SECOND. FOR OUR FACE YOUR TO
ARRIVE. THANK YOU TO PANELISTS
FOR BEING HERE SO PROP. THIS IS
.
YOUR AWKWARD WILL GET GOING- THE
SENATE HEALTH COMMITTEE WILL
COME TO ORDER ED GOOD AFTERNOON
AND AS WE CONTINUE TO TAKE
PRECAUTIONS TO MANAGE ONGOING
COVERT NINETEEN DRESS THE SENATE
CONTINUES TO WORK ON THE PUBLIC
AND AS OF RIGHT ACCESS TO BOTH
IN PERSON AND TELECONFERENCES
PATIENT FOR PUBLIC COMMENT FOR
INDIVIDUALS WISHING TO PROVIDE
PUBLIC COMMENT VIA THE
TELECONFERENCE ORVIS THE
PARTICIPANT TOLL FREE NUMBER AND
ACCESS CODE IS POSTED ON THE
COMMITTEE WEBSITE AND I WILL
ANNOUNCE IT NOW. TODAY'S
PARTICIPANT NUMBER IS.
877-226-8163 AND THE ACCESS CODE
IS SEVEN THREE SIX TWO EIGHT
THREE FOUR THE NUMBER PHONE
NUMBER AND ACCESS CODE ARE ALSO
DISPLAYED ON THE SCREEN WE WILL
CONTEST MAINTAIN DECORUM DURING
THE HEARING AS IS CUSTOMARY IN
ANY INDIVIDUAL WHO IS
DESTRUCTIVE MAY BE REMOVED FROM
THE HEARING ROOM. FOR TODAY'S
HEARING WE WILL BE HEARING ALL
OF THE PANELS ON THE AGENDA
PRIOR TO TAKING ANY PUBLIC
COMMENT ONCE WE HAVE HEARD FROM
OUR PANELISTS WILL HAVE A PUBLIC
COMMENT PERIOD FOR THOSE WHO
WISH TO COMMENT ON THE TOPIC OF
TODAY'S AGENDA. OKAY SO WE WANT
TO BEGIN TO THE HEARING AND I
WOULD JUST LIKE TO SAY- IN THE
LAST FEW YEARS WE HAVE-
CERTAINLY. FOCUSED A LOT ON
TRYING TO ENHANCE OUR OUR
BEHAVIORAL INFRASTRUCTURE BE
ROLLED INFRASTRUCTURE AS WELL AS
IN A RE IMAGINED HOW WE TREAT
OUR YOUNG PEOPLE ESPECIALLY AS
IT RELATES TO BEHAVIORAL HEALTH
ISSUES TO TODAY'S HEARING WILL
DO AN OVERVIEW OF TWO
INITIATIVES AUTHORIZED IN THAT
BUDGET. THE CALIFORNIA CHILDREN
WITH BEHAVIORAL HEALTH
INITIATIVE. AND THE BEHAVIOR
HEALTH CONTINUUM- INFRASTRUCTURE
PROGRAM WHICH WAS A TWO POINT
TWO BILLION AT WHERE AS THE-
CALIFORNIA CALIFORNIA NEWS
BEHAVIORAL INITIATIVE WAS A FOUR
POINT FOUR BILLION. AND THESE
ARE ALL MULTI DEPARTMENTS AS WE
TRY TO CONTINUE TO BREAK DOWN
THE DOWN THE SILOS WE'VE- SPREAD
OUT AND SO OF COURSE I'M REALLY
INTERESTED IN HOW THAT IS
WORKING BECAUSE SOMETIMES IN
OUR- ABILITY TO BREAK DOWN SILOS
I THINK WE CAN CREATE. AT
COMPRESSION. IF YOU WILL AND AN
UNDERSTANDING OF HOW THINGS
WORK- IS HEARING WILL INCLUDE
REPRESENTATIVES FROM THE
CALIFORNIA HEALTH AND HUMAN
SERVICES AGENCY THE DEPARTMENT
OF HEALTH CARE SERVICES AND THE
DEPARTMENT OF HEALTH CARE ACCESS
AND INFORMATION. TO PROVIDE
UPDATES AS TO HOW THE FUNDING IS
BEING SPENT AS WELL AS PROVIDE
DETAIL ON WHAT IMPROVEMENTS HAVE
BEEN ACHIEVED IN THESE
BEHAVIORAL HEALTH SERVICES. WHAT
WHAT OUTCOMES ARE TARGETED IN
THE FUTURE. TONY AND COMMUNITY
PARTNERS. AND PROVIDERS WILL
ALSO SHARE THEIR PERSPECTIVES AS
PARTICIPANTS IN THE INITIATIVE
ALONG WITH THEIR PERSPECTIVES OF
THE CHILD ADVOCACY GROUP- JUST
TO SEE IF MY VICE CHAIR WOULD
LIKE TO MAKE AN OPENING
COMMENTS. SHE WOULD NOT. SO
WE'LL BEGIN WITH OUR FIRST
PANEL- AND WORKING HERE FOR
FIRST PANELISTS MELISSA STAFFORD
JONES OF THE CHILDREN AND YOUTH
BEHAVIORAL HEALTH INITIATIVE.
WELCOME CEMEX AFTERNOON CHAIR
EGGMAN AND MEMBERS OF THE
COMMITTEE. I'M I'M ALYSSA
STAFFORD JONES AT THE CHILDREN
DIRECTOR OF THE CHILDREN YOUTH
BEHAVIORAL HEALTH INITIATIVE AT
THE CALIFORNIA HEALTH AND HUMAN
SERVICES AGENCY. THANK YOU FOR
INVITING CAL HHS TODAY AND FOR
THE OPPORTUNITY TO PROVIDE YOU
AN OVERVIEW AND STATUS UPDATE ON
WORK UNDERWAY AS PART OF THAT
CHILDREN AND YOUTH BEHAVIORAL
HEALTH INITIATIVE OR C. RIGHT B.
H. I. HEY. HEALTH CONTINUES TO
BE A TOP PRIORITY FOR THIS
ADMINISTRATION AND CAL HHS WE
ARE FULLY COMMITTED TO
ACCOMPLISHING OUR
TRANSFORMATIONAL GOALS TO
IMPROVE THE MENTAL HEALTH. WELL
BEING SERVICES AND ONGOING
SUPPORTS FOR ALL CALIFORNIANS
INCLUDING OUR CHILDREN AND YOUTH
WHO WE KNOW ARE STRUGGLING. I'M
THIS IS A COMMITMENT WE KNOW WE
SHARE WITH ALL OF YOU. I'M AND
WITH SO MANY OF THE DEDICATED
SYSTEM IN IMPLEMENTATION
PARTNERS AND STAKEHOLDERS THAT
WE HAVE BEEN WORKING WITH
INCLUDING THOSE THAT WILL BE
TESTIFYING BEFORE YOU TODAY. AND
WE REALLY APPRECIATE THE
LEADERSHIP OF THE LEGISLATURE ON
THIS VERY CRITICAL ISSUE OF OUR
CHILDREN'S WELL BEING. I'M AS WE
STATED THE C. Y. B. H. I. IS A
FOUR POINT FOUR BILLION DOLLAR
INITIATIVE WITH AN ADDITIONAL
THREE HUNDRED MILLION ADDED LAST
YEAR'S BUDGET FOR A TOTAL OF
FOUR POINT SEVEN BILLION.
WORKING TO REIMAGINE AND
TRANSFORM THE SYSTEM SUPPORTING
BEHAVIORAL HEALTH AND WELL BEING
OF CHILDREN AND YOUTH INTO A
MORE COORDINATED- YOUTH
CENTERED. EQUITABLE AND
PREVENTION AND WELLBEING
ORIENTED ECOSYSTEM OF SERVICES
AND SUPPORT. AND THE C. Y. B. H.
I. IS REALLY AT THE CORE OF THE
GOVERNOR'S MASTER PLAN FOR KIDS
MENTAL HEALTH WHICH TAKES AND
ALL OF THE ABOVE CROSS SYSTEM
CROSS SECTOR SYSTEMS CHANGE
APPROACH TO IMPROVING KIDS WELL
BEING AND THEIR ACCESS TO THE
SUPPORTS AND SERVICES THEY NEED.
INCLUDING MEETING CHILDREN IN
FAMILIES WHERE THEY ARE WHICH IN
ADDITION TO HOME WE KNOW THE
OTHER TIME THE OTHER PLACE FOR
KIDS AND THE MOST TIME IS AT
SCHOOL. I AND WE KNOW THE NEW
CAN TO BE SIGNIFICANT AND URGENT
. WITH CHILDREN AND YOUTH
CONTINUING TO STRUGGLE AS THEY
HAVE OVER THE LAST DECADE- BUT
ALSO WE'VE SEEN WITH INCREASING
MENTAL HEALTH CHALLENGES I KNOW
WE'VE ALL SEEN THE MOST RECENT
DATA FROM THE CDC. THAT IN
PARTICULAR IDENTIFIED INCREASING
SADNESS INCREASED LEVELS OF
VIOLENCE AN INCREASED RISK OF
SUICIDE FOR BOTH TEEN GIRLS AND
OUR LGBTQ PLUS YOUTH. THE
LEGISLATORS AND THE GOVERNOR'S
RECENT BUDGET INVESTMENTS AND
ACTIONS UNDERSCORE OUR SHARED
COMMITMENT TO SOLUTIONS. MUCH OF
THE WORK OF THE C. Y. B. H. I.
IS ORIENTED TOWARD LONGER TERM
SYSTEMS CHANGE AND CAPACITY
BUILDING. THAT IS REALLY NEEDED
TO ACHIEVE THE TRANSFORMATION
GOALS OF THE C. Y. B. H. I. AND
IMPROVE ACCESS AND OUTCOMES. WE
RECOGNIZE THE IMMEDIACY AND THE
INTENSITY OF THE BEHAVIORAL
HEALTH NEEDS THOUGH OF
CALIFORNIA'S CHILDREN YOUTH AND
WE ARE REALLY WORKING TO ACT
WITH URGENCY ON MAKING THOSE
CRITICAL SYSTEMS CHANGES. AS
WELL AS TAKING A NUMBER OF STEPS
THINKING ABOUT NEAR TERM ACTION
AND SUPPORT FOR YOUTH. AND AT
THE SAME TIME WE HAVE HEARD LOUD
AND CLEAR FROM OUR PARTNERS IN
OUR WORK OVER THE LAST EIGHTEEN
MONTHS AS WE'VE BEEN WORKING TO
IMPLEMENT THE C. Y. B. H. I.
THAT SIMPLY DOING MORE OF THE
SAME OF HAVE SYSTEMS AND
SERVICES WORK TODAY. IS NOT GOOD
ENOUGH. AND WILL NOT BE
EFFECTIVE IN BUILDING THE
SYSTEMS AND SERVICES YOUTH AND
FAMILIES NEED FOR MENTAL HEALTH
AND WELL BEING. PARTNERS HAVE
EMPHASIZED THE NEED FOR
FUNDAMENTAL TRANSFORMATIONAL
CHANGE. AND WE RECOGNIZE THAT
THE SYSTEMIC CHANGES THAT NEED
TO BE MADE BREAKING DOWN SILOS
AS THE CHAIR TALKED ABOUT.
COORDINATING ACROSS SYSTEMS IN
WAYS THAT TRULY CENTER CHILDREN
AND WHAT THEIR NEEDS ARE.
REDUCING STIGMA AND
DISCRIMINATION ALL IN THE
CONTEXT OF HISTORIC UNDER
RESOURCING CANNOT BE ADDRESSED
OVERNIGHT BUT THE NEED FOR THIS
WORK IS UNIVERSALLY
ACKNOWLEDGED. AMONGST ALL OF US
I KNOW WE ARE ALL COMMITTED TO
THAT WORK. AND WE HAVE
PARTICULARLY HEARD THIS DIRECTLY
FROM OUR YOUTH WHO HAVE REALLY
CHALLENGED US TO DO SEVERAL
THINGS INCLUDING. REDEFINING
TREATMENT. TO NOT ONLY DEFINE IT
AS CLINICAL SERVICES BUT THEY
ALSO HAVE NAMED AS PART OF WHAT
THEY SEE AS TREATMENT FOR THEIR
MENTAL HEALTH AS THE ARTS. THIS
ACTIVITY. MINDFULNESS ACCESS TO
SAFE PARKS AND GREEN SPACE
ACCESS TO PEER SERVICES. AND
CARRYING A RELATIONSHIPS WITH
CARING ADULTS. I USED TO ALSO
EMPHASIZE THE CULTURE AND
CULTURALLY RELEVANT PRACTICES
MUST BE PART OF HEALING. YOU'D
TOLD US THEY NEED SYSTEMS TO
STOP WAITING UNTIL THEY ARE IN
CRISIS TO SUPPORT THEM THEY WANT
TO GET THE SUPPORT AND SERVICES
THEY NEED EARLIER. THAT THEY
WANT AND NEED TO BEHAVIORAL
HEALTH WORKFORCE THAT LOOKS LIKE
THEM SPEAKS THEIR LANGUAGE COMES
FROM THEIR COMMUNITY UNDERSTANDS
THEIR LIVED EXPERIENCE. AND
THEY'VE TOLD US THAT THE HARM
SYSTEMS HAVE COST TO MENTAL
HEALTH AND WELL BEING OF USING
COMMUNITIES IN THE PAST MUST BE
RECOGNIZED. IN ORDER FOR THEM TO
TRUST THAT THE SYSTEMS WE ARE
WORKING TO BUILD NOW WILL
ACTUALLY BE THERE FOR THEM
SPECIFICALLY. C. Y. B. H. I OVER
THE LAST EIGHTEEN MONTHS I'M HAS
BEEN PROGRESSING WITH RESEARCH
PLANNING AND DESIGN AND WE ARE
NOW ACTIVELY MOVING INTO THE
IMPLEMENTATION PHASE WITH MANY
OF THE C. RIGHT BE IT TRIES
TWENTY COMPONENT WORKSTREAMS.
AND NETWORK IS VERY MUCH GUIDED
BY WHAT I WAS JUST DESCRIBING
WHICH IS WHAT WE ARE HEARING
DIRECTLY FROM YOUTH AND FAMILIES
AND COMMUNITIES AND WE SUMMARIZE
THOSE FINDINGS IN A REPORT
CALLED YOUTH AT THE CENTRE. IN
TERMS OF WHAT WE HAVE HEARD FROM
YOUTH AND FAMILIES THAT ARE
REALLY USING THAT AS A GUIDING
DOCUMENT FOR WORK AHEAD. AS OF
DECEMBER TWENTY TWENTY TWO WE'VE
ENGAGED OVER A THOUSAND
ORGANIZATIONS AND OUR EFFORTS TO
INCLUDE SECTORS OF HEALTH
BEHAVIORAL HEALTH COUNTY'S
SISTER STATE AGENCIES. EDUCATION
AT ALL LEVELS EARLY CHILDHOOD K.
THROUGH TWELVE HIGHER EDUCATION
COMMUNITY BASED ORGANIZATIONS
YOUTH AND FAMILY ADVOCATES.
SUBJECT MATTER EXPERTS I'M
CONDUCTING ALMOST FOUR HUNDRED
LISTENING SESSIONS AND EXPERT
AND STAKEHOLDER INTERVIEWS ABOUT
SEVENTY FIVE ROUND TABLES. AND
FOCUS GROUP SESSIONS AND WE HELD
ALMOST FIFTY EVENTS WITH YOUTH
AND PARENTS. AND CROSS SECTOR
COLLABORATION AND CENTRING WHAT
YOUTH AND FAMILIES WANT AND NEED
IS REALLY CENTRAL TO OUR WORK.
THE INPUTS THE INSIGHT THE
EXPERIENCES THAT ARE COMING FROM
THAT PARTNER ENGAGEMENT WE ARE
USING THOSE FOR OUR PLANS AND
FOR IMPLEMENTATION OF THE C. Y.
B. H. I. THAT'S UNDER WAY. I'M
JUST GONNA PUT THIS THE PROMISED
TO THREE OF BOX ON THE SIDE. BUT
THE WORKING THE C. RIGHT I FALLS
INTO THESE FOUR MAIN CATEGORIES
THAT YOU CAN SEE ACROSS THE TOP
A FOCUS ON WORKFORCE TRAINING
AND CAPACITY. BUILDING THE
BEHAVIORAL HEALTH ECOSYSTEM
INFRASTRUCTURE THAT WE NEED.
COVERAGE AND A FOCUS ON PUBLIC
AWARENESS AND REDUCING STIGMA.
ALL OF THE EFFORTS THAT YOU SEE
ON THIS SLIDE THESE DIFFERENT
WORKSTREAM COMPONENTS THAT ARE
PART OF THE C. Y. B. H. I. R.
LED AND COORDINATED. ACROSS
MULTIPLE DEPARTMENTS WITHIN CAL
HHS AND YOU WILL BE HEARING FROM
MY COLLEAGUES IN BOTH DH CS AND
H. CHI ABOUT THEIR WORK UNDER
THE SEA BY THE H. I. THINGS SUCH
AS THE NEW DYADIC SERVICES
BENEFIT THAT'S AVAILABLE AND
DRAMATIC HOUSE STARTING IN
JANUARY OF THIS YEAR. THE
DEVELOPMENT OF A NEW VIRTUAL
SERVICES PLATFORM TO INCREASE
ACCESS TO SERVICES THAT WILL GO
LIVE IN JANUARY OF TWENTY TWENTY
FOUR- GRANTS THAT ARE UNDER WAY
TO SUPPORT THE SCALING OF PROVEN
PRACTICES THAT ARE EFFECTIVE TO.
IMPROVING ACCESS RACIAL
DISPARITIES. I'M GRANT AWARDS-
MADE IN DECEMBER OF TWENTY
TWENTY TWO TO REALLY FOCUS ON
INCREASING THE BRICK AND MORTAR
CAPACITY FOR CHILDREN AND YOUTH
BEHAVIORAL HEALTH SERVICES.
MULTIPLE EFFORTS UNDERWAY THAT
YOU'LL HEAR ABOUT FOR SUPPORTING
SCHOOL LINKED BEHAVIORAL HEALTH
SERVICES. AND MULTIPLE
STRATEGIES TO BUILD THE
WORKFORCE THAT WE NEED AND THE
MORE DIVERSE WORKFORCE THAT WE
NEED AS WELL. THE C. Y. B. H. I.
ALSO INCLUDES TARGETED EFFORTS
TO REDUCE STIGMA AND RAISE
PUBLIC AWARENESS. YOUTH SUICIDE
PREVENTION EFFORTS AND
SUPPORTING THE CAPACITY OF
EDUCATORS AND SCHOOL STAFF WITH
TRAUMA INFORMED TRAINING. WE
HEAR DIRECTLY FROM USE THAT
STIGMA PARTICULARLY WITH
FAMILIES AND COMMUNITIES AND THE
ADULTS IN THEIR LIFE REMAINS A
BARRIER FOR USE GETTING HELP.
THE C. Y. B. H. I. INCLUDES
CAMPAIGNS TO REDUCE STIGMA RAISE
PUBLIC AWARENESS ABOUT YOUTH
BEHAVIORAL HEALTH ACES AND TOXIC
STRESS. AND SUPPORT YOUTH
GETTING CONNECTED TO THE
SERVICES AND SUPPORTS THEY NEED.
THAT CDPH THE CALIFORNIA
DEPARTMENT PUBLIC HEALTH STIGMA
REDUCTION CAMPAIGN. I'M RELEASED
A THIRTY THREE MILLION DOLLAR R.
F. P. FOR A COMMUNICATION
PARTNER IN JANUARY. AND LATER
THIS SPRING WILL BE RELEASING A
FIFTEEN MILLION DOLLAR R. F. P.
FOR COMMUNITY BASED PARTNERS TO
SUPPORT THAT WORK. ON THE GROUND
LEVEL. THERE ARE ALSO TWO
COMPONENTS UNDER WAY RELATED TO
SUICIDE PREVENTION AT CD.
TARGETED YOU SUICIDE PREVENTION
. CAMPAIGN THAT WILL FOCUS ON
YOUTH WHO ARE GREATEST RISK OF.
I AM AND THAT AND- THE-
PARTNERING WITH. BASED WORK.
LATER THIS SPRING THEY HAVE A
PARTNER IN HE WILL BE WORKING ON
GRANTS TO TRUSTED PARTNERS IN
THOSE HIGH RISK COMMUNITIES. AS
WELL AS A COMMUNICATIONS
CAMPAIGN AS WELL AS AN
EVALUATION OF THAT EFFORT. AND
EFFORTS ARE ALSO UNDERWAY TO
IMPLEMENT THE FIFTY MILLION
DOLLAR YOU SUICIDE REPORTING AND
CRISIS RESPONSE PILOT PROGRAM
THAT WAS APPROVED IN THE BUDGET
LAST YEAR. THIS PILOT PROGRAM
WILL DEVELOP AND TEST MODELS FOR
MAKING USE SUICIDE AND ATTEMPTED
SUICIDE REPORTABLE EVENTS. AND
THE PILOT WILL ALSO SUPPORT
MODELS FOR RAPIDLY AND
COMPREHENSIVELY RESPONDING TO
THESE EVENTS BY PROVIDING CRISIS
SERVICES AND FOLLOW UP IN
SCHOOLS IN THE COMMUNITY WHERE
IT'S APPROPRIATE IN THAT.
INSTANCE ALSO THE NEW TRAUMA
INFORMED TRAINING FOR EDUCATORS
THAT ARE ON THE CALIFORNIA
OFFICE OF THE SURGEON GENERAL IS
DEVELOPING WILL GO INTO BETA
TESTING THIS SPRING AND WILL BE
AVAILABLE PUBLICLY TO ALL. TIME
EDUCATORS AND SCHOOL STAFF- THIS
SUMMER. AND THESE HIGHLIGHTS AND
MORE IN TERMS OF OUR WORK TODAY
IS SUMMARIZED IN A RECENT REPORT
WE DID A PUBLIC PROGRESS REPORT
ON THAT WE RELEASED IN JANUARY
OF TWENTY TWENTY THREE THAT I
THINK WE PROVIDED A LINK TO AS
WELL. I DON'T JUST CLOSE BY
EMPHASIZING REALLY THE
CENTRALITY OF SCHOOLS AND THE
HEALTH EDUCATION PARTNERSHIPS
THAT ARE A PART OF THE WORK OF
THE C. Y. B. H. I. AS I SAID
EARLIER MEETING KIDS WHERE THEY
ARE IS AT THE CORE OF THIS
EFFORT. I'M AND AS OUR
PARTNERSHIPS WITH SCHOOLS AND WE
ARE WORKING CLOSELY WITH
EDUCATION PARTNERS ACROSS THE
FIELD. RIGHT NOW WE ARE WORKING
PARTICULARLY CLOSELY WITH THE
STATE BOARD OF EDUCATION AND THE
CALIFORNIA DEPARTMENT OF
EDUCATION ON SEVERAL MATTERS
INCLUDING THINKING ABOUT
LINKAGES BETWEEN OUR WORK FORCE
EFFORTS. THINGS LIKE CAREER
TECHNICAL EDUCATION THAT HAPPENS
IN THE K. THROUGH TWELVE SCHOOL
SYSTEM. AND WHAT WE ARE DOING IN
TERMS OF WORK FORCE EFFORTS. AS
WELL AS REALLY THINKING ABOUT
HOW CAN WE BETTER INTEGRATE AND
COORDINATE- THE WORK OF
COMMUNITY SCHOOLS WHICH IS AND
THAT C. Y. B. H. I. WHICH HAVE A
LOT IN COMMON IN TERMS OF A
WHOLE CHILD APPROACH. DEEPLY
FOCUSED ON EQUITY. AND I'M
REALLY SUPPORTING OUR CHILDREN
TO THRIVE. AND I WILL KNOW JUST
TO LAST THINGS FOR THE
INITIATIVE. SEE WHAT KELLY JUST
HAS SELECTED. IS A VALUE WE
PART. SO WE ARE CONDUCTING A
FORMAL EVALUATION OF THE C. Y.
B. H. I. AND WE'LL BE FORMING AN
EVALUATION ADVISORY GROUP WE ARE
WORKING WITH THEM TO FINALIZE
OUR OUTCOME SCHOOLS WE WILL HAVE
A PUBLIC DASHBOARD IN PLACE- IN
THE COMING MONTHS AS WE CONTINUE
THAT WORK. AND THEN LASTLY ON
SPENDING PLANS OF OVER TWO
BILLION DOLLARS FOR THE WORK
UNDERWAY IN THE C. Y. B. H. I.
ARE IN PLACE FOR TWENTY ONE
TWENTY TWO AND TWENTY TWO TWENTY
THREE COMBINED. WITH AN
ADDITIONAL APPROXIMATELY SEVEN
HUNDRED MILLION SEVEN HUNDRED
FIFTY MILLION PLANNED SPENDING
IN TWENTY THREE TWENTY FOUR. AND
THEN ADDITIONAL FUNDS WILL BE
SPENT AS THEY BECOME AVAILABLE
IN THE OUT YEARS OF THE
INITIATIVE. THANK YOU SO MUCH
FOR THE OPPORTUNITY TO PRESENT
THE STATE. THE YOU VERY MUCH-
DIRECTOR NOW WE'RE GONNA ON TO-
DIRECTOR OF. PORTLAND UP TO THE
PART OF. OFFICE OF ST. PART
DEPARTMENT HEALTH SERVICES. GOOD
AFTERNOON THANK YOU- AS YOU SAID
MY NAME IS AUTUMN BOYLE AND I'M
WITH THE DEPARTMENT OF HEALTH
CARE SERVICES- AND I HAVE THE
PLEASURE OF WORKING WITH.
MELISSA AND ELIZABETH TO
IMPLEMENT THIS VERY INNOVATIVE-
AN IMPORTANT INITIATIVE. OF THE
DEPARTMENT OF HEALTH CARE
SERVICES HAS MADE SIGNIFICANT
PROGRESS IN TAKEN IMPORTANT
STEPS. TO IMPLEMENT THE KEY
PROVISIONS OF THE CHILDREN AND
YOUTH BEHAVIORAL HEALTH
INITIATIVE FOR WHICH WE OVERSEE
RESPONSIBILITY- AND REALLY AIMED
AT IMPROVING ACCESS TO CRITICAL
BEHAVIORAL HEALTH SERVICES AND
SUPPORTS. FOR CHILDREN YOUTH AND
FAMILIES ACROSS THE STATE AS
MELISSA FAT. IN ADDITION TO
JOINING. THAT MANY STAKEHOLDER
ENGAGEMENT ACTIVITIES. HEADED UP
BY THAT CALIFORNIA HEALTH AND
HUMAN SERVICES AGENCY ALONG WITH
OUR COLLEAGUES. IN OTHER
DEPARTMENTS DH CS HAS ALSO
EXTENSIVELY ENGAGE WITH OVER A
THOUSAND UNIQUE- AND DIVERSE
STAKEHOLDERS ON KEY
IMPLEMENTATION- A PARTNERSHIPS
ACROSS THE STATE INCLUDING.
HEARING DIRECTLY FROM YOUTH- AS
MELISSA SAID WE DO AIM TO KEEP
YOUTH AT THE CENTER AND WE HAVE
ENGAGE WITH OVER THREE HUNDRED
YOU. USE IN VARIOUS FOCUS
GROUPS- ADVISORY BODIES. I AND-
SIR AND- OPPORTUNITY TO HER YOU
PEOPLE. WHERE THEY'RE AT AS MOST
SAID. WE HAVE ALSO ENGAGE
EXTENSIVELY WITH THE LOCAL
EDUCATION AGENCIES THE
HEALTHCARE PROVIDERS AND PAYERS-
IN OUR MEDICAL AND COMMERCIAL BE
EVER HEALTH DELIVERY SYSTEMS
BEHAVIORAL HEALTH EXPERTS- AND
COMMUNITY BASED ORGANIZATIONS
AMONG OTHERS. ARE WE HAVE- AS
PART OF THIS PROCESS STOOD UP TO
SEPARATE EXPERT PANEL THINK
TANKS TO OBTAIN INFORMATION AND
GUIDANCE FROM EXPERTS IN THE
FIELD BOTH FROM WITHIN
CALIFORNIA AND NATIONALLY. AND
WE ALSO HAVE MANAGED TO SEPARATE
STAKEHOLDER WORKGROUPS TO HELP
INFORM THE WORK OF THIS YOU IDEA
ID H. THIS IS LEADING-
THROUGHOUT THIS ENGAGEMENT
WE'VE- SOUGHT TO ENGAGE WITH
DIVERSE POPULATIONS REGIONS AGE
GROUPS INCLUDING INDIVIDUALS
FROM. UP BY PART COMMUNITIES
FROM LATIN ACTS ASIAN AMERICAN
AND L. G. B. T. Q. I. PLUS
COMMUNITIES AS WELL AS OTHER
HISTORICALLY UNDERSERVED
POPULATIONS I'M INCLUDING MAKING
SURE THAT WE'RE SPEAKING WITH
YOUNG PEOPLE FROM RURAL
COMMUNITIES OF FAMILIES
EXPERIENCING HOMELESSNESS
JUSTICE INVOLVED YOUTH AND
FOSTER YOUTH. WE'VE CAN EXCUSE
ME- ALL OF THIS FOUNDATIONAL
STAKEHOLDER ENGAGEMENT WORK
INFORMS OUR IMPLEMENTATION
STRATEGIES FOR THE TWELVE
DISTINCT WORKERS WORKSTREAMS IN
THE C. Y. B. H. I. THAT DHS IS
LEADING. AS MOST SAID A MOMENT
AGO M. INDIAN OF TWO TWENTY
THREE DH CS IMPLEMENTED A NEW
MEDICAL AT X. SERVICES INDICTED
CARE GIVER SERVICES BENEFITS THE
ATTIC SERVICES INTEGRATE
PHYSICAL AND BEHAVIORAL HEALTH
SCREENING AND SERVICES FOR THE
WHOLE FAMILY DURING A VISIT FOR
THE CHILD AND NOT JUST THE
CHILD- BEING THE IDENTIFIED
PATIENT. STATIC SERVICES
INVOLVES SIMULTANEOUS TREATMENT
FOR THE CHILD AND THE PARENT AND
CAREGIVER WITH STUDIES SHOWING
SIGNIFICANT IMPROVEMENTS IN
CHILD BEHAVIOR ISSUES AND
INCREASES IN POSITIVE CHILD
PARENT ATTACHMENT. DATA CARE
CENTERED ON THE NEEDS AND
PRIORITIES OF CHILDREN AND
FAMILIES AT LEVERAGES THE WELL
CHILD VISIT TO SCREEN AND
IDENTIFY AREAS THAT NEEDED
INTERVENTION. IT ALSO PROVIDES
AN OPPORTUNITY TO ADDRESS THE
SOCIAL DETERMINANTS OF HEALTH
THAT MAY POSE BARRIERS TO
OPTIMAL MENTAL HEALTH FAMILY
DYNAMICS AND HEALTHY
DEVELOPMENT. ADDING DYADIC
SERVICES AS A MEDICAL BENEFIT
OFFERS SUSTAINABLE FUNDING TO
CREATE AND MAINTAIN THIS
INFRASTRUCTURE FOR INTEGRATED
CARE FOR CHILDREN CREATING
SEAMLESS ACCESS TO BE A HEALTH
ASSESSMENTS AND CONNECTIONS TO
OTHER. LOCALLY AVAILABLE
SERVICES AS NEEDED. WE ARE ALSO
AS SAID EMPLOY. A DID BE HERE
HEALTH. I'M STARTING IN JANUARY
OF TWENTY TWENTY FOUR THIS WILL
BE A NEW TECHNOLOGY SOLUTION FOR
ALL CHILDREN YOUTH AND FAMILIES
IN CALIFORNIA AGES ZERO TO
TWENTY FIVE. AND THAT WILL
IMPROVE ACCESS BY OFFERING YOUTH
PARENTS AND CAREGIVERS A NEW WAY
TO SS BEHAVIORAL HEALTH NEEDS
AND RECEIVE SUPPORT. THE
PLATFORM WILL PROVIDE SUPPORT
AND RESOURCES SUCH AS
INTERACTIVE DIGITAL EDUCATION.
SELF MONITORING TOOLS APP BASED
GAMES MINDFULNESS EXERCISES AND
ACCESS. EXCUSE ME TO FREE ON
DEMAND ONE ON ONE COACHING AND
COUNSELLING SUPPORT. IT'LL BE
DELIVERED THROUGH A DOWNLOADABLE
SMARTPHONE APPLICATION AVAILABLE
AS A WEB PORTAL APPLICATION. CAN
ALSO AVAILABLE BY TELEPHONE. TO
DATE DH CS VETTED OVER FOUR
HUNDRED AND FIFTY DIFFERENT
TYPES OF PLATFORMS TO UNDERSTAND
WHAT WE CAN DO AND ENVISION A
FUTURE FOR A CALIFORNIA'S
DIGITAL BE A PROP UP FORM. AND
CONTENT THIS IS DONE THROUGH AN
EXTENSIVE MARKETS CAN A REQUEST
FOR INFORMATION AND NUMEROUS
VENDOR DEMONSTRATIONS- THROUGH
THIS PROCESS WE HAVE SOUGHT TO
DELIVER A BEST IN CLASS SOLUTION
THAT WILL INTEGRATE MULTIPLE
PARTNERS INTO A SEAMLESS USER
EXPERIENCE. AND ALSO PROVIDE
TAILORED SERVICES FOR CHILDREN
AGES. 002-121-3220 FIVE AND
PARENTS AND CAREGIVERS. WE ARE
GETTING VERY CLOSE TO MAKING AN
ANNOUNCEMENT ABOUT A SELECTED
PARTNER TO LEAD THIS EFFORT- AND
I WE WILL AS A PART OF THE BUILD
UP TO THE LAUNCH IN JANUARY OF
TWENTY TWENTY FOUR CONTINUE TO
CONDUCT WITH OUR PARTNER.
EXTENSIVE USER TESTING TO OBTAIN
YOUTH AND PUT OUT FOR M. AS WELL
AS INPUT FROM FAMILIES PARENTS
AND CAREGIVERS ABOUT THE DESIGN
CONTENT CREATION AND
FUNCTIONALITY OF THE PLATFORM TO
MAKE SURE THAT IT MEETS THE
NEEDS OF CALIFORNIA'S YOUTH.
THESE ACTIVITIES WILL CONTINUE
PRIOR TO AND POST GO LIVE AND WE
CONTINUE TO KEEP YOU THAT THE
CENTER- WE ARE ALSO WILL BE
ENGAGING WITH OUR- PRIMARY
PARTNERS- ADDITIONAL
PARTNERSHIPS WITH KEY
IMPLEMENTATION PARTNERS AND
COMMUNITY SUCH AS SCHOOLS
PRIMARY CARE PROVIDERS
BEHAVIORAL HEALTH EXPERTS ACROSS
THE STATE. TO HELP DRIVE
AWARENESS AND ADOPTION OF THE
PLATFORM PRIOR TO AND UPON
LAUNCH THE PLATFORM WILL BE M.
WILL HELP TO ALLEVIATE PRESSURE
ON THE PUBLIC BE OVERALL
DELIVERY SYSTEM. BY OFFERING AN
UPSTREAM OPTION FOR GETTING HELP
AND REDUCE OVERALL NEED FOR
SERVICES DELIVERED IN EMERGENCY
DEPARTMENTS IN PSYCHIATRIC
HOSPITALS AS WELL AS AT REDUCE
THE NEED FOR CRISIS SERVICES BY
PROVIDING THAT ON DEMAND. TOUCH
AND SOMEBODY TO TALK TO WHEN A
CHILD IS FEELING LONELY OR NAY
NEED ADDITIONAL SUPPORT. THE IS
ALSO WORKING WITH TEN VENDORS
PROVIDE A T. Y. ECON SERVER. FOR
PEDIATRIC IN PRIMARY CARE
PROVIDER TO CONNECT WITH BEER
HOPE. THIS WILL EFFORT WILL
STRENGTHEN THE WORK FORCE AND
IMPROVE CAPACITY OF PRIMARY CARE
PROVIDERS AND PEDIATRICIANS TO
BE ABLE TO PROVIDE BEHAVIORAL
HEALTH TREATMENT TO CHILDREN
YOUTH AND YOUNG ADULTS. AND
TODAY WE'VE EXT A CAN'T EXCUSE
ME GAUGE EXTENSIVELY WITH
LEADING EXPERTS ON EACH CONSOLE
TO RECESS. AND IN THE COMING
WEEKS WILL BE LAUNCHING AN
ADDITIONAL STAKEHOLDER
ENGAGEMENT PROCESS TO HELP
INFORM. THE DESIGN OF THE
STATEWIDE SOLUTION. WE ARE ALSO
MELISSA MENTIONED SCALING
EVIDENCE BASED AND COMMUNITY TO
FIND EVIDENCE PRACTICES THROUGH
A SERIES OF GRANT INITIATIVES.
AND WE CONDUCTED AN EXTENSIVE
STAKEHOLDER ENGAGEMENT PROCESS
TO IDENTIFY THAT PRACTICES THAT
WILL BE SKILLED THROUGH THIS
GRANT FOR. THE PRACTICES ARE
BASED ON A ROBUST EVIDENCE FOR
EFFECTIVENESS IMPACT ON RACIAL
EQUITY AND SUSTAINABILITY.
THROUGH THIS GRANT INITIATIVE WE
AIM TO IMPROVE ACCESS TO
CRITICAL BEHAVIORAL HEALTH IMAGE
INTERVENTIONS INCLUDING THOSE
FOCUSED ON PREVENTION AND EARLY
INTERVENTION AND RESILIENCY AND
RECOVERY FOR CHILDREN YOUTH AND
FAMILIES. I WE PUBLISH A GRANT
STRATEGY DOCUMENT LAST FALL
OUTLINING THE APPROACH DHS DHS
IS TAKEN IS KILLING THESE
PRACTICES- INCLUDING OUR
DISTINCT PRIORITY AREAS FOR
FUNDING- AND- FOR FUNDING OF
THIS INITIATIVE AND TO DATE. WE
HAVE RELEASED FUNDING
ANNOUNCEMENTS FOR TWO OUT OF SIX
ROUNDS OF GRANT FUNDING AND
ANTICIPATE RELEASING THE OTHER
FOUR ROUNDS OF FUNDING IN THE
CURRENT YEAR. AT THE PRACTICES
INCLUDE THOSE FOCUSED ON
APPEARING CARE GIVER SUPPORT AND
TRAINING PROGRAMS TRAUMA
INFORMED PRACTICES AND PROGRAMS
EARLY INTERVENTION AND
WRAPAROUND PROGRAMS AS WELL AS
COMMUNITY TO FIND EVIDENCE
PRACTICES. I'M IN ADDITION AS
PART OF THE TWENTY EIGHT TWENTY
TWO BUDGET ACT THE LEGISLATURE
AUTHORIZED ADDITIONAL FUNDING TO
ADDRESS THE URGENT NEEDS AN
EMERGENT ISSUES FOR CHILDREN
YOUTH AND FAMILIES. DHS'S
LEVERAGING EXISTING PARTNERSHIPS
AND LEADING EXPERTS TO BUILD
TOOLS RESOURCES AND PROGRAMS
INCLUDING CONTRACTING WITH THE
CHILD MIND INSTITUTE TO DEVELOP
NEXT GENERATION DIGITAL SUPPORTS
FOR CHILDREN YOUTH AND FAMILIES.
AT BEHAVIORAL HEALTH PROVIDERS
AS WELL AS THE VIDEO SERIES FOR
PARENTS AND CAREGIVERS TO
EDUCATE THEM ABOUT BEHAVIORAL
HEALTH CONDITIONS IMPACTING
THEIR CHILDREN AND YOUTH. WE'RE
ALSO CONTRACTING WITH THE
CHILDREN PARTNERSHIP TO PILOT
AND DEVELOP STATEWIDE STANDARDS
FOR HIGH SCHOOL PEER TO PEER
DEMONSTRATION PROGRAMS AND
THAT'S ONE THING THAT WE'VE
HEARD. EXTENSIVELY FROM USE IS
THAT THEY REALLY WOULD LIKE TO
SEE AT THE END ADDITIONAL
INVESTMENT IN PEER TO PEER
PROGRAMMING THEY WANT TO LEARN
AND BE ENCOURAGE AND INSPIRE
EACH OTHER IN THEIR HEALTH AND
WELLNESS JOURNEYS. WE'RE ALSO
CONTACTING WITH THE SACRAMENTO
COUNTY OFFICE OF EDUCATION TO
DISSEMINATE WELLNESS IN
MINDFULNESS MINDFULNESS GRANT
DOLLARS IN ALL KEY THROUGH
TWELVE DISTRICTS ACROSS THE
STATE AND IN ALL FIFTY EIGHT
COUNTIES. I'M IN TERMS OF SCHOOL
BASED. SERVICES AS PART OF THE
MASTER PLAN AND SEE WHAT BEACH I
DH CS IS LEADING A NUMBER OF
INITIATIVES TO EXPAND ACCESS TO
OUTPATIENT MENTAL HEALTH AND
SUBSTANCE USE DISORDERS SUPPORT.
AT THEIR SCHOOLS FOR MANY PEOPLE
SCHOOLS ARE RELATIVELY SAFE
PLEASE WHERE THEY CAN BUILD
TRUSTED RELATIONSHIPS WITH
TEACHERS AND STUFF AND IT'S AN
IMPORTANT VEHICLE FOR
IDENTIFYING RESPONDING TO BE
ROTH CONCERNS. THIS IS TERRIBLE
FOR THE KEY THROUGH TWELVE
SCHOOL SYSTEM HERE IN CALIFORNIA
AS WELL AS THE CALIFORNIA
COMMUNITY COLLEGES THE
UNIVERSITY OF CALIFORNIA SYSTEM.
AND THE CALIFORNIA STATE
UNIVERSITY'S- IN COLLABORATION
WITH THE DEPARTMENT OF MANAGED
HEALTH CARE WE ARE WORKING TO
DEVELOP AND IMPLEMENT A SCHOOL
LINKED STATEWIDE ALL PAYER FEE
SCHEDULE. THAT WILL PROVIDE FOR
REIMBURSEMENT OF THESE
OUTPATIENT SERVICES- TO STUDENTS
UNDER THE AGE OF TWENTY SIX ALL
. FOR PUBLIC SCHOOL CAMPUSES
ACROSS THE STATE. AND FEE
SCHEDULE LAUNCH BEGINNING IN
JUNE TWO TWENTY FOUR AND WILL BE
IMPLEMENTED- ACROSS THE STATE AS
I SAID. THE GOAL IS TO SIMPLIFY
THE REIMBURSEMENT PROCESS THESE
ADMINISTRATIVE BURDENS FOR
SCHOOLS SCHOOL DISTRICTS IN
THEIR PARTNERS ORGANIZATIONS
INCLUDING CBO'S. COUNTY
BEHAVIORAL HEALTH PROVIDERS AND
BEHAVIORAL HEALTH PROVIDERS AT
LARGE. TO OBTAIN REIMBURSEMENT
FROM THE MEDICAL DELIVERY SYSTEM
IN COMMERCIAL HEALTH PLAN
PROVIDERS FOR BEHAVIORAL HEALTH
SERVICES PROVIDED TO STUDENTS AT
OR NEAR SCHOOL SITE. WE WORK
REGULARLY AND CLOSELY WITH OUR
COLLEAGUES AT THE DEPARTMENT OF
EDUCATION THE STATE BOARD OF
EDUCATION THE CALIFORNIA
COMMUNITY COLLEGES CSU AND UC
SYSTEMS AS WELL AS WITH R. ELIA
PARTNERS ACROSS THE STATE. TO
DESIGN AND IMPLEMENT THE
STATEWIDE FEE SCHEDULE AND WE
HAVE- COLLABORATED WITH THE
IMAGE THE TO LAUNCH A CROSS
SECTOR WORKGROUP TO HELP INFORM
THIS WORK. I'M AND ADDRESS ALL
OF THE COMPLICATED POLICY AND
OPERATIONAL ISSUES THAT IT TAKES
TO MERGE THESE. TWO WORLDS OF
HEALTH AND EDUCATION- CROWD THE
WORK IS MADE UP OF. AT SECTOR
SAYS HE UNION REP. ARE COUNTY
OFFICE OF A COLLEAGUES CAN BE
EVER HEALTH DEPARTMENTS AND
HEALTH PLANS ACROSS THE STATE
BOTH FROM COMMERCIAL AND MEDICAL
THAT DELIVERY SYSTEM. WE ARE
ALSO WORKING CLOSELY WITH ELLIE
IS AN INSTITUTION FOR HIGHER
EDUCATION AS WELL AS OTHER KEY
PARTNERS TO DESIGN A FIVE
HUNDRED FIFTY MILLION DOLLAR
SCHOOL LINKED PARTNERSHIP AND
CAPACITY GRANT PROGRAM. THAT
WILL HELP TO PROVIDE DIRECT
GRANTS TO THE EARLY EIGHTIES- TO
BUILD OPERATIONAL READINESS FOR
IMPLEMENTING THIS NEW STATEWIDE
ALL PAYER FEE SCHEDULE. THERE'S
A LOT OF LIFT THAT IT TAKES AND
THESE DOLLARS WILL HELP TO
SUPPORT THE OPERATIONAL NEEDS
INCLUDING BUILDING CAPACITY
ESTABLISHING PARTNERSHIPS. AND
CREATING THE INFRASTRUCTURE
NECESSARY TO BUILD THESE HEALTH
PLANS FOR THE SERVICES. IN
ADDITION TO ALL OF THIS WORK A
DHS ALSO IN JANUARY OF TWENTY
TWENTY TWO LUNCH THE STUDENT
BEHAVIORAL HEALTH INCENTIVE
PROGRAM OR SB HIP WHICH PROVIDES
. INCENTIVE PAYMENTS TOTALING
THREE. THREE HUNDRED EIGHTY NINE
MILLION DOLLARS OVER THREE YEAR
PERIOD TO MEDICARE MANAGED CARE
PLANS. FOR THE PURPOSE OF
BUILDING SUSTAINABLE
PARTNERSHIPS IN INFRASTRUCTURE
BETWEEN THE MEDICAL MANAGED CARE
PLANS AND THE LOCAL EDUCATION
AGENCIES TO IMPROVE COORDINATION
OF STEAM BEER HALL SERVICES
BETWEEN THE PLANS AND SCHOOLS.
TO INCREASE PREVENTATIVE AND
EARLY INTERVENTION BEHAVIORAL
HEALTH SERVICES FOR IN
TRANSITIONAL KINDERGARTEN
THROUGH TWELVE- TWELFTH GRADE
STUDENTS TO INCREASE MENTAL
HEALTH SERVICES AT OR NEAR
SCHOOL CAMPUSES. AND TO INCREASE
ACCESS TO BE FOR ALL SERVICES AT
OR NEAR CAMPUSES OR THROUGH
SCHOOL AFFILIATED BEHAVIORAL
HEALTH PROVIDERS. HAVE
FURTHERMORE WE ALSO ARE I AM
MANAGING THE CALVET STUDENT
SUPPORT INITIATIVE- AT DH CS AND
THROUGH PARTNERS INCLUDING
SACRAMENTO COUNTY OFFICE OF
EDUCATION AND ALL OF THE COUNTY
OFFICE OF EDUCATION PARTNERS
ESTABLISH A STATE WIDE. SOCIAL
AND EMOTIONAL LEARNING COMMUNITY
OF PRACTICE WHICH AIMS TO
PROVIDE RESOURCES TRAINING AND
SUPPORT TO ELEAZAR FOR
IMPLEMENTING SOCIAL EMOTIONAL
LEARNING PROGRAMMING IN SCHOOLS
AND TODAY THERE ARE OVER SIX
THOUSAND MEMBERS OF THE
COMMUNITIES OF PRACTICE
STATEWIDE. I'M AS A PART OF THIS
EFFORT DH CS AND PARTNERS
LAUNCHED HELLO HOPE SCHOOLS.
SAYS ON SOCIAL EMOTIONAL
LEARNING I'M AND I'M DEVELOPMENT
ACROSS- AT IN ONE SITE AVAILABLE
STATEWIDE I'M AND INCLUDES-
RESOURCES DEVELOP THE CALIPERS
AJITH ANGST AND TRUSTED SPACE
WHICH PROVIDE IMPORTANT TOOLS
AND- RESOURCES FOR SCHOOLS TO
IMPLEMENT AT THE L. PROGRAMMING
. AND I THINK WITH THAT I WILL
YIELD THANK YOU. THANK YOU VERY
MUCH FOR YOUR PRESENTATION AND
JUST THE WAY OF MY BRAINS
WORKING JUST. SO- THE DIRECTOR
AND DEPUTY DIRECTOR PULLING YEAR
HERE SO HE- SO EVERY JONES RIGHT
SO YOU'RE LIKE WHAT WE'RE GONNA
DO. HERE SAYING HOW WE'RE GOING
TO DO IT. AND NOW YOU'RE GONNA
DEALS WHO'S GOING TO DO IT FOR
US YEAH ABSOLUTELY THANK YOU
VERY MUCH MADAM CHAIR MADAM
CHAIR AND MEMBERS ELIZABETH
LANDSBERG THE DIRECTOR OF H. CHI
THE DEPARTMENT OF HEALTH CARE
ACTS AS AN INFORMATION REALLY
HAPPY TO BE HERE. TODAY TO TALK
ABOUT OUR INVESTMENTS IN TRYING
TO BUILD THE HEALTH CARE WORK
FORCE ON THE BEHAVIORAL HEALTH
ASIDE THAT CALIFORNIA NEEDS TO
ALL BE FOCUSING. ALL OF THE
INITIATIVES THAT I'LL BE TALKING
ABOUT ARE ABSOLUTELY FUNDED
THROUGH THE CHILDREN YOUTH
BEHAVIORAL HEALTH INITIATIVE AND
WE DO HAVE SOME OF SOME OTHER
SOURCES- OF FUNDING. SO
FOUNDATIONAL- FOR EACH GUY
EVERYONE OF OUR HEALTHCARE
WORKFORCE PROGRAMS HAS THREE
MAIN GOALS TO DEVELOP A HEALTH
CARE WORK FORCE THAT THERE IS
REPRESENTATIVE OF CALIFORNIA'S
DIVERSITY IN TERMS OF RACIAL AND
LINGUISTIC DIVERSITY REALLY
WORKING TO. TO INCREASE THE
DIVERSITY BUILDING A WORK FORCE
THAT SERVES MEDICALLY
UNDERSERVED AREAS AND THEN- WHAT
WE'RE DEVELOPING A WORK FORCE
THAT SERVES THE MEDIC CAL
POPULATION AND WE'RE WORKING
ACROSS THE CONTINUUM FROM
PIPELINE ALL THE WAY THROUGH
GRADUATE MEDICAL EDUCATION- AND
I'LL TALK ABOUT SOME SPECIFICS.
THAT WE DIDN'T KNOW THAT WE NEED
TO BRING MORE PEOPLE INTO THE
HEALTH CARE WORK FORCE AND WE
NEED TO DIVERSIFY THOSE FOLKS
THAT WE'RE DOING EVERYTHING
FROM. HEALTH CAREERS EXPLORATION
PROGRAM WHICH SUPPORTS FOLKS
GOING IN THE HIGH SCHOOLS DOING
CAREER FAIRS AND THE LIKE WE'RE
ALSO WE IN THE FALL ANNOUNCED
MORE THAN FORTY MILLION DOLLARS
IN GRANTS TO TWENTY
ORGANIZATIONS THAT ARE. AGAIN
DOING EVERYTHING FROM OUT REGION
SUPPORT TO BRING YOUNG PEOPLE
INTO THE HEALTH CARE WORK FORCE-
PROVIDING PAID SUMMER
INTERNSHIPS AS WELL AS- ALMOST
TWO HUNDRED GRANTEES WITH ONE
YEAR POST. UNDERGRADUATE
FELLOWSHIPS. THE SUPPORTING
BRING MORE PEOPLE IN. AND THEN
WE ABSOLUTELY WANT TO BE. THE
INSTITUTION. TO TRAIN MORE
PEOPLE IF POSSIBLE TRAIN THEM
FASTER- AND INCREASE THE
CAPACITY THERE. SO WE HAVE A
PSYCHIATRIC EDUCATION CAPACITY
EXPANSION PROGRAM. A SUPPORTING
THE GROWTH OF NEW AND EXPANDING
PSYCHIATRIC PSYCHIATRY RESIDENCY
AND PSYCHIATRIC MENTAL HEALTH
NURSE PRACTITIONER PROGRAMS. SO
OF IN THE MOST RECENT SET OF
AWARDS WE SUPPORTED THREE NEWS
SUCH A PSYCHIATRY RESIDENCY
PROGRAMS SIX EXPANDING. ON THE
PSYCHIATRIC MENTAL HEALTH NURSE
PRACTITIONER SIDE THREE NEW-
PROGRAMS AND FOR EXPANDING
PROGRAMS- WE'RE PARTICULARLY
PROUD TO HAVE HELPED SUPPORT THE
ESTABLISHMENT OF SEVERAL NEW
PSYCHIATRIC RESIDENCY PROGRAMS
INCLUDING ONE IN BUTTE COUNTY.
SO THAT'S JUST AN EXAMPLE OF
TRYING TO GET- INTO AREAS THAT
DIDN'T PREVIOUSLY HAVE OF
TRAINING PROGRAMS NO THERE'S A
GREAT INTEREST IN INCREASING
SOCIAL WORK TRAINING CAPACITY-
SO WE HAVE LAUNCHED OUR SOCIAL
WORK EDUCATION CAPACITY
EXPANSION GRANT. AND JUST
COMPLETED A FEW MONTHS AGO OUR
FIRST CYCLE AWARDED SEVEN NEW
PROGRAMS ESTABLISHING EITHER BSW
ARE AN MSW PROGRAM SIXTEEN
PROGRAMS EXPANDING THE CAPACITY
OF THE MSW PROGRAMS AND FOURTEEN
OF THOSE PROGRAMS HAVE
ACCELERATED FOUR PLUS ONE.
PROGRAM TO HELP FOLKS GET TO AN
MSW- IN FIVE YEARS SO WE'RE VERY
PLEASED WITH THAT WE'RE ALSO
PROVIDING SUPPORT FOR PEER
PERSONNEL TRAINING AND PLACEMENT
. AND THEN I BUT- THOUGHT TALKED
ABOUT THIS IT'S NOT JUST ABOUT
HAVING IT MORE BEHAVIORAL HEALTH
PROVIDERS BUT ALSO HELPING FROM
PRIMARY CARE PROVIDERS HAVE THE
TOOLS TO PROVIDE PSYCHIATRIC AND
BEHAVIORAL HEALTH CARE SERVICES
THAT WERE PLEASED- TO BE FINDING
A COUPLE OF PROGRAMS THAT YOU
SEE ARE IRVINE. THE PRIMARY CARE
PSYCHIATRY FELLOWSHIP PROGRAM
DESIGNED TO IMPROVE PROVIDER
EXPERTISE KNOWLEDGE AND COMFORT
LEVEL IN PRIMARY CARE BASED
PSYCHIATRY- AND ALSO SUPPORTING
A NEW PRIMARY CARE TRAINING AND
EDUCATION IN ADDICTION MEDICINE
SO WE THINK THAT'S A KEY
COMPONENT YES WE NEED MORE-
BEHAVIORAL HEALTH SPECIALISTS
BUT WE ALSO NEED TO GIVE PRIMARY
CARE PROVIDERS THE EXPERTISE. TO
PROVIDE THESE SERVICES TO BOTH
TO DO THE ASSESSMENTS AND EARLY
INTERVENTION. SO BRING MORE
PEOPLE IN SUPPORT OF THE
INSTITUTIONS AND THEN SUPPORT
THE INDIVIDUALS AND WHAT WE NEED
TO DO TO HELP BUILD THIS WORK
FORCE SO WE OPERATE SEVERAL LOAN
REPAYMENT- PROGRAM SCHOLARSHIP
PROGRAMS AND MORE RECENTLY
STIPEND AND EARN AND LEARN
APPRENTICESHIP PROGRAMS. FOR A
WIDE RANGE OF BEHAVIORAL HEALTH
PROFESSIONALS FROM PEER SUPPORT
SPECIALIST TO PSYCHIATRISTS AND
ALL OF THEM HAVE. A SERVICE
OBLIGATION TO SERVE IN AN
UNDERSERVED AREA OR IN AN
UNDERSERVED FACILITY. GIVEN
WEALTH DISPARITIES INCLUDING THE
RACIAL WEALTH GAP WE KNOW NOT
EVERYONE CAN TAKE OUT A LOAN TO
LOAN REPAYMENTS AREN'T ENOUGH
AND WE'RE LOOKING MORE TO DO
SCHOLARSHIPS- AND SPEND STIPENDS
. TO DIVERSIFY THE WORK FORCE.
THROUGH THE WET THE WORK FOR AN
EDGE. TO PROGRAM FUNDED BY A
COMBINATION OF GENERAL FUND AND
MHSAA MENTAL HEALTH SERVICES ACT
FUNDS H. CUT AWARDED FORTY
MILLION DOLLARS TO FIVE WENT
COUNTY REGIONAL PARTNERSHIPS.
AND COUNTIES HAVE USE THOSE
FUNDS TO PROVIDE SCHOLARSHIPS
STIPENDS LOAN REPAYMENT- AWARDS
TO PUBLIC MENTAL HEALTH SYSTEM
STAFF IN THEIR REGIONS THEY'RE
ALSO USING FUNDING TO SUPPORT
PIPELINE AND RETENTION
ACTIVITIES OF THE COUNTY HAD.
COUNTIES THE REGIONAL
PARTNERSHIPS HAD- BROAD
DISCRETION TO DECIDE WHAT WERE
THE MOST IMPORTANT OF
RECRUITMENT AND RETENTION
ACTIVITIES FOR THEM. WE'RE VERY
PLEASED TO BE WORKING THE
SUBSTANCE USE DISORDER SPACE- SO
MENTAL HEALTH IS IMPORTANT- WE
HAVE A NEW SUBSTANCE USE
DISORDER EARN AND LEARN PROGRAM
TO SUPPORT ORGANIZATIONS.
PROVIDING EDUCATION AND PAID JOB
EXPERIENCE FOR THOSE BECOMING
SUBSTANCE USE. DISORDER US
COUNCILLORS. WE'RE ALSO- KNOW
THAT WE NEED TO SUPPORT THE
COMMUNITY BASED ORGANIZATIONS
MANY OF WHICH MAY CONTRACT WITH
THE COUNTIES ARE OR WITH SCHOOLS
ARE BE PROVIDING SERVICES IN THE
COUNTIES. SO WE HAVE- A PROGRAM
TO SUPPORT CBO'S TO RECRUIT AND
RETAIN BEHAVIORAL HEALTH
PERSONNEL AND PROVIDE LOAN
REPAYMENT SCHOLARSHIP SIMILAR
STRATEGIES BUT SPECIFICALLY
FOCUSED ON CBO'S AND WE WILL BE
ANNOUNCING THOSE GRANT AWARDS-
IN THE NEXT COUPLE OF WEEKS VERY
SOON. WE'RE ALSO VERY EXCITED TO
BE RELAUNCHING THE SOCIAL WORKS
TYPE IN PROGRAM AND THAT WILL
HAPPEN THIS FALL TO SUPPORT MSW
STUDENTS- COMPLETING THEIR
ADVANCED DEGREES AND AT
OBTAINING LICENSURE. SO THOSE
ARE AGE BECAUSE BASIC
APPROACHES- AND THE STATE HAS
INVESTED HEAVILY IN ALL THREE
TYPES OF PROGRAMS TO ADDRESS
CALIFORNIA'S MAJOR HEALTH WORK
FOR SHORTFALL WE'RE ALSO WORKING
TO DEVELOP THE NEW PROFESSIONS
WHERE THERE ARE GAPS INCLUDING
WELLNESS COACHES TO SERVE-
CALIFORNIA'S USE OF THIS IS A
MAJOR PART OF THE YOUTH
INITIATIVE. WAS TO DEVELOP THESE
NEW BEHAVIORAL HEALTH COACHES
YOUTH TOLD US- UNSURPRISINGLY
THE BEHAVIORAL HEALTH WASN'T THE
SEXIEST NAMES OR CALLING THE
WELLNESS COACHES- SO UNDER THE
YOUTH INITIATIVE WE WERE CHARGED
WITH DESIGNING AND BUILDING THIS
NEW WELLNESS COACH WORK FORCE.
REALLY WITH MULTIPLE GOALS IN
MIND TO INCREASE OVERALL
CAPACITY TO ADDRESS INCREASE YOU
FAVOR HEALTH NEEDS THAT WE'VE
ALL TALKED ABOUT. AND BUT VERY
MUCH ALSO TO HELP BUILD A
DIVERSE WORKFORCE AGAIN WE WE'RE
WE'RE ALL LISTENING TO YOU IF
YOU'D HAVE TOLD US LOUD AND
CLEAR. THAT THEY WANT PEER
SUPPORT SPECIAL. YOUR SUPPORT
AND TO BOTH BE THE GIVERS OF
THAT AND THE RECEIVERS BUT ALSO
THAT THEY ONCE A NEAR PEER
SUPPORT SO TO HAVE A YOUNG
DIVERSE WORKFORCE THAT REFLECTS
ALL OF THEIR DIVERSITY IS- IN
TERMS OF RACE ETHNICITY LANGUAGE
LGBTQ PLUS- THE WELLNESS COACH
ROLE WE ALSO THINK FILL SOME OF
THE WORK FORCE GAPS THAT EXIST
TODAY. THERE IS THE PEER SUPPORT
SPECIALIST THERE'S FOLKS WHO OF
MSW THERE AREN'T A LOT OF FOLKS
WITH AN A OR B. A. SO THE WE
HAVE A WELLNESS COACH ONE
POSITION THAT WILL HAVE A-
ASSOCIATE DEGREE- THE WELL THIS
GO- TO WILL HAVE A BAY. SO WE
REALLY ARE TRYING TO THINK
THROUGH THE WORK FORCE LADDER.
FOR WORKFORCE LET US WATER
OPPORTUNITIES WE WANT THE
WELLNESS COACH TO BE A WONDERFUL
POSITION FOR PEOPLE TO BE AND IF
THEY WANT BUT ALSO IF THEY WANT
TO. BE A WELLNESS COACH FOR A
WHILE AND THEN GO AND GET. THEIR
MASTERS OR BECOME A LICENSED-
THERAPIST THEY COULD DO THAT AS
WELL SO REALLY TRYING TO LISTEN
TO USE. MANY SCHOOL DISTRICTS-
ARE DOING THIS ALREADY- THEY
RECOGNIZE THE VALUE OF THE WORK
FORCE LIKE THE COACH THEY MAY
CALL THEM ADVOCATES OR- LIAISONS
BUT WE'RE WE'RE SEEING- SCHOOLS
DOING THIS SO WE THINK WE ARE ON
THE RIGHT TRACK. SO WE HAVE A
LOT OF STEPS TO GO THROUGH THAT
TO IMPLEMENT THIS WELLNESS COACH
CERTIFICATION PROCESS- MOVING
FORWARD. IN TERMS OF NEXT
STEPHENSON H. CAI CONVENES AND
SUPPORTS THE CALIFORNIA HEALTH
WORKFORCE EDUCATION AND TRAINING
COUNCIL ONE OF THE
RECOMMENDATIONS OF THE FUTURE
WORKFORCE COMMISSION REPORT WAS
THERE NEEDS TO BE SOMEONE. A
BODY LOOKING AT STATE WAS STATE
WIDE AT THE STRATEGIC- HEALTH
CARE NEEDS OF THE STATE SO WE
CAN BE IN THIS EIGHTEEN- PERSON
BODY- WE'VE HAD A COUPLE OF
FOLKS HERE- HAVE. GIVEN US
PRESENTATIONS WERE REALLY
LOOKING AGAIN- HOLISTICALLY AT
THE STATE'S NEEDS SOME- THINGS
UP SOME THEMES THAT HAVE EMERGED
ARE WE'VE GOT TO DO MORE TO
SUPPORT THE CLINICAL SUPERVISION
OF PROVIDERS WE CANNOT TRAIN
STAFF. SO WE'RE WE'RE REALLY
LOOKING TO AT WHAT WE CAN DO TO
SUPPORT FACULTY AND SUPPORT THE
CLINICAL- SUPERVISION SO
OBVIOUSLY- WE'RE WE'RE SO WE'RE
HEARING IT IT'S- PEOPLE CAN MAKE
MORE MONEY IN THE FEEL THAT THEY
CAN'T NECESSARILY AS EDUCATORS
SO WE'RE LOOKING TO HOW CAN WE
USE SOME OF OUR FUNDS.
SPECIFICALLY FOR CLIP CLINICAL-
TRAINING AND FOR TO ADDRESS
THOSE- FACULTY SHORTAGES. WE
ALSO KNOW IT'S ESSENTIAL TO
SUPPORT STUDENTS THROUGHOUT
THEIR EDUCATION PROCESS WE
CAN'T. RECRUIT FOLKS TO BE PART
OF THIS WORK FORCE AND NOT
SUPPORT THEM ALONG THE WAY SO
WE'RE LOOKING HOLISTICALLY AT
WHAT KIND OF. MENTORSHIP
PROGRAMS YES THE FINANCIAL PIECE
. IS IMPORTANT BUT HOW DO WE
ALSO PROVIDE. UDIN WITH THE SUB
WITH THE- SO THAT THEY NEEDED
BEEN GREAT TO HEAR TRAINING
PROGRAMS TALK ABOUT WELLNESS
INCLUDING WELLNESS IS PART OF
THEIR TRAINING CURRICULA WE'RE
ALSO TALKING TO THEM ABOUT WHAT
PIECES OF THEIR CURRICULAR
ADDRESSING IMPLICIT BIAS AND
ADDRESSING- CULTURAL HUMILITY.
SO THOSE ARE SOME OF THE
APPROACHES THAT H. CHI- HAS
ADOPTED- AND WE ALSO HAVE A NEW
HEALTH WORKFORCE RESEARCH DATA
CENTER TO BETTER UNDERSTAND THE
DATA SO WE- CAME OUT WITH OUR
FIRST REPORT- PLEASED TO SEE
THAT THAT'S ALREADY BEING USED.
WE NEED TO BETTER UNDERSTAND
BOTH THE SUPPLY AND DEMAND SIDE
BUT WE HAVE AT LEAST A BETTER
SENSE OF WHO'S IN THE
PROFESSION- AS WE WORK- TO BUILD
OUT THE SYSTEM SO ALL TOLD WE
ESTIMATE A TWENTY FIVE THOUSAND
ADDITIONAL BEHAVIORAL HEALTH
PROFESSIONALS. WILL BE SUPPORTED
IN THEIR TRAINING AND SIXTEEN
THOUSAND YOUNG PEOPLE HAVE AN
OPPORTUNITY TO EXPLORE CAREERS
AND BEHAVIORAL HEALTH AS A
RESULT OF THESE INVESTMENTS. SO
THERE'S A LOT MORE THAT I COULD
SAY- ABOUT OUR FAVORITE HEALTH
WORKFORCE INVESTMENTS BUT HAPPY
TO TAKE ANY QUESTIONS THANK YOU.
THANK YOU VERY MUCH AND THANK
YOU ALL VERY MUCH AND THANK YOU
FOR. ALL THE WORK YOU'VE BEEN
DOING IN A PRETTY COMPRESSED
TIME FRAME. I KNOW WE'RE I KNOW
WE'RE ALL EAGER TO TAKE TO GET
TO WORK AND NOT BUT YOU'VE BEEN
LAYING THE GROUNDWORK- CAN YOU.
JUST TALK A LITTLE BIT MORE
ABOUT THAT THE NEW SUCH WORKS
TYPE OF PROGRAM IS IT GONNA BE
LIKE MHSAA LIKE WE HAD
PREVIOUSLY. IT'S GOING TO BE
VERY SIMILAR WE- FRANKLY
INCREASE THE DOLLAR AMOUNTS
BECAUSE WE ARE STILL. PAYING
EIGHTEEN THOUSAND FIVE HUNDRED
WHICH WE'VE BEEN DOING FOR YEARS
SO THIS WILL BE TWENTY FIVE
THOUSAND BUT IT WILL. BE BE VERY
SIMILAR OKAY- AND CAN YOU TALK A
LITTLE BIT MORE ABOUT THE
WELLNESS COACHES IN THE CRITERIA
FOR THAT I'VE HEARD FROM
PROVIDERS AND FOLKS AT ITS YOU
KNOW DON'T MAKE THE CRITERIA TOO
DIFFICULT. SO THAT THE TO THE
YOU CAN'T FIND THE UNICORN TO
FIT. RIGHT WELL I MEAN IT'S BEEN
INTERESTING AND WE HAVE HAD A
VERY ROBUST A COLDER ENGAGEMENT
PROCESS TO DECIDE ON THE
WELLNESS COACH WHAT ARE THE CORE
COMPETENCIES WHAT ARE THE
QUALIFICATIONS- SO. FRANKLY WE
HAVE THOSE WHO THINK WE HAVEN'T
PUT ENOUGH QUALIFICATIONS OR
TRAINING AND WE HAVE TO HAVE
THOSE WHO THINK THERE'S TOO
MUCH- SO WE THINK WE GOT IT
ABOUT RIGHT SO WE'RE LOOKING AT-
REQUIRING FOR A WELLNESS COACH
ONE AN ASSOCIATE DEGREE AND- A
NUMBER OF CLINICAL HOURS FOUR
HUNDRED HOURS. WE HAD MORE-
INITIALLY- BUT WE REALLY WANT TO
GET FOLKS INTO THE INTO THE
SCHOOLS BUT WE'VE GOT TO PROVIDE
THEM WITH WITH A SUPPORT SO WE
HAVE A- LIST OF CORE
COMPETENCIES WE'VE BEEN MEETING
WITH. THE COMMUNITY COLLEGES TO
TALK TO THEM ABOUT THE TRAINING
PROGRAM AND FROM PLEASED WITH-
THOSE CONVERSATIONS. GOOD AND
THEN ON THE ISSUE OF SUPERVISION
WHICH WE ALL CONTINUE TO HEAR IS
A MASSIVE ISSUE. DO YOU WORK
THEN WITH MOVEMENTS BOLAN'S
OFFICE TO BE ABLE TO FIND IT
DOES YOU KNOW LIKE SOMEBODY IN.
THE VA SYSTEM OR YOU KNOW. I
MEAN YOU JUST NEED TO HAVE MORE.
TO BE ABLE TO PROVIDE SUPER. TO
MY- TRAINEES I THINK WE HAVE TO
DO EVERY STRATEGY AVAILABLE. YES
WE ARE LOOKING AT PLACES EVEN
LIKES. STATE HOSPITALS WE
HAVEN'T PREVIOUSLY BEEN FUNDING.
FOLKS A DEPARTMENTS IT ALSO
RULES AND WE'RE STARTING TO DO
THAT SO YEAH THAT WE WE'VE GOT
TO USE EVERY STRATEGY POSSIBLE
TO. TO ADDRESS THE SUPERVISION
ISSUES. OKAY WE THINK IT'S A
GOOD IDEA TO TAKE BACK SOME OF
THE MONEY FOR WORKFORCE.
DEVELOPMENT WELL I DO WANT TO
SAY THAT NONE OF THE- CHILDREN
USE BEHAVIORAL HEALTH INITIATIVE
DOLLARS ARE PROPOSED FOR DELAYS.
BUT THERE ARE- IS YOU KNOW
DOLLARS TO PROPOSE FOR DELAY-
AROUND SINCE SOME OF THE SOCIAL
WORK DOLLARS AS WELL AS SOME OF
THOSE. PSYCHIATRY FOCUSED
AHLERS. AND I KNOW THAT'S AN
IMPORTANT CONVERSATION WITH THE
LEGISLATURE. OKAY THANK YOU-
MISTER RICHARDS CAN YOU TALK A
LITTLE BIT MORE ABOUT THE
VALUATION PROCESS THAT YOU'RE
SETTING UP IT SOUNDS LIKE. YOU
KNOW BECAUSE FOR SOMETHING RIGHT
AWAY WHEN WE HAVE OUR EVALUATION
SET UP BEFORE WE DEVELOPER
PROGRAMS WHAT IT SOUNDS LIKE YOU
DID A WHOLE BUNCH OF. LISTENING
TOURS TO TRY TO FIGURE OUT NOT
WHAT WE WANTED BUT WHAT THE
STUDENTS AND THE PROFESSIONALS
WANTED. TO TELL ME A LITTLE BIT
MORE NOW ABOUT YOUR EVALUATION
PROCESS THAT YOU'RE GOING TO SET
UP. YEAH I THINK SEARCHES WE
WERE OPERATING IN PARALLEL SO-
PART OF THE ENGAGEMENT WE DID
WITH YOU FAMILIES ALSO OURS ARE
STAKEHOLDER PARTNERS WITH A
PROFESSIONAL EXPERIENCE AND
COMMUNITIES. WAS REALLY ASKING
THEM- WHAT WERE THE OUTCOMES
THEY THOUGHT WERE IMPORTANT TO
CHANGE WHAT NEEDED TO BE
DIFFERENT ABOUT THE SYSTEM AND
WHAT OUTCOMES DO WE WANT TO
PRIORITIZE AND SEE DIFFERENTLY
FOR OUR CHILDREN AND YOUTH. IF
WE WERE SUCCESSFUL IN
TRANSFORMING THE BEHAVIOR HEALTH
ECOSYSTEM FOR CHILDREN YOUTH.
THAT'S WHAT WE WERE GATHERING
THROUGH ALL OF THIS WORK AND AT
THE SAME TIME THAN WE DID DO A
COMPETITIVE- R. F. P. SELECTION
PROCESS WHERE WE CHOSE
MATHEMATICA. AND OUR APPROACH TO
THE EVALUATION IS ACTUALLY-
THOUGHT MULTIPLE COMPONENTS TO
IT SO. I'M ONE ASPECT OF IT IS
LOOKING SPECIFICALLY AT SYSTEMS
CHANGE SO MUCH OF THIS WORK IS
REALLY THINKING ABOUT HOW DO WE
HAVE A MORE COORDINATED SYSTEM
ACROSS SECTORS. AND SO- LOOKING
AT ARE WE MAKING PROGRESS WHAT
ARE SOME OF THE MARKERS OF
KNOWING WHEN YOU ARE HAVING A
MORE COORDINATED INTEGRATED
SYSTEM WHICH I THINK WE ALL KNOW
IS. OFTEN A TEN YEAR PLUS
ENDEAVOR WHEN YOU LOOK AT
DIFFERENT COLOR DIFFERENT
COLLECTIVE IMPACT MODELS. BUT
WHAT ARE THE INDICATORS WE CAN
SEE ALONG THE WAY TO KNOW IF IN
FACT SYSTEMS ARE WORKING
TOGETHER IN NEW AND BETTER WAYS.
THE SECOND IS REALLY A POLICY
EVALUATION COMPONENT SO LOOKING
AT. YOU AND- BOTH THE POLICIES
THEMSELVES DID THEY ADD UP TO
THE OUTCOMES THAT WE HOPE FOR
HAVING MATHEMATICA HELP US
UNDERSTAND THAT AND HOPEFULLY
THAT WILL PROVIDE. INSIGHTS TO
ALL OF YOU AND POLICY MAKERS IN
THE FUTURE ABOUT HOW TO BUILD ON
THE WORK OF THE CHILDREN AND
YOUTH BEHAVIORAL HEALTH
INITIATIVE. BUT ALSO LOOKING AT
OUR IMPLEMENTATION YOU KNOW HOW
DID WE DO IN TERMS OF
IMPLEMENTATION OR SOME OF THE
ACCELERATES. MAYBE WHAT WERE
SOME OF THE BARRIERS HOW I DID
THAT I'M- AFFECT HOW WE EVALUATE
THE POLICY CHANGES THAT WERE PUT
IN PLACE. FOR US LOOKING IT UP.
HEALTH PROGRAM PROGRAM LEVEL-
IMPLEMENTATION SO WE'RE LOOKING
AT SPECIFIC OUTCOMES SCHOOLS. IN
TERMS OF FOR EXAMPLE LOOKING AT
HOW WILL WE KNOW IF WE'VE
INCREASED ACCESS TO BEHAVIORAL
HEALTH SERVICES. HOW WILL WE
KNOW IF YOUTH AND FAMILIES ARE
HAVING AN EASIER TIME NAVIGATING
TO THE SERVICES THAT THEY NEED
BECAUSE SOMETIMES WE HEAR FROM
FAMILIES AS- WE KNOW THE
SERVICES ARE OUT THERE BUT WE
DON'T KNOW HOW TO GET. TO THEM.
AND WE'RE ALSO LOOKING FOR
EXAMPLE TO HAVE SOME SHARED
OUTCOMES MEASURES WITH
EDUCATION- ONE OF THE THINGS
WE'VE HEARD PARTICULARLY FOR
EDUCATION PARTNERS. AS THAT
RELATED TO ATTENDANCE AND
ABSENTEEISM HAS A LOT OF
INTERSECTION WITH BEHAVIORAL
HEALTH AND MENTAL HEALTH. THE
THINKING ABOUT HOW CAN WE USE A
METRIC THAT TODAY EDUCATION
ALREADY USE AND INCLUDE THAT AS
PART OF OUR OUTCOMES GOALS FOR
C. Y. B. H. I. AND THEN THE
FOURTH- APPROACH TO THE-
EVALUATION IS WHAT WE'RE CALLING
RAPID CYCLE EVALUATION. WHICH IS
WE REALLY DO NOT WANT TO HAVE AN
EVALUATION IT JUST TELLS US
AFTER THE FIVE YEARS ARE OVER
WHAT WE MIGHT LEARN. WE ARE
REALLY LOOKING FOR OPPORTUNITIES
TO LEARN ALONG THE WAY HOW CAN
WE LOOK AT THE WORK WE'RE DOING
ALONG THE WAY. LOOK AT LEADING
INDICATORS AND MAKE ADJUSTMENTS
WHERE THAT'S POSSIBLE TO
ACTUALLY GET TO THE OUTCOMES
GOALS THAT WE HAVE. I'M BUT IT
REALLY ALSO KEY ASPECT OF THE-
EVALUATION PRO CHOICE IS DEEPLY
CENTERING EQUITY. NOT ONLY IN
TERMS OF THE OUTCOME SCHOOLS BUT
EVEN IN TERMS OF OUR PROCESS OF
EVALUATION I'M SURE YOU'RE ALL
FAMILIAR WITH SOME OF THE
CRITIQUES OF A MORE TRADITIONAL
EVALUATION THAT REALLY MADE
MISSED SOME CRITICAL ISSUES
RELATED TO EQUITY. SO THAT WILL
BE A CORE FOCUS OF THE
EVALUATION VICE RE GROUP THAT WE
ARE SETTING UP ACTUALLY WE HAVE
THAT C. Y. B. H. I. EQUITY
WORKING GROUP NOW IF THAT HAD
THE DATA COMMITTEE THAT'S
ALREADY MEETING WITH MATHEMATICA
TO HELP INFORM THE WORK WE'RE
DOING TO SET UP THE EVALUATION.
TO REALLY THINK ABOUT BOTH FROM
A PROCESS PERSPECTIVE SO. FOR
EXAMPLE HOW DO WE GATHER.
INFORMATION FROM YOUTH AND
FAMILIES ABOUT. HOW DO THEY
THINK WE'RE DOING IN TERMS OF
PROGRESS FOR MAKING NOT. ONLY
WHAT SORT OF QUANTITATIVE DATA
TELLS US THAT WHAT OUR- X. AND
THOSE. OVER TIME. TO INCORPORATE
A REALLY. MODALITIES FOR
GATHERING INFORMATION TO INFORM
THE EVALUATION. AND WE'RE DOING
SEPARATE EVALUATIONS FOR THE
PUBLIC AWARENESS CAMPAIGNS. YES
SOME OF THE WORK ALL OF THE WORK
STREAMS ARE ALSO COLLECTING
DATA. FOR THE SPECIFIC GOALS AND
OBJECTIVES THEY HAVE FOR THEIR
INDIVIDUAL WORK STREAMS. AND
THEN WE ARE WORKING TO REALLY A
LINE THAT WORK WITH THIS THE
EVALUATION THAT MATHEMATICS IS
DOING MORE IS MORE FOCUSED ON
THE GOALS OVERALL FOR THE
INITIATIVE TO THIRD WHEN YOU ADD
EVERYTHING UP. HAVE WE MOVED THE
NEEDLE THE WAY WE WANT TO. EACH
WORKSTREAM IS ALSO COLLECTING
DATA ABOUT THE IMPACT OF ITS
WORK SO FOR EXAMPLE YES IN EACH
OF THE PUBLIC AWARENESS
CAMPAIGNS THERE'S AN EVALUATION
COMPONENT BUILT INTO IT. OKAY SO
WE KNOW FOR ACTUALLY. IS
ACTUALLY YES. OKAY CAN YOU TALK
A LITTLE BIT MORE OF A JUST
ABOUT THE FEE SCHEDULE
DEVELOPMENT I KNOW THAT'S BEEN A
BIG AREA FOR CONCERN AND HOW WE
BRING IN THE COMMERCIAL. THE
FOLKS AS WELL. YEAH I AM HAPPY
TO- IT IS A VERY COMPLEX A BIT
OF POLICY AND IMPLEMENTATION.
THERE ARE A LOT OF- OPEN
QUESTIONS THAT WE ARE WORKING
CLOSELY WITH OUR IMPLEMENTATION
PARTNERS TO ADDRESS- ALTERNATELY
WHERE WE WANT TO GET TO-
STARTING IN JANUARY TWENTY
TWENTY FOUR. IS A COURSE THAT
OF- POLICY DOCUMENTS AND
UNDERSTANDING ABOUT. HELLO TO
BILLS SERVICES TO THE MANAGED
CARE PLANS ON THE MEDICAL SIDE.
AS WELL AS TOO COMMERCIAL HEALTH
PLANS THE INFRASTRUCTURE FOR
DOING THAT- TO REALLY LIKE I
SAID EARLIER FACILITY- AND ROUTE
REMOVE SOME OF THE
ADMINISTRATIVE BURDENS OF
FIGURING IT OUT. THE STATUTE
VERY SPECIFICALLY. ALLOWS FOR
REIMBURSEMENT- WITHOUT THE
CONTRACT NEEDING TO BE IN PLACE
THIS TAKES THE BURDEN OFF OF THE
SCHOOLS TO NEGOTIATE- WITH THE
PLANS AROUND THE REITS BECAUSE
THE RATES WILL BE ESTABLISHED
AND PUBLISHED. AS PART AS THEY
PUBLISHED FEE SCHEDULE THE
COMMERCIAL PLANS- ARE OBLIGATED
ALSO BY STATUTE TO REIMBURSE
PROVIDERS IN ACCORDANCE WITH
THIS THEME FEE SCHEDULE SO THE
RATES ARE ACROSS THE STATE ARE
ARE THE SAME ACROSS. ALL OF THE
DELIVERY SYSTEMS- AND THE HEALTH
AND SAFETY CODE PERTAINING TO
THE COMMERCIAL PLANS- YOU KNOW
FURTHER SPECIFIES THAT- THEY
CANNOT IMPOSE ANY UTILIZATION
CONTROLS SUCH AS- PRIOR
AUTHORIZATION OR THINGS LIKE
THAT TO- CONTROL WHO GETS A
SERVICES AND WHO DOESN'T SO.
BASICALLY WHAT WE'RE WORKING
WITH STAKEHOLDERS TO DO IS
IDENTIFY THE SCOPE OF THE
SERVICES THAT WILL BE INCLUDED
IN THE FEE SCHEDULE IDENTIFY THE
RATES DEVELOP THE POLICY THAT
BACKS IT- AND WILL BE ISSUING
EXTENSIVE GUIDANCE. AND
PROVIDING TECHNICAL ASSISTANCE
BOTH. TO HEALTH PLANS THAT
COUNTIES- AND THE COMMERCIAL
PAYERS AS WELL BUT I THOUGHT WE
WERE NOT GOING TO ASK THE SCHOOL
TO DO THE ACTUAL BILLING OVER
IT'LL BE THAT WHOEVER THE
PROVIDER WAS AT THE SCHOOL HAS A
PROVIDER OR CBO OR THE COUNTY.
YES THAT IS ONE OF THE THINGS
THAT WE ARE WORKING TO ADDRESS
THAT IS PROBABLY THE BILLING
INFRASTRUCTURE IS THE MOST
COMPLICATED PART OF THE
IMPLEMENTATION TRUTHFULLY- WE-
ARE WORKING THROUGH SOME
DIFFERENT MODELS FOR HOW THE
BILLING CAN HAPPEN. THERE ARE
MANY- DISTRICTS THAT PARTICIPATE
IN BILLING OF THE ALLEY ABOUT
PROGRAM TODAY AND SO THEY HAVE
SOME THIRD PARTY BILLING
INFRASTRUCTURE I'M IN ENTITIES
THAT ARE DOING BILLING FOR
MEDICAL SERVICES TODAY- AND SO-
WORKING THROUGH SOME OF THE
COMPLEXITIES AROUND THAT BUT- WE
WOULD AGREE WITH YOU AND THAT IS
WHAT WE'RE AIMING FOR IS TO NOT
HAVE THE SCHOOLS HAVE TO FIGURE
IT OUT. DIRECTLY THERE ARE
SCHOOL BASED PROVIDERS THAT ARE
EMPLOYED BY THE SCHOOL AND SO
THINKING THROUGH SOME OF THE
CHALLENGES AROUND WHEN THE
SCHOOL IS THE PROVIDER AND IT'S
NOT A PARTNER ORGANIZATION. LIKE
IT'S CBO OR BE HERE FOR A HEALTH
PROVIDER THAT ALREADY HAS
EXPERIENCE DOING THE BILLING HOW
DO WE ACCOMPLISH KIND OF THE
BILLING INFRASTRUCTURE FOR THE
SCHOOLS DIRECTLY WHO WILL BE
PROVIDING SERVICES- THAT A
REIMBURSABLE UNDER THE SPEED
SCHEDULE USING. THE PEOPLE
PERSONAL SERVICES CREDENTIAL
PROVIDERS AT EVERY SCHOOL. I
THANK. THEM FOR TURN OVER TO MY-
BUT YOU'RE- THIRTY ONE FOR DO
YOU KNOW DO WE KNOW THE NUMBER
THAT'S NEEDED OF MORMON HEALTH
WORKERS ACROSS THE SPECTRUM. WE
DO NOT WE- WE HAVE MORE OF THE
SUB WE KNOW- WE WORK WE'VE
GATHERED A FAIR AMOUNT OF
INFORMATION ABOUT WHO IS OUT
THERE WE HAVE NOT DONE A FULL
NEEDS ASSESSMENT THERE HAVE
BEEN- YOU KNOW THE CVH CA
THERE'S HERE THEY'VE DONE. THERE
HAVE BEEN VARIOUS ASSESSMENTS
DONE BUT I CAN'T GIVE YOU A- ONE
SET NUMBER OKAY. IT'S GOOD TO
KNOW SHOOTING FOR YES. OKAY.
CENTER WHEN. I JUST. I JUST HAVE
A FEW QUESTIONS- TO ELIZABETH.
YOU MENTIONED THAT YOU'RE WITH
THE- IS. ARE THEY KNOW. OR THEIR
CAL STATE SYSTEM COMMUNITY
COLLEGES. UC SYSTEM HOW WHAT
SYSTEM WHO WHO ARE YOU WORKING
WITH TO GETTING THESE. STUDENTS
HAVE ALL OF THE ABOVE SO IF FOR
EXAMPLE AS WERE AS WERE FUNDING
TRAINING PROGRAMS YOU KNOW-
PSYCHIATRIC MENTAL HEALTH NURSE
PRACTITIONER PROGRAMS ARE GOING
WITH THAT YOU SEASON CSU'S- BUT
YOU WE DO ALSO FUND SOME PRIVATE
INSTITUTIONS SO WE HAVE
CRITERIA- AGAIN FOCUSING ON OUR
DIVERSITY NEEDS FOCUSING ON-
SERVING MEDICALLY UNDERSERVED
AREAS. BUT WE JONES- ONLY SERVE
PUBLIC WE DON'T ONLY PROVIDE
FUNDING TO PUBLIC INSTITUTIONS.
SO FROM FROM THE- MANY. OF THEM
PROFESSION THAT WE NEED. HOW
LONG WE LOOKING AT. TO GET THESE
PEOPLE CERTIFY IN ON TO THE
WORKFORCE WELL I THINK IT'S A
GREAT QUESTION AND IT'S SO
IMPORTANT TO BOTH HAVE SHORT
TERM STRATEGIES AT LONG TERM
STRATEGIES BECAUSE OBVIOUSLY
TAKES A LOT LONGER TO. TRAIN A
PSYCHIATRIST AND IT DOES APPEAR
SUPPORT SPECIALIST OR OR A
WELLNESS COACH SO WE REALLY ARE
WORKING ON AT EVERY SINGLE LEVEL
AGAIN FROM PEER SUPPORT
SPECIALIST TO PSYCHIATRISTS AND
I WE NEED TO BE DOING THAT AS
WELL AS- RECRUITING. LITERALLY
FOLKS WHO ARE IN HIGH SCHOOL WHO
WE HOPE WILL WILL MOVE MOVE
ALONG THAT LETTER SO WEIRD WE'RE
TARGETING. ALL OF THE
PROFESSIONS IN MENTAL HEALTH AND
ALSO SUBSTANCE USE DISORDER
COUNSELORS THAT ARE SO
IMPORTANT. THIS IS YOUR BEEN NOT
DOING THIS SO FAR. HAVE YOU SEEN
IN THE- EXCITEMENT OF STUDENTS
WANTED TO GET INTO THE FIELD I
MEAN ARE THERE THEY'LL LIKE.
FLOCKING IN OR WE'RE STILL AT WE
HAVE BEEN. WELL IT'S A GREAT
QUESTION AND YOU'LL YOU'LL HAVE
OTHER PANELISTS IT MAY BE A
LITTLE CLOSER TO IT THAN I YOU
KNOW AS A STATE AND HANDING OUT
GRANTS TO. COMMUNITY BASED
ORGANIZATIONS WERE NOT
NECESSARILY HEARING DIRECTLY
FROM- FROM THE TRAINEES THAT
WE'RE SUPPORTING THAT WE DO HAVE
SOME OF THIS CASE STORY SO I
HAVE I THINK THERE IS SOME
EXCITEMENT OUT THERE THOUGH AND
IT'S REALLY IMPORTANT FOR US TO
KEEP BUILDING THAT IN THE STATE.
YEAH BECAUSE THE WAY FOR ME IS
THE MEASUREMENT IS THAT OKAY
WE'RE SPENDING ALL THIS MONEY TO
TRY TO. GET PEOPLE EXCITED ARE
THEY GETTING EXCITED- WE JUST
KEEP ON TALKING ABOUT SOMETHING.
THAT WE'RE HOPING PEOPLE GET
EXCITED TO GO TO GO INTO WELL WE
KNOW THAT MANY OF THE PROGRAMS
ARE IMPACTED RIGHT THERE ARE
MANY MORE PEOPLE WHO WANT TO GO
TO SOCIAL WORK SCHOOL THAN CAN
THERE MANY MORE PEOPLE WANT TO
GO THROUGH ANY OF THESE TRAINING
PROGRAMS THAT CAN SO. OUR FOCUS
IS REALLY ON INCREASING EEK
INCREASING CAPACITY AGAIN WHERE
THERE CAN BE ACCELERATED
PROGRAMS TO SUPPORT ACCELERATED
PROGRAMS. THANK YOU THANK YOU-
TODAY. ALMA MATER HAS A COHORT
CAP TWELVE. RIGHT BORN AND MUST.
PROGRAM WE'RE NOT WE'RE NOT
GETTING ANYWHERE FAST WITH THAT.
SENATE ROTH. THANK YOU MA'AM
YOUR FOR SOMEONE TO COMMEND YOU
ON YOUR EFFORTS SPECIFICALLY THE
EFFORTS TO LINK. CARE PLANS
HEALTH PLANS WITH THE SCHOOL
DISTRICTS AND ELEAZAR EVEN
TALKING WE SPOKE A LOT ABOUT
THAT. OVER THE TWO YEARS THAT I
HAD THE EDUCATION FINANCE
SUBCOMMITTEE AND- I THINK IT'S A
NOBLE EFFORT AND CERTAINLY ONE
THAT SOME. LONG OVERDUE SO I
LOOK FORWARD TO WATCHING THAT
PROGRESS SPECIFICALLY. YOU KNOW
I COME FROM A COUNTY RIVERSIDE
COUNTY THAT- IS ONLY ABOUT.
SEVENTY SEVEN ACUTE CARE
PSYCHIATRIC PUBLIC. ACUTE CARE
PSYCHIATRIC BEDS AND NO. ET AT
TRICK ACUTE CARE PSYCHIATRIC
BEDS TO SERVICE ABOUT TWO POINT
FIVE MILLION. OF COUNTY
RESIDENTS IN. WE KNOW IT. AT
ABOUT THE SAME TIME THEY SAY WE
HAVE ABOUT THIRTY ONE CHILD. AN
ADOLESCENT PSYCHIATRISTS TO
SERVICE. IS SOMETHING OVER SIX
HUNDRED AND FOURTEEN THOUSAND. A
RESIDENTS NOW. DEL RIGHT COME
FROM THEY SAY THAT'S A PROBLEM.
I RECOGNIZE WE'RE TALKING ABOUT
A CONTINUUM OF CARE HERE FROM
PREVENTION AN OUTPATIENT MENTAL
HEALTH SERVICES TO. INTENSIVE
OUTPATIENT SERVICES IN AN
INPATIENT. BUT IN ORDER TO TRY
TO GET A HANDLE ON AND TO
ASSESS- I GUESS THIS SERIOUSNESS
OF THE APPARENT. LACK OF. IN
PATIENT BED CAPACITY. DO WE HAVE
A HANDLE ON THE PERCENTAGE OF
USE BEHAVIORAL HEALTH CASES.
THAT REQUIRE- INPATIENT SERVICES
. IN OTHER WORDS WE'RE TALKING
ABOUT THE USE POPULATION WHAT
PERCENTAGE OF THOSE WITH
BEHAVIORAL HEALTH- SITUATIONS
REQUIRE IN PATIENT CARE. DO WE
KNOW THAT I'D NOT OFF THE TOP OF
MY HEAD I DON'T KNOW IF SOME OF
OUR COLLEAGUES TODAY WILL HAVE-
SOME OF THAT DATA THAT THEY CAN
SHARE BUT- IT'S SOMETHING THAT
WE CAN CERTAINLY TAKE BACK IN
AND SHARE WITH YOU FOLLOWING THE
HEARING. I THINK IT WOULD BE
IMPORTANT FOR US TO KNOW BECAUSE
OF COURSE I GET THE ANTI
ANECDOTAL INFORMATION FROM
HOSPITAL CEOS AND OTHERS AND-
HEALTH CARE- AREA IN THE
COMMUNITY THAT. SO AND SO YOU
KNOW TEN YEAR OLDER SO AND SO OF
FOURTEEN YEAR OLD- SPENT FIVE
DAYS IN THE EMERGENCY DEPARTMENT
AND AN ACUTE MENTAL DISTRESS
BECAUSE THERE WERE NO BEDS AND
THE STORIES JUST SORT OF MOUNT
BUT I DON'T I DON'T HAVE A
HANDLE ON WHAT THAT MEANS IN
TERMS OF THE TOTAL POPULATION TO
USE POPULATION. WITH SERIOUS.
MENTAL HEALTH ISSUES AND SO I
THINK THAT WOULD BE INSTRUCTIVE
AND MIGHT INFORM HOW WE-
ALLOCATE. TO AN APPROPRIATE OUR
RESOURCES. I THINK GOING TO HEAR
FROM MARK AT DCS WHO TALK ABOUT
SOME OF THE INFRASTRUCTURE
INVESTMENT SPECIFICALLY RELATED
TO CHILDREN AND YOUTH AS WELL AS
THE BROADER POPULATION. BECAUSE
IT'S CERTAINLY AN INTEREST OF
MINE THE THAT PARTICULAR PIECE
IN PARTICULAR ON INFRASTRUCTURE
THANK YOU MADAM CHAIR. THANK YOU
CENTER CENTER RUBIO. THANK YOU
MADAM CHAIR AND THANK YOU FOR
THE INFORMATION I'M I READ ALL
THIS THE DATA THE STATISTICS
THAT YOU SHARED AND IT'S- NOT
REALLY SURPRISING BUT YOU KNOW
YOU ALWAYS HOPE THAT THE NUMBERS
ARE. FOR LOWER- ONE THAT CAUGHT
MY EYE IN PARTICULAR IS THAT
CHILDREN. IN CALIFORNIA WITH
ANXIETY OR DEPRESSIVE DEPRESSION
ROSE 70% OR TWENTY SIXTEEN TO
TWENTY TWENTY AND GET SAID YOU
KNOW YOU KIND OF KNOW IT'S OUT
THERE BUT YOU KNOW YOU KEEP
HEARING THE DEAD AND IT'S
RELEASED. THE SHOCKING TO SEE
BUT I WANT TO JUST FOCUS ON
SOMETHING ELSE SO YOU KNOW I. I
THINK MY COLLEAGUES- ASK THE
QUESTIONS THAT I WANTED TO
ADDRESS BUT IN PARTICULAR- YOU
KNOW RIGHT NOW I'VE CREATED A
SELECT COMMITTEE ON SCHOOL
CLIMATE AND STUDENT SAFETY JUST
BECAUSE- YOU KNOW THE TEACHERS
SEVENTEEN YEARS VICE PRINCIPAL
ON IN ON. THE ISSUES WE'RE
DEALING WITH RIGHT NOW WE'VE
ALWAYS. SOMEWHAT DEALT WITH THEM
****. THE NUMBERS ARE INCREASING
AS IT PERTAINS TO PAULINE AS A
PERTAINS TO. ADD JUST THE
INTERNET AND WHAT OUR CHILDREN
ARE DOING AND- AND THE INTERNET
AND SOME AT THAT. THE CASES THAT
I'VE HEARD OF YOU KNOW
DEPRESSION COMING FROM SOME OF
THE BUILDING THAT'S GOING ON IN
THE INTERNET AND SOCIAL MEDIA
AND- NOT ONLY THAT BUT SUICIDE
AND THAT'S INCREASING AND SO I
WANTED TO SEE. HOW AND I COULD
FEEL THE SAME I DON'T KNOW IF
YOU HAVE ANY INFORMATION ON THIS
IN PARTICULAR IF YOU CAN SHARE.
IS THERE ANYTHING SPECIFICALLY
TARGETING. THE KNOW THE USE OF
US SOCIAL MEDIA PLATFORMS WHAT'S
COMING OUT OF THAT INFORMATION
DATA STATISTICS SPECIFICALLY TO
ADDRESS THAT I. EVER WANTS TO
ANSWER. ANSWER THAT I WOULD
APPRECIATE IT THANK YOU. THANK
YOU FOR YOUR QUESTION- AS PART
OF OUR CONTRACT WITH THE CHILD
MIND INSTITUTE WE'RE DOING SOME
WORK- TO LOOK AT THE IMPACTS OF
USE OF SOCIAL MEDIA ON CHILDREN
AND YOUTH. THEY'VE ALREADY DONE
A SIGNIFICANT AMOUNT OF WORK IN
THE AREA BUT ARE WORKING WITH.
PARENTS AND CAREGIVERS AS WELL
AS EXPERTS ACROSS THE STATE TO
INFORM- SOME STRATEGIES FOR HOW
WE MIGHT MITIGATE SOME OF THE-
HARMFUL EFFECTS. OF SOCIAL
MEDIA- I THINK AS WE ARE ALSO
THINKING ABOUT THE DIGITAL BEER
FOR A WHOLE PLATFORM THAT WERE
LAUNCHING. AS PART OF THE
CHILDREN AND YOUTH BEHAVIOR HOW
HEALTH INITIATIVE. YOU KNOW IT
WILL PER. AN ARE. FOR YOUNG
PEOPLE TO. IN AND- HELP. AND AND
PRINT. RELATIONSHIPS
INTERACTIONS THROUGH AN ONLINE
PORTAL. AND I DON'T KNOW- YOU
KNOW. MY OWN KIDS AS AN EXAMPLE
BUT KIDS THAT WE HEAR FROM
ACROSS THE STATE. KIDS THESE
DAYS SEE THE WORLD THROUGH THEIR
PHONES. UNFORTUNATELY AND SO
BUILDING OUT SOME TOOLS AND
RESOURCES- THROUGH THIS EFFORT-
AT TO HELP. MITIGATE SOME OF THE
THINGS THAT YOU'RE TALKING ABOUT
BY PROOF PROVIDING A TOOL. THAT
WILL GIVE THEM IN FOR. A
POSITIVE INFORMATION.
EDUCATIONAL RESOURCES ACCESS TO
COACHES- AND FORUMS WHERE YOUTH
CAN LEARN FROM AND INSPIRE EACH
OTHER IS ONE WAY THAT WE'RE
ADDRESSING THAT AND THEN AGAIN
LIKE I SAID THROUGH ALL OF THE
WORK THAT WE'RE DOING WITH THE
CHILD MIND INSTITUTE. WITH OUR
SCHOOL PARTNERS THE CAL HOPE-
PROGRAM WE ARE BUILDING OUT A
COMMUNITY OF INDIVIDUALS IN
CALIFORNIA WHO ARE- WHO ARE
REALLY FOCUSED ON SOCIAL
EMOTIONAL LEARNING AND SUPPORT.
METAGAME IN MEDIC INCLUDING
MITIGATING THE IMPACTS OF SOCIAL
MEDIA MITIGATING THE IMPACTS ON
SOCIAL OF SCHOOL CLIMATE THESE
ARE ALL THINGS THAT WE ARE- IF
INTENSELY FOCUSED ON IN THE WORK
THAT WE'RE DOING. UP THROUGH
THESE VARIOUS EFFORTS. I CAN
CONTENT I'M SORRY AND I'M- I WAS
GONNA SURE YOU JUST SAID THAT
YOU'VE DONE A LOT OF WORK IN
TERMS OF GATHERING DATA DO YOU
MIND SHARING EITHER WITH THAT
CHAIR AND SENDING IT TO ALL OF
US ARE DIRECTLY TO ME I'D LIKE
TO GET DEEPER INTO. THE NUMBERS
AND I'M SORRY I THINK
INTERRUPTED YOU GOT HAS I WAS
GONNA AT THE UNIONS WERE HAPPY
TO ANSWER SOME MORE OF THE DATA
THAT WE THAT WE TRACK I WAS JUST
GOING TO ADD THAT. WE'VE ALSO
BEEN LOOKING AT SOME OF THE
RESEARCH ABOUT THE IMPORTANCE
OF. I'M REALLY FOCUSING ON
POSITIVE MENTAL HEALTH AND HOW
CERTAIN OF THOSE KINDS OF
STRATEGIES ARE ALSO AN ANTIDOTE
TO SOME OF THE NEGATIVE IMPACTS
OF TECHNOLOGY OR SOCIAL MEDIA.
AND SOME OF THE RESEARCH FOUND
THINGS. I'M A I'M- A OF PURPOSE
THAT'S THROUGH. OP ORIGIN. AND
KEEP CONNECTION WHETHER IT'S
WITH PEERS OR CARING ADULTS
WHETHER THAT'S THROUGH
MENTORSHIP PROGRAM. AND
SOMETHING OTTOMAN I'VE TALKED
ABOUT THE LITERATURE IS ACTUALLY
VERY CLEAR RIGHT AROUND SLEEP
FOR ALL OF US BUT PARTICULARLY
FOR YOUNG PEOPLE AND THE
CONNECTION BETWEEN GOOD SLEEP
HYGIENE AND MENTAL HEALTH IS
VERY PROFOUND. SO HOW CAN WE ARE
ALSO TRYING TO THINK ABOUT
THROUGH I THINK OF THE
WORKSTREAMS IN THE C. Y. B. H.
I.'S TOOLS WE HAVE IN OUR
TOOLBOX. WHAT ARE SOME OF THE
OPPORTUNITIES WE HAVE WITH SOME
OF THOSE TOOLS TO ALSO PROVIDE
THE SORT OF ANTIDOTE PIECES THAT
ALSO REALLY HELPED BUILD THE
POSITIVE MENTAL HEALTH AND
RESILIENCE OF OUR YOUNG PEOPLE.
AND THAT IS SOMETHING IN OUR ALL
OF OUR CONVERSATIONS AND WORK
WITH YOU THROUGH THREE DIFFERENT
YOUTH ENGAGEMENT PARTNERS IN
DIFFERENT SESSIONS. THEY HAVE
REALLY RAISED WITH US THEY WANT
US TO FOCUS ON THEIR WELL BEING
AS WELL. AS ON THEIR CLINICAL
MENTAL HEALTH NEEDS. I THINK AND
I JUST TO POINT OUT AND- THAT
RECENTLY I HEARD SOMETHING EVEN
THAT THERE'S- SO MANY SCHOOL
DISTRICTS THAT ARE TRYING TO
DEAL WITH THIS ISSUE. AND SO
MANY DIFFERENT WAYS AND I'VE
HEARD SO MANY OF SCHOOLS YOU
JUST IN DIFFERENT AREAS- AND
THEY'VE ACTUALLY TO COLLECTIVELY
AS A COMMUNITY HAVE DECIDED THAT
THEY WERE GOING TO BE- YOU KNOW
A SOCIAL MEDIA FREEZONE AND
PARENTS HAVE JUMPED ON BOARD AND
THEY ALL SORT OF HELP EACH OTHER
STAY ACCOUNTABLE OR THEIR
CHILDREN ONLY USING. THEIR
PHONES CERTAIN HOURS OF THE DAY
OR THEY'RE CAPPING A TO ONE OR
TWO I'M JUST. I'M TRYING TO
THINK OUT LOUD IN THE SENSE THAT
I'VE BEEN DEALING WITH STUDENTS
HALL MY LIFE I MEAN THAT'S BEEN
MY PROFESSION FOR YEARS AND-
THEN I GO BACK TO THE TIME WHEN
WE USED TO ROLE PLAYS. WITH
STUDENTS TO SHOW THEM WHAT'S
APPROPRIATE BEHAVIOR WHAT'S NOT
HOW TO TREAT EACH OTHER AND
WHAT'S PULLING WHAT'S NOT AND I
JUST. CANNOT WRAP MY HEAD AROUND
THE FACT THAT NOW WE HAVE TO
FIGURE OUT HOW TO TEACH THAT.
THROUGH THE INTERNET HOW DO WE
SPECIFICALLY ROLE PLAY SHALL
STUDENTS. HOW NOT TO TREAT EACH
OTHER IT'S JUST COMPLETELY
DIFFERENT WORLD IN IN. MY MIND I
WAS JUST CONSIDERING. YOU KNOW
PURSUING- MAYBE FUNDING TO
INCENTIVIZE SOME OF THE SCHOOLS
TO CONTINUE. TO PURSUE THAT ON
THEIR OWN WHETHER IT'S- THROUGH
A SCHOOL DISTRICT OR INDIVIDUAL
SCHOOLS JUST FINA- YOU KNOW UP
ON INTERNET FREEZONE AT LEAST
DURING SCHOOL HOURS AND PARENTS
HAVE JUMPED ON BOARD TO THE-
POINT THAT EVEN AFTER HOURS THE
ONLY ALLOW THEIR STUDENTS TO USE
IT. FOR ONE HOUR AND ALL PARENTS
ARE HELD ACCOUNTABLE IT. IS
JUST. I THINK THAT WE ALSO ARE.
CREATING A SOCIETY WHERE KIDS
ARE NOT REALLY KNOWING HOW TO
BEHAVE WITH ONE ANOTHER BECAUSE
YOU'RE NOT SEEN EACH OTHER FACE
TO FACE AS OPPOSED TO SOME OF
THAT ARE A LITTLE OLDER THAT. WE
LITERALLY HAVE TO GO KNOCK ON A
DOOR TO TALK TO OUR NEIGHBORS
RIGHT. BUT JUST YOU KNOW
THINKING OUT LOUD MAYBE AT SOME
POINT PURSUE SOMETHING EATEN
SUBSTANTIVE ICE. SCHOOL
COMMUNITIES TO JOIN FORCES TO.
MINIMIZE OF IT BECAUSE I THINK
THAT. JUST YOU KNOW HAVING OUR
KIDS TALK TO EACH OTHER REALLY.
FORCING THE CONVERSATIONS OF
CHINA IT'S SO OUTDATED THE WAY
I'M THINKING BLOOD. BEING A
TEACHER I KNOW WHAT WORKS AND
THAT'S THAT- INTERACTION FACE TO
FACE AND KNOWING HOW TO BEHAVE
WITH ONE ANOTHER AND I ALSO
THINK IT LEADS TO. AND THAT
INADEQUATE BEHAVIOR IN THE WORK
FORCE LATER. ON YOU KNOW HOW DO
YOU INTERVIEW IF YOU'RE NOT YOU
TO. OFFENDED PEOPLE BUT- SO I TO
POINT OUT. THAT THE- ARE DOING
SOME GREAT WORK THE- ARE GOING.
HOW TO FOR. JUST ON. SOCIAL OR-
THE IN. BY THANK YOU FOR THAT
AND I. AND I LOOK FOR TO THAT.
DATA BE PER. INSIGHT THANK YOU
SOME. READING MATH CHAIR THANK
YOU SENATOR AND FOR YOUR-
DECADES OF A- THEN WHEN I WHEN
MORE QUESTION AND THEN I. TO GO
TO CENTERMAN OF OUR- THANK YOU.
THANK YOU MANAGE. SO I'VE BEEN.
A LOT WITH MY SCHOOLS. AND OF
COURSE WITH. THE BUDGET DEFICIT
FUNDING ISSUES HAS COME IN THE
FOREFRONT OF ALL THE SCHOOLS.
AND WHAT ARE THE THAT I. HEARD
MANY MANY TIMES NOW. IS THAT.
THEY'RE AFRAID THAT IF THERE'S
ANY BUDGET CUTS IT'S GOING TO
END UP BEING THE MENTAL HEALTH
SIDE. AND THAT ONE TIME FUNDING
THEY GOT DURING COVERT OR VETO
SURROUNDING KOBE- THEY HAVE
THAT. YELLOW STAFF ON. IN PLACE
AN ECCENTRIC. AND IF. STORY SKIN
CUT THUS THE FIRST ONE TO GO- IS
THERE I MEAN MIGHT BE DRESSED
LATER- BY CHILDREN NOW. BUT IS
THERE. ANY ONGOING. EFFORTS TO
HELP WARD ARE YOU EVALUATE IT
LOOKING AT MAKING SURE. THAT WE
DO THIS IS A LONG AGO HOW LONG.
IT IT'S A IT'S NOT JUST. THE
PROBLEMS TODAY WILL FIX IT TODAY
AND WE THINK THAT THAT WOULD
HAPPEN AGAIN TOMORROW. AND SO.
THAT'S ONE AND THEN THE OTHER
PART IS- AS- AUTUMN WAS MET YOU
MENTION. OF THE- STAKEHOLDERS
THAT JIMMY WHAT. DO THEY INCLUDE
PARENTS. OKAY BECAUSE- AS A MOM
WHO HAS IT TWO BOYS ONE IN
ELEMENTARY ONE MIDDLE SCHOOL I
WOULD LIKE TO BE AT THOSE
CONVERSATION RIGHT I WANT TO
KNOW WHAT'S OF PROVIDED BY THE
SCHOOL WHAT MY CHILDREN. CAN TO
SET TO WITH OR WITHOUT ME I MEAN
THE TEN YEAR OLD- AND A AND A
TWELVE YEAR OLD AND SO YOU KNOW
THOSE KIND OF THINGS THAT I
THINK. WE AS PARENTS DON'T LIKE
SURPRISES. WE WANT TO BE AT THE
WE WANT TO BE INFORMED WE WANT
TO KNOW WHAT IS BEING ENGAGED BY
THESE PROFESSIONS PROFESSIONALS
IN THE SCHOOLS AND IT YOU KNOW
WHAT ARE THE OPPORTUNITIES ARE
FOR THE CHILDREN AS WELL-
BECAUSE WE DEFINITELY DON'T WANT
TO HARM MY CHILDREN. IN ANY WAY
WE WANT THEM TO YOU IF THEY NEED
TO HELP WE WANT THEM THERE TO.
TO GET THE HELP BUT WE ALSO
HUNDRED NO. ALSO YES I THINK
AGING PARENTS AND CAREGIVERS AND
FAMILIES IS A PART OF OUR
OVERALL PARTNER ENGAGEMENT
PROCESS ACROSS ALL OF THE WORK
OF THE C. Y. B. H. I. AND THEN
WE DO I'M TO HAVE AN ONGOING
ENGINE A FUNDING SUPPORT A LOT
OF TALK ABOUT THAT PART OF THE
WORK DCF AND DAMAGE THE- YEAH
SO- AT THANK YOU- AND TO. YOU
FOR THE QUESTION- I WOULD ALSO
AGREE AN ECHO THAT WE HAVE
ATTEMPTED- IN ALL OF OUR
STAKEHOLDER ENGAGEMENT EFFORTS
TO BE VERY- THE INTENTIONAL
ABOUT INCLUDING PARENTS AND
CAREGIVERS. WE ALSO BRING OUR
OWN PERSPECTIVES TO THAT WORK
BUT- BUT YES- ECHOING. WHAT
MELISSA SAID- WE- WE DO SEE THE
ALL PAYER FEE SCHEDULE THAT I
SPOKE ABOUT EARLIER. AS A FUTURE
FORWARD SUSTAINABLE PATH TO FIND
MENTAL HEALTH AND SUBSTANCE USE
DISORDER SERVICES AT SCHOOLS.
THAT MEDIC HELD MANAGED CARE
PLANS IN THE COMMERCIAL PLANS
HAVE OBLIGATIONS- IN THEIR
CONTRACTS UNDER. BUT YOU KNOW
WITH THE STATE SO ALL SPEAK TO
MEDICAL FOR A SECOND BUT- FROM A
MEDICAL PERSPECTIVE- BEHAVIOR
HEALTH SERVICES ARE PROVIDED
THROUGH THE MEDICAID PROGRAM
WHICH IS AN ENTITLEMENT PROGRAM-
AND ASSISTING ANIMAL FORCE. IS
A- SOURCE OF FUNDING COMMERCIAL
PLANS OBVIOUSLY ARE ALSO UNDER
THE MENTAL HEALTH PARITY AND
ADDICTION EQUITY ACT REQUIRED TO
PROVIDE MENTAL HEALTH AND
SUBSTANCE USE DISORDER TREATMENT
TO THEIR ENROLLED MEMBERS AS
WELL AND SO. IF WE DO SEE AND
HAVE HEARD SIMILAR CONCERNS
ABOUT ONE TIME FUNDING EFFORTS
AND THERE ARE MANY OF THOSE
WITHIN THE C. Y. B. H. I. THERE
THE GRANT PROGRAMS THAT ARE PART
OF IT. AND THAT'S WHAT
RESTRUCTURING THE GRANTS TO HELP
SET UP THE INFRASTRUCTURE FOR
FUTURE SUCCESS BUT THERE ARE
PERMANENT FEATURES OF THE
CHILDREN IN NEED BE RALPH
INITIATIVE AS WELL INCLUDING THE
ALL PAYER FEE SCHEDULE FOR
SCHOOL BASED SERVICES. AND
REIMBURSEMENT TO THE SCHOOLS AS
WELL AS THE DIGITAL BE FOR
HEALTH PLATFORM AS WELL. SO
YEAH. THANK YOU VERY MUCH BRING
THEM ALL TOGETHER. GET THEM ALL
. TOGETHER A CENTER MENJIVAR.
THANK YOU SO MUCH RANCHO- TO.
FROM DON'T KNOW WHO ANSWER THIS
- COULD YOU SPEAK A LITTLE BIT.
ABOUT I SEE THAT AGE CARD BE
DEVELOP TRAINING FOR YOU IN OUR
JUST SYSTEM YES- I SEE THAT WE
HAVE A WORKFORCE PIPELINE FOR
THE- COMING NOW BUT ALSO SEEN
TRAINING FOR NON CLINICIANS
WITHIN. IF I'M IF I READ THAT
CORRECTLY WITHIN- OUR JUVENILE
HALLS. I'M NOT SURE IF THIS IS
THE MENTAL HEALTH FIRST AID
TRAINING IF THIS IS WHAT WE'RE
FOCUSING ON JUST WOULD LOVE TO
HEAR A LITTLE BIT MORE WITH THAT
TRAINING LOOKS LIKE. OR IS THIS.
PER NO NO I'M JUST GONNA OF MY
DAD DIRECTOR MY WERE. I. FOR
SAID DIRECTORS GOING TO COME UP
AND HELP. ANSWER LITTLE BIT MORE
SO WE ARE ONE OF THE WORK FORCE
FUNDING STREAMS WAS SPECIFICALLY
IT IS SPECIFICALLY FOCUSED ON
JUSTICE AND SYSTEM INVOLVED
YOUTH. AND SO WE'RE WE'RE HERE
IF YOU CAN JUST ADDRESS A LITTLE
BIT MORE SPECIFICALLY WHAT WE'RE
DOING WITH THAT THANK YOU CENTER
IMAGE OF OUR- WELCOME. GOOD
AFTERNOON KAREN MYSELF- YES-
THIS IS BEEN AN IMPORTANT-
PARTNERSHIP THAT WE'RE
DEVELOPING- AND SO WE'RE WE'RE
DOING TWO THINGS ONE WE'RE
LOOKING AND HOW DO WE REACH OUT
TO ENCOURAGE DRESSES AND SYSTEM
ABOVE USED TO BE PART OF THAT.
BEHAVIOR HEALTH PIPELINE SO THAT
THAT'S SOMETHING THAT WE'RE
WE'RE WORKING TOWARDS WHERE IT
WILL ALSO WORKING WE HAVEN'T WE
HAVEN'T RFI OUT NOW REQUEST FOR
INFORMATION FOR ORGANIZATIONS TO
HELP US DEVELOP THAT TRAINING-
TO BE ABLE TO WORK WITH. AS AS
WE TALKED ABOUT NON CLINICIANS
TO BE ABLE TO BETTER SERVE-
JUSTICE IN SYSTEM INVOLVED YOUTH
. SO IT'S STILL A THE WORKS
AGAINST HUNDRED WOULD BE A NO
WE'RE IT WE'RE WE'RE- OUT WE PUT
OUT A REQUEST FOR INFORMATION
FOR UP. POTENTIAL PARTNERS TO
WORK WITH US ON THAT PERFECT
I'LL DEFINITELY BE FOLLOWING UP
ON THAT APPRECIATE IT MY SECOND
QUESTION IS YOU KNOW. YOU PUT
TOGETHER THE STAKEHOLDER GROUPS
TO LEARN MORE YOU KNOW THE- YOU
DON'T THROW IT THROW ANYMORE
STATS BUT- YOU PARTICULARLY WITH
THE LGBTQ PLUS YOU THINK JUST
LIKE. THOSE STATS HAVE JUST
GOTTEN IT'S JUST THROUGH THE
ROOF THERE- I DON'T KNOW IF YOU
HAVE A PERCENTAGE BUT WHAT DO
YOUR STAKEHOLDERS IN YOUTH LOOK
LIKE DO WE HAVE ARE
PREDOMINATELY WOMEN GIRLS. LGBTQ
BLACK BOYS LIKE WHAT DOES THAT
LOOK LIKE WE ABLE TO ACHIEVE A
REALLY. DIVERSE GROUP. AT THE
YOU FOR THE CALL I'LL START THEN
MAYBE MY COLLEAGUES WANT TO ADD
. DO YOU THINK WE'VE BEEN ONE OF
THE STRATEGIES WE USED IN THIS
ACTUALLY- CAME AT THE SUGGESTION
OF SOME OF OUR YOUTH AND FAMILY
ENGAGEMENT PARTNERS. WAS SOME OF
THIS WORK WE'VE DONE DIRECTLY AS
STATE STAFF TALKING WITH
DIFFERENT OF OUR PARTNERS AND
STAKEHOLDERS INCLUDING YOUTH AND
FAMILIES. BUT SOME OF IT WE'VE
REALLY DONE THROUGH TRUSTED
PARTNER ORGANIZATIONS WORKING AT
THE LOCAL LEVEL. AND THROUGH
THAT STRATEGY THAT IS HOW WE
HAVE REALLY BEEN ABLE TO ENGAGE
A VERY DIVERSE GROUP OF YOUTH
ACROSS ALL OF THE DIMENSIONS OF
IDENTITY AND MORE IS THAT YOU
ARE MENTIONING. SO BECAUSE THIS
IS WHAT SOME OF THE YOUTH AND
FAMILY ENGAGEMENT PARTNERS TOLD
US WHICH IS YOU KNOW. THAT
MELISSA THEY'RE NOT GOING TO.
PEOPLE ARE NOT GOING TO REALLY
REVEAL TO YOU WHAT THEY ARE
THINKING AND MEETING THEM. AND
SO WE'VE REALLY WORKED THROUGH
PARTNER ORGANIZATIONS WHO ARE
ALREADY TRUSTED. AND WORKING
WITH YOUTH OF COLOR WORKING WITH
LGBTQ PLUS YEARS WORKING WITH
YOUTH ACROSS THE STATE RURAL
YOUTH DIFFERENT LOTS OF
DIFFERENT IDENTITIES. SO THAT'S
WHAT WE'VE DONE IS TO PARTNER TO
MAKE SURE THAT WE ARE REALLY
GETTING A DEEP CROSS SECTION OF
USED INCLUDING SYSTEM INVOLVED
YOUTH. IMMIGRANT YOUTH AND SO
THAT TIME HAS BEEN AN
INTENTIONAL STRATEGY- AS PART OF
HOW WE'VE ENGAGED WITH YOUTH AND
FAMILIES. ALTHOUGH I WOULD ECHO
THAT THE WORK DO JUST ASSIST.
WE'VE ALSO IN TO BE- VERY
INCLUSIVE- AND HAVE TALKED WITH.
A LOT OF FOLKS ACROSS THE STATE
THEIR PARTNERS IN AN OTHERWISE.
WE'RE ALSO TRYING TO BE VERY
INTENTIONAL IN THE WAY THEY WERE
WRITING CONTRACTS FOR VENDORS.
IN TERMS OF EXPECTATIONS FOR THE
ENGAGEMENT THAT THEY ARE ALSO
REQUIRED TO DO. IN DOING THIS
WORK TO MAKE SURE THAT WE'RE
THINKING THROUGH THE NEEDS OF
THOSE POPULATIONS AND MANY MORE
AS MELISSA SAID- AS PART OF THE
ON GOING WORK SO NOT JUST THE
WORK THAT WE ARE RESPONSIBLE
FOR. BUT THAT OUR IMPLEMENTING
PARTNERS ARE RESPONSIBLE FOR TO
MAKE SURE THAT WE'RE THEY'RE
VERY THOUGHTFUL ABOUT THE NEEDS
OF. BLACK BOYS OF LIVE NEXT
POPULATIONS- OF A NON ENGLISH
SPEAKERS OF LGBTQ PLUS- AND ALSO
I SPOKE EARLIER ABOUT. SOME OF
THIS WORK AROUND THE DIGITAL
BEAVER HEALTH CLUB BERMAN
SCHOOLS AND HOW IMPORTANT IT IS
TO ESTABLISH PARTNERSHIPS WITH
TRUSTED. COMMUNITY PARTNER
ORGANIZATIONS AND THAT'S A VERY
MUCH A PART OF THE ACTUAL
DELIVERY MODEL FOR THE DIGITAL
BE OVERALL PLATFORM- AS WELL AS
THE SCHOOL BE SERVICES AT ALL OF
THE OTHER WORK THAT WE'RE DOING.
WE'VE ALSO MADE A CONCERTED
EFFORT AND SELECTING AND SCALING
EVIDENCE BASED AND COMMUNITY TO
FIND EVIDENCE PRACTICES TO MAKE
SURE. THAT WE ARE INCLUSIVE IN
THE SELECTION OF PRACTICES. TO
ADDRESS THE NEEDS OF THOSE
POPULATIONS SPECIFICALLY AND I'M
AS KIND OF ROOTED IN- THE
STRATEGY THAT WE ARE.
IMPLEMENTING SURE WOULD YOU
INDULGE ME ONE MORE QUESTION
HERE GO AHEAD. THANK YOU- SO I
SEE ONE OF THE- WERE EDUC FIGURE
FROM- EARLY AT CHAU- I SEE
ANYTHING SPECIFIC TO THE ECP
WORLD HERE AND I'M WONDERING-
YEAH THERE'S A SECTION ON ASUS-
AND I'M WONDERING AND LOOKING AT
THE WELLNESS COACH MODEL IF ANY
PIPELINE CAN GO INTO. OUR CHILD
CARE SYSTEMS. YEAH YOU INTEGRITY
C. ENGAGED. IN A LITTLE BIT AND
THEN MAYBE CARE IF YOU WANT IT
I'M TALK ABOUT BECAUSE THAT WE-
IT HAS A VISION THAT OVER TIME
THE WELLNESS COACH- COULD BE AN
EARLY CARE AND LEARNING SETTING
SO APPRECIATE THAT QUESTION CARE
ME WANT TO SPEAK TO. IS
ALTERNATE YES ANOTHER I THINK
IMPORTANT PLACE WHERE THERE'S A
FOCUS ON EARLY CARE AND LEARNING
SETTINGS IS THAT TRAUMA INFORMED
TRAINING FOR EDUCATORS THAT THE
OFFICE OF THE CALIFORNIA SURGEON
GENERAL IS DEVELOPING. AND THAT
TRAINING HAS DIFFERENT MODULES
INCLUDING A SET OF MODULES THAT
ARE SPECIFIC FOR OUR EARLY CARE
AND LEARNING I'M PROVIDERS TO
THINK ABOUT THAT WORK- AND ALSO
THE- ACES AND TOXIC STRESS-
CAMPAIGN AWARENESS THAT THEY'RE
DEVELOPING THEIR ALSO BE
THINKING ABOUT CERTAIN
POPULATION GROUPS AS WELL BUT-
THAT. TIME INFORM TRAINING FOR
EDUCATORS THAT SPECIFICALLY
INCLUDE. A FOCUS ON EARLY CARE
AND LEARNING SETTINGS. THANK YOU
AND THANK YOU TO OUR PANEL VERY
MUCH I THINK THIS MAY BE THE
FIRST TIME I'VE SEEN THOSE TO IN
PERSON. OKAY NEXT WE HERE FROM.
WOULD BEEN CHAU COOPER RIGHT
DIRECTOR. HEALTH DIRECTOR
ASSOCIATION THE UNDER CLARK
HARVEY. CHIEF EXECUTIVE OFFICER
FOR THE CALIFORNIA COUNCIL OF
COMMUNITY BEHAVIORAL HEALTH
AGENCIES. ADRIAN SHELTON THE
DIRECTOR OF PUBLIC POLICY AND
STRATEGY FOR THE CALIFORNIA
ALLIANCE OF CHILDREN AND FAMILY.
AND THE SHAUN FRANCIS SENIOR
DIRECTOR BEHAVIORAL HEALTH
CHILDREN NOW WELCOME ALL OF YOU.
I THINK WE HAVE USELESS KICKED
US OFF DISCOVER. THANK YOU.
RIGHT. CAN I GET THIS THING HERE
. AND I WOULD SAY WE WOULD ASK
FOR THE FOUR PANELISTS TO HANG
AROUND IF YOU POSSIBLY CAN IN
CASE WE HAVE MORE QUESTIONS FOR
YOU THANK YOU. THANK YOU SO MUCH
AND GOOD AFTERNOON MADAM CHAIR
MEMBERS MICHELLE CABINET WITH
THE COUNTY BEHAVIORAL HEALTH
DIRECTORS ASSOCIATION. FIRST WE
WANT TO THANK AND COMMEND THE
LEGISLATURE IN THE
ADMINISTRATION FOR YOUR
FORESIGHT NALLEY KATIE IN ONE
TIME FUNDING TO BUILD OUR OUR
BEHAVIORAL HEALTH TREATMENT
CAPACITY. AS WE KNOW THAT DEMAND
FOR BEHAVIORAL HEALTH SERVICES
FOR YOUNG PEOPLE AND THEIR
FAMILIES FAR EXCEEDS WHAT'S OUT
THERE. SO WHAT'S OUT THERE. THE
PERSPECTIVE OF COUNTY BEHAVIORAL
HEALTH IS UNIQUE AND INFORMED BY
DECADES WORTH OF PARTNERSHIPS
WITH. IN SCHOOLS. PRIOR TO SEE
WHY B. CHAI 85% OF COUNTY
BEHAVIORAL HEALTH AGENCIES
ALREADY HAD SOME FORM OF
ESTABLISHED SCHOOL BASED
SERVICES. LARGELY FUNDED THROUGH
MHSAA AND MEDIC HOUSE SO A
COMBINATION OF BOTH INSURANCE
REIMBURSED AND SOME OF THOSE
MORE WELLNESS ORIENTED
ACTIVITIES THAT ARE OUTSIDE OF
INSURANCE. WHEN I ASKED HER
MEMBERS WHY THEY HAD INVESTED SO
EXTENSIVELY ALREADY IN SCHOOL
BASED SERVICES THEY SAID THAT
THE ANSWER WAS SIMPLE. WE ARE
LOOKING FOR OUR KIDS.
HISTORICALLY ARE CHALLENGED WITH
BUILDING AND EXPANDING SCHOOL
BASED SERVICES HAS COME DOWN TO
THE FACT THAT BUILDING
PARTNERSHIPS REQUIRES INVESTMENT
AND TIME. SCHOOLS OFTEN LACKED
THE PHYSICAL SPACE TO
ACCOMMODATE OUR SERVICES AND WE
HAD MAJOR FUNDING GAPS WHEN IT
CAME TO THE DELIVERY OF WHAT WE
CALL NON SPECIALTY MENTAL HEALTH
CENTER MEDICAL. AND TO STUDENTS
WITH PRIVATE INSURANCE WHICH CAN
BE UP TO HOW FOR MORE OF THE
STUDENT POPULATION DEPENDING ON
THE CAMPUS. CALLEN HAS HELPED US
TO ADDRESS SOME OF THE FUNDING
GAPS FOR MEDICAL STUDENTS IN
THAT WE CAN NOW BILL DOWN. AND
DRAW FEDERAL MATCH FOR THOSE WHO
DON'T QUALIFY FOR SPECIALTY
SERVICES. BUT FUNDING GAPS FOR
PRIVATELY INSURED STUDENTS
REMAIN. OUR SCHOOLS DO NOT
CHOOSE WHICH STUDENTS TO SERVE
BASED ON THEIR INSURANCE STATUS
AND HE DIDN'T WANT US TO FOR THE
MOST PART EITHER. HOWEVER
SCHOOLS DO HAVE LEGAL AND
FINANCIAL RESPONSIBILITY FOR
EDUCATIONALLY RELATED MENTAL
HEALTH SERVICES OR- MISS. SO
MANAGING THOSE LINES OF PAYMENT
AND LEGAL RESPONSIBILITY ACROSS
SCHOOLS PUBLIC AND PRIVATE
INSURANCE HAS BEEN PART OF THE
HEAVY LIFT OF GETTING OURSELVES
TO WHERE THE KIDS ARE. WELL
MEDICARE MANAGED CARE PLANS AND
PRIVATE INSURANCE PLANS MAY HAVE
HAD SOME PAYER RESPONSIBILITY TO
SERVE CHILDREN AND YOUTH. THERE
SERVICES TEND TO BE MUCH MORE
MEDICAL MODEL AND SO CLINIC OR
HOSPITAL BASED RATHER THAN OUT
IN THE COMMUNITY. UNDERSEA WAY
BE TRY OUR EXISTING
RELATIONSHIPS TO SCHOOLS WILL BE
FUNDAMENTALLY ALTER. BUT WE'RE
CONCERNED THAT UNLESS WE
DEDICATE ADDITIONAL TIME TO
UNDERSTAND WHAT WE'RE
DISMANTLING AND HOW WE'RE
PUTTING IT BACK TOGETHER. IT
WON'T LEAD TO THE POSITIVE
OUTCOMES WORLD HOPING. FOR FIRST
WELL THE FEE SCHEDULE WILL BRING
MEDICAL MANAGED CARE AND PRIVATE
INSURANCE DOLLARS TO THE TABLE
IN A MEANINGFUL WAY FOR THE
FIRST TIME. IT WILL ALSO ALTER
THE COUNTY'S RELATIONSHIP WITH
SCHOOLS FROM AN ONSITE ALL IN
PAYER PARTNER EXCUSE ME TO PASS
THROUGH PAYER. AND THE FEE
SCHEDULE IS DESIGNED TODAY'S
CONSIDERED BY THE STATE AS WE
HEARD TO BE BUDGET NEUTRAL
MEANING THAT NO NEW STATE
FUNDING ARE CURRENTLY EARMARKED
TO PAY FOR THESE EXPANDED
SERVICES. HEY POLICY MAGIC TRICK
THAT ASSUMES THAT ALL THE PLANS
HAVE AN EXISTING SET ASIDE FOR
THESE KIDS THAT ADDS UP TO A
WHOLE. THERE ARE KEY DIFFERENCES
HOWEVER AND HEALTH PLANS COULD
OFFSET NEW COSTS. PRIVATE PLANS
WILL UNDOUBTEDLY RAISE PREMIUMS
MEDICARE MANAGED CARE PLANS WILL
LIKELY GET THEIR CAPITATED RATE
SUGGESTED. UNTIL RECENTLY WE
KNEW RELATIVELY LITTLE ABOUT
WHAT SERVICES THE STATE WAS
CONSIDERING FOR THE FEE SCHEDULE
WE NOW KNOW THAT THEY PROPOSED
TO FOCUS COUNTY BEAVER HEALTH
PAYMENTS ON SUBSTANCE USE
DISORDER SERVICES WHICH ARE
DESPERATELY NEEDED. OUR QUESTION
WITH NO DEDICATED FUNDING IS
WHETHER IT IS ASSUME THAT COUNTY
BEHAVIORAL HEALTH PLANS WILL
MAKE IT WORK WITHIN EXISTING
RESOURCES. FUNDING FOR COUNTY
BEHAVIORAL HEALTH SUBSTANCE USE
DISORDER SERVICES OVERALL IS
NOTORIOUSLY SPARSE AS WE HAVE
FEWER DEDICATED FUNDING SOURCES
FOR STD SERVICES. WE BELIEVE
THAT THE STATE HAS AN OBLIGATION
TO PAY COUNTIES FOR ANY NEW
SERVICES THE ABOVE OUR EXISTING
NETWORKS WITHOUT THIS WILL NEED
TO CUT OTHER PROGRAMS TO PAY FOR
THIS NEW PASS THROUGH PAYER
RESPONSIBILITY. WE WILL HAVE
LITTLE OR NO INPUT ON QUALITY
AND FROM AN OVERSIGHT
PERSPECTIVE. ALREADY WITH THE
INVESTMENT OF NEW FUNDING INTO
SCHOOLS FOR SCHOOL BASED MENTAL
HEALTH DURING THE PANDEMIC WE'VE
SEEN A MASSIVE LIFT AND SHIFT OF
OUR CHILDREN'S BEHAVIOR HEALTH
SPECIALISTS OUT OF COUNTY
BEHAVIORAL HEALTH. TO WORK FOR
SCHOOLS WITH HIGHER PAY AND
SUMMERS OFF. THESE LABOR MARKET
SHIFTS HAVE BEEN COMPOUNDED. BY
NEW JOB OPPORTUNITIES FOR CAN
SPECIALIST WORK FROM. DELIVERING
APP BASED BEHAVIORAL SERVICE.
THERE ARE ONLY SO MANY HUMANS
WHO ARE TODAY QUALIFIED TO DO
THIS WORK MOST OF THEM ALREADY
WORK WITH US OR CONTRACTED
PROVIDERS. WITHOUT AN EXPANSION
OF THE WORK FORCE WE WILL SIMPLY
DOUBLE DOWN ON SHIFTING OUR
EXISTING HIGHLY QUALIFIED WORK
FORCE FROM ONE SECTOR INTO
ANOTHER WHERE THOSE SPECIALIZED
SKILLS MAY NOT BE MAXIMIZED. AND
LEAVE HOLES IN OTHER PARTS OF
THE SAFETY NET. THESE WORKFORCE
IMPAIR RESPONSIBILITY SHIFTS ARE
ALSO ESSENTIAL CONSIDERATIONS IN
THE BUILD OUT OF THE PROPOSED
VIRTUAL SERVICES PLATFORM. AN
ESSENTIAL FUNCTION OF THE
PLATFORM WILL BE TO PROVIDE
CHILDREN AND FAMILIES WITH
PRIMARY AND PRIMARY CARE WITH
ACCESS TO CLINICIANS BUT FROM
OUR VANTAGE POINT WE ARE
CONCERNED THAT WITHOUT CHANGING
THE POOL OF QUALIFIED
PROFESSIONALS WORKING AT THE TOP
OF THEIR LICENSE IN THE PLACES
WHERE KIDS. ARE THE KIDS WILL BE
LEFT WITH THE SAME FRUSTRATING
CONDITIONS THEY FACE TODAY ONLY
IT WILL BE A COMPUTER GENERATED
GHOST LIST RATHER THAN THE ONE
THEY GET OVER THE PHONE TODAY.
WE NEED A WORK FORCE RESERVE TO
PRESERVE OUR PROGRESS AND THEY
SHOULD BE FRONT LOADED TO STOP
THE EMPTYING OUT OF OUR
BEHAVIORAL HEALTH SAFETY NET.
FORCE OUR QUESTIONS AND CONCERNS
REGARDING C. Y. BJ INITIATIVES
ARE NOT JUST ABOUT HOW WILL PAY
FOR THE SERVICES AND WHO WILL
PERFORM THE WORK. WE HAVE
SIGNIFICANT CONCERNS BASED ON
DECADES OF EXPERIENCE ABOUT
PROGRAM INTEGRITY AND QUALITY OF
CARE. PROTECTING STUDENTS
PRIVACY AROUND S. U. D. MATTERS
IS NOT THE SAME AS IT IS FOR
ADULTS. FORTY TWO CFR IS
COMPLICATED ENOUGH BUT WHEN YOU
ADD TO THE MIX THAT STUDENTS CAN
BE SUSPENDED OR EVEN FACE
CRIMINAL CHARGES FOR ENGAGING IN
ANYTHING RELATED TO ALCOHOL OR
DRUGS. THE STAKES AROUND GETTING
IT RIGHT ARE MUCH HIGHER. L. E.
PRIVACY FOR PAULA IS ALSO A
POTENTIAL BARRIER AS SCHOOL
DISTRICTS ARE OFTEN NOT ABLE TO
SHARE INFORMATION WITH US. WE
URGE THE STATE TO TAKE THE TIME
NECESSARY TO MAKE SURE THAT IT
IS NOT TRYING TO ADDRESS THE
CRISIS AS WE KNEW IT THREE YEARS
AGO. SO THAT WE DON'T AND
INTENTIONALLY CREATE A NEW ONE.
WE THANK YOU FOR THE OPPORTUNITY
TO SPEAK TO SOME OF OUR CONCERNS
AND WE LOOK FORWARD TO CONTINUED
ENGAGEMENT WITH YOU IN THE
ADMINISTRATION. ON THE IMPORTANT
WORK UNDER WAY AND HOW WE CAN
REFORM OUR SYSTEM TO DELIVER THE
CARE THAT YOUNG PEOPLE WANT AN
EIGHTEENTH. THANK YOU VERY MUCH.
THE COURT CORBY. GOOD AFTERNOON
. GOOD AFTERNOON CHAIR EIGHT MEN
AND MEMBERS THANK YOU FOR THE
OPPORTUNITY TO SHARE FEEDBACK
REGARDING C. Y. PH I. ON BEHALF
OF C. BJ'S MEMBER AGENCIES
PROVIDING VITAL BEHAVIORAL
HEALTH SERVICES TO DIVERSE
COMMUNITIES ACROSS OUR STATE.
OUR MEMBERS ARE MISSION FOCUSED
TO PROVIDE HIGH QUALITY
BEHAVIORAL HEALTH SERVICES TO
THE LIFESPAN. FROM PROGRAM
SUPPORTING MOTHERS AND INFANTS
TO OLDER ADULTS OUT REACH
PROGRAMS TO HOMELESS. TO
RESIDENTIAL TREATMENT FOR
ADOLESCENTS MOBILE CRISIS
SERVICES MENTAL HEALTH FOR
STATUS WAS NAMED EARLIER YOU
NAME IT OUR MEMBERS DO IT ALL.
OUR CHILDREN YOUTH AND FAMILY
PROVIDERS ARE HOPEFUL ABOUT C.
WAY BE A TIME AND ITS PROMISE
FOR MORE EQUITABLE ECOSYSTEM AND
GRATEFUL FOR OUR GOVERNOR'S
INCREDIBLE AND UNPRECEDENTED
INVESTMENT. IN THIS BEHAVIORAL
HEALTH SYSTEM OF CARE. BUT WITH
THIS MUCH OPPORTUNITY COMES
RESPONSIBILITY AND
RESPONSIBILITY FOR ALL OF THE
STAKEHOLDERS TO ENGAGE AND
ENSURE THAT C. B. HIV IS ON
TRACK TO MEETING ITS MISSION.
THIS IS ESPECIALLY SO WHEN WE
LOOK AT THE STATISTICS THAT TELL
US THAT ONE IN FIVE CHILDREN
LIVE WITH A MENTAL HEALTH
DIAGNOSIS. AND IT'S THE CHIEF
RANKING REASON WHAT CHILDREN
UNDER SEVEN YEARS OLD ARE
HOSPITALIZED. SO IT'S NO
SURPRISE TO ANY OF YOU. HERE
TODAY BUT THE FIRST ISSUE THAT
WE WANT TO TALK ABOUT IS THE
NEED OF AN ADEQUATE WORK FORCE
IN ORDER TO CARRY OUT THE
OBJECTIVES OF THE C. Y. B. H. I.
WE ALL KNOW THAT WE'VE BEEN
OPERATING AT A DEFICIT FOR
YEARS. AND THE PANDEMIC ONLY
EXACERBATED OUR WORK FORCE
SHORTAGE. THAT THE CBO CHINA'S
AMBITIOUS AND WE LOOK FORWARD TO
LEARNING ABOUT HOW THE C. Y. B.
H. I WILL PLAN. TO ENCOURAGE
MORE PROVIDERS TO ENTER THE WORK
FORCE IN ORDER TO CARRY OUT THE
WORK THAT HAS TO BE DONE.
WRITERS ARE ALSO CONCERNED ABOUT
HOW SCHOOL BASED SERVICES WILL
BE REIMBURSED TRADITIONALLY
PROVIDERS HAVE HAD DIFFICULTY
PROVIDING SERVICES ON SCHOOL
CAMPUSES BECAUSE OF
ADMINISTRATIVE BARRIERS. AROUND
WHO CAN GET REIMBURSED WITHIN
THE SETTINGS. AND REQUIREMENTS
TO OBTAIN A PPS CERTIFICATE. AT
SCHOOL COUNSELORS AND PERSONAL
DO A GREAT JOB. BUT THEY ARE
OVERBURDENED AND TYPICALLY DO
NOT PROVIDE SERVICES OUTSIDE OF
THE SCHOOL HOURS OR DURING THE
SUMMER BREAK. WHATEVER
FLEXIBILITY C. Y. B. H. I CAN
PROMISE AROUND PAYMENT
STRUCTURES FOR PROVIDERS WITHIN
SCHOOLS AND INCENTIVIZING
SCHOOLS TO CONTRACT WITH
PROVIDERS IN THE COMMUNITY. IS
ABSOLUTELY CRITICAL. ESPECIALLY
VIA THE SCHOOLING TO SERVICES.
ADDITIONALLY THE PROCESS FOR
PROVIDING SERVICES SHOULD BE
CONSTRUCTED IN A FASHION THAT
DOES NOT CREATE ADMINISTRATIVE
BURDEN FOR EXAMPLE IN THE
CURRENT SYSTEMS THAT ARE CAUGHT
OUR PROVIDERS OPERATE IN. THE
SPEND TO MUCH TIME COMPLETING
PAPERWORK VERSUS SEEING CLIENTS.
AND WITH THIS OPPORTUNITY TO
SHAPE THE WAY B. H. I. WE SHOULD
AVOID REPLICATING THIS EXISTING
ISSUE. CBH IS PROUD PARTICIPATE
ON THE EVIDENCE BASED PRACTICE
WORK GROUP FOR C. Y. B. A. TYE
OVER 40% OF OUR MEMBER AGENCIES
ARE BY PARKLAND. AND SERVING IN
ORGANIZATIONS TO THE
CONVERSATIONS RELATED TO
ENSURING NOT JUST EVIDENCE BASED
BUT CAN FOR UNITY TO FIND AND
CULTURALLY SPECIFIC PRACTICES
ARE INVESTED IN WITH AN
IMPORTANT ONE TO CONTRIBUTE TO.
AND WE ENCOURAGE FLEXIBILITY IN
HOW WE CONCEPTUALIZE EVIDENCE
BECAUSE THE LIVES CULTURAL
SPECIFIC EXPERIENCE OF SO MANY
CALIFORNIANS WHO UTILIZE
SERVICES IS JUST AS IMPORTANT AS
THE RESEARCH THE ACT A BIT
ACADEMICS DO ON UNIVERSITY
CAMPUSES. WE ALSO APPRECIATE THE
RECENT CAL HHS PUBLICATION THAT
ACKNOWLEDGES YOUTH FROM LOW
INCOME AND MARGINALIZED
COMMUNITIES FACE GREATER NEEDS
AND HIGHER BARRIERS TO
ACCESSIBLE AND RESPONSIVE
SUPPORT. OUR MEMBERS ARE DOING
GOD'S WORK AS I CALL IT MANY
OPERATING ON A SHOESTRING BUDGET
AND WORKING TO DIVERSIFY FUNDING
TO PROVIDE CRITICALLY NEEDED
SERVICES. AND C. Y. B. H. I CAN
BE AN ANSWER TO THEIR PLIGHT WE
LOOK FORWARD TO CONTINUED WORK
WITH THE ADMINISTRATION AT THAT
IS IMPLEMENTED. THANK YOU FOR
THE OPPORTUNITY REFLECT THE
SENTIMENT OF OUR MEMBERS. THANK
YOU VERY MUCH. MR SEA SHELTON.
THANK IS EGGMAN AN HONORABLE
MEMBERS OF THE SENATE HEALTH
COMMITTEE. I MAJOR IN SHELTON
I'M WITH THE CALIFORNIA ALLIANCE
OF CHILD AND FAMILY SERVICES WE
ARE A STATEWIDE ASSOCIATION OF A
ONE HUNDRED AND SIXTY NATIONALLY
ACCREDITED NONPROFIT
ORGANIZATIONS. SERVING KIDS AND
YOUTH AND FAMILIES IN THE SAFETY
NET AND ALL OF THE FIFTY EIGHT
COUNTIES- OUR MEMBERS ARE THE
SCHOOL IN COUNTY CONTRACTED
PROVIDERS OF BEHAVIORAL HEALTH
SERVICES FOR. VULNERABLE YOUTH
IN OUR STATE'S MEDICAL PROGRAM
AND THEIR FAMILIES THANK YOU SO
MUCH FOR INCLUDING US IN THIS
IMPORTANT HEARING TODAY. THE
ADMINISTRATION'S NEW INVESTMENTS
IN CHILDREN WITH BEHAVIORAL
HEALTH COULDN'T COME AT A MORE
CRITICAL TIME- WE CAN'T SAY THIS
ENOUGH ARE YOU THERE IN CRISIS.
I WANTED TO GIVE A COUPLE OF
EXAMPLES ABOUT WHAT OUR MEMBERS
WORK LOOKS LIKE IN THE FIELD- SO
CHILDREN COME INTO OUR MEMBERS
PROGRAM OFTEN HAVING EXPERIENCE
PROFOUND. PHYSICAL AND EMOTIONAL
ABUSE- STABILIZER IN THESE KIDS
THAT ARE IN CRISIS WORKING TO
REBUILD THEIR TRUST. WITH THE
GOAL OF REUNIFICATION IS THE
PROFOUND RESPONSIBILITY-
INTENSELY EMOTIONAL WORK AND
REQUIRE SPECIALIZED TRAINING AS
WELL. YOU MAY BE REFERRED.
REFERRED INTO OUR MEMBERS
PROGRAMS THROUGH SCHOOLS. AND
OUR MEMBERS AND PROVIDE YOU KNOW
ESSENTIAL SUPPORT SERVICES THAT
SUPPORT THAT KIDS EMOTIONAL
HEALTH WHICH- IS CRITICAL TO
ACADEMIC HEALTH. AND ALSO OUR
MEMBERS ARE PROVIDERS OF MENTAL
HEALTH CARE FOR YOU'VE COVERED
BY ALL SYSTEMS OF CARE SO.
PUBLIC MEDICAL MANAGED CARE
PRIVATE INSURANCE ALSO SCHOOL
DISTRICTS- SO AGAIN WE'RE OUR
FOCUS THAT WAS ON YOUTH
PRIMARILY FROM UNDERSERVED.
GROUPS AND YOUTH WITH THE
GREATEST NEEDS. TO THE
ADMINISTRATION'S FOCUS ON
CHILDREN WITH BEHAVIORAL HEALTH
IS EXACTLY THE RIGHT APPROACH
CONSIDERING THAT 50% OF ALL
LIFETIME MENTAL ILLNESS- BEGINS
BY AGE FOURTEEN AND 75% BY THE
AGE OF TWENTY FOUR. SO THIS
EARLY INTERVENTION CAN MAKE A
LIFETIME OF DIFFERENCE. AND SO
FROM OUR STANDPOINT AS FRONT
LINE PROVIDERS THE CHILDREN
THESE BEHAVIORAL HEALTH
INITIATIVE- OFFERS SEVERAL
IMPORTANT OPPORTUNITIES TO
TRANSFORM CARE FOR OUR MOST
VULNERABLE YES THEY WANTED TO.
NAME A COUPLE OF THOSE- FIRST
AND THIS IS BEEN TALKED ABOUT
TODAY BUT CAN'T EMPHASIZE THIS
ENOUGH. EXPANDED AND DIVERSIFIED
OUR BEHAVIORAL HEALTH WORKFORCE-
SO THE GRANTS THAT ARE GOING TO
BE PROVIDED BY EACH HIGH-
SPECIFICALLY FOR COMMUNITY BASED
ORGANIZATIONS- ARE REALLY REALLY
IMPORTANT AND THESE GRANTS ARE
GONNA SUPPORT. THE RECRUITMENT
AND RETENTION EFFORTS OF
COMMUNITY BASED ORGANIZATIONS
AND DIRECTOR LANCE BURKE HAD-
MENTIONED THIS PROGRAM
SPECIFICALLY. AND THEN SECOND I
WANTED TO MENTION THE BEACH OF
PROGRAM. SO THAT THE CHIP AND IT
SHOULD HAVE GRANTS THIS IS THAT
THE INFRASTRUCTURE GRANTS- ARE
GOING TO PROVIDE A LITERAL
LIFELINE FOR YOUTH AND FAMILIES
THAT ARE FACING BEHAVIORAL
HEALTH CRISES. AND SEVERAL OF
THE CALIFORNIA ALLIANCE MEMBERS-
WERE AWARDED FUNDING TO DEVELOP.
AND STRENGTHEN OUR CHILDREN'S
CRISIS RESIDENTIAL CHILDREN'S
CRISIS STABILIZATION SERVICES.
AT THE TIME WHEN WE'RE HEARING
FROM HERE POINTS AT A ROCK FROM
THE TO GET THE CALIFORNIA
CHILDREN'S HOSPITALS THAT THERE
SIMPLY OVERWHELMED BY THE NUMBER
OF CRISES- AMONG OUR YOUTH. AND
SAFE PLACES IN THE APPROPRIATE
PLACES FOR EVE TO STABILIZE. AND
ON THE NEXT PANEL YOU'RE GOING
TO HEAR FROM ONE OF OUR
CALIFORNIA ALLIANCE MEMBERS SAN
DIEGO CENTER FOR CHILDREN. ABOUT
HOW THEY ARE DEPLOYED IN THAT B.
CHIP. PLANT AND EVEN MORE- MAYBE
. HOW CAN TO THE BROUGH CAN OF
CARE EFFORTS THERE THAT THEY'RE
MAKING THAT WE ARE TO STRING AS
IN A- AS WELL. AND SO AGAIN
THESE INVESTMENTS COME AT A TIME
WHEN CHILDREN YOUTH AND FAMILIES
IN THE COMMUNITIES THAT THEY
ARE. THEY'RE SERVING THEM ARE
REALLY AT A BREAKING POINT- AND
SO WE ARE LOOKING FORWARD TO
WORKING WITH THE ADMINISTRATION
THE LEGISLATURE TO BUILD OUT
THESE PROGRAMS AND MORE- THAT
ARE REALLY DESPERATELY NEEDED IN
OUR STATE. AND THEN AT THE SAME
TIME- YEAH WE ARE WE ALSO THINK
IT'S IMPORTANT FOR THE COMMITTEE
TO UNDERSTAND THAT WHILE WE SORT
OF EXPAND THE LIMITS OF OUR
SYSTEM FROM. ON ONE HAND YOU
KNOW- IN THE FAR REACHES OF.
EARLY PREVENTION TO AT THE OTHER
END TO SERVE YOU KNOW YOU FOR
THE MOST ACUTE NEEDS WE ALSO
NEED TO FOCUS ON THE ENTIRE
CONTINUUM- AND SAVE THAT AT THE
CORE OF OUR CONTINUUM FROM
COLLAPSE. SO FROM THE STANDPOINT
OF OUR MEMBERS THAT ARE DOING
THIS LIFESAVING WORK IN
COMMUNITY THE CHALLENGES ARE
LITERALLY GROWING BY THE DAY- AT
THE CORE THESE CHALLENGES- WE
WOULD SAY IS OUTDATED AND
BURDENSOME. REIMBURSEMENT RATE
STRUCTURE THAT WE HAVE IN
CALIFORNIA- SO THE COMMUNITY
BASED ORGANIZATIONS ARE OFTEN
CAUGHT BETWEEN THE LOW PAYMENT
RATES- IN CONTRACTS AND THEN FOR
EXAMPLE SURGING HOUSING PRICES-
AND OTHER COSTS THAT MAKE
RECRUITING. AND RETAINING STAFF
EXTREMELY DIFFICULT FOR THE FOR
THE NONPROFITS- SO WELL WE ARE-
DEPRECIATED IN SUPPORT ALL OF
THE INVESTMENTS MADE. BY EACH
CARD IN THIS ADMINISTRATION-
REALLY AND ANY LONG TERM-
WORKFORCE PLAN MUST ALSO ADDRESS
THIS ISSUE. THREE DEFINITELY
WANT TO PUT THAT OUT THERE. AND
THEN ALSO THE- MY COLLEAGUE
MENTIONED THIS BUT WE CONTINUE
TO HAVE BURDENSOME DOCUMENTATION
REQUIREMENTS. SO AS LONG AS
PROVIDERS ARE SPENDING MORE
TIME. ON PAPERWORK THAN TREATING
THE KIDS WERE ALSO GOING TO
CONTINUE TO HAVE A WORKFORCE
CRISIS IN A BEHAVIORAL HEALTH
CRISIS. AND SO WE ARE WORKING-
TO ADDRESS THIS WITH A
LEGISLATIVE PROPOSAL. THIS YEAR
WE'RE ALSO WORKING WITH THE
ADMINISTRATION WE WORKED WITH
SENATOR LIMÓN IN THE PAST WITH.
ON A BILL RELATED TO THIS ISSUE
BUT THIS THIS MUST BE ADDRESSED-
AND IT ALSO TO ACHIEVE OUR STATE
SCHOOLS OF EQUITY AND-
RESPONSIVENESS TO THE NEEDS OF
OUR MOST MARGINALIZED
COMMUNITIES. CALIFORNIA IS GOING
TO BE EVEN MORE RELIANT ON THESE
COMMUNITY BASED ORGANIZATIONS-
THAT ARE ROOTED IN DIVERSE
COMMUNITIES- AND SO. TO BE ON
THE COMMUNITY YOU KNOW THE
COMMITTEES ARE MEMBERS SERVE
OFTEN ALMOST ALWAYS. LACK
TRANSPORTATION. OR HAVE A GOOD
RE ISN'T A MYSTERY. IT
INSTITUTIONS SO OUR MEMBERS SIX
BY. GOING TO THE STREETS. GOING
INTO HOMES GOING INTO SCHOOLS
GOING INTO THE MOST RURAL
UNDERSERVED PARTS OF THE
COUNTIES RIVERSIDE COUNTY SOME
OF THOSE RURAL PARTS OF THE
STATE. AND SO ANY PAYMENT MODEL
THAT'S A THREE TAKES THIS ONE
SIZE ALL APPROACH. THE DOG WITH
HIS CLINIC A CLINIC BASED MODEL
OF CARE. IS GOING TO DRIVE THESE
UNIQUE AND CULTURALLY RESPONSIVE
CPOS OUT OF BUSINESS AND WORSE
THE OUTCOMES ARE GOING TO
REFLECT THAT. AND SO ALL OF THIS
TO SAY IS THAT IF WE DON'T GET
PAYMENT REFORM RIGHT UNDER
CALLING- AND EFFECTIVELY ADDRESS
THE WORK FORCE CRISIS THAT WE
ARE EXPERIENCING ALL OF THESE
INVESTMENTS ARE WELCOME AND
NEEDED. ARE ESSENTIALLY PUTTING
MORE ROOMS ON A HOUSE WITH THE
CRUMBLING FOUNDATIONS. THAT'S
ALL I REALLY WANT TO THANK THE
COMMITTEE- FOR THIS CRITICAL AND
IMPORTANT HEARING TODAY. I KNOW
INDIVIDUAL YOU ARE ALL WORKING
ON LEGISLATIVE PROPOSALS TO
ADDRESS THE BEHAVIORAL HEALTH
CRISIS- AND SO WE'RE WE'RE
GRATEFUL FOR YOUR LEADERSHIP AND
SO PLEASE CONSIDER THE ALLIANCE
AND THE- FRONT LINE SERVICE
PROVIDERS HUNDRED SIXTY OF THEM
AT NEARLY EVERY PART OF THE
STATE AS RESOURCES TO YOU. AS WE
ARE TRYING TO PROBLEM SOLVE AND
ADDRESS THE DIFFICULT CHALLENGES
FACING OUR STATE'S CHILDREN AND
YOUTH. THANK YOU. THANK YOU I
GET UP TO VISITORS A COUPLE
PROGRAMS STERN A PREGNANCY
REALLY REALLY DOING GOD'S WORK-
NEXT WE HAVE SHOWN FRANCIS WITH
THE BEHAVIORAL HEALTH CHILDREN
NOW AND THANK YOU FOR THE FOR
THE VERY NICE REPORT YOU MADE
FOR US TO. I'M REALLY GLAD THAT
YOU GOT A CHANCE TO TAKE A LOOK
AT IT THANK YOU MADAM CHAIR AND
MEMBERS MY NAME IS LUSHAN
FRANCIS I'M WHICH CHILDREN NOW
WE ARE A STATE WIDE RESEARCH
POLICY AND ADVOCACY
ORGANIZATION. FOCUSED ON THE
WHOLE CHILD. OUR GOAL IS JUST TO
SOUND THE ALARM OF HOW KIDS ARE
DOING IN OUR STATE. AND ON
ISSUES OF MENTAL HEALTH AND
ADDICTION. YOU KNOW WHAT THE
REASON WHY WE HEAR IS NOT WELL.
IN TWENTY TWENTY ONE SEVERAL OF
THE ORGANIZATION'S AT THIS TABLE
AND CHILDREN NOW WROTE A LETTER
TO THE GOVERNOR. ASKING FOR HIM
TO DECLARE A STATE OF EMERGENCY
FOR CALIFORNIA'S YOUTH. THE
REASONS FOR THIS WERE CLEAR. IN
TWENTY TWENTY. ALMOST EVERY
OTHER AGE GROUP SUICIDALITY RATE
WENT DOWN WITH THE EXCEPTION OF
TEN TO EIGHTEEN YEAR OLDS. BLACK
YOUTH IN PARTICULAR EXPERIENCE
AN INCREASE- IN SUICIDALITY.
THAT DOUBLED FROM TWENTY
FOURTEEN. THE DEATHS OF YOUNG
PEOPLE BETWEEN THE AGES OF
FIFTEEN AND TWENTY FOUR DUE TO
OVERDOSE TRIPLED FROM TWENTY
FIFTEEN TO TWENTY TWENTY. OUR
ORGANIZATIONS KNEW THAT IN ORDER
TO MAKE HEADWAY WE NEED TO
TACKLE THIS PROBLEM WITH THE
SAME URGENCY WE TACKLED THE
COVERT NINETEEN PANDEMIC. WE
ESSENTIALLY NEED A POLICYMAKERS
AND STAKEHOLDERS TO LITERALLY
HUDDLE AND EXPLORE WHICH RULES
WHICH REGULATIONS SHOULD BE
SUSPENDED IN THE SHORT TERM. TO
ADDRESS THE HOSPITAL BED CRISIS
THE WORK FORCE CRISIS. AND ANY
OTHER STRUCTURAL ISSUES THAT
MANY OF MY COLLEAGUES BROUGHT UP
TODAY. AND THEN EXPLORE THE
RESOURCES NEEDED TO ADDRESS
THOSE ISSUES. I BRING THIS UP
BECAUSE A DECLARATION WAS NOT
DECLARED. THAT WE WERE IN A
MENTAL HEALTH CRISIS AND WE
STILL HAVE THOSE SAME ISSUES.
WHILE WE'RE HERE TODAY TO TALK
ABOUT C. Y. PH I REALLY WANT TO
STRESS THAT THE RESULTS FROM C.
Y. B. H. I. WON'T BE SEEN FOR
QUITE SOME TIME THIS IS A LONG
TERM STRATEGY. CHILDREN NOW IS
VERY INVESTED IN MAKING SURE
THAT THIS PROGRAM GOES WELL WE
BELIEVE IN ITS PRINCIPLES AND WE
BELIEVE IN ITS GOALS. AS A
REMINDER THE ADMINISTRATION
STATED THE INTENT OF THE
INITIATIVE WAS TO BE CROSS
SECTIONAL. GNOSTIC INCLUDES THE
ZERO TO TWENTY SIX AGE RANGE.
ADDRESS SUBSTANCE ABUSE
DISORDERS. AND BE A PROGRAM
STEEP IN EQUITY WE AGREE WITH
THE SENATE. UNFORTUNATELY TO
DATE WE AREN'T SURE THE
ADMINISTRATION WILL BE ABLE TO
ADDRESS THE PRINCIPLES IT SET
FOR ITSELF. WHEN THE ISSUE OF
CROSS FUNCTIONALITY. SOMEONE
MENTIONED EARLIER WE'RE HEARING
FROM SCHOOL ADMINISTRATIONS WE
WERE HEARING FROM SCHOOLS
BECAUSE OF THE IMPACTS THE WAY
BEACH I WILL HAVE ONE SCHOOLS
WHICH MAKES SENSE GIVEN HOW MUCH
TIME YOUNG PEOPLE SPEND IN
SCHOOL. AND WE KNOW HOW
IMPORTANT IT IS FOR SCHOOLS TO
HAVE COUNSELORS NURSES CARING
ADULTS ON CAMPUS EXCEPT AROUND.
WHAT WE ARE HEARING FROM SCHOOL
ADMINISTRATORS THAT THERE ARE SO
MANY DIFFERENT FUNDING STREAMS
RIGHT NOW THAT SPEAKING TO
MENTAL HEALTH. AND IS
UNPRECEDENTED THE AMOUNT OF
MONEY SEE WHY BEACH I IS NOT THE
ONLY INITIATIVE WE HAVE
COMMUNITY SCHOOLS WE HAVE THE
MENTAL HEALTH STUDENT SERVICES
ACT. WE HAVE THE MANY- DIFFERENT
STREAMS OF THE WHITE BEACH SIDE
WE ALSO HAVE FEDERAL DOLLARS
THAT WE AREN'T EVEN GOING TO
TALK ABOUT. WE IS THERE IS WAY
TO THINK ABOUT SUSTAINABILITY
AND MAKING SURE THESE DOLLARS
WORKED. IF THEY HAD RECEIVED
TECHNICAL ASSISTANCE ON BRAIDING
AND BLENDING THIS FUNDING WHICH
THEY DID NOT. IN ADDITION FROM
THE YOU PERSPECTIVE THERE SOME
FOUNDATIONAL ISSUES WITHIN THE
SCHOOL SETTING. FOR AWHILE
EDUCATION POLICY IS OUT OF THE
SCOPE OF HEALTH COMMITTEE IT CAN
LITERALLY DERAIL. ANY SCHOOL
BEHAVIOR HEALTH EFFORT TO TRY TO
DEPLOY. CONFUSION AROUND MINOR
CONSENT PRIVACY AND
CONFIDENTIALITY COMBINED WITH
THE SCHOOL CLIMATE THAT OFTEN
WORKS TO PUNISH INSTEAD OF
SUPPORT. CAN DISCOURAGE STUDENTS
FROM SEEKING HELP ON CAMPUS. HOW
COMFORTABLE ARE THEY TALKING
ABOUT THEIR ISSUES WITH AN ADULT
ON CAMPUS ABOUT SAY DRUG USE. IF
THE FEAR THAT INFORMATION CAN
LEAD TO A SCHOOL RESOURCE
OFFICER. BY BLOCK YOU HAVE BEEN
CLEAR. AS LONG AS THERE ISN'T
CLARITY AROUND HOW THEIR
INFORMATION CAN BE USED AND
WHETHER OR NOT UNITIVE PRACTICES
ON CAMPUS EXIST. THEY WON'T FEEL
COMFORTABLE GETTING HELP AT
SCHOOL. WE TALKED A LOT ABOUT
INCLUDING COMMERCIAL INSURANCE
INTO THE STE THE STRUCTURE AND
FABRIC OF SCHOOL MENTAL HEALTH
SERVICES. THAT IS. IT IS ABOUT
TIME THAT WE DO SO. HOWEVER HER
BIGGEST ISSUE HAS ALWAYS BEEN
ABOUT ACCOUNTABILITY WHEN IT
COMES TO HEALTH PLANS
HISTORICALLY THE STATE HAS NOT
DONE A GREAT JOB WHEN IT COMES
TO HOLDING HEALTH PLANS
ACCOUNTABLE. SO WE WOULD REALLY
LIKE TO SEE SOME ACCOUNTABILITY
METRICS BUILT INS HOW HEALTH
PLANS ARE OPERATING WITHIN THE
SCHOOL SYSTEM. I THINK WOULD BE
UTILIZED INTENT IS THE FOCUS ON
THE ZERO TO TWENTY SIX AGE RANGE
HOWEVER WE'VE NOTICED VERY
LITTLE FOCUS ON THE BOOK AND
POPULATIONS AND WHAT WE MEAN BY
THAT. ARE BOTH THIRTY ZERO TO
FIVE POPULATION AND OUR
TRANSITION AGE YOUTH OFTENTIMES
WHEN WE ACTUALLY EXAMINE THE
DEFINITION OR OUR DEFINITIONS OF
CHILDREN AND YOUTH. WE'RE REALLY
FOCUSED ON SCHOOL AGE CHILDREN
WHICH WE KNOW IS IMPORTANT. BUT
INFANTS AND TODDLERS AS WELL AS
R. T. POPULATIONS BOTH HAVE
UNIQUE BRAIN DEVELOPMENT STAGES
WHICH MEANS WE NEED TO INVEST IN
THOSE PROGRAMS THAT SUPPORT
WHERE THEY ARE IN THEIR BRAIN
DEVELOPMENT. C. Y. B. H. I. HAS
ALSO STATED INTENT TO ADDRESS
SUBSTANCE ABUSE. TO DATE THE
CONVERSATION AROUND ADDICTION
HAS BEEN A LIGHT THIS IS REALLY
A MISSED OPPORTUNITY IT'S
IMPORTANT THAT WE REMEMBER THAT
MENTAL HEALTH DISORDERS AND
ADDICTION HAVE A BI DIRECTIONAL
RELATIONSHIP. YOUNG PEOPLE ARE
USING BECAUSE THEY'RE SAD AND
THEY'RE SAD BECAUSE THEY'RE
USING. A COMPREHENSIVE PLAN ON
YOUTH ADDICTION WITHIN THE C. Y.
B. H. I. IS NEEDED. FINALLY
EQUITY CAN'T HAPPEL HAPPEN
WITHIN A VACUUM IN HHS ISN'T
SOLELY RESPONSIBLE FOR IT.
HOWEVER THE MOST IMPORTANT PART
OF THE EQUITY CONVERSATION IS
ENSURING WE ARE ALIGNING OUR
POLICY RECOMMENDATIONS. WITH VAT
OF THE NEEDS OF MARGINALIZED
COMMUNITIES. SIMPLY STATED WE
NEED TO BE ASKING OURSELVES TWO
QUESTIONS. WHO WHICH
SPECIFICALLY TO SPECIFIC
MARGINALIZED GROUPS ASK FOR THIS
POLICY. ARE THOSE PEOPLE BEING
ENGAGED EARLY AND OFTEN IN THE
CREATION DESIGN AND DEPLOYMENT
OF THIS POLICY. EQUITIES WHEN WE
CAN ANSWER YES TO BOTH OF THESE
QUESTIONS. THE GOOD NEWS IS I
BELIEVE WE CAN GET THIS RIGHT.
TO THAT END WE IMPORT THE
LEGISLATURE TO THINK ABOUT THE
STATE OF CALIFORNIA AS A
REGULATOR. NOT JUST WHERE WILL
THESE DOLLARS BE SPENT BUT DO WE
HAVE THE RIGHT POLICIES IN PLACE
TO SUPPORT THE GOALS OF THE
INITIATIVE. WHERE DO WE NEED TO
ADD IF ANYTHING AND SOMETIMES
WITH EXISTING POLICIES ARE
ACTUALLY HARMFUL TO OUR GOALS.
HAVING CLEARED AROUND WHAT
FOUNDATIONAL CHANGES NEED TO BE
MADE WILL ENSURE OUR YOUNG
PEOPLE GET THE SUPPORT THEY
NEED. HAPPY TO ANSWER ANY
QUESTIONS. THANK YOU ALL VERY
MUCH- I GUESS I WOULD I WOULD
JUST START OFF WITH FOR ALL OF
YOU. JUST BECAUSE BUILDING AND
FEE STRUCTURE AND DOCUMENTATION
IS A CONSISTENT. THEME AND AS WE
HEARD FROM- FOR STATE PANELIST
THEY'RE- THEY'RE WORKING ON ALL
THIS. AND THEY'RE HAVING
STAKEHOLDER GROUPS AND GETTING
INPUT DO YOU FEEL LIKE YOUR
INPUT HAS BEEN. INVITED AND
WELCOMED IN. PROCESS. I WOULD
SAY THAT M. FOR BOTH THE
ALLIANCE AND CVHS WE'VE WORKED
WITH MA'AM PARTNERS IN THE
LEGISLATURE. AS WELL AS OTHERS
THROUGH THE STATE- GROUP THAT
THEY CREATED A WORK GROUP-
DOCUMENTATION REFORM A WORKER TO
THE CREATED A COUPLE YEARS AGO-
THAT WAS A GREAT PROCESS FOR ALL
TYPES OF PEOPLE AT THE TABLE-
ARE COUNTY PARTNERS PLANS AND
EVERYONE CONTRIBUTING TO. WHAT
WE WOULD HOPE WOULD BE A SET OF
STANDARDS THAT WOULD BE ADOPTED
HOPEFULLY UNIFORMLY ACROSS
COUNTIES- AND TO THE STATE TO DO
SOME REAL- REALLY GOOD WORK THEY
DID COME UP WITH SOME
RECOMMENDATIONS TO STREAMLINE
PROPHECIES. THE PROBLEM IS WHEN
WE PULLED OUR MEMBERS RECENTLY
ONLY ONE OF SEVENTY
ORGANIZATIONS THAT RESPONDED TO
A SURVEY SAID THAT THEY'VE SEEN.
CHANGES AND THAT ARE IN THE
POSITIVE DIRECTION AROUND
DOCUMENTATION REFORM AND SO WE
ARE STILL ASKING FOR MORE THAT'S
WHY WERE BACK. BEFORE YOU ALL
WITH LEGISLATION THIS YEAR I
JOIN LEGISLATION- TO REALLY
DISCUSS THIS ISSUE FURTHER SO I
DO WANT TO CREDIT THE STATE WITH
THEIR EFFORTS TO BRING TOGETHER
THE STAKEHOLDERS- AND HAVE LOTS
OF CONVERSATION AND MAKE THEM
REALLY CHANGES. BUT THERE'S
STILL WORK. TO BE DONE FOR SURE.
THANK YOU. SHOULD US. THAT'S
GOING TO ADD THAT- I THINK WE
FEEL THAT OUR YOU KNOW WE'RE IN
ALL EVERYTHING WORKGROUP. OF
THIS I LIKE OUR IS WELCOME- IS
WELCOMED BY THE STATE ON THE-
INVOLVED IN THE C. Y. B. H. I-
AND I WOULD SAY EVEN THE VISION
WITHIN. CALLUM AS AN EXAMPLE
ABOUT DOCUMENTATION LIKE I FEEL
LIKE WE'RE LINES IN THE VISION.
AND HOW IT'S REALLY NOW IT'S
JUST NOT PLAYING OUT HOW. WE
THOUGHT WHICH WAS SORT OF LESS
TIME ON. ON DOCUMENTS IN ITS ITS
NOT HAPPENING IN THE FIELD- SO
WHAT SO WHAT WE WHAT WE ARE
PROVIDING INPUT IT'S WELCOME I
JUST I FEEL LIKE THE WHEN THE
RUBBER HITS THE ROAD WE'RE NOT
WE'RE NOT QUITE ALIGNED. IF I
MAY JUST SAD I. NO ONE IS HOW DO
WE BILL FOR MEDICAL SPECIALTY
BEHAVIORAL HEALTH SERVICES TODAY
UNDER MEDIC CAL- HOW WILL WE BE
BILLING. FOR THEM TOMORROW POST
PAYMENT REFORM AND THEN HOW WILL
WE BE BILLING FOR SCHOOL BASED
SERVICES UNDER THE FEE SCHEDULE.
AT WHEN THAT EVENTUALLY HITS.
AND I WOULD AGREE WITH ADRIAN
AND ME UNDER THAT THE STATE HAS
BEEN REALLY GREAT ABOUT
ENGAGING. AND LISTENING AND I
THINK PART OF WHAT WE FEEL SOME
ANXIETY ABOUT IS THAT THERE'S
TALK OF THE FEW SCHEDULED GOING
LIVE. JANUARY TWENTY TWENTY FOUR
AND THERE ARE SO MANY
OUTSTANDING QUESTIONS THAT CROSS
OVER. MASSIVE VERY INTRICATE
SYSTEMS OF PAYMENT.
DOCUMENTATION REQUIREMENTS AND-
LEGAL RESPONSIBILITY AND WHAT WE
DON'T HAVE A GOOD SENSE FOR
RIGHT NOW IS THAT WE'RE ON TRACK
TO MEET THAT TWENTY GEN JANUARY
TWENTY TWENTY FOUR GOAL AND WE
KNOW THAT THERE'S A LOT OF
INTENSITY AND PRESSURE AROUND
NEEDING TO LIKE GET SOMETHING TO
KIDS FAST. BUT THERE ARE YOU
KNOW UNINTENDED CONSEQUENCES IF
WE MOVE THE WRONG WAY AND WE'RE
WE'RE TRYING TO SIGNAL THAT WERE
SITTING ON TOP OF A VERY
PRECARIOUS MOMENT TO BEGIN WITH-
FROM A SYSTEMS PERSPECTIVE. END
THAT WHEN WE LOOK OUT ON THE
RISE AND WE DON'T SEE THAT
THERE'S LIKE A RESERVOIR OF
CREEK CHILDREN'S SPECIAL IS JUST
WAITING TO JUMP INTO THESE ROLES
SO WE'RE SAYING LET'S LET'S MAKE
SURE OF IT. HOW WE DESIGN
DOCUMENTATION REQUIREMENTS FOR
EXAMPLE UNDER THE FEE SCHEDULE.
MAKES SENSE AND THE LINE AND
THAT IF WE ALLOW FOR CERTAIN
ADMINISTRATIVE BARRIERS TO BE
REMOVED WHEN IT COMES TO THE
DELIVERY OF MEDICAL SERVICES ON
SCHOOL CAMPUSES WHAT WE SHOULD
BE REMOVING THOSE DOCUMENTATION
BURDENS OUTSIDE OF SCHOOLS TOO.
SO THAT PROVIDERS. AND HEALTH
PLANS CAN DELIVER SERVICE SYZE
WITHOUT BURDEN. ELSEWHERE AND WE
- UNDULY PRIVILEGE SCHOOL BASED
SERVICES WHICH ARE WONDERFUL BUT
JUST ONE SLICE OF THE BROADER
CONTINUUM. THANK YOU VERY MUCH
MY OTHER COLLEAGUES HAVE ANY
QUESTIONS AT THIS POINT. OKAY WE
REALLY THANK YOU FOR- YES.
CENTER LIMON THANK YOU- AND I
APPRECIATE THE CONVERSATION AND
CERTAINLY- THIS IS BEEN A
CONVERSATION THAT'S BEEN
HAPPENING FOR YEARS AND I THINK
OUR CHAIR. I'M REALLY ALSO
HIGHLIGHTED- SOME OF THE PIECES
A IN REGARDS TO DOCUMENTATION
AND CERTAINLY WAS A MULTI YEAR
EFFORT- IN TERMS OF THE BILL
THAT DID NOT MAKE IT OUT- IN
PART BECAUSE WE HEARD FROM OUR
STATE AGENCIES THAT. THAT THEY
WERE ACTIVELY WORKING TO THINK
ABOUT HOW- IT WAS THAT GOING TO
PASS AB. HELLO THE A THINKER
STATE AGENCIES BELIEVE THAT THEY
WERE IN OR ARE IN THE PROCESS OF
MAKING THOSE CHANGES AND
LISTENING VERY CLOSELY TO YOU- I
THINK FROM MY PERSPECTIVE AS A
LEGISLATOR CERTAINLY. YOU KNOW
WE THINK ABOUT A LOT OF ISSUES
AND AFTER- READ OF TIME YOU
START TO HEAR THEMES AND
REPUTATIONS AND THAT'S WHEN I
THINK RED FLAGS ARE RAISED AND
NOT BECAUSE THERE'S ILL
INTENTIONED BUT JUST BECAUSE
IT'S LIKE LIKE IT'S BEEN FOR
FIVE YEARS AND SO I REALLY
APPRECIATE THE LAST COMMENTS.
ABOUT OUR ROLES IN IN THINKING
ABOUT WHAT FOUNDATIONS WORK AND
WHICH ONES MAY BE LIMITED S. AND
I DO JUST WANT TO HIGHLIGHT THAT
THIS PIECE IN TERMS OF THE
PROCESS THE DOCUMENTATION- AND
THAT THE PAYMENT IS STILL VERY
REAL AND IT IS- AND WHILE THERE
IS A LOT OF. EFFORT BEING PUT
INTO RESOLVING THE TRUTH IS I'M
NOT CONVINCED IT'S RESULT FOR
FIFTY EIGHT COUNTIES- PERHAPS WE
HAVE SOME BEST PRACTICES- IN
SOME PLACES BUT- WE ARE STILL AT
FIFTY EIGHT COUNTY STATE AND SO.
I WANT TO JUST THANK YOU FOR
BEING AT THE TABLE TO THINK OR
STATE AGENCIES FOR HAVING AT THE
TABLE BUT ALSO RECOGNIZE THAT
WE'RE- NOT THERE YET- AND SO IF
IT'S NOT A PIECE OF LEGISLATION
THAT'S GOING TO MOVE IT FORWARD
CERTAINLY WE'RE LOOKING ON IN.
INTENT AND INTEREST- BUT- I
DON'T THINK A PIECE OF
LEGISLATION IS OUT OF THE REALM
OF POSSIBILITY I MEAN IT. I ASK
MYSELF HOW MANY YEARS DO WE
WAIT. AND HOW MANY MORE
INDIVIDUALS- AND USE DON'T GET
SEEN BECAUSE- IT'S I MEAN HOW DO
YOU. AT HOW DO WE GO TO OUR
CONSTITUENTS AND SAY WELL THERE
IS SOME COUNTY PAPERWORK ISSUE.
RIGHT AND NOT TO BLAME THE
COUNTY BUT LIKE JUST THERE IS
SOME PAPERWORK ISSUE AND THAT IS
THE REASON. IT'S DADDY'S SOUL
HARD. TO SIT ON- AND SO- IT'S
ALSO NOT EASY TO SOLVE SO I WILL
SAY THAT HAD IT BEEN EASIEST ALL
WE WOULD HAVE ALREADY SOLVED IT.
BUT AT LEAST ON THAT PIECE AND
THAT WAS A VERY SPECIFIC PIECE
THAT I'VE WORKED ON ON A MULTI
YEAR EFFORT AND- I'M NOT SURE
WE'VE BEEN AS SUCCESSFUL AS YOU
WANT BUT I WANT TO THANK
EVERYBODY FOR BEING ON BOARD-
AND JUST THINKING. YOUR FINAL
COMMENTS IN TERMS OF WHAT'S
NEEDED IN IN THE FOUNDATIONS TO
MAKE IT WORK. SENATOR IF I MAY
I'LL JUST NOTE ONE THING WHICH
IS THAT. RIGHT NOW TODAY IN THEM
MARCH TWENTY TWENTY THREE WE ARE
STILL REQUIRED TO DOCUMENT
SERVICES TO THE MINUTE IN
SPECIALTY BEHAVIORAL HEALTH
WHICH IS. VERY UNUSUAL
REQUIREMENTS AN OUTLIER IN
HEALTH CARE BROUGHT THE BRIT.
ONCE WE MAKE THE PAYMENT REFORM
TRANSITION. THAT DOCUMENTATION
REQUIREMENT GOES AWAY. AND SO
DOES THE REQUIREMENT TO SETTLE
TO COSTS FOR COUNTIES WHICH HAS
A MULTI YEAR RECONCILIATION
WHERE WE CARRY A SIGNIFICANT
AMOUNT OF AUDIT RISK. ALONG WITH
OUR PROVIDERS SO WE SHARE IN
THAT. RISK I WILL SAY THAT WE'VE
ALSO AS PART OF THIS WORK-
PROCESS WITH DTS IDENTIFIED
MULTIPLE PLACES WHERE THERE MAY
BE. EITHER ACCREDITATION BODIES
OR- EVEN FEDERAL LAWS THAT
CONFLICT WITH THE GOALS OF CAL
AIM AND STILL REQUIRE
ADDITIONAL. DOCUMENTATION TO BE
ADDED IN IN CERTAIN PLACES. AND
THE STATE'S BAN I THINK A REALLY
TREMENDOUS PARTNER ALONG WITH
OUR PROVIDER ASSOCIATIONS I KNOW
THE ALLIANCE'S CON TO SOME OF
THE ACCREDITATION BODIES TO SAY.
WE WANT CHANGE BECAUSE WE WANT
TO MOVE THE WHOLE COUNTRY IN A
DIRECTION WHERE BEHAVIORAL
HEALTH IS NOT AGAIN AND OUT LIAR
AND BE REQUIRED TO DO THINGS
THAT OTHER SECTORS ARE NOT THAT
DON'T SERVE THE INTERESTS OF THE
CLIENT AND SO. I THINK- ALL OF
THAT IS TO SAY. YES CHANGE HAS
BEEN SLOW AND PART OF THAT I
THINK IT'S BECAUSE WE ARE NOW
IDENTIFYING YOU KNOW ASIDE FROM
PAYMENT REFORM THERE ARE SOME
OTHER THINGS THAT STILL NEED TO
BE ADDRESSED BEFORE WE CAN FULLY
GET OVER THE HUMP. THANK YOU
VERY MUCH YOU AND THINGS FOR THE
WORK THAT YOU DO EVERY DAY.
THANK YOU- OUR NEXT PANEL COMING
UP IT'S GOING TO BE. A MORE
STAKEHOLDERS TO FOCUS ON THE
BEHAVIOR HEALTH CONTINUUM
INFRASTRUCTURE PROGRAM WE'RE
GOING TO HAVE. KAREZ I'M SORRY
CENTER RUBIO. OKAY I'M SORRY.
I'M SORRY- OF- COMMITTEE SERVICE
DIVISION DEPARTMENT OF HEALTH
CARE SERVICES- BROWN PRESIDENT
AND CEO OF SAN DIEGO CENTER FOR
CHILDREN P. B. BELT BEHAVIORAL
HEALTH- DIRECTOR NEVADA COUNTY.
IMMEDIATE PAST PRESIDENT
CALIFORNIA BEHAVIORAL HEALTH
DIRECTOR ASSOCIATION AND AN
ALARM OF BY- DOCTORAL ALONG
PORTLAND STATE AND L. ROULETTE
PRESIDENT CALIFORNIA COUNCIL OF
COMMUNITY BEHAVIORAL HEALTH
AGENCIES AND CHIEF EXECUTIVE
OFFICER TURNING POINT WHO IS A
PARTNER AT SIXTY EIGHT AND I HAD
HIS DAUGHTER IN MY CLASS WELCOME
ALL- LET'S START. WITH- PARIS.
THERE YOU GO. WONDERFUL THANK
YOU SO I'M GOING TO BE SPEAKING
ABOUT- THAT THAT DEPARTMENTS
EFFORTS THE DEPARTMENT HEALTH
CARE SERVICES AROUND THE
BEHAVIORAL HEALTH CONTINUUM
INFRASTRUCTURE PROGRAM THAT I
CALLED THE CHIP. AND SO TO DATE
DH CS HAS AWARDED A TOTAL OF ONE
POINT ONE BILLION THROUGH FOUR
ROUNDS OF B. CHIP GRANT FUNDING
. EACH ROUND OF GRANT FUNDING IS
DESIGNED TO TARGET KEY CAPS IN
THE STATE'S BEHAVIORAL HEALTH
FACILITY INFRASTRUCTURE SO THINK
ABOUT BRICKS AND MORTARS. ALL BE
CHIP RESOURCES ENSURE CARE CAN
BE PROVIDED IN THE LEAST
RESTRICTIVE SETTINGS BY CREATING
A WIDE RANGE OF OPTIONS AND
SERVICES AND SUPPORTS. ALTHOUGH
WE ARE PLEASED WITH THE LEVEL OF
INTEREST TO PARTICIPATE IN THE
PROGRAM WE HAVE BEEN CHALLENGED
WITH DIFFICULT DECISIONS AND
FUNDING AWARDS. THE STATE WIDE
DEMANDS FOR BEHAVIOR HEALTH
CONTINUE INFRASTRUCTURE
EXPANSION AS DESCRIBED IN DHS'S
TWO THOUSAND AND TWENTY TWO
BEHAVIOR HEALTH NEEDS ASSESSMENT
REPORT. AND AS DEMONSTRATED BY
THE VOLUME OF B. CHIP GRANT
REQUESTS EXCEED THE AVAILABLE
FUNDING AUTHORIZED UNDER BEACH
UP. I'M SO NOW I JUST WANT TO
WALK THROUGH SOME OF THE ROUNDS
AND GIVE YOU SOME UPDATES. SO IN
ROUND ONE STATE C. S. AWARDED
MORE THAN ONE HUNDRED AND SIXTY
THREE MILLION TO FORTY NINE
COUNTY CITY AND TRIBAL ENTITIES.
WHICH HAS DIRECTLY SUPPORTED TWO
HUNDRED AND FORTY FIVE NEW OR
ENHANCED MOBILE CRISIS RESPONSE
TEAMS THROUGHOUT CALIFORNIA. SO
THIS IS INFRASTRUCTURE DOLLARS
AND SOME SERVICE DOLLARS THAT WE
HAD FROM THE FEDERAL GOVERNMENT.
SO AS OF DECEMBER OF TWENTY
TWENTY TWO THERE'S A TOTAL OF A
HUNDRED SIXTY ONE TEAMS THAT ARE
DELIVERING SERVICES. THE MOST
COMMON STAFFING MODELS ARE ONE
CLINICIAN AND ONE PEER AND ALSO
ONE CLINICIAN ONE PARA
PROFESSIONAL. OF THE TWENTY
EIGHT GRANTEES REPORTING NINE OR
DELIVERING SERVICES WHICH
PROVIDE TWENTY FOUR SEVEN CARE.
WELL EIGHT GRANTEES PROVIDE
EIGHTY HOURS PLUS A WEEK AND
ELEVEN FORTY TO EIGHT HOURS
EIGHT FORTY TO EIGHTY HOURS. A
REFERRAL SOURCES FOR DITCH
DISPATCHED CALLS WERE
PREDOMINANTLY FROM NINE ONE ONE
BEHAVIORAL HEALTH HOMELESS AND
OTHER SERVICE PROVIDERS.
INDIVIDUALS AGED TWENTY FIVE TO
FORTY FOUR REPRESENT NEARLY 30%
OF THE SERVICE POPULATION. AND
THEN NEARLY 60% OF THOSE
RECEIVING SERVICES SINCE JULY OF
TWENTY TWENTY TWO REPORT BEING
STABLY HOUSED AT THE TIME OF
SERVICE. 14% WERE ON HOUSING OR
AT RISK OF HOMELESSNESS AND 25%
WERE UNKNOWN. A TOTAL OF FIFTY
FOUR THOUSAND DIFFERENT SERVICE
TYPES WERE REPORTED PROVIDED TO
INDIVIDUALS SINCE APRIL OF
TWENTY TWENTY TWO. A NEARLY 60%
OF THOSE RECEIVING SERVICES
AFTER DEATH DISPATCH SINCE JULY
OF TWENTY TWO WERE STABILIZED IN
THE COMMUNITY. WHILE 22% REPORT
ON A FIFTY ONE FIFTY OR FIFTY
FIVE EIGHTY FIVE HOLD. THOSE
STABILIZED IN THE COMMUNITY AND
CLOSE INCLUDE THOSE RECEIVING
WARM HANDOFFS TO PAY FOR A
HEALTH. MEDICAL AND OTHER
COMMUNITY BASED SERVICES. SO IN
ROUND TWO DTS AWARDED SEVEN
MILLION DOLLARS TO SUPPORT FIFTY
PLANNING GRANTS CONSISTING OF
EIGHTEEN TRIBES AND THIRTY TWO
COUNTIES. SB CHIP BROWN THREE.
DH CS AWARDED FIVE HUNDRED
EIGHTEEN MILLION TO FORTY THREE
LAUNCH READY PROJECTS. TO BUILD
OR EXPAND BEHAVIORAL HEALTH CARE
FACILITIES OVERALL THIS CREATES
THIRTY SIX NEW INPATIENT AND
RESIDENTIAL FACILITY SITES. THAT
OFFER ONE THOUSAND ONE HUNDRED
SEVENTY FOUR NEW BEHAVIORAL
HEALTH TREATMENT BEDS. AND FORTY
OUTPATIENT FACILITIES TO OFFER A
HUNDRED TWENTY SIX THOUSAND NEW
ANNUAL BEHAVIORAL HEALTH
TREATMENT SLOTS. IN ROUND FOR
THE H. CS AWARDED FOUR HUNDRED
EIGHTY POINT FIVE MILLION IN
GRANT FUNDING TO FIFTY FOUR
PROJECTS. FOCUSED ON FACILITIES
THAT PROVIDE CARE FOR CHILDREN
AND YOUTH AGES TWENTY FIVE AND
YOUNGER INCLUDING PREGNANT
POSTPARTUM WOMEN AND THEIR
CHILDREN. TRANSITIONING AGE
YOUTH AGES EIGHTEEN TO TWENTY
FIVE AND THEIR FAMILIES. THESE
FUNDS WILL SUPPORT TWENTY NINE
NEW INPATIENT AND RESIDENTIAL
FACILITY SITES TO OFFER FOUR
HUNDRED NINETY EIGHT NEW
TREATMENT BEDS. AND FORTY EIGHT
OUTPATIENT FACILITIES TO OFFER
OVER. SEVENTY FOUR THOUSAND NEW
ANNUAL TREATMENT SLOTS. SO
BETWEEN ROUND THREE AND ROUND
FOR GRANT FUNDING IT'S GOING TO
SUPPORT A TOTAL OF A HUNDRED AND
FIFTY THREE BEHAVIORAL HEALTH
FACILITIES AND I'M GONNA RUN
THROUGH THIS LIST REALLY QUICK
SO I THINK IT'S IMPORTANT FOR
YOU TO SEE. JUST THE TYPE OF
FACILITIES- AND HOW DIVERSE THEY
ARE I ALSO JUST WANT TO STATE
WELL ROUND FOR WAS FOCUSED ON
CHILDREN AND YOUTH WE ALSO
FUNDED OTHER CHILDREN YOUTH
FACILITIES THROUGH ROUND THREE
AND WILL CONTINUE TO DO SO WITH
AROUND FIVE AND SIX. SO WE
FUNDED WITH THIS ONE POINT ONE
BILLION SEVENTEEN ADULT S. U. D.
RESIDENTIAL THREE THAT ARE
SPECIFIC TO THE TRANSITION AGE
YOUTH POPULATION. SEVEN PERI
NATAL S. U. D. RESIDENTIAL THREE
ADOLESCENT S. U. D. RESIDENTIAL
NINE CHILDREN'S CRISIS
RESIDENTIAL PROGRAMS KNOWN AS C.
C. R. PEAS WHICH ARE CURRENTLY
NOT AVAILABLE IN CALIFORNIA SEE
THAT THESE WILL BE BRAND NEW
FACILITIES- FOR THIS LICENSING
TYPE. EIGHT ACUTE PSYCHIATRIC
HOSPITALS AND FOUR OF THESE ARE
FOR CHILDREN ONE GENERAL ACUTE
CARE HOSPITAL THREE MENTAL
HEALTH REHABILITATION CENTERS TO
PEER RESPITE. FIVE PSYCHIATRIC
HEALTH FACILITIES FOR OUR
DEDICATED FOR CHILDREN. TO
RECOVERY RESIDENCES FOR SHORT
SHORT TERM RESIDENTIAL
THERAPEUTIC PROGRAMS FOR SOCIAL
REHABILITATION PROGRAMS. ELEVEN
COMMUNITY MENTAL HEALTH
OUTPATIENT CLINICS SEVENTEEN
COMMUNITY WELLNESS AND YOUTH
PREVENTION CENTERS. TWELVE
CRISIS STABILIZATION UNITS ONE
HOSPITAL BASED OUTPATIENT
TREATMENT DETOX FACILITY FIVE
INTENSIVE OUTPATIENT TO NARCOTIC
TREATMENT PROGRAMS TWELVE OFFICE
BASED OUTPATIENT. EIGHT S. U. D.
OUTPATIENT THIRTEEN BEHAVIORAL
HEALTH INTEGRATED OUT PATIENT
WHICH ARE MENTAL HEALTH AND OR
ESTUDIO CIENT SERVICES.
INTEGRATED WITH COMMUNITY
WELLNESS AND PREVENTION CENTERS
THREE PARTIAL HOSPITALIZATION
PROGRAMS TO SCHOOLING TELL
CENTERS AND TWO SOBERING CENTERS
. THE SPRING DH CS NUMBER GUESS
THAT'S OUR GOAL TO IS AT ALL NEW
CONSTRUCTION THOSE ARE ALL NEW
BETTER THAT'S A CONTINUATION OR
THE CONTINUED FUNDING OF SOME OF
THESE ARE ALL NEW BEDS WHETHER
IT'S NEW CONSTRUCTION OR REHAB
OF A CURRENT FACILITY BUT THESE
ARE ALL NEW PETS A NEW SLOTS-
THIS SPRING DH CS WILL ANNOUNCE
GRANT FUNDING AWARDS FOR AROUND
FIVE. WHICH WILL ADDRESS
SIGNIFICANT CRISIS CARE GAPS
WITH CONSIDERATION FOR FUNDING
PRIORITY TO THOSE THAT PROVIDE
CRISIS SERVICES TO INDIVIDUALS
IN NEED. AND THEN THE SIX ROUND
OF B. CHIP FUNDING FOCUSED ON
UNMET NEEDS IS CURRENTLY IN THE
PLANNING PHASE WITH AN
ANTICIPATED RELEASE AND THE
FISCAL YEAR TWENTY TWENTY FOUR
TWENTY FIVE AND FISCAL YEAR
TWENTY FIVE TWENTY SIX AS
PROPOSED IN THE GOVERNOR'S
BUDGET. UPDATES YES DOES NOT
ANTICIPATE THAT THE DELAYS IN
ROUND SIX WHAT IMPACT THE GOALS
OF THE C. Y. PH HI AND OTHER
EFFORTS UNDER WAY TO EXPAND THE
BEHAVIOR HEALTH CONTINUUM OF
CARE INCLUDING THE CALIFORNIA
BEHAVIORAL HEALTH COMMUNITY
BASED CONTINUUM DEMONSTRATION.
THE DASCHLE TIME WILL ALLOW DHS
TO ANALYZE THE GAPS REMAINING
AFTER AWARDING THE ROUND FIVE IS
COMPLETE ALONG WITH LOOKING AT
THE OTHER ROUNDS AS WELL. THANK
YOU. THANK YOU VERY MUCH- NEXT
TO HIT HERE FROM- MOVES AROUND
PRESIDENT CEO SAN DIEGO CENTER
FOR CHILDREN. GOOD AFTERNOON AND
THANK YOU VERY MUCH FOR THE
MUTATION TO YOUR TODAY- AS A
PROVIDER I WANTED TO REITERATE
THAT WE ARE EXPERIENCING
BURSTING A TRIPLE CRISIS
VIDEOJET PRINTER HOLD. ON THE
ONE HAND WERE SEEN WOULD YOU
BEING IMPACTED. US SOMETHING
THAT ALSO WE NEED TO POINT OUT
IS THAT THE SEVERITY OF THE
PROBLEMS THAT WE'RE SEEING IS
INCREASING AND AS YOU'VE BEEN
HEARING TIME AND TIME AGAIN.
SIGNIFICANT WORKFORCE SHORTAGES
THAT ARE CREATING OCT A PROBLEM
WITH ACCESS TO CARE. TO ANSWER
YOUR QUESTION FROM EARLIER ABOUT
NUMBERS INCENDIO WE CONDUCTED A
VERY COMPREHENSIVE STUDY-
DIRECTED BY THE BOARD OF
SUPERVISORS. AND WE FOUND THAT
IN ELEVEN OKAY PATIENTS OF
MENTAL HEALTH BEHAVIOR HEALTH
OFFICIALS WE HAVE A SHORTAGE OF
EIGHT THOUSAND BUT JUST GOING
COUNTY. SO OFTEN THAT WHEN WE
START THINKING ABOUT THE STATE
THAT'S AN IMPORTANT AREA. TO BE
THINKING ABOUT- WE BELIEVE THAT
EARLIER THAN TWO FOR. ON OF
MENTAL HEALTH CARE HEALTH
PROBLEMS EXCUSE. ALL THE EFFORTS
TRY TO DO MORE IN THE SCHOOLS TO
DO MORE IN THE INTEGRATED CARE.
ARE IMPORTANT HOWEVER ONCE YOU
IDENTIFY DISPUTE YOU NEED TO
HAVE IN PLACE A COMPREHENSIVE
CONTINUUM OF SERVICES. TWENTY
FIVE MEDICAL ATTENTION TO THE
SCREEN HUNDREDS LOOKS KIND OF
SMALL FOR YOU- YOU NEED TO HAVE-
REALLY A TO CONTINUE FOR SERVICE
OR SEVEN CENTER ROAD YOU WERE
SPEAKING TO THAT A FEW MINUTES
AGO. IN THE PREVENTION
COLLABORATIVE CARE OF PATIENTS
IN HOME. PROPER ONTO YOU NEED TO
HAVE ALSO INTENSIVE CLINICAL
SERVICES YOU NEED TO HAVE
RESIDENTIAL INPATIENT
CHRISTOPHER WITH
CRYSTALLIZATION. WHEN WE LOOK AT
THE DIFFERENT PLAYERS. WHAT WE
SEE IS THAT COMMERCIAL INSURANCE
ACCOUNTS FOR ABOUT 47% OF YOU
THINK CALIFORNIA PENICHE
COMMITTEE CALIPHATE THE POSSIBLE
LOSS. ON THE MENTAL HEALTH PLANS
ABOUT FOUR POINT FIVE FIVE
PERCENT. AND WHEN WE LOOK AT.
ESPECIALLY MANAGED CARE MEDI CAL
WE SEE THAT BY DESIGN TODAY
THERE ARE STRUCTURAL PROBLEMS OF
STOMACH PROBLEMS WITH MANY OF
THE YOUTH COVERED BY MEDICARE
MEDICAID DO NOT HAVE ACCESS TO
THE COULD TEAM OF CARE. AS YOU
CAN SEE THERE ARE AT LEAST YOU
CAN BARELY SEE THAT- FAIR. SOME
OF THE SUIT FAX. THE SIR THIS
EVENING MEET CREE. FOR SPECIAL
MENTAL HEALTH BUT THAT CAN VARY
FOR COUNTY TO COUNTY. SO WHAT I
THE CONCERNS THAT WE HAVE IS
LIKE YOU'VE WITH THE LOOK AT AND
WE MAKE SURE. THAT COMMUNITY
HAVE THE FULL CONTINUUM OF
SERVICES TO REMOVE THE BARRIERS
CARE ACT BLOCKS IS THAT EXIST.
WE MAY BE ABLE TO IDENTIFY MANY
MORE THAT NEED TO HELP BUT
AGAIN. THEY NEED TO BE A
PROVIDED THE APPROPRIATE LEVEL
OF CARE TO BE ABLE TO ADDRESS
THE CONCERNS OF THE PROBLEMS.
THERE'S ALSO WORK THAT NEEDS TO
BE DONE TO REMOVE BARRIERS TO
CARE SO FOR EXAMPLE. WITH REGARD
TO ACCESS TO IBM PHD INTENSIVE
OUTPATIENT PARTIAL
HOSPITALIZATION FOR MEDICAL USE.
THAT WERE A NUMBER OF BARRIERS
THAT PREVENTED THAT FROM
HAPPENING WE HAVE TO SEND THE-
CENTER FOR CHILDREN IN
PARTNERSHIP WITH BRITISH
CHILDREN'S HOSPITAL. DEVELOP A
PILOT PROGRAM WE USE
PHILANTHROPY DOLLARS TO BE ABLE
TO SHOW HOW AN INTEGRATED
PROGRAM. COULD BE AFFECTED BY
ANY BOARD. AND ACTUALLY WERE
ABLE TO USE THAT. TO ADVOCATE IN
PARTNERSHIP WITH OTHERS WITH THE
DEPARTMENT PARKER SERVICES. TO
BE ABLE TO MAKE SOME CHANGES TO
THE REGULATIONS THAT WOULD ALLOW
THAT TO HAPPEN SO NOW IT'S IN
THE HANDS OF COUNTIES TO BE ABLE
TO IMPLEMENT THIS. LIKEWISE. YOU
PASSED- YOU TOO THREE SEVENTEEN
TO ALLOW NOT THE- OF PEER TO
SAID YOU WERE REFERRING. BUT NOW
WE'RE WAITING TO REGULATION TO
BE ABLE TO HELP. TO WE NEED TO
BE WORKING I IT FROM NUMBER OF
THE FOR STATE SEVEN. I AM PART
TO BE TO ENSURE THAT WE CAN
THESE THINGS IN PLACE. SO THIS
THE DIEGO CENTER FOR CHILDREN WE
ARE THE OLDEST NONPROFIT SERVING
CHILDREN IN SAN DIEGO- AND-
LEADING A RANGE OF SERVICE.
SERVING ABOUT OF. INDIVIDUALS
DAY. AND WE ARE FORTUNATE TO
HAVE BEEN ONE OF THE
ORGANIZATIONS I WAS ABLE TO
RECEIVE. TWO OF THE PROJECT
GRANTS I WANT TO BRING YOU TO
OUR- MAIN CAMPUS ARE IN IN
CENTRAL SAN DIEGO TO SHOW YOU
WHAT WE HAVE DONE OVER PLANNING
TO DO WITH THOSE RESOURCES. WE
WERE PRIMARILY IN OUR MAIN
CAMPUS WE HAVE A SHORT TERM
RESIDENTIAL TREATMENT. BEDS
ABOUT WE HAD LICENSE EIGHTY
CAPACITY FOR ABOUT SEVENTY TWO.
WITH THE CHANGES HAPPENING THAT
HAVE HAPPENED WITH FAMILIES
FIRST PROVINCIAL SERVICE SECTOR.
IT WAS A CAP OF SIXTEEN
OTHERWISE WILL BE CONSIDERED TO
BE AN INSTITUTION MENTAL
DISORDER. WILL SET UP THEIR
OPINION ON PUBLIC SCHOOL AND A
WRAPAROUND PROGRAM IN OUR MAIN
FACILITY. SO WHAT WE HAVE DONE
IS CONVERT SOME OF THIS YEAR TO
BE PITCHED TO GROUP HOME SO THAT
WE CAN CONTINUE TO SERVE
COMMERCIAL INSURANCE AND
EDUCATIONAL REFERRALS. AND WE
ARE USING THE V. CHIP. DOLLARS
TO BE ABLE TO CREATE AN IOP. PHV
HOP SO WE'RE GONNA BE. FOR
PROVIDERS FROM THE- AND ONE OF
THE FIRST MAYBE THE STATE GOING
TO BE A TO SERVE MEDI CAL YOU.
CHAU WELL FOR YOU AND OTHERS
COVERED BY MEDICARE- THE
PROVIDING THE SAME. CLINICAL
SERVE BETTER MUCH NEEDED. WITH
REGARD- AT NEXT PHASE BOB WITH
THE SECOND THE RIVERS. PLANNING
TO ONE OF THE- ON A- TODAY RTF
SECOND RESIDENTS TREATMENT FOR.
FROM WE HOPE IT WILL BE. TO BE
ABLE TO HAVE THE RIGHT. IN PLACE
TO WE CAN THEN NOT ONLY FINISHED
A- PREPARE TO IN. THIS SO WE
BELIEVE THAT HAVING CONTINUES OF
CARE ARE IMPORTANT SO THAT WE
CAN PROVIDE THE APPROPRIATE
LEVEL OF CARE TO THE YOUTH. AND
TO YOUR QUESTION SENTARA- WE THE
NORTH TODAY WHAT PERCENTAGE OF
YOU. EXPERIENCING PROBLEMS NEED
INTENSIVE HEALTH SERVICES. OR
NEEDING PATIENTS WILL HAVE THAT
DATA. BUT WE DO KNOW THAT WE
NEED TO CONTINUE TO BE ABLE TO
IDENTIFY EXACTLY WHAT THE NEEDS
ARE. AND HOW TO BE ABLE TO
DEVELOP IT. SO WHAT WE ARE
WORKING ON IS TO REALLY CREATE A
CONTINUE. TO BE ABLE TO USE THE
RESOURCES THAT YOU HAVE MADE
AVAILABLE. AND WE ARE VERY
APPRECIATIVE OF THOUGHT. TO BE
ABLE. TO OUR GIVE ACCESS TO THE
U. REGARDLESS OF WHETHER THERE
IS COVER IS SOMETHING WE NEED
TO. OUT THEIR PROPERTY LEVEL OF
CARE- I'M ROOTING FOR THAT WE'RE
GOING TO CONTINUE TO WORK THAT.
AND HOPEFULLY THIS COULD SERVE
AS A MODEL FOR OTHER COMMUNITIES
TO BE THINKING ABOUT THE
CONTINUUM OF CARE THAT WE NEED
TO HAVE IN PLACE. TO THEN BE
APPROPRIATELY ABLE TO SERVE THE
UTOPIA INTENSIFYING SCHOOLS
ACCORDING TO CREATIVE PRACTICES.
THANK YOU. FOR YOUR INITIAL
POINT OF CONTACT WITH WITH KIDS
. WELL WE WILL GET A FROM ALL SO
OF THEM COME DIRECT SOME OF THEM
ARE COUNTY. IN OF THEM WERE MANY
. OF FAMILIES. US SO THERE'S
MANY WAYS IN WHICH FAMILIES COME
IN CONTACT WITH US. THANK YOU
VERY MUCH- NEXT WE'LL HEAR FROM-
DIRECTOR FOR THE BILL. HI GOOD
AFTERNOON MADAM CHAIR AND
MEMBERS I THINK SO MUCH MY
NAME'S PHOEBE BELL AND THAT KIND
OF BEHAVIOR HEALTH DIRECTOR FOR
NEVADA COUNTY PAST PRESIDENT OF
C. B. H. TA. AND A PRACTICE
WORKER. I'M EXCITED TO BE HERE
TODAY TO REPRESENT MY BEHAVIORAL
HEALTH COLLEAGUES IN DISCUSSING
THE HENS HISTORIC INVESTMENTS
MADE BY THE LEGISLATURE AND THE
STATE THROUGH THE B. TYPE
PROGRAM. EACH ASSIGNED TO
SUPPORT CUT THE STATE'S CALLING
GOAL TO PURSUING AND I AM DE
DEMONSTRATION WAIVER. IN ORDER
TO EXPAND OUTPATIENT ACCESS
RATHER THAN JUST TREATMENT AND I
AM DIS. AT THE SAME TIME
COUNTIES INVESTED IN CAPS
ANALYSIS OF INPATIENT BEDS. AND
THE NEEDS THROUGHOUT THE STATE
AND THE STUDY REALLY UNDERSCORED
THE IMPORTANCE OF INFRASTRUCTURE
INVESTMENT AS WELL. THE STUDY
CONDUCTED BY RAND LOOKED AT THE
QUESTION CAPACITY. TO NOT ONLY
LIMITED IMPATIENT ACCESS BUT- TO
MY COLLEAGUES POINT AS A PART OF
A CONTINUUM ALONG WITH A STEP
DOWN CAPACITY THAT'S NECESSARY.
TO MOVE PEOPLE OUT OF IT CUTE
LEVELS OF CARE WHEN THEIR
TREATMENT IS DONE. MOSTLY TO
ENSURE THAT PEOPLE HAVE ACCESS
TO THE RIGHT LEVEL OF CARE FOR
THE RIGHT AMOUNT OF TIME. AND I
KNOW FROM OUR WORK IN IN NEVADA
COUNTY THAT WHEN OUR TEAM HAS
VERY STREAM LEVELS ACCESSIBLE
FROM OUTPATIENT TOO INTENSE
ABOUT PATIENT ACUTE CARE AND
THEN BACK DOWN AGAIN. THAT WE
CAN DELIVER LIFE CHANGING
RECOVERY ORIENTED SERVICES THAT
SIGNIFICANTLY LIMIT THE NUMBER
OF CLIENTS WILL NEED INPATIENT
LEVEL OF CARE. INCLUDING
CONSERVATORSHIP. AND ARE COUNTY
WE OFTEN DO THE SAME PARTNERSHIP
TURNING POINT. IN OUR FRIENDS
THERE. THROUGHOUT THE STATE CAN
WERE ABLE TO USE THE RANDOM L.
SYSTEM FOR MY PROJECTS. WE MOST
NEEDED AND WHERE ALONG THE
CONTINUUM WHICH HAS BEEN SUPER
HELPFUL. AND THE GAPS ARE
SIGNIFICANT AT THE TIME RAND
ESTIMATES THAT CALIFORNIA WAS IN
NEED OF FORTY EIGHT HUNDRED
ACUTE AND SUB ACUTE BEDS. AND
ROUGHLY THREE THOUSAND COMMITTEE
RESIDENTIAL BEDS. THE REPORT
ALSO LOOKED AT REGIONAL BACTERIA
XIN AND FOUND THAT SOME OF THE
MOST SEVERE ADULT BED SHORTAGES
WHEN THE CENTRAL VALLEY AND- THE
SUPERIOR REGION. WHICH ALSO
HAMPERED BY SEVERE WORKFORCE
SHORTAGES HAVE AS WE'VE
CERTAINLY HEARD A LOT ABOUT.
THESE ARE ESTIMATES ONLY FOR THE
ADULT POPULATION AND AS- ALL OF
US ARE ALSO WHERE IN THE TERMS
BEHAVE. BEHAVIORAL HEALTH WORLD.
THE NEED FOR CHILDREN TO CUTE IN
RESIDENTIAL CAPACITY IS EVEN
MORE DIRE. BECAUSE COUNTY
BEHAVIORAL HEALTH REIMBURSEMENT
IS THE STARKLY BEEN LIMITED TO
COST. WE'VE HAD TO RELY ALMOST
ENTIRELY ON UNIQUE GRANT FUNDING
OPPORTUNITIES TO. SUPPORT
INFRASTRUCTURE INVESTMENTS. AND
WE OFTEN BETTER SOURCES TOGETHER
CREATIVELY TO MAKE IT WORK- BE
CHIP HAS HELPED. TREMENDOUSLY
AND TO SHARE SOME SUCCESS
STORIES FROM MY COUNTY- WE'VE
BEEN AWARDED FUNDING IN THREE
DIFFERENT RUN TO BE CHIP MOBILE
CRISIS GRANT. A PLANNING GRANT
WHICH WE USED TO IDENTIFY KEPT
GAPS IN OUR COUNTY SYSTEM OF
CARE. AND THEN ROUND THREE
FUNDING FOR A SHOVEL READY
PROJECT LAST YEAR- THIS SUMMER
PARTICULARLY EXCITED ABOUT IT'S
FOR A- WELLNESS CENTER FOCUSED
ON MAKING PAPER ALL SERVICES
MORE ACCESSIBLE TURKEY MEMBERS
EXPERIENCING HOMELESSNESS. AND
IN RURAL COUNTIES PARTICULARLY
WE FIND THAT FINDING APPROPRIATE
FACILITIES AVAILABLE TO PURCHASE
THAT WE CAN TURN INTO A
TREATMENT FACILITY. IS REALLY
HARD AND SO WHEN YOU HAVE SUCH A
FACILITY AND A WILLING SELLER
AND A FUNDING STREAM AT THE SAME
MOMENT IT'S SOMETHING TO BE
CELEBRATED AND- WE'RE REALLY
EXCITED ABOUT IT. OVERALL
COUNTIES COME COMPRISE JUST
UNDER A QUARTER THE GRANTEES FOR
THE COMPETITIVE ROUNDS AND
RECEIVED JUST UNDER HALF OF THE
DOLLARS. ARE GRACEFUL EXPAND
COST TO TREAT CHILDREN IN YOUTH
MENTAL HEALTH AND A CITY NEEDS.
AS WE'VE HEARD. AND ALSO TO
ADDRESS THE OUT PATIENT MARK YOU
CARE NEEDS OF MILLIONS OF
PRIMARILY LOW INCOME
CALIFORNIANS. WHAT WE'RE
EXTREMELY GRATEFUL FOR THIS
OPPORTUNITY MAKE SIGNIFICANT
INVESTMENTS ARE TREATMENT
CAPACITY. WE'VE LEARNED ABOUT A
LOT ABOUT THIS PROCESS TODAY AND
WOULD LOVE TO OFFER SOME KEY
POINTS OF CONSIDERATION FOR THE
STATE MOVING FORWARD. BERSANT
SUPER IMPORTANTLY THE BEACH OF
FUNDING IS NOT BUILDING HOUSING
FOR OUR CLIENTS. AND SHOULD NOT
BE CONFUSED AS A BUILD OUT OF
HOUSING INFRASTRUCTURE.
TREATMENT IN HOUSING TOGETHER
CAN BE POWERFUL AND OUR CLIENTS
RECOVERY BUT THEY'RE DIFFERENT
FUNCTIONS BE TIP IS ABOUT
EXPANDING TREATMENT CAPACITY.
ALSO IMPORTANT BUT DIFFERENT.
SECOND WE NEED TO CONSIDER THE
IMPACT OF A COMPETITIVE GRANTS
PROCESS ON THE SAFETY NET SYSTEM
MORE BROADLY BUT IN PARTICULAR
FOR SMALL AND RURAL COUNTIES.
WHICH OFTEN LACK THE
ADMINISTRATIVE CAPACITY TO TAKE
ON WRITING GRANTS AND MANAGING
DR GRANT ON TOP OF OUR CORE
DUTIES. NEVADA COUNTY IS LUCKY
BECAUSE WE'RE A- BIG SMALL
COUNTY. BUT OFTEN- A RURAL SET
ASIDE AS A WAY TO HANDLE THAT
THAT. KIND IN EQUITY THAT'S
BUILT INTO- COMPETITIVE
PROCESSES. BUT EVEN LARGER
COUNTIES HAVE A HARD TIME-
FINDING THE STAFF CAPACITY IN
THIS CURRENT WORKFORCE SHORTAGE
TO GO THROUGH THE PROCESS OF
APPLYING FOR GRANTS THAT. WE MAY
NOT EVEN COME TO BE. IN
ADDITION. LONG AND DIFFICULT
CONTRACTING PROCESSES AND
SIGNIFICANT REPORTING
REQUIREMENTS TIED TO BE CHIP
HAVE BEEN REAL CHALLENGES. THAT
WE CAN AND SHOULD LEARN FROM
MOVING FORWARD- AND MANY THE
COUNTIES WERE NOT AWARDED P.
CHIP FUNDS HAVE ADDITIONAL
PROJECTS THAT WERE DENIED- THERE
AWAITING ANOTHER OPPORTUNITY TO
APPLY AND TO BE REALLY VERY MUCH
HOPE THAT THAT BROWN SIX FUNDING
IS ABLE TO MOVE FORWARD QUICKLY
. UNLESS POINT- RAISES THAT
BECOMES OF THE COSTA COUNTY
BEHAVIORAL HEALTH AGENCIES IN
THE LONG RUN WITHOUT AN INCREASE
FUNDING FOR SERVICES. COUNTIES
WHAT CONTRACT WITH ALL THE
GRANTEES TO SOME DEGREE IN ORDER
TO ENSURE THE THIRTY YEAR MEDIC
CAL COMMITMENT- ATTACHED TO THE
FUNDING. AND IN SOME CASES WE
DIDN'T KNOW ABOUT THESE PROJECTS
OR DIDN'T NECESSARILY. HAVE THEM
AS PART OF OUR CONTRACTED
PROVIDERS AND SO COMMITTING TO
THAT FOR THE LONG HAUL IS A NEW
COMMITMENT FOR US. IN CLOSING
WHERE'S THE STATE TO CONTINUE
WITH THIS FINAL ROUND SIX ROUNDS
AND TO DO IT WITHOUT DELAY. BUT
WITH AN EYE TOWARD STREAMLINING
AND SIMPLIFYING THE GRANTS
PROCESS AND REPORTING.
ULTIMATELY DESPITE THE HURDLES
WE CONTINUE TO BELIEVE THAT THE
CHIP LEAD TO MEANINGFUL
EXPENSIVE TREATMENT CAPACITY AT
THE TIME OF SIGNIFICANT NEED
ACROSS ALL COMMUNITIES AND
LEVELS OF CARE. PARTICULARLY AT
PLACES WHERE IT COUNTIES
PARTNERING WITH OUR PROVIDERS TO
MAKE THIS HISTORIC CHANGE
HAPPEN. THANK YOU VERY MUCH
THANK YOU FOR BEING THE RULE
VOICE VOICE. MR ROLET. GOOD
AFTERNOON. GOOD AFTERNOON DOCTOR
EGGMAN AND HEALTH COMMITTEE
MEMBERS- I'M L. ROULETTE
PRESIDENT OF THE CALIFORNIA
COUNCIL OF THE COMMUNITY BEHAVE.
BEHAVIORAL HEALTH AGENCIES. I'M
ALSO A COMMISSIONER WITH THE
MENTAL HEALTH SERVICES ACT
OWAISI. I WOULD BE REMISS BEFORE
STARTING WITHOUT. SAYING YOU
DOCTOR EGGMAN IS STILL MY
DAUGHTER'S FAVORITE PROFESSOR.
EXTRA POINTS. I WAS LOOKING THE
- I AM PLEASED TO BE JOINED BY
THE TOTAL PANELISTS TO DISCUSS
BE TIP AND HOW AGENCIES. LIKE
THE ONE I HAVE RUN. HAVE
EXPERIENCED THE APPLICATION
PROCESS AND EARLY IMPLEMENTATION
. AS YOU ALL KNOW BE TIP WAS
ESTABLISHED TO TARGET AND FIX
THE BERRIES GAPS IN THE STATE'S
BEHAVIORAL HEALTH FACILITIES
INFRASTRUCTURE AND PROVIDERS.
ARE GRATEFUL FOR THE INVESTMENT.
I'D BE REMISS IF I DIDN'T POINT
OUT THAT OFTENTIMES FUNDING DOES
NOT SPECIFICALLY CALL OUT SEE
BILLS AS ELIGIBLE APPLICANTS BUT
THIS WAS NOT THE CASE FOR
BEECHER. AND WE'RE GRATEFUL. AND
WHILE TURNING POINT THE AGENCY
THAT I'VE BEEN PRIVILEGED TO
OVER HAVE OVERSIGHT FOR FORTY
YEARS. HAS NOT RECEIVED THE CHIP
FUNDING I WILL REFLECT ON THE
COMMENTS OF THOSE C. B. H. A.
AGENCIES THAT HAVE. SEVERAL
AGENCIES SHARE THAT THEY HAVE
EXPERIENCED THE APPLICATION. AS
PROCESS AS SLIGHTLY CUMBERSOME.
OTHERS INDICATED THAT THEY DID
NOT FEEL THE APPLICATION WAS
PUBLICIZED WELL ENOUGH AND THAT
IT WAS NOT TARGETED TOWARDS BY
PUBLIC SERVING OR SMALL C. BEALS
WHO OFTEN REQUIRE ADDITIONAL TA
. MULTIPLE AGENCIES NOTED THAT
ONLY PROGRAMS A WATER IN THERE
COUNTY WERE LARGE LARGE PROGRAMS
THAT DID NOT SERVE DIVERSE
COMMUNITIES AS CITED BY ALL THE
PREVIOUS PRESENTERS. ONE AGENCY
REPORTED THAT THEY HAD. RECEIVED
THE AWARD NOTICE BOOK FOR THE
HOLIDAYS BUT THEY HAVE NOT
RECEIVED THE SCOPE OF WORK AND
CONTRACT TEMPLATE FOR THE ROUND.
ANOTHER REFLECTED A NUMBER OF
UNEXPLAINED DELAYS AND AGAIN
UNDERSTANDING THAT BUT WANTING
TO IT AGAIN AND BODIES. AND THE
POTENTIALLY ASSIST IN REMITTING
THAT FOR THE NEXT ROUND OF
APPLICANTS. SOME REPORTED ISSUES
WITH THE LADIES OF THEIR
CONTRACTS WHICH LED TO STOP WORK
ORDERS OR TO AGENCIES HAVING TO
TEMPORARILY STOP THEIR
CONSTRUCTION PROJECTS. DIVERSITY
OF WAR POPULATIONS ONE APPLICANT
NOTED. THAT OF THE SHOVEL READY
N. KIDS AWARDS ONLY TWENTY TO
THEIR UNDERSTANDING WORK FOR
CHILDREN AND YOUTH- PROGRAMS AND
PROVIDERS. SOME REFLECTED
SUCCESS WITH CONSULTANTS WHILE
OTHERS NOTED CHALLENGES WITH
COMMUNICATION AND THE LACK OF
RESPONSIVENESS AND AGAIN
EMPHASIZING THE NEED TO GET
CONSULTANTS TO ASSIST WITH THE
PROCESS. THE EXAMPLE I WAS HERE
IS FROM AN AGENCY BUT AFTER NINE
MONTHS OF AGAIN PROVIDING
DOCUMENTATION EMAILS AROUND
SUBMISSION OR RESUBMISSION. AT
MULTIPLE ISSUES WITH ASSOCIATED
WITH PORTALS SOMETHING THAT
OFTENTIMES CBO'S ARE ARE
OCCASIONALLY PLAYED WITH. THAT
THEY RECEIVED TWO STATEMENTS OF
WORK. FOR JUST UP FOR WORK JUST
DAYS AGO AND WERE PROVIDED ONLY
TEN BUSINESS DAYS TO RESPOND. AN
**** TO MAKE REVISIONS DURING
THAT TEN BUSINESS DAY PERIOD.
AGAIN THEY NOTED THAT WITH THE
ASSISTANCE AGAIN OF CONSULTANTS
AND OTHERS THEY WERE ABLE TO
RESPOND BUT HAD NOT HAD THAT IT
WOULD HAVE CREATED SOME UNIQUE
CHALLENGES FOR THEM. THERE ARE
SUCCESSES THAT I WANT TO NOTE
THAT ONE ROUND THREE B. CHIP
RECIPIENT PRAISE THE EASE AND
SUPPORT OF THE PROGRAM. THEY ARE
IN THE FINAL STAGES OF A TWO
YEAR CONSTRUCTION PROJECT ARE
FINALLY ABLE TO BREAK GROUND DUE
IN PART TO THE PROGRAM'S
FUNDING. ANOTHER AGENCY PRAISE
BE TO BRING HELPING THEM LEVEL
THE PLAYING FIELD. AND ALLOW
ORGANIZATIONS TO CREATE PHYSICAL
BRICK AND MORTAR ANCHORS IN
THEIR COMMUNITY. IN CLOSING THE
VISION OF C. B. HA IS THAT THE
PEOPLE OF CALIFORNIA DESERVE A
COMPREHENSIVE COMMUNITY BEHAVIOR
HEALTH SYSTEM THAT IS ADEQUATELY
FUNDED AS MY COLLEAGUE JUST
SAID. AND SERVE THOSE IN NEED.
AND THOUGH THE PROCESS IS NOT
PERFECT THE FACT THAT DH CS CAN
ACKNOWLEDGE THAT THERE IS GAPS
IN CALIFORNIA'S BAY APRIL SYSTEM
AND CREATE A PROGRAM LIKE B.
EIGHT A BLACK BEACHES. TO
RECTIFY THEM GIVE ALL OF THOSE
HOPE. THAT OUR MEMBERS WILL
CONTINUE TO BE A VOICE FOR THE
VOICELESS. AND HELPED COUNTLESS
PEOPLE TO A ROAD OF RECOVERY AND
MENTAL HEALTH BONUS THANK YOU.
THANK YOU AND THANK YOU ALL-
VERY VERY MUCH SO. JUST KIND OF
BECOMING WHAT YOU ALL SAID IT'S
GOOD BUT IT COULD BE BETTER AND
SO MUCH MONEY IT MAKES THINGS
VERY DIFFICULT AND COMPLICATED.
IT WAS FIRST CAN YOU RESPOND TO-
PEOPLE HAVING TROUBLE WITH THE
IN THE APPLICATION FOR THE
FUNDING AND THEN AGAIN THE
BRAIDING OF SERVICES THAT THAT
NEEDS TO TAKE PLACE IN ORDER
FOR. THINGS TO BE USED TO THE
FULL EFFECTIVENESS. DEFINITELY
SO WITH OUR- BROWN THREE FUNDING
WITH THE LAUNCH READY- WE
DEFINITELY HAD SOME IT WAS OUR
FIRST- PUTTING OUT OF THE RFA
THROUGH A SPECIALIZED PORTAL WE
WERE USING SOME REAL ESTATE
EXPERTS IT REALLY DIDN'T AND TO
THE- YOU KNOW EVERYONE'S FINE IT
THERE WERE SOME BUMPS. SOME OF
THEM ARE POTHOLES- SO MUCH SO
THAT WE CHANGE THE PLATFORM TO
MAKE IT MORE STREAMLINED AND
EASIER- AND WE DID YOU KNOW FIND
THE IN THE FURTHER ROUNDS. AND
I'LL ADMIT WE'RE LEARNING ALONG
THE WAY THIS IS VERY FAST MONEY-
WITH ROUND THREE ALL OF IT HAS
TO BE EXPANDED BY JUNE OF TWENTY
TWENTY SIX. AND THEN WITH THE
OTHER ROUNDS BY JUNE OF TWENTY
TWENTY SEVEN AND TO BE ABLE TO
GET PERMITS. TO BUILD IN THIS
DAY AND AGE WITH ALL THE ISSUES
OF YOU KNOW THE ECONOMY AND NOT
BEING ABLE TO HAVE THE SUPPLIES.
YOU KNOW THERE HAS BEEN SOME
PUSHING ON SOME OF THIS TO YOU
KNOW WE DON'T WANNA LOSE A SENSE
OF THIS. I MEAN WE REALLY WANT
TO ENSURE THAT IT YOU KNOW ONCE
THE GRANTEES ARE AWARDED THEY
CAN YOU KNOW START CONSTRUCTION
THEY CAN BILL BACK TO THEIR WAR
DAY- I JUST RECENTLY HEARD
THERE'S SOME CONFUSION ABOUT
THAT SO MANY TAKE CARE THAT
MONEY BACK TO THE OFFICE- BUT WE
ARE REALLY. YOU KNOW I THINK
WHAT YOU'VE HEARD TO FROM SOME
OF THE TESTIMONIES IS. LIKE I
MENTIONED- LIKE FOR AROUND.
THREE WE HAD. TWO BILLION
DOLLARS AND- SAME WITH ROUND
FOUR AND ROUND FIVE OR EVEN MORE
SO THERE ARE ENTITIES THAT
AREN'T. BEING ABLE TO BE
AWARDED- WHICH CAN BE
FRUSTRATING AND A GRANT PROCESS-
YOU KNOW WE ARE GOING TO BE
LOOKING. AT EVERYBODY THAT
SUPPLIED. ALL THAT THE GAPS AND
EVERY TIME WE MAKE THE AWARDS WE
LOOK AT WHERE OUR CURRENT
FACILITIES. WHERE THEY
PHYSICALLY LOCATED WE HAVE IT
MAPPED OUT WATER ALL THE
DISPARITIES- FROM THE NEEDS
ASSESSMENT FROM THE WORK DONE BY
C. B. H. C. A. WE LOOK AT. ALL
OF THAT AND COMPILE IT WHAT
POPULATIONS ARE THEY SERVING- I
AM A LITTLE SURPRISED ABOUT THAT
THE ROUND FOR NOT SERVING KIDS.
ALL OF THOSE FACILITIES ARE.
LICENSED AND ARE CERTIFIED
FACILITIES FOR KIDS- SO SOME OF
THIS IS JUST CHALLENGING BECAUSE
IT'S MOVING SO QUICKLY AND JUST
A LOT OF INFORMATION. OUT THERE
. AND I HEAR A LOT OF MYTHS ALL
THE TIME TIME- YOU KNOW. IS A
PART OF A FAT PROCESS SO I DO
WANT TO ACKNOWLEDGE THAT I
WANTED TO KNOWLEDGE THE BOMBS.
AND I DO ALSO WANT TO
ACKNOWLEDGE- INCREDIBLE PARTNERS
WE HAVE. HAD TO THROUGH THE
PROCESS HELPING INFORMING US IN
AND LETTING US KNOW WHEN THERE'S
BEEN AN ISSUE AND JUST ENCOURAGE
THAT- WITH THE GRANTEES AND FOR
THE APPLICANTS THAT HAVEN'T BEEN
AWARDED. YOU'VE ALSO HEARD
PEOPLE SAY THEY REALLY HOPE THE
NEXT ROUND IS NOT POSTPONED. I
GUESS YOU CAN JUST NOT. WE
DEFINITELY WE HAVE HEARD THAT
YES OKAY. OKAY SIR. IF I MAY.
GET SEVENTIES YEAH BUT I THINK
WHAT'S SO CLEAR BOTH BY THAT
QUANTITY OF- REQUESTS TO THE-
OPPORTUNE FOR THE R. P. AS WELL
AS BY THE STUDIES THAT WE ARE
COMMISSIONING AND THAT DHS WAS
COMMISSIONING. THE PENT UP
DEMAND FOR INFRASTRUCTURE
INVESTMENT IS MASSIVE IN THE
PUBLIC. HEALTH SYSTEM AND IT
REALLY IS A REFLECTION OF THAT
PAYMENT SYSTEM THE COST BASED
REIMBURSEMENT SYSTEM WHERE.
THERE'S NO CAPACITY TO GENERATE
THE REVENUE TO DO IT YOURSELF
AND SO. THERE'S YOU KNOW. IT CAN
DEFERRED INVESTMENT THAT HAS TO
BE CAUGHT UP WITH TO BE ABLE TO
GET TO A PLACE OF MEETING
EXISTING NEED LET ALONE EXPANDED
DEMANDS. YOU KNOW AND I THINK
INVESTMENT CENTER OUT ROSS AND I
HAVE BOTH BEEN. COMPETING ON
THAT BUT BUT YES AND THANK YOU
FOR POINTING THAT OUT THANK.
SENATE ROTH. THANK YOU MADAM
CHAIR THANK YOU FOR THE
PRESENTATION YOU KNOW I'M- I AM
VERY CONCERNED ABOUT FUNDING AND
CAPACITY AND STAFFING REALLY
ACROSS THE SPECTRUM. LOOKS LIKE
FOR MAKING IT SOUNDS LIKE WE'RE
MAKING PROGRESS YOU KNOW AS WE
MOVE THROUGH THAT CONTINUUM- MY
AND- I SPEND TIME. THINKING
ABOUT BEING CONCERNED ABOUT-
INPATIENT CAPACITY- BECAUSE- NOT
BEING A HEALTH CARE PROVIDER NOT
BEING IN YOUR BUSINESS IN ANY
WAY I. BUT I HAVE SERVED ON
HOSPITAL BOARDS OF FIRST FOR
MANY MANY YEARS OFTEN ON. FIRST
BEFORE I CAME UP HERE. AND I
REMEMBER THE CONVERSATIONS ABOUT
FOLKS IN THE EMERGENCY
DEPARTMENT. AND NOT BEING ABLE
TO FIND BEDS- MENTIONED EARLIER
ABOUT THE- YOUNG PEOPLE THAT
ANECDOTALLY I'VE BEEN TOLD ABOUT
OVER THE LAST FEW MONTHS. I
REMEMBER WHEN I WAS ON US
BILLBOARD YEARS AGO WHEN. WE
TOOK A PATIENT INTO THROUGH THE
EMERGENCY DEPARTMENT- ATTEMPTED
TO. AS I RECALL COMMITS SUICIDE.
BY DRINKING ANTIFREEZE. THEY
WERE ABLE TO STABILIZE THE
PATIENT- WITH SEVERE MENTAL
SITUATION ACUTE MENTAL DISTRESS
AT THAT POINT IN TIME. THERE
WERE NO BEDS IN THE COUNTY. TO
TRANSFER THE PATIENT TO. THE
PATIENT WAS PLACED IN A IN A
ROOM UNDER THE WATCH TWENTY FOUR
HOUR WATCH DISEASE THEN I'VE WAS
REQUIRED I ASSUME IT IS TODAY-
IN AN UPPER FLOOR- WE HAD THE
PATIENT IN THE HOSPITAL FOR AT
LEAST A WEEK MAYBE MORE MAYBE
TWO WEEKS. I CAN'T REMEMBER
EXACTLY BUT WHAT I DO REMEMBER
IS AT ONE POINT IN TIME THE
PATIENT WAS ABLE TO. SLIDE OUT
OF THE ROOM. AT THE FIRE ESCAPE
AND DO. THE JOB AT THE END TO
FREEZE DIDN'T DO ALL BECAUSE
THERE WAS NOT A BED IN A LICENSE
PSYCHIATRIC FACILITY TO TRANSFER
THE PATIENT TO SERVE THE CARE
AND TREATMENT. COULD BE STARTED
IMMEDIATELY. AND NOT WHENEVER.
THE PROBLEM IS. THE SOLUTION TO
THE CAPACITY ISSUE IN THE IN
PATIENT ARENA. IS HUGELY
EXPENSIVE AS YOU KNOW. AND I'M
NOT SURE. THAT EVEN WHEN YOU
HAVE PEOPLE LIKE ME TALKING
ABOUT IT ALL THE TIME AND
MINISTRATION IT'S OBVIOUSLY
RESPONSIVE THROUGH THIS PROGRAM
AND OTHERS. THERE WILL EVER OF
ENOUGH MONEY. TO LAND OF
CAPACITY IN THE IN PATIENT ARENA
DOWN ON THE GROUND. TO MAKE A
REAL DIFFERENCE AND I'M
CONCERNED ABOUT THAT SO. YOU
KNOW PERHAPS WE NEED TO
INCENTIVIZE THE PRIVATE NON
PUBLIC SECTOR. OPPOSED TO NON
PROFITS IN THE PROFITS PROFITS
PARTICULARLY. TO CLIMB INTO THE
SPACE AND DO SOMETHING- I SEEM
TO RECALL. THAT THERE'S SOME
SIXTEEN BIT LIMITATION ON
HOSPITALS MAYBE WE NEED IF WE
HAVE ALREADY WE NEED TO FINISH
THE JOB AND PURSUE THE WAY FOR.
MAYBE WE NEED TO FIGURE OUT HOW
TO INCREASE- A MEDIC CAL
REIMBURSEMENTS IN THE MENTAL
HEALTH AREA. TO A LEVEL WHERE AT
LEAST OF A COMMERCIAL OPERATOR
COULD COME CLOSE TO BREAKING
EVEN AND PERHAPS AT THAT LEVEL.
THE COMMERCIAL OPERATOR WOULD
THEN SEE AS ONE OF MY- FRIENDS
IN THE HOSPITAL BUSINESS CALLS
IT THE- THE OPPORTUNITY. PLUS
ARE OPPORTUNITY COST. AND GO FOR
THAT ED BEHAVIORAL HEALTH BEDS
TO MOVE PEOPLE OUT OF THE
GENERAL ACUTE CARE BEDS AND OUT
OF THE EMERGENCY DEPARTMENT.
RAPIDLY TO TREATMENT EVEN THOUGH
IT'S JUST SIMPLY A BREAKEVEN
BECAUSE OF THE LOSS OF BUSINESS
IN THE OTHER AREAS. THOSE IN THE
FOR PROFIT INDUSTRY WHO THINK
LIKE THAT BUT WE NEED TO DO
SOMETHING TO INCREASE OUR
INPATIENT CAPACITY. STATE
GENERAL FUND WHEN WE HAVE IT
INCENTIVIZE THE COMMERCIAL
SECTOR TO ADD CAPACITY THAT WE
DON'T PAY FOR THEY DO BUT THEY
SEE THE BENEFIT OF DOING SO. TO
TRY TO ADDRESS. THIS SHORTAGE
SHORTAGE OF INPATIENT BEDS
ACROSS OUR SYSTEM SO- I'M GOING
TO CONTINUE TO TALK ABOUT IT AND
CONTINUE TO WORK ON IT. I THANK
YOU ALL FOR WORKING ON ALL THE
ASPECTS ACROSS THE CONTINUUM AND
. TRYING TO SOLVE OUR- IF YOU'RE
A HEALTH KERR. IN STATE THANK
YOU IN THE FUTURE IF MAY JUST-
SIX REGARDING TO THAT REALLY YOU
BRING THAT UP. A SINGLE. ONE
COME THAT WE HAVING A THE WE CAN
WORK ON TO BE ABLE TO ADDRESS
THE PROBLEM THAT YOU'RE
EXPERIENCE THAT YOU'RE REFERRING
TO. IT'S NOT ONLY THE NEED FOR
MORE INPATIENT BEDS BUT ALSO TO
PROVIDE OPTIONS. AS TO WHERE
THESE YOU CAN GO ONCE THEY'RE
READY TO BE RELEASED AND HAS
BEEN A SERIOUS PROBLEM. AS WE
ARE ABLE TO CREATE MORE
INTENSIVE CLINICAL SERVICES LIKE
INTENSIVE OUTPATIENT PARTIAL
HOSPITALIZATION THAT NOW CAN BE
REIMBURSED BY MEDICARE OPTIONS
TO THE WORK THAT HAS BEEN DONE.
WE NEED TO HAVE COUNTIES REALLY
UNDERSTAND THAT THEM BE ABLE TO
PUT THAT IN PLACE. AS AN EXAMPLE
WITH THE WORK THAT WE DID IN SAN
DIEGO OF THE COHORT OF FORTY
FIVE. YOU THE FIRST STARTED WITH
INTENSIVE OUTPATIENT MOST OF THE
MEDIC CALATAYUD- THAT WE WERE
ABLE TO FOR ME FIT ON TRIPPY. WE
FOUND THAT THAT COHORT OF FORTY
FIVE HAVE HAD SIXTY
HOSPITALIZATIONS. IN THE
PREVIOUS YEAR. BEING IN THE
PROGRAM. THERE TOO. SO WE KNOW
THAT THERE ARE EFFECTIVE.
SERVICES THAT WE CAN PUT IN
PLACE IN THE CONTINUUM AND WE
CAN FUND AND MAKE SURE THAT
THEY'RE THE REGULATIONS ALLOW
FOR THAT TO HAPPEN LIKE
INTENSIVE OUTPATIENT PARTIAL
HOSPITALIZATION WOULD BE
HELPFUL. ANOTHER PIECE OF THE
PUZZLE OF THE QUESTION THAT WE
HAVE REALLY CLOSE TO BE ABLE TO
IMPLEMENT. THIS TICKET
RESIDENTIAL TREATMENT
FACILITIES- SO WE THAT YOU
PASSED THE BILL LAST YEAR. HAS
BEEN SIGNED WE NEED TO MAKE SURE
THAT THE TOMAHAWK CARE SERVICES.
PUTS THE REGULATION IN PLACE AS
QUICKLY AS POSSIBLE BECAUSE
WE'RE GETTING SOME RESOURCES TO
BUILD THEM. BUT WE NEED THE
REGULATIONS TO BE READY SO THAT
WE CAN CREATE EVEN MORE
OPPORTUNITIES. TO- TREAT DISPUTE
WITH SEVERE. CHALLENGES AND
DIFFICULTIES AND CREATE
OPPORTUNITIES FOR HOSPITALS AND
EMERGENCY DEPARTMENTS TO HAVE
PLACES WHERE THEY CAN. AFFORD
THESE KIDS SO THEY ARE NOT STOCK
FOR TWO WEEKS. IN A IN A ROOM
WHERE THAT WITH YOU WITHOUT THE
APPROPRIATE CARE SO THERE ARE
OPTIONS THAT WE CAN IMPLEMENT
RIGHT. NOW TO BE ABLE TO MAKE
THAT WORK. THREE TO BE SAID PART
TIMER. HAS SEUSS IT'S YEAH. HOW
THAT WORK BUT HOSPITAL. TO UP A
SIR. WILL BE THREE. A WEEK FOR
HOURS OR SO AND THIS IS JAMES
YOU THAT ARE BEING DISCHARGED
FREQUENTLY FROM THE HOSPITAL TO
PREVENT THEM FROM GOING THERE.
AND I CAN LAST FOR SEVERAL WEEKS
AND THEY'RE VERY EFFECTIVE.
PARTIAL HOSPITALIZATION WILL BE
FIVE HOURS PLUS A DAY. WHERE THE
YOU'D STILL GOES HOME BUT
THEY'RE GETTING INTENSIVE
TREATMENT FOR TWO THREE WEEKS.
AND THEN THE PRT OF SEBASTIAN
THEIR THEIR- SECOND RESIDENTIAL
TREATMENT FACILITIES WHICH IS A
BRAND NEW CATEGORY IN THE STATE
FOR WHICH WE NEED. TO
TRIBULATIONS OVER TALKING ABOUT.
ALLOW BOARD YOU INCLUDING
MEDICAL USED TO BE THIRTY DAYS
PLUS RECEIVING THE APPROPRIATE
LEVEL OF KERR STREET OF STEP
DOWN FROM IMPATIENCE. SHOULD WE
CAN PUT THESE THINGS IN PLACE WE
WILL HAVE TO CONTINUE THAT WE
NEED TO REMOVE SOME OF THE
PRESSURE. STATION UNITS ARE
BEING EXPERIENCING ESPECIALLY
EMERGENCY DEPARTMENTS SUITES
THERE WE JUST NEED TO MAKE IT
HAPPEN AND WE NEED TO IMPLEMENT.
CONTRACT SPEEDED UP. AN
INTEGRATED YES. I COULD ALSO. IN
SECOND COUNTY WE'VE HAD THE
UNIQUE PRIVILEGE OF PARTNERING
WITH SECOND COUNTY TO. OPERATE A
BEHAVIORAL HEALTH URGENT CARE
CLINIC. AND THE SAME PRINCIPLES
AS WITH THE HEALTH CARE URGENT
CARE CLINIC. THAT TWENTY FOUR
HOUR SEVEN DAY A WEEK CLINIC
PROVIDES PEOPLE WITH AN
OPPORTUNITY. AND THE IT SERVES
THE ENTIRE A SPECTRUM TO COME
INTO THE CLINIC ANY TIME THAT
THEY MIGHT BE EXPERIENCING A
CRISIS. IN ORDER TO RECEIVE
SERVICES AND THAT INCLUDES
PSYCHIATRY. TO AMELIORATE THE
CRISIS PRIOR TO THE PARK
PERHAPS- BEING- SENT TO A IN
ACUTE PSYCHIATRIC HEALTH
FACILITY. OR PLACED IN A IN A
FACILITY WHERE THEY WOULD NEED
LONG TERM CARE AND WHAT WE
UNDERSTAND ABOUT. COMMUNITY
BASED INTERVENTIONS IS THAT IF
WE CAN AMELIORATE TO CROSS IT
MILLIE WITH THE DILEMMAS. FOR
THEY BECOME SUCH A CRISIS THAT
INPATIENT HOSPITALIZATION IS
INDICATED THAT OFTENTIMES IT IS
MORE COST EFFECTIVE. END THE
INDIVIDUAL RECEIVING THE
SERVICES- EXPERIENCES THEM AS
MORE RESILIENCY BASED M.
RECOVERY UP AFFIRMING. BURST
SAYS AGAIN SOMETIMES- SOME OF
THE A UNIQUE STIGMA ASSOCIATED
ESPECIALLY FOR. UNDERSERVED IN
COMMUNITIES OF COLOR ASSOCIATED
WITH GOING INTO IN ACUTE
FACILITY FOR A LONG PERIOD. ARE
YOU ABLE IN SACRAMENTO ARE YOU
ABLE THEN TO OUR THE TRANSPORT
SERVICES. AUTHORIZED TO DEFER TO
YOU. HELLO THOSE TO EMERGENCY TO
. WE X. THE ARE SO. FROM
SACRAMENTO FROM- AT ANY ONE AND
SOUL IN YOUR SPECIFIC
SPECIFICALLY ANSWERING A
QUESTION A POLICE OFFICER
BROUGHT A PERSON TO OUR CLINIC
WE ABSOLUTELY WOULD WOULD SEE
THE PERSON TRIAGE THE PERSON AND
MAKE A DETERMINATION. REGARDING
WHAT WITH THE APPROPRIATE LEVEL
OF CARE AND MORE OFTEN THAN NOT
AND THE DATE WAS SUPPORT THIS
THAT WE'RE ABLE TO SUPPORT THE
PERSON RETURNING TO- A COMMUNITY
BASED OR OR THEIR OWN RESIDENT
AND DOMICILED TO GET. ONGOING
SUPPORT FROM A COMMUNITY BASED
PROVIDER VERSUS GOING INTO AN
INPATIENT FACILITY I ASSUME LAW
ENFORCEMENT CAN DO THAT I'M JUST
NOT SURE EMS CAN DO THAT AND
THAT'S WHY I WAS ASKING IF YOU
AND YOUR PROTOCOLS AND-
SACRAMENTO COUNTY ALLOW EMS TO.
DIVERT AN OBVIOUS ACUTE MENTAL
DISTRESS SITUATION AWAY FROM AN
EMERGENCY DE TO YOU. WE HAVE A
RELATIONSHIP WITH THE EMERGENCY
DEPARTMENTS AND YES THEY NOT
ONLY DO THEY DIVERSE OFTENTIMES
THEY DIVERT AND IT'S A-
FASCINATING CONVERSATION
AFTERWARDS BUT THEY DO TO PER
INDIVIDUALS TO OUR MENTAL HEALTH
URGENT CARE CLINICS WHEN THANK
YOU THANK YOU MANAGER. AND
TURNING POINT RUNS AT MYSTRA YES
THREE- INCOME IN THE
COLLABORATION AND I WOULD BE
REMISS FRANCOIST IS HERE WITH.
US SACRAMENTO COUNTY OKAY. THANK
YOU VERY- I THINK YOU ALL OUR
PANELISTS AND WE RE HAVE. THE
WORK YOU DO EVERY DAY AND TO THE
POINT WHERE TURNED OUT THAT I
HAVE WE TALK A LOT ABOUT BETTER
WE UNDERSTAND. THAT IMPROVING
THE ENTIRE CONTINUUM OF CARE.
YOU WILL REDUCE THE AMOUNT OF
BEDS THAT WILL NEED RIGHT NOW
WE'VE JUST SET UP A CRISIS OUT
OF CONTROL. AND SO MORE PEOPLE
NEED TO BE- IN A FACILITY THEN
THEN AND THE COMMUNITY WHICH IS
THE OPTIMUM PLACE FOR PEOPLE TO
BE TREATED AS IN THEIR
COMMUNITY. BY PEOPLE WHO LOOK
LIKE THEM TALK LIKE THEM AND
LOVE THEM. UP SO WE THANK YOU
VERY MUCH FOR YOUR PRESENTATIONS
TODAY THANK YOU GREAT THANK YOU
. OKAY NOW IS THE TIME FOR
PUBLIC COMMENT SO I WOULD INVITE
ANYBODY IN THE ROOM TO COME UP
TO THE MIKE RIGHT HERE. TO MAKE
A COUPLE PUB PUBLIC COMMENT.
SEEING NONE WE CAN GO TO OUR
PHONE LINES HERE. I SAW MY
FRIEND TO ME. THE ONLY PROBLEM
THAT. ALL RIGHT. THE MODERATOR
WILL GO TO THAT CALLER PLEASE
WELCOME COLOR. THANK YOU. PUBLIC
COMMENT YOU MADE PRESS ONE AND
THEN ZERO. IT IS ONE AND THEN
ZERO AND WE WILL GO TO LINE OF
FIFTY SEVEN YOUR LINE IS OPEN.
MADAM CHAIR MEMBERS OF THE
COMMITTEE ON TWENTY TWO ZERO ON
BEHALF THE CALIFORNIA TEACHERS
ASSOCIATION. MY REMARKS IS
SPECIFIC TO THE APPROXIMATELY
FIVE BILLION DOLLARS INVESTED IN
THE CHILDREN AND YOUTH APRIL
HEALTH INITIATIVE. AND THE FOUR
BILLION DOLLARS INVESTED IN
COMMUNITY SCHOOLS BOTH OF WHICH
HAVE BEEN FUNDED WITH ONE TIME
DOLLARS. REGARDING THE C. Y. B.
H. I. IN ITS PROGRAMS IT
INTERCEPTOR INTERACT WITH
ELEAZAR. WE SUGGESTS THE
EXPENDITURE TIMELINES AUTHORIZED
IN TWENTY TWENTY TO TWENTY
TWENTY TO BE EXTENDED TO LATER
YEARS SO THESE PROGRAMS
GUARANTEE SUSTAINABILITY
CRITERIA. REGARDING AGE BECAUSE
WORKFORCE EXPANSION WE REQUESTED
PAGE CUT SPEND THEIR WORKFORCE
EFFORTS TO INCREASE THE NUMBER
OF BEHAVIORAL HEALTH WORKERS BY
INCLUDING TO PULL PERFECT PEOPLE
SERVICES PERSONNEL WHO ARE
CREDENTIALED SCHOOL NURSES
SOCIAL WORKERS PSYCHOLOGISTS AND
COUNSELLORS. WHICH PTC IS TO
CREDENTIALS H. COOPER SAMPLE
CURRENTLY FUND SCHOLARSHIPS ONE
REPAYMENTS AND GRANT. FOR
INTERESTS AND IT'S THE EASIEST
IN FACT PSYCHIATRIC NURSES BUT
NOT FOR SCHOOL BEHAVIORAL HEALTH
WORKERS. CTA CONTINUES TO
EXPRESS CONCERNS AROUND THE
VIABILITY OF WELLNESS COACHES
ONE AND TWO AND THE EXPECTATION
THEY WILL BE ON SCHOOL SITES BUT
WELL WITHOUT AN ANSWER TO THE
KEY QUESTION. HOW OR THE
POSITION SUSTAIN GOING FORWARD
WITHOUT ONGOING FUNDING WE'VE
ALSO EXPRESSED APPREHENSIONS
AROUND THE NEW BEHAVIORAL HEALTH
BE SCHEDULE. GIVEN THE CURRENT
DIFFICULTIES ELEAZAR EXPERIENCE
IN THE LOCAL EDUCATION
ASSOCIATION MEDICAL BILLING
OPTION THE L. A. BOB IT'S
DIFFICULT TO COMPREHEND L. ELLIE
AS WILL ATTEST TO A SECOND BE
SCHEDULE IN THE CURRENT
ENVIRONMENT. ONE SUGGESTION HAS
BEEN TO PILOT TO BE SCHEDULE AT
EXISTING AND FUTURE COMMUNITY
SCHOOLS RATHER THAN ROLLING OUT
STATEWIDE. COMMUNITY SCHOOLS ARE
ABLE TO SPOT LIGHT DIFFICULTIES
IT WOULD ENHANCE THE OPPORTUNITY
TO PARTICIPATION FOR OTHERS. 60%
OF OUR STUDENT POPULATION OR
MEDICAL ELIGIBLE. AND WE MUST DO
BETTER PROVIDING THEM BUT
PHYSICAL BY HEALTH SERVICES
WITHOUT CURRENT THIS IS STATE OF
FOR THE L. E. A. AND- PRO.
INCLUDING ENTER WITH COMMUNITY
SCHOOLS WE WILL HAVE LOST A ONCE
IN A LIFETIME OPPORTUNITY TO
PROVIDE ONGOING PHYSICAL AND
BEHAVIORAL HEALTH SERVICES TO
OUR STUDENTS WE LOOK FORWARD TO
WORKING WITH THE COMMITTEE ON
THESE CRITICAL ISSUES THANK YOU.
THANK YOU VERY MUCH FOR YOUR
CALL ANY OTHER CALLERS ON THE
LINE MODERATOR. WE HAVE NO OTHER
- WE HAVE NO ONE ELSE THANK YOU
AT THIS TIME. OKAY I THANK YOU
VERY MUCH. OKAY WHAT WE THINK
ALL THE PRESENTERS TODAY- FOR
YOUR ONGOING WORK AND FOR YOUR
PRESENTATIONS TODAY IT IS
GREATLY APPRECIATED- AND WITH AT
THIS HEARING IS ADJOURNED.