California 
Council of Community Behavioral Health Agencies

CCCBHA Monthly General Newsletter
Representing Nonprofit Community Behavioral Health Agencies Throughout California
       www.cccbha.org                                                                                                 June 15, 2017 
This monthly newsletter is provided to inform the public of behavioral health issues that are happening around the Capitol. Our members get an additional biweekly newsletter and detailed policy updates, including opportunities for participating in creating policy that protect and enhance behavioral health interests.
Rusty's Corner
by Rusty Selix, CCCBHA Director Public Policy & Advocacy
Board of Directors
US Senate Possibly Close to Taking Action on AHCA Variation on Repeal & Replace that Could include Drastic Medicaid Cuts
I am writing this from Washington, DC, where I have been in meetings with the National Council for Behavioral Health and their Public Policy Committee these past few days.  People here are more worried than ever that the U.S. Senate might be close to passing the bill that includes most of what was in the House measure.
Until this week, there was a belief that we could count on opposition to such a proposal from several Republican senators from states which had expanded Medicaid benefits in the same way California had.
But this week there are rumblings that some or all may now be prepared to vote to impose these cuts and create a block grant system similar to what the House approved. It could be a longer period of time before it takes effect and could have an inflation clause which is more generous, but it still would mean massive cuts which would result in loss of coverage for millions of people. There is also talk of creating a special pot of funding for medication assisted treatment to address the opioid epidemic.
At the meeting we received this financial analysis showing that California would be the hardest hit state with losses of more than 20% of current federal funding for Medi-Cal.  The current position of our state is still to simply fight the proposal and not to develop strategies for what we might do if it were to pass.  Senate Republican leadership hopes to bring it to a vote the week of June 26th.  [ MORE]
State Budget on its Way to the Governor - Mixed Results for Our Issues
The State Legislature will meet its constitutional deadline to pass a budget by June 15.  Sadly, that budget includes a major cut to mental health funds as part of a complex shift of funds overall to cover funding for the state IHSS (In-Home Support Services) program.  Mental health funds that are part of the prior realignment process are being diverted to IHSS.  Anticipated growth in MHSA funds will have to be used to cover the loss of state funds. This means that these MHSA funds cannot go towards new programs and services which is the original intent of the MHSA funds.  CCCBHA, while understanding the need for funding of critical IHSS services, has strongly opposed this move as the legislative action cuts funding to mental health services by $126 million annually after being phased in over five years.
The first year of cuts is estimated at $36 million. These are the cuts from mental health's share of growth from vehicle license fee revenues as part of 1991 realignment.  The original law allowed sales tax growth to be diverted to IHSS when there was a county financial responsibility.  For the past five years, mental health received that growth because IHSS was part of state funded Medi-Cal. By shifting it back to the counties the old law automatically goes into effect which will mean additional permanent losses of mental health funds depending upon the amount of sales tax growth in future years. For the current year sales tax growth is under $1 million so there is only a negligible loss. The Department of Finance indicates that of future growth, mental health could lose up to $25 million annually, and would be cumulative so that each loss reflects a lower base for future years. These losses are in addition to the loss of $126 million by this new legislative action.
The 1991 realignment funding mainly affects adult mental health services. Substance use disorder funding and children's funding for EPSDT are part of the 2011 realignment program which is not impacted.
Counties had hoped that this proposal would only be in effect for two years as the funds that compensate County general funds for their losses are only reasonably adequate for that period.
They were unable to get even the relief that they should have, unless it was part of a package that was ongoing beyond the two years. There is an agreement to "reopen the discussion" in two years, when there will be a new governor, but any hopes of relief will likely depend upon both a healthy state economy and no significant loss of federal support.
Beyond this issue there is actually a lot of very good news and support for our other budget priorities. These include:
  • $16.7 million to restore full funding for children's mental health crisis services.  This has been a priority for CCCBHA during this legislative season.  The funds did not come out of the General Fund as we had advocated and instead has been pulled from MHSA funds, but the outcome ensures that work can begin on building a continuum of care for children's mental health services. 
  • $6.2 million to fund a longstanding state mandate requiring the Department of Health Care Services to collect data on outcomes for children and youth up to age 21 who are receiving mental health services through Medi-Cal.  
  • [MORE BULLETS IN FULL BLOG]
With the passage of the state budget, legislative attention turns to bills which have been approved by their house of origin and are now pending in the policy committees of the other house.
President
Erin O'Brien
Community Solutions
President Elect
Christine Stoner-Mertz
Lincoln
Past President
Darrell Evora
Uplift Family Services
Treasurer
Sparky Harlan
Bill Wilson Center
Secretary
Cynthia Jackson Kelartinian
Heritage Clinic
Vice President
Leon Hoover
Kings View Corporation
Members-At-Large
Ray Banks
Turning Point of Central California
Carolyn Chadwick
Tessie Cleveland Community Services Corp.
Vitka Eisen
HealthRIGHT 360
Steve Elson
Casa Pacifica
Lorna Jones
Bonita House
Debbie Manners
Hathaway-Sycamores
Scott McGuirk
South Coast Community Services
Camille Schraeder
Redwood Children's Services
Al Senella
Tarzana Treatment Centers
Hugo Villa
The Village Family Services
Executive Director
Paul Curtis
Director, Public Policy & Advocacy
Rusty Selix

Mission: The California Council of Community Behavioral Health Agencies (CCCBHA) promotes comprehensive, responsive and integrated service systems by enhancing the ability of nonprofit member agencies to provide mental health services that empower the people we serve to lead full and productive lives.


A membership with CCCBHA means an automatic membership with the National Council for Behavioral Health. By joining both, not only will you get important California representation, but you'll also get critical national news.


 CCCBHA Announcements
Payment Reform Readiness Learning Community
We will launch the year long interactive webinar learning opportunity on July 10th with an in-person kick-off in Sacramento!

The registration deadline is - June 26th!  REGISTER NOW

Are you a county or behavioral health agency that:
  • Wants to develop an understanding of the various models of financial risk and requirements and their impact on payers and providers?
  • Needs to understand the clinical, operational and financial benchmarks and processes that align with sustainable financing models?
  • Wants to develop relationships that support pay-for-performance financing models while continuing to serve your clients?
  • Is looking to create synergy among the payer, provider and policy community?
Register and your team will get:
  • Curriculum and instruction provided by premier faculty David Lloyd, Steve Ramsland and Kristin Woodlock, California experts in developing models
  • Eight general interactive webinars, with no limit on the number of staff who can participate
  • Two deep dive interactive webinars chosen for specific learning cohorts (e.g. C-Suite, Clinical Directors, CFOs, Payers, Policy experts, etc.)
  • Individual cohort coaching calls developed from individualized assessment
  • Roadmap Report providing direction for your organization's future
See the  Learning Community flyer  that includes details such as the bios on the expert faculty, and unique opportunities included in the registration for you and all of your staff!

CCCBHA is hosting the 
Payment Reform Readiness 
Learning Community 
in conjunction with the
National Council for  Behavioral Health.

CCCBHA Spring Policy Forum and Advocacy Day 2017 Highlights
(l to r) Richard Lewis, III, Anka Behavioral Health; Roy Marshall, Child & Family Guidance Center; Ken Berrick, Seneca Family of Agencies; Leon Hoover, Kings View; Paul Curtis, CCCBHA Executive Director; Olivia Loewy, American Association for Marriage and Family Therapy; Alicia Castaneda, CCCBHA Program Manager; Chris Stoner-Mertz, Lincoln; Dan Geiger, Human Services Alliance of Contra Costa; Wendy Wang, Pacific Clinics; Camille Schraeder, Redwood Community Services, Inc.; Laura Heintz, Stanford Youth Solutions; Linda Hoyle, Henrietta Weill Memorial Child Guidance Clinic; Vatche Kelartinian, Heritage; Rusty Selix, CCCBHA Advocacy and Policy Director.
Following the Policy Forum, members participated in CCCBHA's first Advocacy Day! (Pictured on left) Members shared issues that we are working on, such as IHSS funding, Youth Crisis Care and Workforce Development. 

We are looking forward to growing this event and making an even bigger impact at the Capitol. Consider joining our efforts and adding your voice and story to our message!

The Policy Forum was busy and productive, with new Bylaws being approved, and new officers elected. There were three Policy Committee meetings and presentations by DHCS, Steinberg Institute, and our Advocacy and Policy Director, Rusty Selix.
We're looking for a new team member!
Member Services and Communications Manager
Position Summary:This position is responsible for the production of all association communications to members and the public, maintains/updates the website, and manages all social media. Is key liaison to the Director of Public Policy and their staff. Is responsible for all membership services including membership renewals, retention and recruitment, maintaining the membership database, project reporting, and providing support to the Membership Committee.  This position also develops and manages the the Business Associate and Affiliate programs to increase revenue. 
Click here for the  full job description   and details on applying.
SAMHSA-HRSA Center for Integrated Health Solutions
Behavioral Health Crisis Intervention Training Toolkit Webinar
Interested in Personalized Technical Assistance on Integration of Behavioral Health and Maternal and Child Health?

To improve health outcomes across the lifespan, primary care and behavioral health providers need the tools and support necessary to build collaborative care teams to address both the physical and behavioral health needs of women, children, adolescents, and their families, and to adopt integrated care as standard practice.
By identifying evidence-based integrated care practices and improving access to comprehensive care, providers can create a healthcare environment that effectively provides for maternal,  child and adolescent health.

For more resources on implementing integrated care, check out the SAMHSA-HRSA Center for Integrated Health Solutions website. 

Contact CIHS at Integration@TheNationalCouncil.org or 202-684-7457 with your specific integration needs and we'll be in touch to schedule a free one-hour phone consultation.
PLEASE JOIN US for a WEBINAR on Thursday, June 22, 2017, from 
10:00 am to 11:30 AM to learn more about the Behavioral Health Crisis Intervention Training and Programs for Law Enforcement and Other First Responders: A Toolkit for Getting Started.

A free downloadable copy of the full toolkit is available at  here.

This toolkit supports law enforcement, behavioral health, and community stakeholders with practical approaches for implementing and sustaining successful behavioral health crisis intervention training programs in their own communities.
Developed with funding support from the Mental Health Services Oversight and Accountability Commission (MHSOAC)

For questions, please contact:
Khani Gustafson, MSW at kgustafson@cibhs.org or 916-317-6230 
or
Sheron Wright at 
swright@cibhs.org or 916-379-5359
News from the National Council of 
Beha vioral Health
Upcoming Events
SAMHSA's 2015 National Survey on 
Drug Use a nd  Health (NSDUH) yielded data from self-identified  sexual 
minority respondents for the first time in the survey's history. While the data findings represent only a year of information, they clearly indicate a critical need to better understand the relationship between sexual orientation and behavioral health.

Celebrate Pride Month on Thursday, June 29, from 2-3 p.m. ET. Join us for Behavioral Health Services for Sexual and Gender Minority Adults: Where Data and Practice Intersect , a discussion on the key results from the 2015 NSDUH, complimented with insight from three organizations that serve LGBTQ individuals and communities: Fenway Health in Boston, Rainbow Heights Club in Brooklyn and the Montrose Ce nter in Houston.
Hill Day 2017
October 2-3 in Washington, DC
__________________
August 28-30 
Denver, CO
_________________

The American Society of Addiction Medicine (ASAM) is providing its nationally recognized Review Course in Dallas, TX on 
July 27-29. 
CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
Taboo of Confronting Mental Illness Hurts Staff, Inmates
By Scott Kernan, CDCR Secretary
The stigma of mental illness is as pervasive in our prisons as it is in our communities. In the macho prison environment, where weakness equals vulnerability, those with mental illness are among the most stereotyped by other inmates and, unfortunately, by some staff as well. Among many of us, it's a taboo subject even while we grieve the too-frequent staff suicides and other mental health maladies that plague our profession. I don't believe you can live or work in a prison environment and not experience stressors that could impact your mental health. But we don't talk about it. In fact, we make it worse by judging and stereotyping, and that perpetuates the negative stigma. [ Read More
DHCS Medi-Cal 2020 News - Whole Person Care (WPC)
CMS Approves, Expands Whole Person Care Pilots 
The Centers for Medicare & Medicaid Services (CMS) has approved a second round of Whole Person Care (WPC) pilot projects, expanding a new approach to provide comprehensive care to high-cost patients with complex problems.
 
CMS approved 15 applications on June 8, 2017, expanding eight previously approved pilots, and authorizing seven new pilots in additional areas around California.  
 
The WPC program is intended to target Medi-Cal patients with complex medical problems and frequent users of multiple health systems by providing locally-based comprehensive care. The pilots aim to coordinate physical health, behavioral health, and social services in a patient-centered manner, improving the health and well-being of beneficiaries through an efficient and effective use of resources.
 
The patient groups that are the focus of the program include those who are released from institutions or incarceration, have mental illness or a substance use disorder, or are currently homeless or at risk of homelessness.
 
For a list of approved WPC pilot projects for the first and second rounds, and for more information about the program, please visit the DHCS website .
 For questions or comments, please contact 1115WholePersonCare@dhcs.ca.gov.
Want to learn more about CCCBHA?



For an application and information on joining,  
please contact 
Sara Kahoalii, Member Services Manager at: 

By becoming a member of CCCBHA, you will join the combined strengths of many health providers. The association was formed to accomplish the following:
  •  Improve the current community-based behavioral health system through interaction with legislators and
    government officials
  •  Increase the participation of community-based nonprofit agencies in both the improvement of the behavioral health system and the delivery of direct services in the community
  •  Provide a unified approach for mutual consultation to improve management efficiency, clinical services and
    information exchanges
  •  Ensure that services respond to the needs of the communities
  •  Provide a focal point for the review and development of policies which will further the provision of a full spectrum of modalities and high-quality behavioral health care at the community level for all individuals
Consider joining our efforts and help strengthen our voice!

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California Council of Community Behavioral Health Agencies 

455 Capitol Mall, Suite 315, Sacramento, CA 95814

(916) 557-1166 
www.cccbha.org
 

Leaders in the partnership that developed and promoted Proposition 63.