --> 02:56:01,510
If you're in the room and you have your clickers, please provide your responses to this question.

1804
02:56:01,510 --> 02:56:05,510
So from your perspective, to what extent did the subject matter

1805
02:56:05,510 --> 02:56:07,750
experts respond to your input?

1806
02:56:08,450 --> 02:56:12,130
Was it a, not at all, B to a small extent?

1807
02:56:12,410 --> 02:56:17,170
We have to some extent to a great extent or completely.

1808
02:56:19,710 --> 02:56:20,770
I've got nine responses.

1809
02:56:21,010 --> 02:56:24,150
So again, please use your clickers for this particular piece.

1810
02:56:32,730 --> 02:56:38,930
about 10 more seconds to respond. Break out those clickers. Yes, questions?

1811
02:56:41,610 --> 02:56:48,110
For some reason I'm not getting the okay, I'm just like pushing is not working. Okay, a few people

1812
02:56:48,110 --> 02:56:51,070
are not getting response on their clickers.

1813
02:57:03,180 --> 02:57:03,680
Okay,

1814
02:57:07,170 --> 02:57:11,530
so with that, I believe we're, all right, should we

1815
02:57:12,330 --> 02:57:18,030
We're going to try it again, so again, with your clickers, please respond to this question.

1816
02:57:18,310 --> 02:57:23,550
So from your perspective, to what extent did the subject matter experts say address your input?

1817
02:57:25,660 --> 02:57:26,220
Still not working?

1818
02:57:28,930 --> 02:57:30,530
Okay, some are working, some are not.

1819
02:57:31,870 --> 02:57:37,550
So maybe can we get a clicker to participate over here?

1820
02:57:53,730 --> 02:57:56,170
All right, there was, we're Ruthie is, all right,

1821
02:58:00,980 --> 02:58:03,820
looks like 57% of you were completely

1822
02:58:04,340 --> 02:58:04,700
satisfied.

1823
02:58:04,880 --> 02:58:05,680
So thank you all.

1824
02:58:05,940 --> 02:58:06,960
Thank you all so much.

1825
02:58:07,020 --> 02:58:08,340
That's our day for today.

1826
02:58:08,440 --> 02:58:11,960
Have a wonderful rest of your day and we look forward to seeing you again very soon.

1827
02:58:12,120 --> 02:58:12,940
Take care, everybody.

1828
02:58:14,640 --> 02:58:16,180
Again, our next CPT forum.

1829
02:58:17,100 --> 02:58:18,420
Oh, and here's, sorry.

1830
02:58:19,140 --> 02:58:19,400
I forgot.

1831
02:58:19,720 --> 02:58:24,380
We have a meeting of evaluations so if you all could, please click on the link to provide

1832
02:58:24,380 --> 02:58:24,840
feedback.

1833
02:58:24,840 --> 02:58:28,480
we do really listen to your feedback, there's a QR code,

1834
02:58:30,760 --> 02:58:32,120
and if you can please return your

1835
02:58:32,120 --> 02:58:36,420
clickers. We would appreciate that. Please don't take your clickers on with us.

1836
02:58:36,420 --> 02:58:38,420
Girl's Christian is very sad.