LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 103.03 Innovation Component of Mental Health Services Act
 
  PROCEDURES
  1. Mental Health Services Act (MHSA) Administration shall submit to the Mental Health Services Oversight and Accountability Commission an Innovative Project Plan for each new Innovative Project to be funded.
  2. The Innovation Component of the Three-Year Program and Expenditure Plan or Annual Update shall include an Innovative Project Plan with the following general information for each new Innovative Project:
    1. A description of how DMH ensured staff and stakeholders were involved in the Community Program Planning Process in accordance with DMH Policy 104.02
    2. A description of DMH's plan to involve community stakeholders meaningfully in all phases of Innovative Projects, including:
      1. Evaluation of the Innovative Project and
      2. Decision-making regarding whether to continue the Innovative Project or elements of the Project without Innovation Funds.
  3. The Innovation Component of the Three-Year Program and Expenditure Plan or Annual Update shall include an Innovative Project Plan which shall include a description of the Innovative Project including but not limited to the following information:
    1. Name of the Innovative Project
    2. Selected primary purpose
    3. Reasons that this purpose is a priority for DMH 
      1. DMH shall establish a need to design, develop, pilot, and evaluate approaches not already demonstrated as successful.
    4. Whether and how the Innovative Project introduces:
      1. A new mental health practice or approach
      2. A change to an existing mental health practice that has not yet been demonstrated to be effective such as adaptation for:
        1. New settings,
        2. Various populations or community
      3. A new application to the mental health system of a promising community-driven practice or an approach that has been successful in a non-mental health setting.
        1. The description shall include the key activities of the Innovative Project.
          • Key activities are the activities the County plans to implement as part of the Innovative Project with the expectation that the activities will contribute to bringing about change and achieving the intended outcomes of the Innovative Project.
        2. The description shall address specifically how the Innovative Project is expected to contribute to the development and evaluation of a new or changed practice within the field of mental health.
    5. Description of the new or changed mental health approach DMH shall develop, pilot, and evaluate.
      1. Differentiate the elements that are new or changed from existing practices in the field of mental health already known to be effective.
      2. Describe the population to be served, including demographic information such as age, gender identity, race, ethnicity, sexual orientation, and language used
      3. Describe the estimated number of clients expected to be served annually
      4. Describe briefly with specific examples, how the Innovative Project will reflect and be consistent with all relevant Mental Health Services Act General Standards
    6. Description of the method DMH shall use to evaluate the effectiveness of the Innovative Project including:
      1. Intended outcomes, including at least one outcome relevant to the selected primary purpose
      2. How those outcomes will be measured including specific indicators for each intended outcome
      3. Methods the County will use to assess the project elements that contributed to the outcomes
      4. How the evaluation will assess the effectiveness of the element(s) of the Innovative Project that are new or changed compared to existing practice in mental health.
    7. Description of how DMH will decide whether and how to continue the Innovative Project, or elements of the Project, without Innovation Funds
    8. Description of how DMH plans to protect and provide continuity for individuals with serious mental illness who are receiving services from the Innovative Project after the end of implementation with Innovation Funds
    9. Specify the total length of the Innovative Project.
      1. Provide a brief explanation of how this time period will allow sufficient time for the development, time-limited implementation, evaluation, decision-making, and communication of results, including new effective practices and lessons learned.
      2. Include a timeline that specifies:
        1. Key milestones for development and refinement of the approach;
        2. Ongoing assessment and final evaluation of the Innovative Project;
        3. Decision-making, including meaningful involvement of stakeholders, about whether and how to continue a successful Innovative Project or parts of the project; and
        4. Communication of the results and lessons learned with a focus of dissemination of successful Innovative Projects.
  4. The Innovation Component of the Three-Year Program and Expenditure Plan or Annual Update shall include an Innovative Project Plan which shall include a budget including: 
    1. Total Innovation Funds requested for each Innovative Project
    2. Estimated total mental health expenditures for the entire duration of each Innovative Project by fiscal year and the following funding sources:
      1. Innovation Funds
      2. Medi-Cal Federal Financial Participation
      3. 1991 Realignment
      4. Behavioral Health Subaccount
      5. Any other funding
    3. DMH shall include a brief narrative to explain how the estimated total budget
      1. Is consistent with the time-limited, evaluation focus of the project
      2. Includes sufficient funds for the development, refinement, piloting, and evaluation; the decision-making process of determining whether to continue the Innovative Project without Innovation Funds; and dissemination of the Innovative Project results
    4. Estimated total mental health expenditures for evaluation for the entire duration of each Innovative Project by fiscal year and the following funding sources.
      1. Innovation Funds
      2. Medi-Cal Federal Financial Participation
      3. 1991 Realignment
      4. Behavioral Health Subaccount
      5. Any other funding
    5. Estimated total mental health expenditures for the administration for the entire duration of each Innovative Project by fiscal year and the following sources of funding.
      1. Innovation Funds
      2. Medi-Cal Federal Financial Participation
      3. 1991 Realignment
      4. Behavioral Health Subaccount
      5. Any other funding
    6. Total projected expenditures of Innovation Funds for each Innovative Project by fiscal year for:
      1. Personnel expenditure, including salaries, wages and benefits
      2. Operating expenditure
      3. Non-recurring expenditures, such as cost of equipping new employees with technology necessary to perform MHSA duties to conduct the Innovative Project
      4. Training consultant contracts
      5. Other expenditures projected to be incurred on items not listed above and provide a justification for the expenditures
    7. Document that the source of Innovation Funds is five (5) percent of DMH's Prevention and Early Intervention allocation and five (5) percent of the Community Services and Support allocation.