COUNTY OF ORANGE
HEALTH CARE AGENCY
BEHAVIORAL HEALTH ADVISORY BOARD	
Matthew Holzmann
CHAIR

Duan Tran
Stephen McNally
CO-VICE CHAIRS

MAILING ADDRESS:
405 W. 5th Street
Santa Ana, CA 92701	

Special Meeting
Minutes
Wednesday, April 13, 2022
9:00 a.m. – 11:15 a.m.
Teleconference meeting via Zoom
By Computer: http://zoom.us/j/99364554212
By Phone:  +1 301 715 8592
Meeting ID: 993-6455-4212

Members Present:	Karyl Dupee, Matthew Holzmann, Mara James, Steve McNally, Kristen Pankratz, Courtney Smith, Duan Tran, Frederick Williams, Jim Taylor

Members Absent:	Lauren Deperine, Supervisor Doug Chaffee

Welcome & Introduction
•	Matt Holzmann began the meeting at 9:03 a.m. Members of the Behavioral Health Advisory Board (BHAB) introduced themselves via roll call.

Public Comment
•	Michael Arnot:
Mr. Arnot expressed his appreciation for Dr. Kelley’s and the BHAB’s support for the programing that the Children’s Mental Health Collaborative has done. In addition, he provided an update on the collaborative. 
•	Jim Farell:
Mr. Farell expressed concern for a shortage in housing. In addition, he informed the board members that residential rehabilitation centers and board and cares are having problems with drugs. He emphasized his concern for patients being released from long term care facilities and being dispatched to these rehabilitation centers and affecting their recovery process. 

Open of Innovation Public Hearing

•	Opening Remarks and overview of Innovation Project Proposals: Sharon Ishikawa/ Flor Yousefian Tehrani
Dr. Tehrani introduced the proposals for the Young Adult Court, Clinical High Risk for Psychosis, and Community Program Planning. 

Dr. Ishikawa provided a brief overview of the Young Adult Court (YAC) Innovation proposal, examining whether integrating early intervention services into a specialized court improves the well-being of justice-involved young adult men: a randomized control trial. The primary purpose is promote interagency and community collaboration related to mental health services or supports or outcomes and increase access for underserved groups. This is a 5-year project not to exceed $12 million over 5 years. Dr. Tehrani reviewed the three public comments that were received during the 30-day public comment period. 

Dr. Ishikawa briefly summarized the Clinical High Risk for Psychosis (CHR-P) Innovation proposal. This project is proposing four changes to existing mental health practices to transform our system to better need the needs of youth and their family: 1) Tapping social networks, providing on going and culturally responsive outreach and education 2) Leverage the online space, utilizing the Mental Health Association National website to increase youth’s interest in linkage to clinical services 3) Upskill mental health providers to provide culturally responsive training, support and consultation within a Project ECHO that helps providers build upon their existing skills and 4) Strengthening safety planning. The primary purpose of this project is to increase access to mental health services to underserved groups, while making change to an existing practice in the field of mental, including but not limited to, application to ta different population. This project is not to exceed $38 million over 5 years. Dr. Tehrani reviewed the two public comments that were received during the 30-day public comment period. 

Dr. Tehrani provided an overview of the community planning proposal for Innovation (INN). This proposal will dedicate time and effort to improve Innovation’s engagement and activities to reach the broader community and gather meaningful input. With Orange County anticipating an increase of $11 million annually over the next several years and $73.7 million in available funding through FY 27/28, the INN team and the community will need to increase their efforts in patriation in developing new proposals. Dr. Tehrani explained the extensive planning process for each given proposal. This proposal will utilize $950,000 INN funds towards community planning and related activities for new and/or ongoing INN plans over the next 5 years. This would include INN staff time and support, translation and interpretation services, consultants/ subject matter experts to support and/or facilitate meetings, marketing strategies and materials to reach the broader community, and program supplies such as stipends or transportation. Dr. Tehrani reviewed one public comment that was received during the 30-day public comment period.

•	Public Comment:
Michael Arnot:
Mr. Arnot questioned the shift in funding from INN to primarily Prevention and Early Intervention funding and how it may impact the INN funding available for the Community Children’s mental health programs currently under consideration by Dr. Kelley. 

Helen Cameron:
Ms. Cameron commended the transformation of the mental health system and seeing the community projects being so responsive. She suggested looking into community needs and intervene early for a larger impact. Furthermore, she is very supportive of all three INN proposals and looks forward to their implementation.  
   	
II.	Close of Public Hearing:
The BHAB members engaged in a discussion regarding the three INN proposals. There were many questions by the board members, Dr. Yousefian Tehrani and Dr. Ishikawa provided further clarification on all questions and concerns including the following:
•	Dr. Tehrani provided clarification on funding for INN community planning and how the money would be utilized. 
•	Dr. Ishikawa addressed the Innovation piece of the CHR-P, to address any concerns regarding the goal of this project and other similar projects. 
•	Dr. Ishikawa addressed questions regarding funding of the CHR project, she explained how the shift in funding to PEI would not negatively impact any other budget or programing. 
•	A member of the board asked for clarification on the spending of INN money now that some of the funding will start to free up; also addressing the dangers of reversion. 
•	Further clarification was provided by Elizabeth Cauffman on the Young Adult Court project. 
•	Matthew Holzmann called for a motion for their vote in support to move forward with the 3 Innovation project proposals. The BHAB voted in support for each individual project proposal, the voting and motions were as follows:

1)	Improving the Early Identification of Youth at Clinical High Risk for Psychosis and Increasing Access to Care Innovation Proposal: 
Motion to approve in support of the INN project proposal leveraging multiple funding sources to implement the CHR-P project as described and in particular for INN funding purpose to move forward the Mental Health America National online screening and evaluation component with a 5-year budget not to exceed $13 million. 1st motion: Karyl Dupee 2nd, motion: Duan Tran, Vote by roll call: 8 yes/ 0 No 

2)	Examining whether integrating early intervention services into a specialized court improves the well-being of justice involved young adult men: A randomized trial.
1st motion to approve in support of this INN project proposal made by Frederick Williams and 2nd motion by Karyl Dupee. Vote by roll call: 8 yes/ 0 No

3)	Orange County Innovation Community Program Planning
1st motion to approve in support of the INN Community Program Planning made by Matthew Holzmann and 2nd motion by Duan Tran. Vote by roll call: 8 yes/ 0 No

III.	Announcements
N/A

IV.	Adjourned  11:21

•	The meeting ended at 11:14 a.m.
•	The next meeting will be the BHAB General Meeting March 23, 2022.