MHSA-Defined CPP Principles and Practices

The MHSA Community Program Planning process is defined in California Codes and Regulations.  By law, County MHSA CPP processes must adhere to the following general standards:

Community Collaboration is a process by which clients and/or families receiving services, other community members, agencies, organizations, and businesses work together to share information and resources in order to fulfill a shared vision and goals (Title 9, California Code of Regulations, §§3320 and 3200.060).

Cultural Competence means that equal access is provided to equal quality of services to all racial/ethnic, cultural and linguistic communities. Disparities are identified and strategies developed to eliminate disparities. Cultural competence means that program planning and service delivery takes into account diverse belief systems and the impact of historic forms of racism and discrimination on the mental health of community members. Services and supports utilize strengths and forms of healing that are unique to an individual’s racial/ethnic, cultural and linguistic community. Service providers are trained to understand and address the needs and values of the particular communities they serve, and strategies are developed and implemented to promote equal opportunities for those involved in service delivery who share the cultural characteristics of individuals with SMI/SED in the community (summarized from Title 9, California Code of Regulations, §§3320 and 3200.100).

Integrated Services Experience means the client, and when appropriate the client’s family, accesses a full range of services provided by multiple agencies, programs and funding sources in a comprehensive and coordinated manner ( Title 9, California Code of Regulations, §§3320 and 3200.190).

Client Driven means that the client has the primary decision-making role in identifying his/her needs, preferences and strengths and a shared decision-making role in determining the services and supports that are most effective and helpful for him/her. Client-driven programs/services use clients’ input as the main factor for planning, policies, procedures, service delivery, evaluation, and the definition and determination of outcomes (Title 9, California Code of Regulations, §§3320 and 3200.050).

Family Driven means that families of children and youth with serious emotional disturbance have a primary decision-making role in the care of their own children, including the identification of needs, preferences, and strengths, and a shared decision-making role in determining the services and supports that would be most effective and helpful for their children. Family-driven programs/services use the input of families as the main factor for planning, policies, procedures, service delivery, evaluation, and the definition and determination of outcomes (Title 9, California Code of Regulations, §§3320 and 3200.120).

Wellness, Recovery, and Resilience focused means that planning for services shall be consistent with the philosophy, principles, and practices of the Recovery Vision for mental health consumers: “To promote concepts key to the recovery for individuals who have mental illness: hope, personal empowerment, respect, social connections, self-responsibility, and self- determination. To promote consumer-operated services as a way to support recovery.” (MHSA Section 7, W&I §5813.5(d))

MHSA CPP processes, per legislation and regulations, must include the following participants and processes:

 

Clients and family members: Involvement of clients with serious mental illness and/ or serious emotional disturbance and their family members in all aspects of the Community Program Planning Process (WIC, § 5848(a)).

Broad-based constituents: Participation of stakeholders defined by Welfare and Institution Code Section 5848a as adults and seniors with severe mental illness, families of children, adults, and seniors with severe mental illness, providers of services, law enforcement agencies, education, social services agencies, veterans, representatives from veterans organizations, providers of alcohol and drug services, health care organizations, and other important interests (WIC, § 5848a).
Underserved populations: Participation from representatives of unserved and/or underserved populations and family members of unserved/underserved populations (CCR, 9 CA § 3300).

Diversity: Stakeholders that “reflect the diversity of the demographics of the County, including but not limited to, geographic location, age, gender, and race/ethnicity, and have the opportunity to participate in the Community Program Planning Process” (CCR, 9 CA § 3300).

MHSA CPP processes, per regulation, must include:

Training (CCR, 9 CA §3300).

Outreach to clients with serious mental illness and/or serious emotional disturbance, and their family members, to ensure the opportunity to participate (CCR, 9 CA §3300).
A local review process prior to submitting the Three-Year Program and Expenditure Plans or Annual Updates that includes a 30-day public comment period (CCR, 9 CA § 3315).

Counties must submit documentation of Three-Year Program and Expenditure Plans and Annual Updates that include:

A description of methods used to circulate copies of the draft Three-Year Program and Expenditure Plan or Annual Update to representatives of stakeholders’ interests and any other interested parties who request the draft for the purpose of public comment.
Documentation that a public hearing was held by the local mental health board/commission, including the date of the hearing.
A summary and analysis of any substantive recommendations.

A description of any substantive changes made to the proposed Three-Year Program and Expenditure Plan or annual update that was circulated (CCR, 9 CA § 3315).

 

Source:  RESOURCE DEVELOPMENT ASSOCIATES 12 31, 2013