| Early Intervention Program: Treatment and other services and interventions, including relapse prevention, to address and promote recovery and related functional outcomes for a mental illness early in its emergence, including the applicable negative outcomes listed in Welfare and Institutions Code Section 5840, subdivision (d) that may result from untreated mental illness.
Mental Illness: A syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological or biological processes underlying mental functioning. Mental illness is usually associated with significant distress or disability in social, occupational, or other important activities.
Outreach: A process of engaging, encouraging, educating, and/or training, and learning from potential responders about ways to recognize and respond effectively to early signs of potentially severe and disabling mental illness.
Prevention and Early Intervention Component: The section of the Three-Year Program and Expenditure Plan intended to prevent mental illnesses from becoming severe and disabling.
Prevention and Early Intervention Funds: The MHSA funds allocated for prevention and early intervention programs pursuant to Welfare and Institutions Code section 5892, subdivision (a)(3).
Prevention Program: A set of related activities to reduce risk factors for developing a potentially serious mental illness and to build protective factors. The goal of this program is to bring about mental health including reduction of the applicable negative outcomes listed in Welfare and Institutions Code Section 5840, subdivision (d) as a result of untreated mental illness for individuals and members of groups or populations whose risk of developing a serious mental illness is greater than average and, as applicable, their parents, caregivers, and other family members.
Program: A stand-alone organized and planned work, action or approach that evidence indicates is likely to bring about positive mental health outcomes either for individuals and families with or at risk of serious mental illness or for the mental health system.
Serious Mental Illness: A mental illness that is severe in degree and persistent in duration, which may cause behavioral functioning which interferes substantially with the primary activities of daily living, and which may result in an inability to maintain stable adjustment and independent functioning without treatment, support, and rehabilitation for a long or indefinite period of time.
Stigma and Discrimination Reduction Program: DMH’s direct activities to reduce negative feelings, attitudes, beliefs, perceptions, stereotypes and/or discrimination related to being diagnosed with a mental illness, having a mental illness, or to seeking mental health services and to increase acceptance, dignity, inclusion, and equity for individuals with mental illness, and members of their families.
Strategy: A planned and specified method within a program intended to achieve a defined goal.
Suicide Prevention Programs: Organized activities that DMH undertakes to prevent suicide as a consequence of mental illness. This category of programs does not focus on or have intended outcomes for specific individuals at risk of or with serious mental illness.
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For the Prevention and Early Intervention funds under the Prevention and Early Intervention Component of the Mental Health Services Act, the MHSA Administration shall provide to the state for each separate three (3) years by fiscal year, the list of programs and the services and activities associated with the various components of Prevention and Early Intervention: - For the Annual Revenue and Expenditure Report
- For the Annual Update Report
- For the Three-Year Evaluation Report
MHSA Administration shall include in its PEI Component the following Program Types: - At least one Early Intervention Program
- At least one Outreach for Increasing Recognition of Early Signs of Mental Illness
- At least one Prevention Program
- At least one Access and Linkage to Treatment Program
- At least one Stigma and Discrimination Reduction Program
- The Strategies:
- Access and Linkage to Treatment
- Improving Timely Access to Services for Underserved Populations
- Non-Stigmatizing and Non-Discriminatory Strategies
- The County may include in its PEI Component:
- One or more Suicide Prevention Programs
The general requirements for services under the PEI component: - DMH shall serve all ages in one or more programs of the PEI component.
- At least 51 percent of the PEI Fund shall be used to serve individuals who are 25 years old or younger.
- Programs that serve parents, caregivers, or family members with the goal of addressing MHSA outcomes for children or youth at risk of or with early onset of a mental illness can be counted as meeting the requirements above.
MHSA Administration shall provide a description of each PEI component and types of programs separately for each fiscal year that includes: - Program name
- Program description
- Services/activities provided
- Target population
- Number of clients served
- Client demographics
- Program changes/updates
- Program Outcomes
For each program and each strategy, DMH shall use effective methods likely to bring about intended outcomes, based on one of the following standards, or a combination of the following standards: - Evidence-based practice standard
- Promising practice standard
- Community and or practice-based evidence standard
MHSA Administration shall include total expenditures for each program funded with PEI funds by fiscal year.
MHSA Administration shall report on any evaluations or performance outcomes for programs and program components/activities separately.
MHSA Administration shall report on any challenges or barriers with each of the programs and strategies to mitigate those challenges or barriers.
MHSA Administration shall include the following general information: - A description of how DMH ensured that staff and stakeholders involved in the Community Program Planning process were informed about and understood the purpose and requirements of the PEI Component.
- A description of DMH plan to involve community stakeholders meaningfully in all phases of the PEI Component of the Mental Health Services Act, including program planning and implementation, monitoring, quality improvement, evaluation, and budget allocations.
- A brief description, with specific examples of how each program and/or strategy funded by PEI funds will reflect and be consistent with all applicable MHSA General Standards.
If DMH determines a need to make a substantial change to a program, strategy, or target population, they shall in the next Three-Year Program and Expenditure Plan or Annual Update, whichever is closest in time to the planned change, include the following information: - A brief summary of the program as initially set forth in the originally adopted Three-Year Program and Expenditure Plan or Annual Update.
- A description of the change including the resulting changes in the intended outcomes and the planned evaluation.
- An explanation for the change including, stakeholder involvement in the decision and, if any, evaluation data supporting the change.
DMH shall direct PEI funds to PEI component/programs. |
