[0:04] 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.

[0:30] My, my, my, I got some residents here. My pronouns are he and his. I'll be facilitating today's session.

[0:37] 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.

[0:46] We are recording today's session. It's a public meeting. So just as an FYI,

[0:52] As science, if you are a member of the public,

[0:56] please use the QR code that you see here,

[0:59] or a link that will be placed in the chat box.

[1:04] If you are a BHSA member and you are joining us online,

[1:09] you don't have to do anything else.

[1:11] You are already signed in.

[1:14] Today's materials can also be accessed using this QR code.

[1:18] And for those of you who are here in person,

[1:21] 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.

[1:33] And then there are, I think, four sets of slides. Two of them have to do with prevention and early intervention.

[1:41] And the last two have to do with the continuum of services for children and transition age youth.

[1:48] So those are the documents for today.

[1:50] Hopefully you have them all.

[1:52] They are available also in Spanish and Korean.

[1:56] ASL is provided today, both in person and online.

[2:01] And to pin the ASL interpreter on your screen,

[2:05] if you are joining us online, hover over their picture,

[2:09] click the three dots, and then select pin for me.

[2:14] That'll stable like the picture.

[2:16] and cart service is available over on my left-hand side and there is also a link in the

[2:24] chat box for you to access cart services. Spanish and Korean interpretation are also being

[2:32] provided in person if you can go to the corner table they have the headsets and everything over

[2:39] there and if you're joining us online and need access to interpretation again look at the links

[2:45] in the chat box for the telephone line for interpretation.

[2:53] The chat box for those of you joining us online

[2:56] is mainly to access all the items and resources

[3:00] that I just mentioned.

[3:02] And also to communicate with us at any point

[3:04] during the meeting, something shuts off.

[3:07] And we just aren't communicating well, just let us know.

[3:11] And again, we encourage you to use the chat box just

[3:14] when we ask you to use it.

[3:17] And if all else fails, please use the following email

[3:22] community stakeholder at dmh.lycounty.gov.

[3:26] That's community stakeholder at dmh.lycounty.gov.

[3:30] Members of the public, you're welcome

[3:32] to participate on equal terms today

[3:35] and CPT members, welcome.

[3:39] And last two announcements,

[3:41] we always try to make this a safe space

[3:44] for everybody because if we're feeling safe, we can be creative and so be present, speak from

[3:50] your own experience, it helps connect with others to know where you're coming from, in your

[3:55] small group conversations, practice confidentiality when someone says something sensitive, step

[4:01] up when you need to say something but also step back when to give other people an opportunity

[4:07] to speak. We usually have about a one minute rule so that when you get to speak, just think

[4:12] 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.

[4:29] 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.

[4:39] 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.

[4:54] Okay, let me go through the land acknowledgement as well as the labor acknowledgement if I can have you

[5:00] Attention. The county of Los Angeles recognizes that we occupied land originally and still inhabited and cared for by the Tongva,

[5:10] Tatabian, Serrano, Keesh, and Shumash peoples. We honor and pay respect to their elders and descendents past, present and emerging.

[5:20] As they continue their stewardship of these lands and waters. We acknowledge that settler, colonization resulted in land seizure,

[5:28] disease, subjugation, slavery, relocation, broken promises, genocide and multi-generational

[5:36] trauma. This acknowledgement demonstrates our responsibility in commitment to truth, healing

[5:41] and reconciliation and to elevating the story's culture and community of the original

[5:47] inhabitants of Los Angeles County. We are grateful to have the opportunity to live and work

[5:53] on these ancestral lands.

[5:57] Then our labor acknowledgment is this.

[6:00] We must acknowledge that much of what we know of this country today, including its culture,

[6:07] economic growth, and development throughout history, and across time, has been made possible

[6:12] by the labor of enslaved Africans and their descendants who suffered the horror of the transatlantic

[6:18] trafficking of their people, chattel slavery, and Jim Crow.

[6:22] 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.

[6:35] Thank you for taking the time to start off with our labor and landing knowledge.

[6:39] And so what are we here to do today? We're going to focus on three items.

[6:44] The first is sharing updates as we do every time on the community planning process on the community planning team.

[6:51] and other important items for this planning process.

[6:56] The second objective is to share with you all

[6:59] and discuss prevention and early intervention programs.

[7:03] And the third item is to discuss and present

[7:09] the services in the continuum of services

[7:12] for children and transition age youth.

[7:15] So this should be three objectives for today.

[7:18] Here's what the general agenda looks like.

[7:20] It's different, then, or slightly different than the one you have, we made some general changes.

[7:26] The structure is going to be the same, but we're going to move folks around a little bit differently.

[7:31] 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.

[7:41] 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.

[7:49] And then the group that has the smallest number of people will go upstairs as we have done in previous sessions.

[7:56] While you are up there, after the presentations, then you'll take your break up there.

[8:02] I'll give you more information on that in a second.

[8:05] So we'll do the breakouts and in the breakouts, that's where you can spend the remainder of your time here.

[8:11] And then at the end, they'll do a closing.

[8:14] The closing will be part of your breakouts.

[8:15] We won't need to come back together again.

[8:18] 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.

[8:36] Good morning, everyone.

[8:39] Morning.

[8:40] I would like to start off by saying we always always appreciate your time and commitment to this process.

[8:46] 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.

[8:59] So just give yourselves an applause for getting to this point.

[9:04] We've met a lot of strides in getting our integrated plans together.

[9:09] So again, thank you.

[9:10] We are always grateful that you chose to be committed to what we are moving for our behavioral

[9:17] health system in 2026.

[9:21] We go in over a little bit earlier about what today is going to be about, we're going

[9:25] to look at our prevention and child and take continuum, but we want to get to our next meeting

[9:32] in January.

[9:34] 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.

[10:00] 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.

[10:28] 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.

[10:38] So that session is going to be Tuesday, January the 20th.

[10:41] It's going to be from my 30 to 330.

[10:43] We are going to be at DMH Terrace.

[10:47] Okay, so lots of parking, free parking.

[10:51] And so just know that's going to be at 510 South Vermont on a terrace level.

[10:56] So please mark your calendars and extend the meeting time for that date.

[11:02] During that session, we're going to go over again to integrated plan.

[11:05] We're going to have some other presentations about the budget, follow up on some housing

[11:10] interventions, as well as if there are feedback items or questions that you have that come out

[11:17] of this session today.

[11:19] We encourage you to bring those as well to the 20th because there will be space to also discuss

[11:24] those and give feedback around those areas.

[11:28] Next slide.

[11:31] Again, we're membership.

[11:34] So CPT membership.

[11:37] For those who here is a formal CPT member, can you raise your hand?

[11:41] You've got the land here.

[11:43] You've got the land here.

[11:44] If you're a formal CPT member, that means you are representing a group and interest.

[11:50] And so once again, thank you for your increased level of commitment to this process.

[11:55] as Bob being a CPT, formal CPT member.

[11:58] For those of you who would like to become a CPT member,

[12:02] we really want to extend warmly extend you membership.

[12:07] We are looking at inclusivity as much as inclusiveness

[12:11] as we can get.

[12:13] So if you know someone that represents an interest

[12:15] that you don't build is really supported

[12:19] or has not supported as much as you would like it

[12:24] be supported, maybe a group or an issue. We want to hear from you. We want people to represent

[12:30] their interests and for this process to continue to be inclusive as possible. We look for

[12:36] diverse representation and we look for people who really want to come to the table and talk about

[12:42] gaps in our system and how we can best address them collectively, especially as we move into

[12:48] be at you say in 2026. So we're extending membership through June 2026 for those who are already on a CPT membership,

[12:56] you will remain on there until June 2026. If for whatever reason you don't want to extend your

[13:03] membership to that timeframe, just please reach out to me and let me know. My team is in the back at the table.

[13:11] You can let them know or you can just merely send me an email. We appreciate your commitment to this point.

[13:17] but we do understand things happen and then maybe you can also help us identify someone else that

[13:23] may be interested in filling your spot behind you. If you want to end your membership please let us

[13:31] know by January 30th and that's just mainly so we have time to really search for another representative

[13:39] for your group as we move into our second phase of integration and looking at plan implementation

[13:46] and outcomes and that's going to start on February the 10th, 2026. So if you can please,

[13:53] please let us know if you want to end your role as a CPT member by January 30th.

[14:00] Next slide. Just to take you guys on the journey that we've been through together, we're holding hands,

[14:08] we're on the bus together, we're on the train together. So this is our roadmap and where we are.

[14:16] Back in December of last year, can you believe it?

[14:19] It's been a year, time flies when you're having fun.

[14:23] So back in December, we started this process around BHC site planning.

[14:30] We brought on U.S. CPT members, we opened it up to the public,

[14:34] and we began the process of going through this plan.

[14:38] Now we're at the end of that process, which is today, December 9.

[14:44] And today is between today and January 20th is sort of our wrap up of that stakeholder process.

[14:51] 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.

[15:00] 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.

[15:09] 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.

[15:20] 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.

[15:37] That plan will then go to the board offices.

[15:41] We do like to provide a preview to our different board offices,

[15:45] so that they can provide their feedback and really

[15:48] chime in on the process that allow us to

[15:52] arrive to that draft plan.

[15:55] Then that plan after the board office goes to the CEO

[16:00] for their feedback and input and then finally after all

[16:05] that is collected and then overlay into the draft. It will then go through a public posting period.

[16:13] So once again, this is not your last opportunity to provide feedback. There is the 30-day public

[16:19] hosting period that we hope to begin in the early months around March, February, so that you can

[16:29] on lines to make sure written feedback, there will be a session with the behavioral health

[16:36] commission on January 8th, right? With the behavioral health commission on January 8th,

[16:44] that is an opportunity on January 8th and noon at headquarters again to again review what

[16:51] we're presenting as a draft plan and to give feedback in that session. You then will have another

[16:56] opportunity when it is publicly posted for 30 days, and then you all have another opportunity

[17:02] when we do the formal public hearing with the PI Bureau Health Commission on April the 9th.

[17:09] So please mark those dates on your calendar share with your respective groups that you

[17:15] represent that there are multiple multiple avenues and opportunities for feedback before we get to the finalized

[17:22] plan. Once the 30-day posting is complete, the commission has the opportunity during the public hearing

[17:29] to share their formal feedback and to respond to us accordingly. There is public comment in that

[17:35] session. And then once we get support within the behavioral health commission and in the public feedback

[17:42] session, in that arena, then we can finalize the plan to actually go for a formal board hearing.

[17:51] 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.

[18:03] There's always a public comment period there as well when it does go for board hearing and approval.

[18:10] 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.

[18:18] 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.

[18:34] So the only, my last update is about updates from the state.

[18:40] So as of November 13th, the California Department of Public Health released its prevention guide.

[18:48] And so you are welcome to go online and view that.

[18:53] The comments for that guide were due on the second of December.

[18:59] So that time period has unfortunately passed,

[19:02] but it is available for you to review to see

[19:06] what the state has described for us around prevention.

[19:10] And so I encourage you to stay updated with state information.

[19:15] If you need emails or where to subscribe to get updates,

[19:20] we're here to help you, please reach out to community,

[19:22] stay colder, at BMH.ly.com.gov or just stop at the table.

[19:26] my staff here here to support you. Again I'm going to leave on that note, but thanks thanks thanks

[19:33] thanks for always showing up and being a part of this process and I look forward to working with you

[19:39] well into our next phase. I'm going to turn it over to Katherine from Stephanie.

[19:49] Thank you,

[19:49] Darlige. I think similarly I wanted to say when we were driving over here it was kind of reflecting

[19:54] on the journey that we've been through and thank you to everyone but particularly I'd like to

[20:00] 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.

[20:07] So thank you for bringing forward this SDD community voices. I know at the beginning we were wondering how that might look.

[20:13] 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.

[20:22] So, I think, you know, really just shared a lot of really useful information. And as

[20:28] as we always do, we want to make sure that we are responsive to the feedback that we get from

[20:32] all of you. So, needing feedback that will also be reflecting on as we think about the new

[20:38] year and the meetings that we have. So, what we heard from your last meeting was that

[20:43] really appreciated the informative information that you were given that we covered dual diagnosis,

[20:49] housing, SUD, the Q&A session, breakout discussions, did okay, seemed to be appreciated and was

[20:58] well-managed and inclusive way to make sure that people could contribute.

[21:03] Some things that we heard we could improve is providing more time for Q&A in discussion to

[21:08] fully explore the topics and for example, implementing a better system to track question order,

[21:15] 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,

[21:41] and, you know, in particular, we heard providing space for table voices and representatives,

[21:44] to share their perspectives, which we've been working on with youth and others to see how we can incorporate them,

[21:51] and then we know there were some specific net questions as well that we will follow up on.

[21:57] Did I have any additional slides?

[22:00] Was it, did we want to mention module four?

[22:04] Sure, go ahead.

[22:05] Okay, so speaking of state guidance and fun things to read through,

[22:09] module four of the county policy module manual has been released.

[22:15] This module contains information about your evidence-based practices, your community

[22:19] to find evidence-based practices which we've heard a lot of people speak about.

[22:24] There's a biennial list so you probably want to look at that and see what's included.

[22:28] There's more information also around oversight and accountability.

[22:32] So if you're curious how the state plans to keep counties accountable and track that,

[22:37] Um, I think there was something, was there something else to be said, uh, but those are the main things.

[22:44] Okay. Those are the main things. So as usual, it's available through the DHCS website.

[22:49] 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?

[23:02] 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.

[23:12] Okay, thank you.

[23:15] Thank you so much, Kevin.

[23:22] 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.

[23:32] deadline to continue to add your voices to and feedback to the state on these rules that

[23:39] that they're developing around the work that we're doing.

[23:43] Let me now start transitioning us into today's content and let me start off by reminding us

[23:50] that this is the behavioral health continuum. The state, as you may recall,

[23:58] is playing a much more directive role in this work compared to the MHSA era, which the state

[24:07] delegated a lot of autonomy and power to the counties.

[24:12] BHSA, the state is playing a more directive role.

[24:15] This is also why it's great if you can give comments on whenever they have an open

[24:21] common period to send in your comments, so that the rules that they end up developing are informed by our voices, right?

[24:30] 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?

[24:41] There's these population-level goals, like decreasing homelessness, decreasing incarceration,

[24:47] those are population-level goals.

[24:50] We will come back to those during our forum on the 20th of January, but what we're trying

[24:55] to do now is finish up the continuum, right?

[24:59] So, they can see.

[25:00] 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?

[25:24] So far, we've covered all of these components of the continuum of care so by now you probably

[25:30] have a pile of PowerPoint presentations that have covered each one of those.

[25:38] One of the things that we've noticed is that whenever we do polling of how much and

[25:45] how familiar you are with the services, we're seeing that most of you might be familiar

[25:53] with the SAFC services but not the DMH and then vice versa that mental health might be familiar

[25:59] with mental health but not necessarily with the public health side. So we are in a phase

[26:04] of learning about each other's services and so far we've covered these services that are embedded

[26:13] within each of these segments of the continuum. What we're going to focus on today is the primary

[26:21] prevention and the early intervention components of the continuum.

[26:26] Checking me so far.

[26:28] All right.

[26:30] And so to start with, Christian, can you open up this slide?

[26:34] I'm going to, you all have the clickers.

[26:38] Does everyone have a clicker?

[26:40] If you don't have a clicker, raise your hand,

[26:42] and we will have a team walking around with the clickers

[26:46] as Christian sets up the slides.

[26:50] Just after today, after you're done with the polling, just make sure that if you need to leave early,

[26:55] if you are a CPT member, you should have your clicker on your lanyard, right?

[27:02] And then if you have to leave early, just leave the clicker on the table, then we'll pick it up.

[27:06] And I think someone may have left with a clicker last time.

[27:12] So in the honor system, just kind of leave it on the table.

[27:14] We won't know that it was, it was Pastor E.

[27:18] I just kidding.

[27:20] That was in here.

[27:20] It wasn't you.

[27:21] We'll just talk.

[27:22] It's not seeing what you did today.

[27:25] You know.

[27:27] So just in case this is your first time polling.

[27:30] Again, you have five options.

[27:33] And if you're online, you'll have a link in the chat box

[27:38] where you can also express your views.

[27:42] So again, you'll have five options.

[27:43] And just press the button that has the number that you want to use.

[27:50] And that's all you have to do.

[27:51] You don't have to press this little arrow.

[27:53] It'll automatically record.

[27:55] And once you press it, it'll say OK.

[27:58] And it'll flash.

[27:59] It'll tell you that it's been recorded.

[28:01] So that's the polling device.

[28:04] We've tried to keep it as simple as possible.

[28:08] And Christian, do you want to say that?

[28:18] 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?

[28:28] The first breakout is going to be prevention early intervention and the other one is going to be on the children and take continuum.

[28:37] So, do you have the...

[28:53] Can we

[28:59] vote?

[28:59] Yeah.

[29:01] We're...

[29:02] It's polling.

[29:04] Yeah.

[29:05] It's, say, start.

[29:07] Start.

[29:07] We haven't started yet.

[29:10] Yeah.

[29:10] We haven't...

[29:11] Now, if you are online, you can go ahead and use the online format,

[29:16] but I'm just waiting for the technical set up here.

[29:29] Is it an announcement mark?

[29:33] No, it's not.

[29:34] It's not in a way.

[29:35] It is.

[29:36] Something that.

[29:38] Having.

[29:39] College hospital.

[29:40] They are.

[29:41] They are.

[29:44] They are.

[29:46] They are.

[29:50] They are.

[29:56] They are.

[29:57] Thank you.

[30:12] So if you could just, if they want to go to breakout group one, they just press one, right? And

[30:19] breakout group two would be this. So which of the two do you want to go to? Do you want to attend the

[30:23] prevention and early intervention programs, both for DMH and DPH

[30:28] Sapsy, or you interested more in the child and take continuum of services

[30:33] both for mental health and Sapsy Glodin.

[30:35] And press if you're interested in one or in two, and we'll give you how many

[30:41] more seconds.

[30:47] I'll count to five, five, four, three, two.

[30:52] When there's only 26 who've responded and I know there's more,

[30:58] okay, 44, if you can, it's the last one that counts, okay.

[31:03] So there's 16 more seconds,

[31:15] okay, there's a delay, right.

[31:17] So you tell me when you're going to close.

[31:21] All right, so then here's.

[31:26] All right, so that means like how many is that?

[31:33] What's 43 in your B.I.

[31:35] I mentioned earlier in 2016 before.

[31:39] Okay.

[31:40] So then if you're interested in P.E.E.I, then you'll stay here, go ahead and go to the next question

[31:44] person.

[31:45] So if you're interested in P.I, you're going to stay here, so the presenters for P.E.I will

[31:50] stay here.

[31:50] And then children and take continuum, Mary, Leslie, your teens will go upstairs and we'll

[31:55] walk with you upstairs and we'll present there.

[31:58] Okay.

[31:58] So how well you can start answering now, right?

[32:02] Okay, so how well do you know

[32:05] DMH's prevention and early intervention programs?

[32:09] I have never heard of them.

[32:10] I have heard of them, but don't know much.

[32:13] I know a little bit about them.

[32:15] I know them fairly well, and I know it very well,

[32:19] and can explain.

[32:20] In Christian D. should be 1, 2, 3, 4, 5, or...

[32:24] Okay,

[32:33] so nine seconds to go six, five, four, three, two, one. Okay, it's good and reveal.

[32:45] All right,

[32:46] so we have a group. We have a 21, 33, 34 that know a little bit about, okay so this is a

[32:56] different than what we've had in the past,

[32:58] where most folks are in one or two, right?

[33:01] So, okay, so looks like the starting point

[33:03] is a little bit more robust.

[33:04] Now, about 36% already have heard about them.

[33:08] And about one in five already know them fairly well.

[33:11] So, for those of you that are presenting

[33:12] and prevention or the intervention,

[33:14] you have a, I think, a more solid foundation to start with.

[33:18] All right, let's go to the next question.

[33:19] This is, next question is about how well do you know,

[33:30] It's the same option, so you can go ahead and start pressing now.

[33:37] All

[33:47] right,

[33:58] so here we have, I'm just going to look at the 29, 38, 45.

[34:07] So 45% are already know a little bit about them or know them fairly well.

[34:13] to DMH. So it sounds like, how many of you were able to go to one of the forums for prevention

[34:18] or were online? Yeah, raise your hand. Okay. So it sounds like some of this is really from all the

[34:25] information that we've given you. All right, let's go to the next question. So definitely it sounds like

[34:30] there's at least the beginning knowledge of this. So you don't have to cover everything, right?

[34:36] Okay. How about the children and take continuum? How familiar are you with them?

[34:42] With it, again, a through e,

[34:58] four, three,

[35:00] To one, okay, let's look at the results.

[35:07] So for those that are in the children taking a team, I think you have a different starting point.

[35:13] 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.

[35:22] Okay, and then let's go over to the last question, which has to do with DPH apps,

[35:29] these continuum for TAID, to transition age youth and so go ahead and click,

[35:36] which one represents your level of familiarity with that.

[35:41] And we've got about 15 seconds to go.

[35:58] Okay, let's look at the result.

[36:09] Okay, that would be about

[36:16] 70% or one in the two.

[36:19] So I think folks that are going to join that one

[36:22] are to have a different starting point

[36:24] and need more foundation building.

[36:26] All right, thank you.

[36:28] So let me put up my name.

[36:30] Is there anything else you can do?

[36:32] In a shot, it's quite, all right.

[37:05] Well, I hope that you're finding the polls.

[37:08] 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.

[37:15] There's a different starting point than children and tape. So here are subject matter experts.

[37:21] Stephanie Chen, where are you? I think over here from from DPHSFC, Dr. Robert Bird,

[37:29] Dr. Kerry Pesantia, I'm not sure if she's here today, but I can't take this here. Okay,

[37:35] going to be presenting for the prevention or the intervention, Stephanie is going to get a

[37:42] started there and then followed by Dr. Bird and Kanchi. For breakout group two, we have Mary

[37:51] Burraza and these are the other folks that were listed but I'm not sure if they're going to

[37:55] present with you today but it's Dr. Lori Willis, there she is. Erica, Dr. Karina Saur, right

[38:03] I'm presenting behalf of DMH and then Leslie Lopez over the corridor, great to see you from DPH-Safcy.

[38:12] So here's some final instructions for Kristen Dizarre, the instructions for people who are online, right?

[38:21] So why don't we do this?

[38:24] Those of you that are going to be at the child take continuum.

[38:27] 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.

[38:33] Don't keep you from waste your time. So the facilitation team can go up there.

[38:41] 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.

[38:50] 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.

[39:08] If you're interested in the presentation on children and take continuum of care, then here's what you're going to do.

[39:16] You're going to click on the link in the chat to open the Microsoft Teams meeting for breakout room too.

[39:23] So in the chat box, go ahead and do that.

[39:25] The initial meeting will be placed on hold, a new MS Teams will appear active.

[39:31] So if that works for you, if you're on a computer, go ahead and do that.

[39:35] If you're on a mobile device, MS Teams might not let you join another meeting while

[39:41] Another active meeting is open, so you'll need to leave this meeting and open up breakout room too.

[39:48] 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.

[39:57] You hopefully you're aware on how to do this.

[40:00] If you've done this last time. And then lastly, if you want to call in to the TA, child continuum,

[40:09] here are the numbers I'm going to leave these up here for a little bit as we transition.

[40:14] So hopefully we can transition and start around 10, 20, so about eight or so minutes.

[40:19] 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.

[40:26] That was a joke, but okay, so we'll start at about 10, 20.

[40:37] If you guys can please also take your clicker to the challenge.

[40:42] We're going to do one more polling.

[41:01] Oh no, how you do it?

[41:04] That is funny.

[41:08] My voice is burning.

[41:12] My voice is burning.

[41:14] My voice is burning.

[41:14] I mean, I just thought I was sick like that.

[41:16] Yeah, I was sick of that.

[41:19] I was sick of that.

[41:20] I'm talking about your back.

[41:23] I'm gonna knock you like this.

[41:28] I'm gonna knock you like this.

[43:44] I think I'm just like that.

[43:48] You were like that.

[43:49] I just wanted to take it.

[43:52] Like I was like, I'm like a kid.

[43:57] I was like, I thought that himself.

[44:01] That was the whole baby.

[44:04] That was the whole baby.

[44:04] There's things out.

[44:06] She's not so big yet.

[44:08] I just want to do it.

[44:10] I'm wearing a hat.

[44:12] I'm wearing a hat.

[44:13] Yes, man.

[44:49] I'm just gonna ask.

[44:52] I'm just gonna ask.

[44:54] I'm

[44:57] gonna ask.

[44:58] I'm just gonna ask.

[45:15] We're

[45:18] going to get started in about three minutes, not three minutes, okay? So, get ready.

[47:35] Let's come together for this particular breakout. Please find your seats. We're gonna get started

[47:48] 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.

[48:03] 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.

[48:12] and Christian will be helping as well.

[48:16] So for those of you online,

[48:20] there are a number of ways for you to participate.

[48:22] Christian will be posting a link in the chat.

[48:26] So you can provide your comments in the chat.

[48:29] You can also respond to the link.

[48:31] And there's a worksheet for you to participate as well.

[48:35] Again, this is our breakout on prevention and early intervention.

[48:40] I'm just going to go over.

[48:41] So we're going to start this morning, of course,

[48:43] you're all familiar with our process now

[48:45] with 40 minutes of presentations.

[48:50] Then we will take a 10 minute break,

[48:52] and then we'll have 80 minutes of dialogue

[48:54] for you and opportunity as deeper level questions

[48:57] of our subject matter experts,

[49:00] and then we'll go into closing,

[49:02] and of course, we'll give us feedback on the session

[49:03] and how it went.

[49:06] Our presenters this morning, our Stephanie Chen, LCSWMPH,

[49:11] Division Chief Prevention Services Division with DPH Sapsy, Dr. Robert Burr, Deputy Director of Prevention

[49:19] Services with the Department of Mental Health, Carey Pesanti, SID, Program Manager 3, Prevention

[49:26] Services, and Kanchana T, LCSW Program Manager of Prevention Services at DMH. We're going to begin

[49:35] this morning with Stephanie Chen and all about you, Stephanie, to come out up and we have

[49:43] your PowerPoint, I'll keep you up.

[49:50] Thank you.

[49:55] Bye.

[49:55] Oh, okay, that's right.

[49:57] Thank you.

[49:59] Stephanie did-

[50:00] Thank

[50:05] 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.

[50:15] So many of you I think had already joined us at the prevention forums, so this will feel very familiar.

[50:21] 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.

[50:30] 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.

[50:54] There are also more details about this in module 4, which I mentioned earlier, about what types

[50:59] of programs qualify for this.

[51:04] And then the requirements for the types of programs, actually, sorry, module 4 doesn't

[51:10] relate to prevention, it refers to earlier interventions, so scratch that comment.

[51:15] But for prevention, the types of things that we're looking for are the items on the right

[51:19] site of the screen so those bullet points are what qualify programs for being population-based

[51:26] prevention programs.

[51:29] And then again, these are some of the focus areas for the behavioral

[51:34] health prevention funding. And again, the population-based prevention program guide that was recently

[51:40] released has many more details about what some of those statewide initiatives are, what the funding

[51:46] might look like things like that.

[51:53] The state-wide behavior of health goals, hopefully you are all very, very familiar with these

[51:56] by now, but these are what kind of we're focusing on overall as a strategy across all

[52:02] of our programming.

[52:05] So for prevention, just as a reminder, there's a very specific definition that the state has

[52:11] provided for what BHSA prevention looks like.

[52:15] The first category is promotion.

[52:19] So promotion strikes to improve the well-being of whole communities through strategies such

[52:26] as raising public awareness, reducing stigma, and ensuring access to activities and resources

[52:32] that ensure and support well-being.

[52:35] So really creating environments and conditions best support behavioral health and the ability

[52:39] of these communities to withstand challenges.

[52:43] 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.

[52:54] 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.

[53:12] And with that being said, I'm going to hand it off to Stephanie.

[53:20] Thank you so much, Katherine.

[53:21] Again, nice to see everybody.

[53:23] My name is Stephanie Chen for those who haven't met me before.

[53:26] I'm here to talk about generally what are programs are at SAFC in terms of primary prevention.

[53:31] And I'm happy to also answer any questions at the end.

[53:35] 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,

[53:45] and individual risky behaviors that overall minimize and prevent substances due to initiation

[53:51] before it leads to addiction.

[53:56] So a lot of our work is working closely with community partners, county partners,

[54:01] community members to address this issue using a prevention lens.

[54:06] So we served over 69,000 individuals annually.

[54:10] We closely partner with subcontracted CBOs

[54:15] or provider agencies, some of which we're here today, I can see.

[54:18] And we also have multiple site locations

[54:21] about LA County to ensure coverage

[54:23] with all the catchment areas throughout LA County.

[54:27] In general, we have all got prevention

[54:29] from four main strategies.

[54:31] One is to increase community education awareness

[54:35] by focusing on youth, developing their skillsets, leadership skills,

[54:39] ways to promote and prevent access and availability of substances, as well as making healthy

[54:45] decisions. The next strategy is mobilizing community. We use that word intentionally because we work

[54:51] with community partners who then work with other community members, stakeholders to ensure that

[54:58] we are reaching audience.

[55:00] 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.

[55:20] 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.

[55:28] So we devote a lot of resources to having needs assessments, doing environmental scans

[55:35] so that we can collect better information about what the scope of the problem is in our county.

[55:40] And then lastly, we devote a lot of resources to creating and implementing mass media campaigns.

[55:48] Because there are millions of residents here in our county, one of the strategies we use

[55:52] is to have a creative, positive, public health messaging

[55:56] that increases exposure of messages that hopefully influence

[56:01] your individual collective decision-making

[56:04] on whether or not to use substances.

[56:07] This is just a general slide to summarize

[56:10] the different types of providers and partners we work with

[56:13] and collaborate with daily.

[56:15] So it ranges from working on co-located well-being centers

[56:18] in over 45 high schools across LA County, we also are embedded with public health centers,

[56:26] we work closely with Lake O, other county agencies such as DMH, Parks and Recreation,

[56:33] all of our libraries, as well as with our individual CVOs. This is one example slide. It's a

[56:41] lot of information, but the end goal here is to share how we take data that we collect from a

[56:47] this lesson, looking at different factors such as access and availability, how accessible

[56:54] are alcohol retailers in your city? What is the density level that we need to be concerned about?

[57:01] What are the social norms in your culture that influence individual and collective use?

[57:06] What is the prevalence of substance use in your area? How does all this come together to see

[57:12] how we look at perceived risk of harm,

[57:15] whether or not you perceive that using with friends

[57:18] and family is perceived to be normal and acceptable.

[57:22] A lot of this is what we collect,

[57:23] to better understand within each service planning area,

[57:27] how we want to implement interventions.

[57:30] And so a lot of it is data driven.

[57:32] And after that, we obviously work with our partners

[57:36] to design and implement specific interventions

[57:39] to address local needs.

[57:40] because not all programs are designed for everyone.

[57:44] We want to adapt specific interventions that specifically

[57:47] need the needs of that target community.

[57:50] And that's what we try to do by conducting our assessments.

[57:54] We do one every three years.

[57:56] We reach over 10,000 individuals.

[57:58] We collect that data, analyze it, and produce really good analysis

[58:01] for which we use that to derive interventions in evaluation.

[58:06] So with Kath and Shood before, we also look at these different categories

[58:11] help us understand also who we're targeting and why we're targeting them and for what purpose.

[58:18] 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.

[58:26] 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.

[58:34] One example is a most recent media campaign that we launched.

[58:39] It's called Frontline.

[58:40] Together we do feed overdose, obviously for those who are aware.

[58:43] The federal crisis is a big issue here in our communities, particularly among youth.

[58:49] And so what we are doing is kind of combating that by addressing the messaging and the perceived risk

[58:58] harm that some communities feel and so a lot of that is looking at target populations looking

[59:06] at general non users, some experimenters and teams. We look at campaign awareness goals,

[59:14] so changing attitudes, increasing education, also increasing access to calling our hotline

[59:20] if you feel like an individual needs additional support. We also did general to meet our

[59:26] education every day all the time out on the community going to health fairs, preventing

[59:32] at schools, doing parent, parent meetings, addressing issues that neighborhood council meetings,

[59:41] conducting town halls, meeting with pharmacies, we do a lot in the community to build that

[59:47] relationship and also to increase awareness about the different risk factors inherent in the

[59:54] this is today from cannabis to alcohol to prescription drugs to nothing but me.

[1:00:00] 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.

[1:00:19] So we do partner with Parks Recreation to provide annual services to over 13 parks.

[1:00:29] And so what they do is provide essential after school services that are not traditionally seen

[1:00:35] as substance use programming but to us it is because we're giving these youth an alternative to use.

[1:00:41] We're giving them opportunities to expand their leadership skills as a way where they can build a social emotional capacity

[1:00:47] to make healthy decisions not only for themselves, but to be effective models for those around them.

[1:00:53] We also work with public health to support the Youth Advisory Council,

[1:00:58] which again is another strategy to ensure that youth are officially mentored,

[1:01:04] and have the skills they need to develop collaboration and Christianity impacts and be involved

[1:01:10] with the system, giving us feedback on the needy campaigns. So a lot of the work that we do

[1:01:15] really does involve youth feedback because we know youth really do have an expert opinion that we want

[1:01:22] to honor and involve them in the community planning process. We also have a project here that addresses

[1:01:30] the harms associated with fentanyl, opioids, and also prescription drug misuse interviews.

[1:01:36] So our strategy is to look at print multimedia, expanding that knowledge, that way we also do extensive

[1:01:44] recruitment of pharmacies that are willing to support our campaign. We also support the drug take

[1:01:50] back days, which is where community members bring back medications that are unused and unneeded

[1:01:57] in a safe way. And then lastly, we partner with, again, schools, childcare centers, CVOs,

[1:02:04] health plans, et cetera, so that they're also committed to this as well. Most recently, we've been

[1:02:10] conducting a large project county wide looking at snow shops more particularly unlicensed cannabis

[1:02:16] products that are unregulated, but sold in unlicensed cannabis, and series and traditional

[1:02:21] snow shops. This is important because it addresses the accessibility issue. If we have

[1:02:26] availability of this products that are shown to cause harm, have additional pesticides and

[1:02:31] chemicals that could do not aware of, and also hold high THC content that is not being enforced

[1:02:37] correct with anywhere. We've had efforts here that have led to environmental scans, official

[1:02:42] complaints to regulatory agencies and authorities, and the notification letters to tobacco

[1:02:48] retailers across LA County, and most recently statewide emergency ban on products. So that

[1:02:55] is direct effect of the local efforts here in LA County. We have also influenced other counties

[1:03:03] such as Santa Clara County, Ventura County,

[1:03:06] who are now doing something very similar

[1:03:07] because of our work.

[1:03:08] So it's being replicated.

[1:03:10] So it's a very exciting way to see how

[1:03:12] LA County is taking the lead

[1:03:13] and identifying the problem early

[1:03:15] and working with community partners

[1:03:17] and community members and tandem

[1:03:20] to build advocacy efforts to lead to statewide policy change.

[1:03:24] And then we also provide

[1:03:25] special centers and communities

[1:03:27] where individuals can seek our services.

[1:03:30] We also have field-based opportunities

[1:03:32] where we go out to you, we can conduct also additional streamings and support. So we want to be available

[1:03:38] to communities and not have them come to us, but we go to you.

[1:03:45] And thank you so much. And with that,

[1:03:47] I will let DMH kind of take the next step, but I appreciate you. Thank you.

[1:04:10] Okay. Good morning.

[1:04:16] How many of you participated in the planning process for MHSA, either the annual update, or the

[1:04:24] three year planning in the past?

[1:04:28] Okay, like a good third to a half. Okay, so this process looks

[1:04:33] a little different from the prior process. Agreed? Okay, I want to highlight two very important

[1:04:41] things that Dr. Corn pointed out when we started this morning. Today, December 29th,

[1:04:52] and then Tuesday, December 20th, are technically the last two days to provide feedback.

[1:05:00] For this planning process, for the integrated plan, for our first three year plan under BHSA. So if you have not taken advantage

[1:05:13] of opportunities to use these poster boards, the papers on your tables, to ask questions and get

[1:05:18] them on record, this is your opportunity, and again on December 20th.

[1:05:24] to January 20th. Thank you, January 20th, to make sure that we have your feedback, right?

[1:05:34] Because this is a stakeholder process. We need to make sure that we hear your voices, what

[1:05:39] you think is needed, what you think is missing. And I know she covered it really quickly, and I thought

[1:05:46] we should probably really highlight that. So before we start, there you go. I want to make sure

[1:05:51] people are dialed into that, and are tracking that, and people are already writing.

[1:05:59] Okay, we can go to the next slide.

[1:06:04] Am I doing the next slide?

[1:06:05] Do I go like this?

[1:06:10] I have the power.

[1:06:13] So just in summary, BHSA is the first big reform of the Mental Health Services Act or the

[1:06:23] in 2004. BHSA kind of transforms things a little bit. Focus is on vulnerable at risk, set aside,

[1:06:33] specific funding allocations for children in youth. It brightens the priority population to include

[1:06:41] individuals with substance use needs and it allocates allocations for local services state,

[1:06:50] delivered services, states, vision for prevention, et cetera.

[1:06:58] Right on. This is kind of a summary of some of the changes that are coming with

[1:07:04] BHSA. You have this in your slide, tech, so you can read this. As July 1 hits us,

[1:07:13] image as they go away, the HSA stands up. So these new things are coming.

[1:07:22] I'm going to go

[1:07:22] kind of high level because I saw the poll results at the beginning, and I know I have the room

[1:07:27] with the most knowledge. Here's the target populations. If we compare it, it may just say with the

[1:07:33] HSA. So image as they target populations were participants who were potentially risk for a series

[1:07:43] mental illness, membership in a group of population with greater than average risk,

[1:07:49] be it just a kind of broad inset, as I said, as other people here have said,

[1:07:55] to really expand the target populations. It also takes away population base. So once we move

[1:08:02] into PHS a early intervention, which is what counties are responsible for, the population-based

[1:08:08] prevention services, of which we've done many, no longer

[1:08:13] risk with us.

[1:08:15] Those dollars go up to the state and the California

[1:08:18] Department of Public Health will be responsible for

[1:08:20] managing those dollars,

[1:08:24] hopefully meeting the needs

[1:08:25] locally.

[1:08:26] Yeah, I feel to be interested in those of

[1:08:32] Okay.

[1:08:43] Here's the services that we were able to include under MHSA early intervention, the services

[1:08:52] that are coming with BHSA early intervention. We had a provider meeting last Friday and

[1:08:59] One of the things I really want to highlight around the services that are coming with

[1:09:04] BHSA is increased flexibility.

[1:09:07] I think that when the state started pulling together listening sessions, when the California

[1:09:13] Behavioral Health Directorial Association started pulling together listening sessions,

[1:09:17] we were pretty vocal that with these changes, we would like some more flexibility.

[1:09:22] Under MHSA, early intervention was really capped at 18 months, unless it was a first

[1:09:28] or first episode psychosis, in which case we could see an individual for four years.

[1:09:35] Needs don't necessarily go away in 18 months or four years.

[1:09:41] So we advocated for some more flexibility and under the HSA, we don't have those

[1:09:49] cut-off dates. So if somebody needs services for 20 months that are early intervention or 24

[1:09:55] We can continue to deliver services to those individuals.

[1:10:00] Without exiting them from early intervention and into a different type of service. So it gives more

[1:10:07] flexibility to the client. They get to keep their treatment in. It gives more flexibility to

[1:10:14] our legal entity providers. They don't have to disassemble somebody from EI, put them in FSB. And it's

[1:10:22] less administrative burden because it's not to for now comes. It's not all of the new paperwork

[1:10:28] that's required for disenrolling, re-enrolling.

[1:10:31] So I do think that BHSA's bringing some really good things,

[1:10:38] including the broadening to include services for substance use disorders.

[1:10:47] So this slide includes a sample of some of the programs that we funded with MHSA prevention dollars.

[1:10:58] It's not all inclusive because

[1:11:02] MSA has been alive for 20 years, and this would be 18 pages, but we looked at like the last two or three years.

[1:11:13] Also, a big initiative we funded with MSA Prevention Dollars was the incubation academy.

[1:11:20] 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.

[1:11:33] Do you want the good news to add that news?

[1:11:37] So with the state with our BHSA prevention dollars going up to the state, some of these programs

[1:11:45] are being sunset, like the incubation academy.

[1:11:52] So we can go to more detail later about which ones we're going to try to advocate to continue,

[1:11:59] But we did do a lot of work, we talked about the continuum earlier,

[1:12:08] we are this little red box right there.

[1:12:11] That's what we're focusing on today.

[1:12:16] So like I said, the responsibility for primary prevention, which is the state's defining as promotion, universal prevention,

[1:12:23] select a prevention is going up to California Department of Public Health.

[1:12:27] They're having listening sessions, they have stakeholder groups, go to their website, join

[1:12:32] their listserv, if you have an interest in prevention services, if you have an interest in prevention

[1:12:38] services at the local level that are informed at the local level, I would say get under this

[1:12:45] serve. Make sure you're showing up to their listening sessions. The county's responsibility

[1:12:50] under the HSA will be for early intervention. Again, flexibility, right? So one of the things

[1:12:57] we got to keep was indicated prevention. It was on a prior side. In that nice little arc,

[1:13:08] it's the very first part of early intervention, but indicated prevention is part of what we get to keep

[1:13:13] to deliver locally,

[1:13:17] so that's good, because what we did, I'll hold that thought for a second.

[1:13:26] Catherine talked about this really briefly. The seven that are circled in red are the seven

[1:13:32] population health goals we have to report out on. There will be more coming about that in future sessions.

[1:13:43] 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.

[1:14:01] Locally, 30% of the dollars have to go to housing,

[1:14:06] 35% have to go to FSP, and then 35% have to go to the behavioral health support services category.

[1:14:19] 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.

[1:14:33] again, we're focused on this section right here. So we're going to focus on these three areas for

[1:14:42] VHSA,

[1:14:46] and hopefully because you've been to prior meetings, you're ready to have some comments and some feedback.

[1:14:52] So this just kind of walks you down through the breakthrough, break out of the funding. So under VHSA.

[1:15:00] 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.

[1:15:17] Of that amount, 51% have to be carved out for children in youth services.

[1:15:26] So it goes from 35 and then half of that and then a little bit more than half of that.

[1:15:31] So the pipe narrows and becomes smaller.

[1:15:36] But it's dedicated funding specifically to address the needs of children in youth.

[1:15:44] Okay.

[1:15:50] So the goal of BHSA is to help counties maximize our federal financial

[1:15:59] participation funding.

[1:16:03] So we lovingly refer to it as FFP, but people who don't speak in acronyms,

[1:16:10] it's the federal financial dollars. It's the match that we get from the feds for every service we deliver.

[1:16:15] So to the extent we can open cases and build something to medical, we get money from the feds

[1:16:23] for those programs or services that we're not opening a case or claiming to medical,

[1:16:30] We don't get dollars from the federal government.

[1:16:34] So, we are trying to pivot more toward opening cases,

[1:16:39] and maximizing our federal financial participation

[1:16:41] because that means that our dollars stretch much further.

[1:16:46] If we have the Fed's kicking in 50% of the dollar,

[1:16:50] we can deliver a lot more services.

[1:16:54] So,

[1:16:57] these are the three components that are defined under BHSA or the intervention.

[1:17:01] outreach, access, and linkage, and then mental health and substance use to sort of services.

[1:17:14] Okay.

[1:17:17] So,

[1:17:20] for the intervention, it would be HSA really aims to reduce the likelihood of certain adverse outcomes.

[1:17:26] 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.

[1:17:37] this. You're a greater risk for suicide or so far. We want to avoid unemployment. We want

[1:17:44] to avoid becoming homeless. We want to avoid incursorations, right? So the whole goal of early

[1:17:50] intervention is to reduce known adverse outcomes from not being able to access services.

[1:18:00] Okay, so those three pieces of early intervention that were required to provide

[1:18:09] So if you haven't read the manual that keeps growing in length, there are the three pieces

[1:18:15] we're required to provide indicated prevention,

[1:18:20] so this is focused really on people who are

[1:18:24] at risk of mental health disorders. They don't have to have a diagnosis yet. They just need

[1:18:30] be showing signs or symptoms that are indicative of risk, right? So we have programs that

[1:18:39] were really advocating to continue from that long list of prevention projects, because

[1:18:45] they align well with early intervention, indicated prevention.

[1:18:51] So shortly before, shortly

[1:18:54] after I don't remember, the law passed, my team and I started mapping out the different programs

[1:19:03] that we were currently funding through prevention dollars and cross-walking them to BHSA regulations.

[1:19:11] Where did they fall in terms of early intervention? Could they be indicated prevention? Could they be

[1:19:17] case identification? Could they be straight up services that we could actually claim?

[1:19:23] So we did a lot of work and we came up with some that kind of aligned really well with

[1:19:30] indicated prevention.

[1:19:35] So we know for sure that the prevention and aftercare network are partnership with DCFS

[1:19:42] that the Home Visitation Program, our partnership with Versvivalet and the Wolf connection

[1:19:47] was in which is a non-traditional mental health service that we have partnered with spring

[1:19:54] evolution, who is a parent company of wealth connection, to deliver services to.

[1:20:00] Two children in youth, primarily in child welfare or juvenile justice. We know that these are three priorities

[1:20:08] for our director. But this also gives you a good example of other programs that could fit within

[1:20:15] that indicated prevention definition. Case identification includes assessment, diagnosis, brief interventions,

[1:20:24] and activities needed to create access and actually link somebody to care normally so that they actually show up to their appointment.

[1:20:37] To help reduce prolonged suffering in those other adverse outcomes.

[1:20:42] We mapped a couple of our internal programs to case identification and the multidisciplinary assessment team.

[1:20:53] the DCFS multidisciplinary assessment team map, okay, good. And the qualified individual,

[1:20:59] which is a new program under the continuum of care reform,

[1:21:05] those who really fit nicely

[1:21:06] under case identification. So I do think that those programs will continue, they'll be able to

[1:21:12] get funded through this funding source, and like, we'll be good. And then the standard treatment

[1:21:18] for known disorders is sort of this.

[1:21:24] It's our traditional menu of specialty mental health services.

[1:21:30] From the assessment to case management,

[1:21:34] to individual therapy group therapy, family therapy,

[1:21:38] medication appointments, rehab therapy,

[1:21:40] therapeutic behavioral health services,

[1:21:43] the gamut of the specialty mental health services

[1:21:46] that we contract with our legal entity network to provide in deliver and that we deliver through

[1:21:51] our directly operated clinics.

[1:21:56] Okay, we talked about this.

[1:22:00] It's absolutely did.

[1:22:02] So basically a quick summary of early intervention. We know for sure that some of our programs are

[1:22:11] to be continuing. We know that there's a commitment from our director for the community family resource

[1:22:20] centers. We know that there's a commitment from our director for to continue supporting the work

[1:22:26] we've been doing with the Department of Arts and Culture for creative well-being. And that we use them

[1:22:33] in our short-term residential therapeutic programs. We use them in our society some of it. We use them

[1:22:39] or the parks project after the fires.

[1:22:44] We know that the Department of Youth Development

[1:22:46] is a credible messenger program is continuing.

[1:22:53] Prevention aftercare,

[1:22:55] the home visitation, friends of the children,

[1:22:58] Los Angeles is continuing.

[1:23:00] The wolf connections in the continuing.

[1:23:05] We have two grants for the behavioral health

[1:23:10] student services,

[1:23:13] like Kanchi is really the brains, I'm just the face, so I keep looking

[1:23:18] at her to confirm. There's a grant we have with Los Angeles County Office of Education

[1:23:24] and then beach cities for these two BHSSA grants to support the communities school initiative that

[1:23:32] was stood up there. So those two programs are also continuing.

[1:23:38] There's also programs we're going to

[1:23:39] to sunset because we couldn't cross walk them cleanly to BHSA early intervention funding.

[1:23:47] So we know that our partnership that we've really valued with the Department of Parks

[1:23:54] and Rec, we have several programs with Parks and Rec that we've been supporting, we're

[1:24:00] having to sunset those as a June 30th.

[1:24:03] We have some programs with County Library that we've supported for many, many years that

[1:24:09] We're going to have to sunset as January, June 30th, one of our DYD programs, we're

[1:24:18] able to continue with credible messengers, we're not going to be able to continue with

[1:24:22] the youth development networks program, so that's being sunset.

[1:24:32] Also, I prevail.

[1:24:34] Have any of you access I prevail on our county website?

[1:24:38] It's very likely that that's also going to sunset in June.

[1:24:43] So there are two new apps that were set up at the state level for children in youth that

[1:24:49] are available, but it looks like the one that's operated through us will probably sunset.

[1:24:55] And then incubation Academy, as I mentioned, is properly synthetic.

[1:25:00] 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.

[1:25:10] 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.

[1:25:26] That's all I have.

[1:25:29] Thank you, Dr. Burke.

[1:25:30] Everyone, let's give him a hand.

[1:25:31] Thank you so much.

[1:25:34] What we're going to do at this point,

[1:25:35] everyone is take a quick 10 minute break.

[1:25:38] We're going to come back and we'll have a good 80 minutes

[1:25:40] for discussion with our subject matter experts.

[1:25:43] So let's reconvene at 11 10, please.

[1:25:46] Thank you so much.

[1:29:36] It's not about the

[1:29:41] AI thing.

[1:29:45] Yes, it's about the AI thing, so.

[1:29:47] And now it's just got enough has to go.

[1:29:51] So as you know, it doesn't seem to be the one that you call this.

[1:29:57] Yes, it's just about the AI thing.

[1:29:58] Yeah, that's great.

[1:30:00] On behalf of the committee, on behalf of the committee, we're working on some of the committee.

[1:30:06] I think it's just a little bit of a big deal.

[1:31:12] I don't know how to do this.

[1:35:00] In front of the police, it's wrong.

[1:35:08] It's a fact

[1:35:15] that I've probably been in a meeting a few months.

[1:36:47] I think there are all the steps, that's what I think about not that much, that's what

[1:37:00] I need to say, that's what I need to say, that's what I need to say.

[1:37:04] All right, everyone about 30 seconds left, and we're going to bring our subject matter experts

[1:37:12] us up for discussion.

[1:37:16] I was like a official safe.

[1:37:20] Yeah, okay.

[1:37:21] Oh wow.

[1:37:23] I didn't expect it.

[1:37:25] I didn't expect it.

[1:37:26] I was like on Amazon.

[1:37:28] People in the neighborhood.

[1:37:29] Oh, yeah, I just like my Instagram.

[1:37:31] I'm still alive.

[1:37:33] I'm not.

[1:37:36] I'm not.

[1:37:38] I'm not.

[1:37:38] But I think that's not.

[1:37:40] I'm just having a look.

[1:37:41] All right, everyone.

[1:37:42] We'll go ahead and get started with our

[1:37:45] discussion.

[1:37:51] So if you all could take your seats, we'll get started.

[1:37:56] So all of you are familiar now.

[1:37:58] We're doing this as a panel discussion on our panel.

[1:38:03] Of course, we have Dr. Robert Bird.

[1:38:05] And I'm Katana Tate, both with the Department of Mental Health

[1:38:10] Prevention Services.

[1:38:13] And from the Department of Public Health, again,

[1:38:15] We have Stephanie Chen, who's the Division Chief for Prevention Services.

[1:38:21] If you're gathering from us online, you can post questions to the chat or to the worksheet

[1:38:29] and Christians going to post that worksheet right now, just so I can have access to those

[1:38:33] questions as well.

[1:38:34] So we want to engage those of you who are online first.

[1:38:38] So if you have a question or comment, please raise your hand and Dr. Ruth Chambers will

[1:38:42] give you the mic.

[1:38:46] Good morning, my name is Sinai from African Coalition.

[1:38:50] So I have a question, all this prevention and early intervention.

[1:38:55] Back in the days, how many years ago, we really work hard to come up with this

[1:39:01] USEC group, which we have a capacity building.

[1:39:06] That's because a lot of us know how to reach out the community and also make sure we provide

[1:39:14] prevention and outreach, and that is like reducing health disparity, right? But we've found out

[1:39:21] that fund has been taken away. We just wanted to learn how, why? Because I know for sure a lot

[1:39:30] of us working out front and there has a great outcomes of that's what you're looking for. So which one's

[1:39:37] a better way to reach out to the community, especially the ethnic community? Thank you.

[1:39:45] That was slide, I like that.

[1:39:48] So I to answer your question, I would include it in feedbacks on these examples and on the table.

[1:39:55] That would be a good place to actually record your concern to make sure...

[1:40:00] We have it.

[1:40:03] 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.

[1:40:15] The funds are not going away completely, but what the underserved cultural community subgroups will do is going to look a little differently.

[1:40:29] So it's going to be more around capacity building, outreaching, engaging them to participate in our planning process.

[1:40:37] 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.

[1:40:52] 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.

[1:41:05] So, you were saying that

[1:41:11] this lady could pass the building?

[1:41:14] Let's get you the mic so everyone can hear you please.

[1:41:18] So, the name probably misled the whole thing that could pass to building.

[1:41:22] This wasn't about a capacity in the organization where the provider.

[1:41:26] This is about prevention, I would say.

[1:41:29] The community, because in a way, we are strengthened in committee defined practices

[1:41:34] where otherwise traditional service doesn't provide.

[1:41:37] So am I hearing is going to come different way of funding or is going forever?

[1:41:42] The funding is transforming.

[1:41:45] So the money that was available to do the capacity building projects,

[1:41:50] we no longer have as a July one.

[1:41:53] What we do have is,

[1:42:00] what is the new name for it?

[1:42:02] I totally blanked.

[1:42:04] We probably will have his planning meet plans.

[1:42:08] And I'm sorry.

[1:42:10] I'm so sorry, and I'm sorry to take over your panel.

[1:42:13] Okay, it's tonight.

[1:42:14] If I say tonight, in response to your question, yes, under BHSA,

[1:42:19] we will not be having dollars for capacity building projects

[1:42:23] for the underserved cultural communities.

[1:42:25] But what we're working with, we're working with Dr.

[1:42:28] Horn and her team under planning for community

[1:42:32] stakeholder process, there will be an opportunity for the U.S.

[1:42:36] to obtain a budget, much smaller than what they have right now, but that budget will be

[1:42:46] specifically for planning activities as an opportunity to engage underserved communities

[1:42:52] to be part of the community planning process, which is going to be having community engagements

[1:43:00] that will engage this process at this meetings. I am going to be going to all the U.S.CCs

[1:43:08] and providing updates and add meetings. I will be there and people have more questions.

[1:43:15] I'll be happy to entertain them. What is your name? I'm sorry.

[1:43:18] Mita Lappara Award. I'm the manager three over the U.S.CC unit. Thank you.

[1:43:26] I think that's definitely anything you want to add on to that response.

[1:43:30] No, thank you. Okay. All right. Other questions?

[1:43:35] Please raise your hand. Okay. We have went from Ricardo over here.

[1:43:43] And if you all could introduce yourself before you post your question, please.

[1:43:47] My name is Ricardo Kim. I'm a L.A. County stakeholder. So now it's great to meet you

[1:43:52] from the U.S.CC African African American.

[1:43:55] It's just want to get to know more the U.S.C. co-chairs and members.

[1:44:01] 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.

[1:44:11] A lot of us don't know what's happening in the U.S.C.s.

[1:44:15] We don't know the projects, the podcasts, the movie screenings, the wonderful stuff that each and every group does.

[1:44:23] You don't know about it because we don't see the co-chairs or the members or the members talk.

[1:44:29] So I would just say leave some materials, leave the things that you're doing to each of the peer resources.

[1:44:35] That's one way many of us know the great work that you guys are doing.

[1:44:38] Thank you.

[1:44:42] Thank you, Ricardo.

[1:44:46] Okay, right here.

[1:44:47] Just a bit.

[1:44:49] Go back to Ricardo real quickly.

[1:44:50] Ricardo, if you get in touch with Martala.

[1:44:54] It's the manager for the USCCs.

[1:44:56] We can give you links to the projects they're posted on our web.

[1:45:00] Page, but we all thank you.

[1:45:08] Yeah. Sorry. It's a record of high record. We just got all of our projects awarded.

[1:45:17] Wait, take that back. We have 24 out of 26 projects awarded as of today.

[1:45:23] We have met with all 24 vendors and the projects are in the process of being implemented.

[1:45:30] Once we have flyers for all the community engagement pieces that will come out of all those 26 projects

[1:45:38] we will share them through PIO and we will make sure to share them through the south and the BRCs.

[1:45:45] Thank you.

[1:45:47] 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.

[1:46:05] So we'll do a better job and for sure we will make sure that we disseminate that information within the PRC.

[1:46:11] Thank you.

[1:46:14] I'm going to invite you, yep, please stay on the panel.

[1:46:18] Okay, okay, question the back.

[1:46:20] And again, please introduce yourself.

[1:46:22] Good morning.

[1:46:23] Rick, please do a culture for Salt E.

[1:46:26] A couple questions.

[1:46:28] One on page seven.

[1:46:30] I know this is just a sample, kind of this example.

[1:46:34] But it caught my eye that Salt EAT is probably one of the highest at the highest.

[1:46:40] 6.5% of access and availability.

[1:46:45] That's my first concern there is how are we getting this data, you know, how is it being

[1:46:51] processed, how did we come up with this, that didn't realize our area was one of the hot

[1:46:56] hot items for it.

[1:46:57] I know everybody's thinking about, you know, what's affecting our young people, especially

[1:47:01] fentanyl and another thing that's affecting them today, in the morning I was watching the

[1:47:07] Now, they're talking about the sixth portion.

[1:47:11] It's affecting our young people.

[1:47:12] And I don't see that on here at all.

[1:47:14] How we can combine it or what, you know,

[1:47:16] subtitle or what, what it's under.

[1:47:18] But let's just keep back to that A6% issue.

[1:47:21] How do we collect our data?

[1:47:23] How do we, we need a comprehensive lead to a master data program,

[1:47:28] starting July 1st.

[1:47:29] I would presume.

[1:47:31] But we all have to be on a standard,

[1:47:33] and uniform be very uniform on this.

[1:47:36] It can't just be hospice or like in the past years.

[1:47:39] So if you get addressed that question, doctors,

[1:47:42] or one of the panelists,

[1:47:43] then I have one other follow-up question.

[1:47:45] Thank you.

[1:47:46] Thank you so much for that question.

[1:47:47] I'm glad you noticed that detail.

[1:47:50] So again, you know,

[1:47:51] SAF-Cs prevention programs don't utilize any BHSA dollars,

[1:47:54] so our process is different.

[1:47:55] However, this information is public data.

[1:47:59] So I'm happy that you afterwards

[1:48:01] and give you that links you can access the document.

[1:48:03] So, every three years, our team in collaboration with our QE based partner, some work here today,

[1:48:10] worked together to comprise the questions with our PhD level research analysts,

[1:48:15] and then we actually disseminate the surveys for about 52 item questionnaire to over 9,000,

[1:48:22] 10,000 individuals, all throughout LA County.

[1:48:25] Three years ago, it was during COVID, we did a mix of, you know, hybrid of virtual and person.

[1:48:30] 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.

[1:48:40] So we look at that to see, we'll do you think that getting access to cannabis is easy.

[1:48:46] A lot do. So a lot of that points to other questions of density.

[1:48:51] We look at over-concentration of cannabis dispensaries in specific communities and we use

[1:48:56] that information right collectively to think about ways we intervene and so I'm happy

[1:49:02] to also connect you to some providers in small eight because they are doing this work day

[1:49:07] and day out to kind of address the issue.

[1:49:10] Most of looking at cannabis use for youth as one example, but there are also questions here

[1:49:14] that look at alcohol prescription drugs, meth and fed immunobioids so there's a lot of

[1:49:20] really good information that is accessible and available to you, so I'm happy to get that over.

[1:49:25] We're trying to find ways to share that more widely, so if there's a salt meeting that you

[1:49:29] want us to go to to present that we're happy to do so, so whatever is helpful.

[1:49:33] Yeah, I will be inviting you next year to one of our salt meetings.

[1:49:36] Sounds great, Dr. Lastly, you touched on it really quickly right now.

[1:49:40] The prescription drugs, the pharmacies, there was a broad stroke on pharmacies and

[1:49:46] can you elaborate on that a little bit? What is the pharmacies?

[1:49:49] So we basically invite pharmacists and engage pharmacists

[1:49:53] going in person, meeting the pharmacists there

[1:49:56] and seeing if they're willing to commit to a pledge.

[1:50:00] 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?

[1:50:09] Because that is one of the biggest reasons why we're seeing increased access of prescription drugs among youth. Right?

[1:50:15] Seeing that in their homes, they're not locked. They're not safely stored.

[1:50:21] 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.

[1:50:28] So we'll talk separately, but thank you so much.

[1:50:30] Appreciate that.

[1:50:31] Great.

[1:50:31] We have another question right here, and then we'll go there and then there.

[1:50:38] Good morning.

[1:50:39] Pastor E would sought six.

[1:50:41] I'm slow, so this question might not catch it up with everybody.

[1:50:44] But I know in transition, I hear a lot of pivoting and things like that.

[1:50:48] And we hear just a key, let me use just a key word, housing.

[1:50:52] The thing for me is that we hear housing, but we're not getting a full definition of how

[1:50:57] we pivot with housing. How do we, when we go out to our constituents and we're saying, okay,

[1:51:02] the Department of Mental Health is saying they're shifting from this area to having more funding

[1:51:07] in this area, housing is such a wide range. Word do we get the full information on how we can't

[1:51:15] help people pivot from one area because we're servicing or helping the county to address the issues

[1:51:21] that we've been giving money for before. Now that money's gone, how do we take that same organization?

[1:51:27] not a new organization. How do we take an operating organization and show them my hand?

[1:51:34] How to pivot into housing and how I can all work together that everybody is still working.

[1:51:41] Thank you, Pastor. Any responses from our panel?

[1:51:50] I don't know if Dr. Horne is still here, but there was a housing meeting just like this

[1:51:57] a few weeks ago. Here she is, right there.

[1:52:02] Come on up.

[1:52:09] Look at those guys.

[1:52:12] My fault.

[1:52:16] So, with the transformation from image as a DPHSA,

[1:52:20] there's a lot of words like transforming pivoting,

[1:52:23] changing with regard to housing.

[1:52:26] How do stakeholders better understand what is going to become available?

[1:52:31] What, how people move from this prior funding source of housing into a new funding source of housing?

[1:52:38] How do they gain that information so they can work within the community to educate?

[1:52:43] Sure. So the first thing that I would, is that the question?

[1:52:47] Okay, so the first thing that I would recommend is for folks that have not been a part of the housing forum.

[1:52:53] I don't know if how many people attended the housing forum that we had a few months ago.

[1:53:01] The first thing that I would do if you had not, if you did not attend the housing forum

[1:53:06] is to review the video because a lot of the foundational information about what is and housing

[1:53:13] and what's going to become. Housing under BHSA is gone over very foundational during that housing

[1:53:21] So the link is hosted. I would encourage you to educate yourself just foundation on what the about what is and what will come.

[1:53:32] 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.

[1:53:41] 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.

[1:53:57] 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

[1:54:10] in terms of the things that can be funded under housing and what's going to be a part of the

[1:54:15] plan. So I encourage you if you want to provide input, it's feedback and have a voice in that

[1:54:20] conversation. The 20th is your opportunity. So beyond that, we will shift then onto like the January 8

[1:54:31] commission meeting in which you'll have an opportunity to hear. But really the time for you to

[1:54:39] give me back in here and understand where it's going

[1:54:43] is on January 20th.

[1:54:48] It's just great.

[1:54:50] OK.

[1:54:51] Yeah.

[1:54:51] Take me into the question right here.

[1:54:54] Yep.

[1:54:55] Hi, everyone.

[1:54:56] I'm Nora Admasu.

[1:54:57] I'm with Nani Urban LA.

[1:55:00] 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.

[1:55:17] 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.

[1:55:34] 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.

[1:55:46] I was just wondering what the other colors signify.

[1:55:50] There's the blue colors as well.

[1:55:52] My organization is on there as some other initiatives,

[1:55:56] just wondering what was meant by that.

[1:55:58] That's question one.

[1:56:04] So, that's okay.

[1:56:05] I need to remind myself.

[1:56:08] Okay, so we prepared these slides a while ago

[1:56:13] because this meeting was supposed to happen a while ago.

[1:56:17] The three were really key examples of things that easily mapped

[1:56:21] to indicate a prevention that we knew that our department

[1:56:25] had was supporting.

[1:56:27] So those orange ones were clear.

[1:56:29] We had clear messaging from Dr. Wong,

[1:56:34] that these three were going to be priorities for it.

[1:56:37] The rest in looking at this list, I think we are safe to say,

[1:56:42] are also all being funded for another year.

[1:56:44] 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.

[1:56:57] It's just kind of like a shell game right now with money.

[1:57:01] So I think we're still learning each week something new.

[1:57:06] Thank you.

[1:57:08] 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,

[1:57:14] talks of like that continuity is happening behind the scenes. We are super grateful in that.

[1:57:23] But I also just want to share that, you know, it's really hard not knowing, not just for,

[1:57:28] you know, our organization as we plan, just in general when we think about all of the organizations

[1:57:34] we work with all of the community members that have multiple layers of mental health needs that,

[1:57:40] you know, in some ways touch on prevention, and we're just talking about six months away at this point,

[1:57:48] and some of that is holidays, some of that is different things, and so I'm just wondering, you know,

[1:57:52] I know we had our prevention forum, and one of my big things that I shared during that time,

[1:58:02] and I don't think this is solely the responsibility of the Department of Mental Health,

[1:58:07] 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.

[1:58:34] And we already have our community level expertise,

[1:58:38] so I'm wondering how the state and DMH

[1:58:40] can share this space to engage us.

[1:58:45] You know, like, I think the state should be here.

[1:58:47] The state should be co-presenting.

[1:58:49] What prevention is going to look like in 2026?

[1:58:53] I think the image is doing a lot of work to fill in the gaps

[1:58:56] and there's a lot of uncertainty,

[1:58:58] but I think that should be happening in tandem

[1:59:01] with the work that's happening at the state

[1:59:03] because a lot of us, it's very demanding for us to be here,

[1:59:07] to have to be in another space as well,

[1:59:10] it's unreasonable when we have community work that we have to do.

[1:59:13] So I'm just wondering, what conversations are happening

[1:59:15] with the state to have some kind of engagement

[1:59:21] that's happening with us here at the CBT,

[1:59:24] and also what's being done with the feedback from the form,

[1:59:29] the prevention form that we had together.

[1:59:35] So I can say that we haven't engaged this date to partner with us, that I do know has happened.

[1:59:43] We did have a forum a few months ago.

[1:59:45] I don't know. I could have been a few weeks ago.

[1:59:48] I think a few months ago for all of the child programming for the state CVSS, the California Department of Social Services was there,

[1:59:58] the California Department of Health.

[2:00:00] Care Services was present, county folk, office of child protection, public health, mental health,

[2:00:11] DCFS, etc., were present, and the

[2:00:15] state did participate. So I do think that they're willing to participate. I think that they probably need

[2:00:23] more of the time.

[2:00:25] So I know that those conversations are happening.

[2:00:29] The guidance from,

[2:00:31] and I've heard this from many people here,

[2:00:36] because we've talked.

[2:00:38] The guidance put out by public health,

[2:00:39] a California Department of Public Health

[2:00:41] about the prevention programming,

[2:00:43] feels like they're still developing their plan.

[2:00:46] So I don't know that they can clearly speak to it yet

[2:00:49] because it feels that skeleton they published still feels like a thought process happening.

[2:00:59] So it may be a little bit more challenging getting them here with something substantial.

[2:01:04] The listening session that I attended shortly after they presented that felt very opaque.

[2:01:13] So I think that they're still really hammering it out.

[2:01:20] And so I definitely agree with Dr. Bird.

[2:01:24] They're still working on crystallizing what exactly is their direction,

[2:01:29] but to your point, you all have raised in not just this meeting

[2:01:37] and other meetings and forums.

[2:01:40] How can we collectively advocate and give our feedback

[2:01:44] to the state around these areas that are still very nebulous

[2:01:47] 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.

[2:02:01] That has to separate guidance for you all in supporting you and where you can advocate and what you want to advocate around.

[2:02:11] 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.

[2:02:32] So if that's something and I didn't get a chance to raise that earlier.

[2:02:35] 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.

[2:02:47] That's 20.

[2:02:48] You recorded on your paper, the poster.

[2:02:52] Yeah, I just thank you for adjusting it.

[2:02:55] 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.

[2:03:04] And I'm wondering if, you know, maybe even something as simple as like mentioning the next meetings during this space,

[2:03:11] like that the state is having, could help people to just have that on their radar.

[2:03:15] And then also, you know, just, yeah, I think like when we think about the kind of part of this is,

[2:03:21] you know, as people are doing state-funded prevention, it's going to be referring people to locally funded programs through DMH.

[2:03:30] So we want to have that seamless relationship

[2:03:33] like every step of the way.

[2:03:35] And I think this is kind of what it looks like.

[2:03:37] So I want us to use our collective voice

[2:03:39] to hold the state accountable for connecting to the work

[2:03:43] that DMH is doing, which I know is been a lot.

[2:03:47] So thank you all.

[2:03:49] Thank you, thank you, thank you, thank you.

[2:03:51] Thank you, thank you, thank you.

[2:03:53] Yeah, there were a couple more hands over here on this side.

[2:04:02] They'd be available services oversight in the county to build a community commission

[2:04:06] meets on the third fourth Thursday of the month, and it's usually from about 9 a.m. to about

[2:04:13] four. And my people can connect on the internet with them. And so if they want to make a comment

[2:04:23] there, that's available. It's online. Mark, do you have a question for the panel?

[2:04:30] I don't have to answer the question.

[2:04:32] When regards to a wager that we connect with them,

[2:04:39] that's the basis that we may be able to use as a buy,

[2:04:44] getting to the state attending their meetings.

[2:04:50] They have them on the 4th or 3rd of the month.

[2:04:54] That's also ABM.

[2:05:11] 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.

[2:05:28] We're getting you a,

[2:05:33] like, give it to the interpreter,

[2:05:36] yeah.

[2:05:37] Hi.

[2:05:38] Hello. My name is Jun Kohl.

[2:05:42] And I'm representing death,

[2:05:45] card of hearing community.

[2:05:47] From a glad.

[2:05:48] I work for glad.

[2:05:50] Greater Los Angeles,

[2:05:52] death.

[2:05:53] And I'm provide healthcare services program

[2:05:58] through the incubator school Academy.

[2:06:02] And you just said that, I went to one of the presentations there.

[2:06:06] So our program is, we've been, for 30 years,

[2:06:12] we've been continuing our program for MSHS, SHA, and now we're going to transfer to the BHSA.

[2:06:24] wondering how we're going to budget our allocation for supportive underserved communities

[2:06:33] for the deaf and hard of hearing community. For example, our approach for our direct ASL

[2:06:41] services. How are we going to budget for that? Is it going to be supported under culturally

[2:06:49] linguistic approach, linguistically appropriate approach, because it seems like that budget

[2:06:55] program is going to be closed. And so how are we going to, how is VHSA going to handle that?

[2:07:05] Help us. Okay, so over the past few years, we've taken a few different approaches. So first,

[2:07:14] We advocated pretty strongly to bring in ASL interpreters to the department.

[2:07:21] We created a budget that would create an internal death and heart of hearing program within DMH,

[2:07:29] so that we're trying to build out that resource within our own department.

[2:07:34] We, in our job postings for clinical items, community health worker items, supervisor items,

[2:07:43] We're indicating that ASL, fluency ASL certification is not required,

[2:07:58] but recommended.

[2:07:59] Thank you.

[2:08:01] And we give people some extra points if they come to us ASL fluent.

[2:08:06] 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.

[2:08:14] 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.

[2:08:34] So we recognize that this is a big need. I really appreciate you being here to bring it up.

[2:08:40] We're continuing to figure out how do we recruit specifically for clinicians to meet the needs of the community.

[2:08:54] Okay, thank you for that response.

[2:08:58] I just like to add, our organization, glad, has expert deaf and hard of hearing.

[2:09:04] And what we're trying to figure out is how to better collaborate with your money and your,

[2:09:13] and how you can collaborate with us

[2:09:16] and how we can, what resources and services

[2:09:19] because five acres, just yesterday,

[2:09:23] they said they lost some services for under 21.

[2:09:30] And you were saying there was like a 30%

[2:09:32] and there's like the 26 to 65 age group.

[2:09:37] A lot of these resources are going away for us.

[2:09:42] Like the adult services are going to be less.

[2:09:45] So we're trying to ask for us to who to collaborate with, so we can build up the services better.

[2:09:55] And then we, yes, to develop.

[2:10:00] Our collaborations, sorry. So for my clarification, live acres lost services for 21 in yesterday when 21 and over. Oh, the adults. Okay.

[2:10:15] It's only going to be kids under 20 that they're going to accept for resources now.

[2:10:23] So we're trying to refer, we tried to refer to them and they couldn't accept them.

[2:10:28] 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.

[2:10:38] To see if it's because of funding changes, or if it's because they lost some staff.

[2:10:44] And if they lost staff, like are they planning to hire back the staff to deliver those services?

[2:10:53] That's interesting.

[2:10:54] Because it could be fun.

[2:10:57] So, no, you don't have to, I will.

[2:11:01] Okay, thank you, Dr. Britt.

[2:11:03] Oh, thank you so very much.

[2:11:04] Thank you for the question.

[2:11:05] I really appreciate it.

[2:11:06] I'm going to take a question real quick from the worksheet.

[2:11:09] We have a number of people who have added and then we'll definitely come back here.

[2:11:14] So first of all, this person responded,

[2:11:16] this is John Goldfinger, which just whole care said,

[2:11:20] thank you for the clarity, repetition of complex concepts,

[2:11:24] Dr. Bert's lawful explanation of what will sunset and why.

[2:11:29] So the question is, by some estimates, DMH has funded three times the amount of annual

[2:11:33] CBO prevention work compared to what CDPH has in its latest plan for the CBOs annually in

[2:11:39] the entire state.

[2:11:41] This DMH able to share and be expected to mount the prevention dollars lost in LA County

[2:11:46] from the BHSA's shift to CDPH, in addition to transitioning some prevention providers

[2:11:53] to be HSA-EI, what are the funny options quite there be?

[2:12:05] I was trying to make sure I wrote down the follow-up action item.

[2:12:09] So we're losing 4% of our dollars, 4% off the top of our BHSA allocation strictly for prevention.

[2:12:18] So if you've been in this party previously, you know, year to year that funding goes up

[2:12:22] and down, depending on state revenue, depending on how many millionaires we have in the state

[2:12:27] at any given time, sometimes throughout the year,

[2:12:31] we get right sized a few times so that those dollars pivot,

[2:12:35] but I would say about 4% of that.

[2:12:41] Did that answer the question?

[2:12:43] I think so.

[2:12:44] Percent had some suggestions.

[2:12:45] I can read those as well and reflect on those.

[2:12:49] In addition to pivot pathways, DMH,

[2:12:52] could partner with managed care plans and other funders,

[2:12:55] First Fives, for example, to collectively

[2:12:57] fund training in technical assistance,

[2:13:00] for prevention funded CDOs to transition

[2:13:02] to MCP contracts, for diatic services.

[2:13:07] Similarly, DMH could guide prevention funded CDOs

[2:13:10] in the pursuit of local CDPH prevention grants,

[2:13:15] or ideas can be found in white paper that we provide.

[2:13:17] Say, any thoughts or reflections?

[2:13:22] That comment.

[2:13:28] I think it's something we can certainly explore.

[2:13:30] I know that first five across California are losing money because of Prop 10,

[2:13:38] as, in case you don't know, first five's are funded through Prop 10 taxes.

[2:13:45] So that's the tobacco tax.

[2:13:47] And as fewer people smoke, fewer people buy cigarettes, there is fewer tax collected from the cigarette, the tobacco tax, right?

[2:13:58] So, first five throughout the state are really feeling that hurt.

[2:14:04] Our lungs are feeling the benefit.

[2:14:07] But, and I do know that there are some counties that are really really struggling.

[2:14:11] The first five in LA has a pretty strong strategic plan.

[2:14:15] They recently redid their strategic plan to ensure fiscal viability,

[2:14:19] but I don't know that they have a lot of dollars to fund training.

[2:14:25] I think that it could be maybe there's room for working with our managed care plans.

[2:14:36] They are part of the group we do have to take feedback from and work with in terms of our integrated plan.

[2:14:44] 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.

[2:14:55] like, for diatic, um, for other, the dualists.

[2:15:00] Residents, etc. Things that they've received through transformation as well.

[2:15:07] And we are actively meeting with the managed care plan.

[2:15:11] I think we had a meeting day before yesterday, right, Catherine, where we've had several meetings.

[2:15:18] So we definitely take that feedback and input forward into those discussions and be able to follow up.

[2:15:25] Thank you, Dr. Hark. One more question and then we'll go here. This is more of a comment.

[2:15:31] First of all, I'll just recommend thanking Dr. Bird's humanity and sensitivity and sharing.

[2:15:36] This difficult information about some of the programs that are being suncited.

[2:15:40] Person asks, can we see the list of programs Dr. Bird's share that will be continuing?

[2:15:46] Those will be sun setting. It's important for our community partnership to know this so we don't refer

[2:15:51] families correctly. Thank you. We had a question right here.

[2:15:57] Rosie, that was great.

[2:16:01] My name is Allison. I'm with Long Beach Department of Health and Human Services.

[2:16:06] I just had a question about crisis response and where it falls on the continuum of care

[2:16:13] because it's listed. I've seen it listed under the early intervention and in the outpatient

[2:16:19] services, and I'm just curious because there's been such a big push recently with

[2:16:26] crisis response teams, especially field-based teams, where it falls, where the funding is going to

[2:16:32] be allocated for that under BHSA, or is that something that's also moving to the state with the

[2:16:49] 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.

[2:17:09] 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.

[2:17:19] We have,

[2:17:21] Presently, and going forward.

[2:17:26] Right. Already in a program.

[2:17:29] They can, if somebody's in a crisis, we do have our access line that's a warm line.

[2:17:33] 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.

[2:17:49] They're trained, they can do a triage in that moment, they can connect.

[2:17:53] We do have appointments available that they can actually put somebody into. So I would say that would be my suggestion.

[2:18:04] 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.

[2:18:29] Do you mention something else that I forgot?

[2:18:33] No, it's okay, good.

[2:18:35] The mobile response.

[2:18:37] So I guess I'm thinking about all the books that have lost access to their care teams

[2:18:42] or don't know how to access their care teams.

[2:18:45] But we're responding to out in the field.

[2:18:50] Or folks who have not been linked to services, especially in the,

[2:18:55] I guess I'm thinking about with the outreach and engagement part.

[2:18:58] It seems like the crisis, part, the crisis,

[2:19:03] interventions, all more in the early, early intervention category

[2:19:12] for a lot of folks that are not yet connected.

[2:19:15] I'm just under that bucket of the 35% to FSB and the 35%

[2:19:22] to, I just curious how it, where the funding for that is.

[2:19:26] So I think it's blended, right?

[2:19:28] I

[2:19:31] don't go, to answer your question.

[2:19:34] It is under OCS alternative crisis services.

[2:19:36] And it's being moved into early intervention.

[2:19:38] And it's being founded.

[2:19:39] It's a better fit.

[2:19:41] So we're always trying to find a base on the, the components of the, to say, where can we fit?

[2:19:46] And it actually based on some of the language.

[2:19:48] It does fit better under early intervention.

[2:19:50] It's just another way to continue alternative crisis services.

[2:19:53] should would be under EI.

[2:19:57] But I also think too.

[2:20:00] We should, for some of the situations you mentioned, like the people who, the field-based services, right? I think that we have teams

[2:20:10] 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.

[2:20:19] And so that we'll still be available to people

[2:20:23] to help bring them into services.

[2:20:29] So I don't think in terms of what could be available locally,

[2:20:32] I don't think we're going to be losing anything

[2:20:34] for crisis.

[2:20:38] Okay, thank you, Dr. Bird.

[2:20:39] We'll take another question for the worksheet.

[2:20:42] If early intervention is 51%

[2:20:45] where people zero to 25 is that more dollars

[2:20:49] or less in LA County for early intervention in this age range.

[2:20:54] The slides for the other breakout show more slots for FSB slash

[2:20:58] HFW. Can we see similar estimates for early intervention treatment slots?

[2:21:10] So this is a complicated question because as Alex just said we're going to fund

[2:21:15] some programs with early intervention dollars so that won't necessarily be treatment slots for

[2:21:20] going treatment services, right? I think that we, I think we did the math early on in the process.

[2:21:30] It's kind of, it's the same amount of funding we were getting for MHSAPEI that we're getting for

[2:21:39] BHSAEI. We're just losing the prevention dollars. Because because our county was engaging with

[2:21:46] the youth commission with other youth serving organizations, we held listening sessions,

[2:21:55] we were able to get feedback from youth specifically about what they, what type of services

[2:22:00] they need. We created some non-traditional services like the Wolf Connection. The reality centers

[2:22:11] services neurofeedback. So things that were non-traditional. And if we funded them through prevention

[2:22:18] only and they can't move over to early intervention, those are things we potentially will

[2:22:23] lose, right? So I think it just depends. Previously, we captured those under the prevention

[2:22:29] dollars. But as we're crosswalking them over, we're growing our early intervention dollars.

[2:22:37] I think just to build on what Dr. Breder said and going back to Alex mentioned a little

[2:22:45] while earlier the shifting and the pivoting and going back to shifting and pivoting

[2:22:51] is really looking at what programs can be re-aligned if you will if we were paying

[2:22:57] for an under prevention but now that's we take a second look at it if it could be re-aligned

[2:23:03] under the parameters of our early intervention, and it's a fit,

[2:23:07] then you won't be losing that, but that needs consideration program by programs

[2:23:12] service by service. And so that's the work that's happening now.

[2:23:18] Thank you. Uh, Christian, we have a, say, hand raised online. Is it possible to unmute someone who's

[2:23:24] online? I think it was. Okay. Uh, Romalee, I see your hand is raised. So, uh, it's good

[2:23:31] Molly Taylor? Okay, Mike is good.

[2:23:35] Molly, please go ahead with your question.

[2:23:38] Yeah, I put in on.

[2:23:44] Please speak up. We could barely hear you.

[2:23:48] I said I have two questions that I put in the chat and on the sheet.

[2:23:53] How are you doing today?

[2:23:57] The stood and mental health services under a B.H.S.A.

[2:24:03] actually relevant.

[2:24:09] And breaking up is how are you going to meet

[2:24:13] that families are having fun and getting with their children,

[2:24:23] 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.

[2:24:56] Thank you very much.

[2:25:00] I'm sorry. Renek, can you repeat that?

[2:25:02] Sure, absolutely. We're mulling just asking, you know, so given to the crosswalk,

[2:25:07] powery preserving, you know, addressing mental health disparities for African-Americans,

[2:25:14] specifically being addressed by the programs you're keeping.

[2:25:25] So, one of the things that we do at the cultural competency units, we look at health disparities,

[2:25:31] we look at all the needs of our communities and that's something that drives our system of care.

[2:25:39] We have the equity explorer that really looks at all the communities of all of our neighborhoods,

[2:25:45] where people live, where people reside.

[2:25:48] And that drives our service delivery.

[2:25:51] So with BHSA, we will continue to use those tools.

[2:25:55] We'll continue to look at disparities and align our programming importantly.

[2:26:00] I think that's a commitment from our director, it's a commitment from the state because now the

[2:26:07] state has given us specific goals and looking at disparities. Under BHSA, looking at cultural

[2:26:13] disparities in treatment, it's very much anchored across the new plan. So I think similar to

[2:26:23] I might just say, BHSA, we will continue with that work.

[2:26:28] The MA has a very strong connection with our underserved communities.

[2:26:33] We've dedicated a lot of programming, and that continues

[2:26:36] to be the driving force behind how we implement programming,

[2:26:40] and how we roll them.

[2:26:44] So, but we are going to be publishing the cultural competency plan

[2:26:48] in the coming months, and it's going to be posted on the website.

[2:26:52] And in there, you can specifically look at the data

[2:26:55] and the disparities based on race, ethnicity.

[2:27:00] And you can look at the medical population

[2:27:02] and the population that also is getting services

[2:27:06] who we serve.

[2:27:07] Latinos continues to be the largest group

[2:27:10] in the county, fellow African Americans,

[2:27:12] Armenians, and Koreans, and we talk that data.

[2:27:16] And not only do we track the data for disparities,

[2:27:18] but we also track the utilization of language access.

[2:27:22] So that all falls under the cultural competency umbrella.

[2:27:25] And I think the department is very committed to that.

[2:27:29] And it's under the arise division, under my school work.

[2:27:34] So I guarantee that the USCC list in the arise division.

[2:27:37] So I would very closely with all of our stakeholders.

[2:27:40] I don't see that changing under BHSA.

[2:27:44] Okay, thank you.

[2:27:45] We have a question over here again.

[2:27:47] Please, please, from Ricardo,

[2:27:50] and then we'll go back online.

[2:27:54] My name is Ricardo Kim, LA County stakeholder.

[2:27:57] I just want to thank everybody, the panel members, DMH,

[2:28:01] everyone in this room for all the hard work that we're doing.

[2:28:04] I want to say thank you to Dr. Horn for her comments this morning.

[2:28:09] I think this year, we've all grown and learned a lot about one another.

[2:28:12] people that come into this room, month in, month out, and for you to expand CPT membership.

[2:28:21] Thank you for that. It means a lot to many of us who are not and are seeking belonging and

[2:28:26] purpose. With that said, this comment is directed in follow up to what Nori was saying.

[2:28:32] It is my understanding, March 17th to 1826, the arrived division of LA County Department of

[2:28:39] will be putting on the 2026 multi-cultural mental health conference at downtown LA Intercontinental.

[2:28:48] So going back to what Lori was saying, this is during the public comments the public comment

[2:28:53] 30 day period before the behavioral health commission needs to vote. So March 17, 18th, can we get

[2:29:00] somebody from the state to comment talk about how this is going to affect us in the next six

[2:29:06] maybe the governor he might be looking at higher offices right now but somebody from the state

[2:29:11] to come and talk to us during our multi-cultural healing in the land of diversity, a multi-cultural

[2:29:18] approach to mental health, the 2026 mental health, multi-cultural mental health conference and we get

[2:29:24] somebody to come in just like when Noree was saying during that conference. So then when the behavioral

[2:29:32] health commission needs on 4 or 9 maybe that could help maybe the 30-day period maybe

[2:29:36] people have things to say. Thank you. Thank you for your feedback. I think that is an excellent

[2:29:46] idea and just seeing the nods from the SNES on the panel who are actually over that conference.

[2:29:54] I think we're all in agreement, that having a workshop of some type where...

[2:30:00] 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.

[2:30:15] Great idea.

[2:30:18] Okay. Let me go back online and mark your next to the queue.

[2:30:24] So let's see, another question for the panel, so first of all, just acknowledging, thank you

[2:30:31] for your thorough answers in the Q&A, it's much appreciated.

[2:30:35] Which DMH programs focus on ACEs such as trauma as the risk factors for quote-unquote indicated

[2:30:42] prevention, like was shared, which focus on ACEs trauma for early intervention treatment?

[2:30:53] Not here.

[2:30:55] Sure.

[2:30:55] Hey Pat.

[2:30:57] Did you ever get a permits?

[2:30:59] Sure.

[2:31:00] The question is right from the.

[2:31:02] Yes.

[2:31:02] So, over you did again, which DMH programs focus on a decision?

[2:31:05] ACES trauma As the risk factors for political indicated prevention like was shared.

[2:31:13] Which focus on ACES trauma for early intervention treatment.

[2:31:17] So, many of the programs that were on that slide that was blue and orange, many of those

[2:31:24] do address the ACEs, so like your community family resource center definitely address risk

[2:31:30] factors, protective factors, the stuff we do with the credible messenger also does that as

[2:31:38] well.

[2:31:40] I would say all of these programs does address address trauma because that was a focus and we

[2:31:46] first implemented these that trauma had to be something that was like censor for all these

[2:31:52] comments. Thank you, Kanchi. Okay. Mark on it. Yeah, but I just basically want to say that

[2:31:59] Stacy here, motor is part of the challenge when we do seem disparity, part of the fact that

[2:32:06] that's her organization, a concept of meadow. And she's always at the oversight and accountability

[2:32:14] with a commission meetings.

[2:32:18] And I'm thinking she and there are other people,

[2:32:24] Rachel, Rachel, what's your name from...

[2:32:29] I'm flipping the name with you.

[2:32:31] Mark, do you have a question for the panel?

[2:32:33] Yeah, it's kind of when you reduce

[2:32:34] the disparities project, there's one.

[2:32:38] No, I just, I have a comment.

[2:32:42] Okay, go ahead, please.

[2:32:43] Well, I'm saying this that California reducing disparities project might be available for that.

[2:32:52] There are based up in Sacramento,

[2:32:56] Daisy here in Motor is the head there.

[2:33:00] There are people on the, on the overshows chambers, it's on the overshown, it's barely,

[2:33:07] can

[2:33:09] overshown the county building commission.

[2:33:11] if she's part of, I don't want to say back up, let's go.

[2:33:16] Okay, thanks Mark, we're going to continue on, okay?

[2:33:20] Other questions?

[2:33:22] Okay, here we go, right here.

[2:33:24] Ruthie, we could.

[2:33:28] Hi, my name's John O'Malley from Dan.

[2:33:30] I just had a question on the math.

[2:33:33] My understanding is then that the 35%

[2:33:37] that is BHSS dollars.

[2:33:42] That's what the, let me say, I get the word right,

[2:33:47] the indicated prevention comes from.

[2:33:50] Is that right?

[2:33:53] Am I missed?

[2:33:55] So it is within that bucket.

[2:33:58] Right.

[2:33:59] So my question is with respect to indicated prevention versus the other items

[2:34:05] that will be coming out of that 35% bucket has there been a percentage.

[2:34:09] just signed to indicate it prevention as opposed to the others.

[2:34:13] In other words, is there a share of that 35% that you've designated to go to the indicated

[2:34:19] prevention versus the other components or as that's still to be determined?

[2:34:23] No, not yet.

[2:34:23] We have not.

[2:34:25] So, it's of that 35% that's VHSS, 51% has to go to early intervention, right?

[2:34:31] And it has to fund one of the, and of that, 51% has to go to children and youth.

[2:34:35] And it has to fund one of those three components of or the intervention.

[2:34:41] So we have an identified yet.

[2:34:44] The specific amount that goes to early intervention.

[2:34:48] Well, I'll say this.

[2:34:51] To my knowledge, we have not identified that.

[2:34:54] I think that there may be, there may be discussions about how do we use EI.

[2:35:00] Our local match for programs like the crisis response that Alex was talking about or other programming.

[2:35:09] But I don't know that we're looking at dividing up equally those three buckets with a percentage.

[2:35:18] I think we're really looking at how do we match what are the priorities?

[2:35:24] And then praying, there's an up money.

[2:35:29] All right, thank you, thank you for your question.

[2:35:33] Just really quickly going to go online and then we'll go here again.

[2:35:37] So where do LA care and health net funding fit into all this?

[2:35:42] And the suggestion is, in the integrated plan, DMH should more explicitly state how

[2:35:48] MCPs are being engaged in this planning process and where MCP money,

[2:35:58] like

[2:36:00] I will let Catherine respond to this one.

[2:36:05] Okay, thank you.

[2:36:06] We're using a lot of people in the room today.

[2:36:09] It's good.

[2:36:11] So to this question, there is a space in the integrated plan.

[2:36:14] And when we walk through that in more detail, you'll see where that is.

[2:36:17] So there's a section in the integrated plan under the local health jurisdictions and partners.

[2:36:23] And so we do have specific requirements that the state is asking us to work towards.

[2:36:28] not only with the managed care plans, but also with our local health jurisdictions, which we have

[2:36:33] Alec County, DPH, we have City of Pasadena, and we also have Long Beach, and so ask us several

[2:36:39] questions like how are we working with them with stakeholders, how are we sharing data, how are we

[2:36:44] collaborating, and there's also a specific section on the community reinvestment requirement that

[2:36:50] you're all referring to. So there will be more details and thank you for bringing that up

[2:36:54] and that's part of the conversations that Dr. Horne was mentioning earlier that we're starting to have.

[2:37:00] Thank you, Leslie.

[2:37:03] Okay, right here.

[2:37:07] Allison, we'll let's get along me.

[2:37:09] 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.

[2:37:24] 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.

[2:37:44] How are we gonna ensure that that funding is maximized and use the most efficiently through the evidence-based practice of supportive housing?

[2:37:55] 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.

[2:38:10] of that new HSH, there's housing for health and then as we were talking about this also in

[2:38:20] all of this is the community planning efforts with the MCP and integrated but you know and all

[2:38:27] of that that's happening also and all these silos and as was mentioned earlier we don't have

[2:38:34] time to North funding. And I know some of it is going is in that phase to draft from the HCS.

[2:38:44] But currently, we don't have the funding to go to all of these stakeholder meetings for the

[2:38:49] time while we're also doing our services. So here at BHSA, CPT takes a lot of time. And there's

[2:38:54] the state level population prevention, stakeholder stuff, and feedback that's being requested.

[2:39:00] 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.

[2:39:28] I think as part of that discussion, there really needs to be a visual mapping of how agencies are going

[2:39:36] to be working together so that and communicating, especially when it comes to data sharing.

[2:39:44] I know we all do a lot of work in silos already.

[2:39:47] How are we going to, you know, not continue that cycle?

[2:39:51] We have all these parallel planning processes that are happening, but it's really hard to see

[2:39:58] what it looks like in the bigger picture.

[2:40:00] 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.

[2:40:19] and so we do try to attempt to like when there are housing stakeholder meetings with the new

[2:40:28] department and with the state, we do have the MH subject matter experts on those calls that

[2:40:35] do attempt to collect that information and then drive hours stakeholder meetings so that you're

[2:40:40] informed about what is happening in different areas around most different topics to be completely

[2:40:47] 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.

[2:41:17] for presentations. So if you can't attend just an even if you can't attend these meetings in

[2:41:23] person or like we always post a video or we always post the links of that you can actually hear

[2:41:29] some of those updates. To your point of the funding and how the blow is and what's the mapping,

[2:41:36] I think because if you would attend the 120 meeting when we go over our budget presentation

[2:41:42] and you all have a little bit more or be closer to that information.

[2:41:46] A part of the integrated plan is not just infusing programs that are funded by the HSA, right?

[2:41:52] We're looking at how those programs are intertwined and braided with other funded programs

[2:41:58] that make up our system, right?

[2:42:01] And so I think today's thing that you can start with a budget presentation on January 20th,

[2:42:06] so that we can give you a little bit more information about how that's going to work.

[2:42:10] 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.

[2:42:26] And then lastly, you mentioned,

[2:42:30] That was one more thing.

[2:42:37] Housing housing in the age of eight.

[2:42:43] I cannot think.

[2:42:44] The mapping.

[2:42:45] We're going to work to see if we can.

[2:42:47] But there's one thing you may say and we'll go back.

[2:42:50] I'm sorry if I didn't respond, but there was an additional thing.

[2:42:55] But definitely this is where when we can create a mapping and get better understanding of how things are intertwined.

[2:43:02] one, that may be the focus of the previous earlier

[2:43:05] as having some sort of group or form,

[2:43:08] where we can collectively provide guidance

[2:43:10] on where individuals would like to advocate

[2:43:14] or support more conversations.

[2:43:17] So I'm a stop there.

[2:43:18] If I missed any part of that question, Renee is going to keep

[2:43:21] the honest and you'll give her this one.

[2:43:24] Thank you, Dr. Horne.

[2:43:25] So I've actually given our panelists,

[2:43:27] we have a number of questions on the worksheet.

[2:43:29] have given our panels my laptop so they could scroll them. Is there one particular, uh, you want to address?

[2:43:37] Yeah, I won't pick one, but I want to say to the last question, I think it's a really good, um,

[2:43:45] vision and goal. I would actually make sure it's recorded on the, um,

[2:43:49] Tated top paperwork because I know that the Board of Supervisors had a motion around an integrated

[2:43:57] prevention promotion services team that eventually evolved into the PPECIT, PPESGC,

[2:44:05] where they were trying to bring county departments together to map out what prevention

[2:44:10] promotions services are being delivered across different departments with the goal of

[2:44:16] reducing duplication, right, and maximizing reach. So I do think that this is very

[2:44:21] your questions very much in line with that vision to bring to break down the silos a little bit,

[2:44:28] to bring together all of the funding sources and programming to help us maximize those.

[2:44:32] So I do think it's worth exploring some create-have ways to capture it.

[2:44:39] Thank you for your time.

[2:44:41] Had to sing your moment.

[2:44:44] 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.

[2:45:00] All the way to June, I mentioned, I don't know if we reflected the calendar early on, but the meeting

[2:45:06] starting on February the 10th through June. That's all about integration. How now do we integrate

[2:45:13] the services that are moving forward? Where are services that are going to be real like and how do we

[2:45:19] work together as a system not to be deplicated? And that's the work of the CPT, starting February 10th through June.

[2:45:28] And then July through December of 2026 is really about accountability.

[2:45:33] So now that we know how we're going to work together and streamline services based

[2:45:38] on what it is, and we make some agreements about that and timelines and plans and implementation

[2:45:45] plans.

[2:45:46] Now July through December, how do we look at holding the system accountable, did we serve

[2:45:54] who we said we were started, did we do what we said we would do?

[2:45:57] 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.

[2:46:17] Thank you, Dr. Hart.

[2:46:25] I think the goal would be broader.

[2:46:29] Okay.

[2:46:30] As you mentioned, housing, there are so many hands in that.

[2:46:33] So many cooks in that kitchen right now.

[2:46:35] I think bringing together all of the experts around what are the funding sources.

[2:46:39] Going back to the earlier question.

[2:46:40] How do we learn about it?

[2:46:41] How do we make sure that we have enough knowledge to connect our community members to the appropriate programming?

[2:46:48] And I think that the only way to do that is by bringing together the program experts.

[2:46:54] Okay.

[2:46:54] Quick time check with six minutes left.

[2:46:57] Can I say for the people on line?

[2:46:59] We have very few questions for Sapsy.

[2:47:03] So, right.

[2:47:03] Questions for Sapsy?

[2:47:05] Yeah.

[2:47:06] So, we can make sure we answer all your questions.

[2:47:12] Introduce yourself, please.

[2:47:13] Yeah.

[2:47:13] I'm Martin O'Gene with the Los Angeles District Attorney's Office.

[2:47:16] And I'd of course, I'm not sure this is the right place for the question itself, but they have a

[2:47:23] grievance system, the DMH, and I was wondering, is that being considered in all of this funding

[2:47:30] and, as far as investigators and stuff like that for that particular department?

[2:47:35] Maybe this is a two narrow of a question, but we have experience with that department as well.

[2:47:41] can you sell it a more because we have a grievance system that's directly about patient care

[2:47:47] in issues with patient care, which is patient's rights. But then we also do have what was

[2:47:54] images said, but now a BHSA where people can make complaints or address issues. So are you speaking

[2:48:03] about the particular patient care or the process? I know that the part of them, I believe they

[2:48:10] departments of Syria or Lisa, I believe.

[2:48:12] And you know what I'm talking about?

[2:48:14] But why?

[2:48:15] And there are the ones that had that department.

[2:48:17] The reason I asked is we deal with them in the past and, you know, I'm just wondering

[2:48:22] because I know they're, they're pretty booked up and takes a while to get the grievance

[2:48:25] through and all that.

[2:48:27] And we've had other people tell us, you know, are they going to get back to me, which I'm

[2:48:32] just wondering if.

[2:48:33] Sure.

[2:48:33] I would love to work with you collectively because, again, there's two sides of it.

[2:48:38] 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.

[2:48:56] Yeah, and we'll get in touch.

[2:48:58] Right here. Thanks, Rosie.

[2:49:02] Hi, County Winters with Nami Greater LA County.

[2:49:07] The timeline of the plan.

[2:49:09] It's not going to get approval or go to the state told June, right?

[2:49:14] So how, you know, the

[2:49:18] BHSA starts to live first.

[2:49:22] What's the approval timeline, you know,

[2:49:24] How do we ensure that, you know, contracts with CBOs and continuation of services start July 1st

[2:49:35] because I know the last time with MHSA there were many months between contracts and that

[2:49:41] makes it very difficult for CBOs if there's a lapse, you know, in that support.

[2:49:49] So just wondering, you know, how do we get approval and make sure that the continuation

[2:49:54] of services are their July 1st so that we don't have a lapse of months with that.

[2:50:00] Oh, you know, contracts or support. Thank you. That's a great question. Thank you for raising in.

[2:50:08] So, what you're speaking about is the difference between approval of the planning implementation of the plan, right?

[2:50:15] 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,

[2:50:28] under funded, giving less funding, you would have be formally alerted.

[2:50:35] What prior to July 1st? That won't be turn on a July 1st, 8am, and what happened?

[2:50:43] We're definitely formally notifying people.

[2:50:47] I know specifically even, you know, the last couple of weeks Dr. Borden

[2:50:50] has seen have been reaching out to providers to give them

[2:50:55] a notification. Like certain programs like our

[2:50:58] incubation academy, we've notified folks way in advance

[2:51:02] that that's something that's not going to continue.

[2:51:06] So to answer the first piece of your question,

[2:51:09] If funding was going to be cut or changed in any way, you would know way before July 1st.

[2:51:16] The second piece of your question, if I'm hearing correctly, is what happens after July 1st

[2:51:21] 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?

[2:51:30] And that's all about implementation, so I'll give you an example.

[2:51:33] 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.

[2:51:51] 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.

[2:52:02] Well, we'll be able to apply, right?

[2:52:06] So there's a difference between us getting a plan for implementation and doing what I call

[2:52:12] logistical planning around how to put contracts in place and how to fund services that

[2:52:18] are not already a part of what we're moving forward with, but we have to do a process around

[2:52:23] these.

[2:52:23] So I hope that kind of answer to your question, but nothing that you're not aware of,

[2:52:28] is just going to stop immediately on July 1st.

[2:52:34] But our contracts and, right?

[2:52:39] Yeah, I guess there's no contract in place or funding.

[2:52:45] But what's still there?

[2:52:46] There are going to be a lapse.

[2:52:48] Like there was last time with MHSA.

[2:52:50] Well, if I guess to be more specific,

[2:52:54] if your contract is going to end in June,

[2:52:57] chances are you probably already been formally notified.

[2:53:00] 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.

[2:53:14] 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.

[2:53:29] And if you're interested in applying to be a provider of those services, then this is the process.

[2:53:36] So what's the timeline then for that process to apply?

[2:53:41] So it depends once it's posted.

[2:53:43] I just to be clear, like if contracts are ending,

[2:53:47] generally most of our contracts have an option to execute a one-year extension or an option to execute two-one-year extensions.

[2:53:57] So to the extent we have that available for those

[2:54:00] to part for those organizations

[2:54:02] we're continuing with,

[2:54:04] we're going to leverage that option.

[2:54:07] So it may say June 30th,

[2:54:09] but probably within the contract,

[2:54:12] you'll read that it has options to extend.

[2:54:14] And so the department will likely be leveraging those

[2:54:17] for the organizations we're continuing with.

[2:54:20] But I just want to clarify that

[2:54:23] you would definitely be notified

[2:54:25] If that is a service or a program, that's going to be extended and the department's, well, the department lead.

[2:54:35] 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.

[2:54:41] We want to know if you want to exercise this one or two year extension.

[2:54:46] That will be a formal notification reach out and then you would go from there.

[2:54:50] Otherwise, if that contract is ending.

[2:54:54] It's ending and you'll be notified.

[2:54:57] Okay, let's give a hand to our panelists everyone.

[2:55:00] 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.

[2:55:25] If you're online, please, please use the link in the chat to complete an online poll and provide input.

[2:55:32] And here's the QR code for this view in the room who want to provide some feedback.

[2:55:39] No, we're doing

[2:55:48] it.

[2:55:55] If you're in the room and you have your clickers, please provide your responses to this question.

[2:56:01] So from your perspective, to what extent did the subject matter

[2:56:05] experts respond to your input?

[2:56:08] Was it a, not at all, B to a small extent?

[2:56:12] We have to some extent to a great extent or completely.

[2:56:19] I've got nine responses.

[2:56:21] So again, please use your clickers for this particular piece.

[2:56:32] about 10 more seconds to respond. Break out those clickers. Yes, questions?

[2:56:41] For some reason I'm not getting the okay, I'm just like pushing is not working. Okay, a few people

[2:56:48] are not getting response on their clickers.

[2:57:03] Okay,

[2:57:07] so with that, I believe we're, all right, should we

[2:57:12] We're going to try it again, so again, with your clickers, please respond to this question.

[2:57:18] So from your perspective, to what extent did the subject matter experts say address your input?

[2:57:25] Still not working?

[2:57:28] Okay, some are working, some are not.

[2:57:31] So maybe can we get a clicker to participate over here?

[2:57:53] All right, there was, we're Ruthie is, all right,

[2:58:00] looks like 57% of you were completely

[2:58:04] satisfied.

[2:58:04] So thank you all.

[2:58:05] Thank you all so much.

[2:58:07] That's our day for today.

[2:58:08] Have a wonderful rest of your day and we look forward to seeing you again very soon.

[2:58:12] Take care, everybody.

[2:58:14] Again, our next CPT forum.

[2:58:17] Oh, and here's, sorry.

[2:58:19] I forgot.

[2:58:19] We have a meeting of evaluations so if you all could, please click on the link to provide

[2:58:24] feedback.

[2:58:24] we do really listen to your feedback, there's a QR code,

[2:58:30] and if you can please return your

[2:58:32] clickers. We would appreciate that. Please don't take your clickers on with us.

[2:58:36] Girl's Christian is very sad.

MHSA CPT Stakeholder Meeting - UPDATED-20251209

Agenda

Transcript