Behavioral Health Services Act (BHSA) Population-Based Prevention Program Guide Phase2–Webinar (Eng)
So good
morning again and welcome everyone. So glad to have you all here today. Really great turnout. My name is Jonathan Bateman. I use him pronouns
and I’m from Sacramento State University. Really excited
to have such a great turnout. I want to mention just a few
important things before we get started. I saw that notice. Notice when you came in
this meeting is being recorded. The recording of the meeting
and the slides will be made available at some point
after the end of the meeting. In addition
to Spanish, Spanish interpretation, we also have American Sign Language
interpretation available to access the American Sign Language
interpretation. Please again, click
the circle at the bottom of your screen to circle the lines to it, and you’ll
be able to get in, to see the ASL window. There. In addition to that, closed
captioning is available. You can find that in your toolbar too. You’re looking for the button
with the two CCS in there. Throughout the meeting we want to welcome you
to please use the chat today, as I see, a lot of people are introducing
themselves. Please feel free to use that chat
to provide any comments that you have. If you have questions during today, please find the Q and A window, in the zoom
that’s also in that toolbar. Says Q and A has like a little question
mark in it. Please place
any questions you have in there. CDK two will not be responding
directly to comments or questions during this meeting, but
we’re going to make sure that we collect everything that anyone says
and provide it to them verbatim. After the meeting concludes. So after after CDF presentation, we’re going to have
about 60 minutes for public comment. When we get there,
you’ll be able to raise your hand and, come off of mute
and provide comments during that time. I think we’re going to be able to give
each person about two minutes to speak. And I’ll have a little bit
more information for you when we get to that point. For now,
I’m going to pass the mic over to Trudy to give us a little bit
more information about today’s meeting. Hi. Good morning, and thank you, Jonathan. So for folks that don’t know me,
my name is Trudy Raymundo. She her, I have been working with CDP
since the early start of Covid. And I have had the privilege of leading, a lot of their HSA related efforts
on behalf of the department. And so I wanted to give you
a quick overview of the agenda for today. We’ve covered the welcome and logistics. We will be covering an overview
of our phase two guide, which I can see from just the number
of participants we have today has been of great interest
for our community across the state. We’re going to talk a little more about, funding and investments
that we are providing, to really maximize, local reach of our statewide
strategies and policies. Across the state and into our communities. As Jonathan mentioned,
we really want to spend the majority of our time today on public comment
because, for me, that is the most important
part of the conversation today is being able to hear from you
any feedback that you’ve got. Questions, concerns, all of those things,
because we want to be mindful of the fact
that you are the experts on the ground. And so we want to take that feedback and really think through
how we continue to evolve. Our phase two guide. Next slide please. Next slide. So I want to provide
just a quick overview of the UTSA funding and more, conservatively,
the 4% that is going to now the California Department
of Public Health. In order to administer
the statewide prevention services, really focused
on reducing the risk of people developing mental health conditions
or substance use disorders. Just highlighting that,
written into statute is that 51% of the funding must be used to serve populations that are 25 years and under
and hopefully the the strategies and the components
that we will be presenting today, really showcase how we are looking
to, target, this population. Next slide please. So just a few things to cover in terms of statutorily
what we are going to be required to do. We must incorporate evidence based
or are promising community defined practices,
which I’m really encouraged about. I think ensuring cultural relevancy, into all of the work
that we do is critical and important. We have to be meeting, one or more of the
following that are written into statute. So benefit the entire population, county
or particular community. And so we have designed a series of strategies
that, are both at the statewide level, but also looking at how do we address it
amongst particular communities? Serving populations
that are at elevated risk and really aiming to reduce stigma? This is something
that I really want to note because this idea of reducing stigma
and discrimination, especially when it comes to seeking help and seeking help
when you’re ready to seek help. So being able to meet
folks of where they are at is foundational to all of the work
that we are going to be proposing today. Certainly serving those populations, disproportionately impacted
by systemic racism and discrimination. And ultimately,
our outcomes are really looking at preventing suicide, self-harm or overdose. The one thing I do want to also reiterate
is that, the funding that is being provided to CDP
for population based prevention, cannot be used for early intervention, diagnostic services
or unique treatment for individuals. Next slide please. So I’m going to give you a quick overview of some of the aspects. Yes. Can I interrupt you for one second? I just wanted to, remind you that
we have to, introduce Doctor Pam under, because. Thank you for that. I am so sorry. I just dove right into it. I would like to before I. Before I move on, I’d like to introduce
Doctor Erica Pond, our state public health officer and director,
and Christine Theodore, our assistant director for CDP,
to provide some opening comments. Apologies. No problem. Judy. Thank you. And, I know everyone actually is really
much more interested in what you are diving into, but just briefly,
I wanted to, welcome you all. And, really honored to join this,
group today, I see. Yes, the numbers just keep climbing. So I am really pleased
to see so much interest. I’m the director of the California
Department of Health and the state public health
officer benefits roles in February. And I oversee our efforts to protect and
promote the health of all Californians. And we have a deep commitment
to equity, transparency, and really importantly, especially
for this, an opportunity like this to to hear from all of you,
our partnership with community partners. So as you are already starting to hear,
today will be a really important, opportunity
that we’re providing information on our behavioral health services
at, statewide population based programs. Phase two guide that, you started
to get a great overview from with Trudy. And this is our second public webinar and our first phase
two guide, presentation about the. So we spent a lot of time,
and a lot of work, as you all know, over the last sort of a year
and longer to get to this point. And we really appreciate
all the input we’ve gotten so far. And, and we’re really excited
and public health to elevate behavioral health and prevention
as a public health priority in this space. So again, looking forward to working with
all of you to coordinate and, coordinate these efforts that are more upstream
and prevention, to promote well-being. And also joining us today, to help
welcome you is Christine Theodore, our assistant director. And just want to thank while I’m here,
our team, including Trudy and Calandra and Luna Sacco and Ashley Mills
and just a huge team that has been behind the scenes
working really hard on, on this guide. And, and that is looking forward to working on you
as we implement this and move forward. So I’m going to pass it over to Christine. It was a brief project overview.
Thank you. Thanks, Erica. And thank you
all for, for joining us today. We have over zoom and climbing
800, and climbing. So I’m really pleased that,
many folks are tuning in today. I’m really honored to join you
as the assistant director of the California
Department of Public Health. And in this role,
I also support the department’s effort to protect
and promote the health of all Californians with our deep commitment
to equity, transparency, and partnership. The HSA presents a unique opportunity
to expand behavioral health services in ways that are community driven
and culturally grounded. This is an opportunity
for CDP in California to do things a little differently. Engaging with you
often as we work to transform behavioral health and prevention. We want to hear from you what’s working, what’s missing, and how we can do better. City pages Population
based Behavioral Health Prevention strategy is part of a statewide effort
to build a stronger and more equitable behavioral health system,
one that brings hope support. You’ll need to unlock your iPhone first
and care for every community. Our CDP is leading the planning process
for HSA population based prevention. We’ll provide an overview
of the second phase of guidance for CDP and say population
based prevention program. As many of you chimed in. Our first phase was rooted
in a comprehensive community engagement for city conducted planning that brought together information
about existing landscape of behavioral health initiatives
and opportunities, such as activities implemented through major, say,
prevention and earlier in the action. We reviewed reports and research and data
analysis to understand the trends in suicide,
self-harm and overdose, and we also conducted interviews
with subject matter experts and facilitation of engagement events to garner input from community partners. This phase two guide is intended
to act as a complement to the phase, first phase of that guidance
that was released in June of this year, and the phase two provides
operational administrative details on CDP plans, strategies,
funding levels and activities. So I’m really again, thankful
for all of you and participating today. I’m really grateful to the team
that has done so much work to get us to this point,
and I’m going to turn it back to Trudy to dive into the content
a little bit more. Thank you. All right. Thank you, Eric and Christine. And obviously, as you can tell,
I am just so excited to finally reach this milestone and be able
to have this conversation with all of you. So again, apologies,
for just jumping right in. But we’ll go ahead and jump right in. So next slide please. So a few things I want to note overall about our phase two population
based prevention program guide. So a few things that really went into
how we are crafting it today. It integrates
a lot of the comments that we received. When we presented our phase one guide. And so just wanting to be mindful of that. More importantly, our phase two
now really addresses the operational and administrative components
that we are proposing to put into place, to really meet all of the extended
objectives, the goals and the outcomes and certainly how we are going to follow
through on what is statutorily required. It’s going to be guided
by a lot of community and partner input. So a lot of the all of the feedback
that we are going to hear today is going to be so important to how we shape, our phase two guide. It’s also guided by a lot of input
that we are getting from, stakeholders
across the behavioral health system. And so we’ll talk a little more about how
we plan to work across the full spectrum. It’s includes
a lot of the implementation, activities that we are proposing within each of the, six components
that comprise our full guide. And then it’s going to ultimately set
the statewide direction, and strategies. And we’re going to talk
a little more about, where we are investing and opportunities, to expand, local reach of these statewide
strategies and policies. Next slide please. So this is a population, based prevention is really going to be
our phase two, is going to be coordinated
and combined with our phase one guide to ultimately, develop
what we are calling the final plan. And that final plan
is going to cover the period from July 1st of 26
through June 30th of 29. And we are very intentional
with that timeline because we really wanted to ensure
that we were working in alignment and being able to integrate existing
behavioral health related efforts, both at the state
and the local level as well. Just being mindful also that, you may see future
updates of our final plan because we want to make sure that we are
providing additional clarity where needed. We want to ensure that we are evaluating
all of the work that we are doing. And to that extent,
where we need to course correct or provide
additional amendments to the guide. We will be doing that as well as,
any time we might, we may need to address
any emerging needs and issues. I think we can all definitely say that, what is happening right now
at the federal level? Continues to change our landscape. Nearly on a daily basis. So we want to ensure
that we are both flexible and adaptable. As part of that ever changing landscape. Next slide please. So a few things that I wanted to go over in terms of our priority populations
for strategic investment. And I use the word strategic investment
because this is really where we are
honing in on funding investments. So this is the list that we have
right now. Black, indigenous and other people
of color, children, youth and families, immigrant
and refugee populations, our LGBTQIa plus populations, older
adults, tribes and veterans. And one thing I do want to note
is that the list that we’re providing to you, is just in alphabetical order
and certainly not intended to be,
some sense of prioritization. And we really honed in on these priority
populations, based on a few things. So we continued to look even after the,
phase one guide. We really continued to look at the data, that was driving,
suicide, self-harm and overdose across our varied, races,
ethnicities and cultures. We really wanted to make sure
that our investments were filling gaps in our existing system. And we also, really were mindful of where, as I mentioned before, federal policy
and the federal landscape are creating just additional vulnerabilities,
in many of our populations. And so we definitely took
that into consideration as we develop these priority populations
for strategic investment. Next slide please. So the guide also just as a reminder, stands in alignment with the 14 statewide
behavioral health goals. These are goals that really are driving, how we are targeting
much of our investment. The one thing I do want to note, in terms of these goals, is that equity is foundational to all of these goals,
and we acknowledge that it’s not going to be
just be safe funding alone. That’s going to help us
as a state advance, many of these goals for improvement
and these goals for reduction. So what we have created in order
to really advance these goals is thinking through how do we work
both across the state and the local level, because we know it’s going to take,
cross-sectoral approaches, real collaboration and integration
in order for us to meet these goals. Next slide please. An alignment
across the behavioral health system. This is something
that we have been working very closely on. Again, we know even within public health, we will not be able to do this work alone. So there is a huge emphasis in our phase
two guide about how we are intending to work, across the behavioral health system
and working very closely, with all of our colleagues,
especially DHS, because as you can see here,
there is close alignment and integration, from both the prevention
side to early intervention. So what we want to do
is ensure that we are creating a seamless, seamless system for the community. Another couple of things is I was I had the privilege of attending, a behavioral health
task force meeting yesterday, and that task force meeting
really highlighted the need to take a very strong, integrated,
systemic approach to all of these issues. And so, our effort is really centered on that
because what we don’t want to happen, and this has been part of something
that has stuck with me through this entire effort, is early on in our conversations with community. Someone had mentioned that, they felt like they needed to choose between prevention
or early intervention or treatment, and that is certainly never
the goal of what we want to accomplish. We want to ensure that
we’re creating a system that meets individuals where they are at
and not forcing them into separate buckets,
because we know individuals evolve. They’re not static. And so the effort really around
all of this alignment is to create a seamless system,
for you and the community. Next slide please. So another thing I want to highlight is, we have a lot of great
and existing expertise within CDP. We highlighted it
often in our early convenings and conversations with the community. And so this is just a snapshot
of all of the existing expertise, resources and initiatives
that we are really leveraging, to ensure that we are taking a very strategic
approach, through all of this effort. The one thing I also want to highlight is, as you know, public health is acknowledged to have really great expertise
in the areas of data and evaluation. And so we are planning
to lean very heavily, on that experience
and that expertise, because the evaluation and the monitoring of our work,
as you’ll hear later, is critical to everything
that we are going to be doing because we want to ensure
that we are transparent with the community on what works, on what doesn’t, and really
just ensuring that we are meeting, all of those accountability
and responsibility measures. Next slide. If you have not had an opportunity
to read our phase two guide, which was posted earlier this week,
part of our effort also is to create a new Office of Social
and Behavioral Health. As the previous slide had alluded to, there’s a lot of existing expertise
and programs within CDP. And so by creating this new office, really
the vision is to create a much more coordinated and centralized
approach to all of our work. We want to ensure that we have strong
leadership, that can work across
all of the system partners. We also want to create efficiencies
as part of our planning. The, the dollars that I have been invested for, CDP population based
prevention, is is limited. It’s not enough to really think about, how
do we ensure coverage across the state. And so we want to make sure
that we are using those dollars in the most strategic manner possible. And as Doctor Pan had noted,
I think this really helps to promote behavioral health
as a public health priority. And by doing that, this creates not just
visibility, but a real call to action. For all of us,
both in public health, behavioral health, across all of our system partners
and our community. We really want to use this
as a way for a call to action that we all have to come together,
to achieve those goals. Next slide please. And so now
I am going to turn it over to my colleague Alondra Park, who’s going to talk
a little more and dive deeper into, the six program components that we’ve got. Thanks, Trudy. Good morning everybody.
My name is Calandra Park. I am one of the managers
here, in the Office of Policy and Planning at CDP and part of the HSA
planning team. So, it’s very nice to be here. Really pleased with the turnout. I’m going to dive into,
the more nitty gritty details, probably, that a lot of people
are curious to hear more about. Next slide please. So as Trudy mentioned, these are the six population based
prevention program components. We’ll go into each of these
in more detail in subsequent slides. But just as a quick overview and snapshot,
the six components are the statewide policy initiatives essentially developing
statewide policy platforms. There is a focused statewide
behavioral health prevention strategies set, like a set of strategies to prevent
suicide and self-harm and overdose. And then there is a, campaign component,
a training and technical assistance component, community engagement
and coalition building, as well as, data and evaluation. Next slide please. So when it comes to statewide policy
initiatives, CDP is going to be focusing
on, developing expertise and resources, to address
emerging behavioral health issues. So we know that there are emerging
substance, use and behavioral health threats. As Trudy mentioned earlier,
there are also the emerging impacts of federal policy that,
we want to be nimble enough to respond to and recognize its impact
throughout the state. And just as an example of, some policy recommendations
that we would like to prioritize include AB 1282, which is the impact of social media on
youth, and as well as the recently passed SB 243,
which is intended to implement safeguards, for chat platforms,
when issues such as suicidal ideation, self-harm and suicide come up,
and that these platforms will be required to develop a protocol for safety. Next slide please. So statewide prevention strategies again,
as Trudy mentioned earlier, there are many different existing plans
and initiatives that we looked at and wanted to leverage and elevate and,
inform the work that we’re doing so that we’re not recreating the wheel
or, duplicating effort. So just as a highlight, again
here, there is a, the strategic plan for suicide prevention, the Violence
Prevention Initiative and roadmap, the overdose Prevention initiative. The 988 blueprint,
the Master Plan on Aging, as well as the resources and initiatives
from SAMHSa, the federal agency. So just, as an example, on the right side,
you’ll see some, just a list of examples. And again, I want to emphasize
that these are examples. But ideas and strategies such as, ideas and strategies that are addressing
lethal mean safety and harm reduction, elevating cultural and social connections,
socio emotional learning, stigma and discrimination reduction,
policy systems and environmental change, early childhood and parenting support,
as well as community to find evidence based practices. So we know that a lot of these strategies
were elevated. Again, as Judy mentioned earlier. Through the input of many different,
individuals throughout the state from community based organizations,
from programs, individuals of lived experience, as well
as, many other avenues of input. Next slide please. The next component that we’ll talk about
are statewide awareness campaigns. So it’s a two pronged approach here. So on the left
you’ll see that there is a plan and a strategy
to leverage existing assets. So we have four campaigns
that we will continue to support and work on more localized strategies
here. There is never a bother. Take space to pause. Live beyond in facts, fight fentanyl. And then on the right side,
we are planning to develop new campaigns focused on suicide and self-harm,
basically to increase awareness and public education on suicide
and self-harm and how they can seek help. Essentially, it’s to reduce stigma. And then the next new campaign
that we would like to work on is focused on nine, eight, eight. This is the national, resource. However, we want to elevate
988 here in California and recognize that, some of the services have been
maybe somewhat fragmented or disjointed. And we would like to kind of coalesce
and bring those services together and offer
additional crisis based services, and resources through nine, eight, eight. And then the last new campaign
is the substance use Disorder Prevention campaign,
also to raise awareness. About substance use disorder
and reduce stigma and misconceptions. Next slide please. The next component program component is training
and technical assistance. We know that, to us, it’s also known
is vital for the success of ccdf,
programing and implementation. We want to be able to, equip folks
around the state and other prevention, partners, educators, community members,
leaders, with the tools to promote behavioral health
awareness, reduce stigma, prevent suicide, self-harm, and overdose,
particularly among priority populations. So again, these are examples
listed on the slides. We want to make sure that Ta is provided
in unique areas. So as an example
we want to promote strategies. Focused on positive childhood experiences. Behavioral health literacy curricula
to increase knowledge and skills related to mental
and behavioral well-being, as well as trauma responsive practices
for the early childhood care community. So CTE is also planning to work
with other statewide entities, that could deliver
unique, technical assistance. To support behavioral health prevention in priority populations
such as veterans and older adults. So again, these are examples to give folks a concrete sense
or an idea of what we are proposing. Next slide please. The last two components are community engagement and coalition building
as well as data and evaluation. So we know this work could not be done
without the critical and absolute, imperative
input from the community. And so to that end, we’re developing
three different, opportunities for folks to get engaged and provide feedback
and be a part of the overall process. The first is the implementation workgroup. This workgroup will inform CDP,
hsa statewide planning. This group is intended
to, just elevate issues. California is a big state. There’s a variety of issues
and priorities. We have rural,
we have urban, we have a diverse, racial makeup here in California. So we want to make sure
that this is a group that is elevating local issues and understanding
and looking at solutions as a way forward. Another community engagement, opportunity
would be the CDep advisory committee, the steps or the community to find
evidence based practice, practices. And this will be a committee
that is solely focused on this CDP work that’s being done. And then the last, the last engagement opportunities
that youth and family engagement network. So in this statute,
we are required to dedicate at least 51% of the funding to, services
related to youth. And so to that end,
we wanted to elevate, the opportunity for youth and family to provide
input, share what’s working, what’s not working, elevate needs
and priorities, through this network. And then last
but not least, on the right hand side. Absolutely not
least is data and evaluation. As Trudy mentioned earlier,
we want to make sure that we are accountable
for the work that we are doing. We are developing. We would like to develop a robust
monitoring and evaluation, strategy and framework
for the work that we’re doing. We want to be able to look at, the state
wide impact, what’s working, what’s not working,
what needs to be tweaked, what needs to be addressed,
what needs to be elevated. And we also hoping to align the,
the system of metrics across the state. So this means working
with our sister agencies such as DCS, and other entities to make sure
that we are all on the same page and moving forward together. We would also like to utilize the data through the lens of health
equity, as Trudy emphasized. Also, health equity
is absolutely foundational to the work that we are doing, and we want to be able
to identify disparities, in the work that we’re doing. And to that end, data disaggregation
will help facilitate that work. Next slide please. Okay. So the next section of slides
will talk about the funding, to mobilize local reach of statewide
strategies and policy. So next slide please. So just as a just a loose framework
in terms of our approach to funding, at the local level, really, it’s intended to mobilize, the work
that’s going to happen at the local level. So we’re investing in infrastructure. We want to make sure that there’s
a strong system of, of to support implementation capacity, staffing,
whatever we need to do to make sure that there is
strong coordination across the, behavioral health, prevention continuum. And then there’s
the cross-cutting efforts. So we are elevating behavioral health
in the public health space. This is new. This is different.
This is a paradigm shift. And this is something that it’s going to take a lot of,
coordinated work and synergy coordination, at a lot of different levels
locally, regionally, statewide. And we want to make sure that there are
cross-cutting, efforts, across the board. And then ultimately,
the goal really is systems change, right? We want to make sure that there’s multi-sector collaboration,
blending and breeding of funds. We want to have an upstream focus looking
at the social determinants of health. And again really elevating Beaver
behavioral health and public health I don’t know
did systems change right there. Next slide please. Okay. So this is the summary slide here
that provides an overview of the different strategies
at the local level. And then we’ll go into a little bit
more detail in the next few slides. So on the left is the CBOs and tribes. Would be, would be our partners
in implementing this at the local level. So we have seed ups, the community define evidence
based practices, trusted messenger grants, 98 the regional policy
research and development, as well as the regional approaches for implementation
of focused set of strategies and on the right side,
training and technical assistance. Again, we are elevating, some key populations here. Older adult behavioral health
veterans, 988 regional approaches trying to train
our models seed up and tribal engagement. Next slide please. So the community defined evidence
based practices. This program is intended to help scale
some of the work that’s already, that has been done to some degree, with, high priority
populations and marginalized communities. And we want to focus on effectiveness,
effectiveness and racial equity and sustainability. And we want to look at those communities
that have been historically unserved, underserved, and inappropriately served. When it comes to behavioral health. So the the purpose of this grant program
is to improve access to behavioral health prevention
and resiliency. Next slide please. A trusted messenger campaign
grant program. Trusted messengers, just like the name
implies, they play a crucial role in bridging communication gaps
and improving health outcomes. These are folks that connect
with, their own communities. They’re these are folks that people trust. They help foster empathy and understanding
and respect for health information that’s being shared, in a way
that’s very localized and tailored to their, immediate community
and their spheres of influence. So they, so then
by building trust, these messengers, you know, can deliver public health
messages that are most likely more likely
to be heard and accepted and acted upon, and ultimately, in the long run,
improving health outcomes. Next slide please. The 988 and Suicide Crisis Lifeline outreach campaign
grant program. So this, this prior to here is, essentially to, identify
the knowledge, attitudes, beliefs and perceptions around, 908
and accessing crisis services in general. As I mentioned earlier, we know that nine
eight is a national resource, but it is also something here that’s available
at the state that may not have its full, you know, that can be accessed
more frequently and, that can be accessed more frequently. So we want to
look at what the barriers are. And what’s,
preventing folks from accessing that. We want to be able to develop
culturally relevant messages and encourage the use of nine, eight, eight. We want to tailor the messaging. We want to align with the infrastructure
that’s already in place and also develop, resources, and referrals
that are related to the campaign messaging as well
as crisis services throughout the state. Next slide please. Okay. And then the next two components
are focused on regional approaches. So the regional policy research
and development here. This aims to address health inequities. And that are quite, you know, specific
to specific regions around the state. We know, again, like California
is a large state with a lot of different, needs and priorities
and populations, resources and capacities. So we want to be able to support the work
that focuses on community engagement. Looking at what what’s working and what’s not,
and looking at implementation tools that would be relevant and appropriate
for the work that’s happening. And also looking at unintended outcomes. We know that there’s also varying
capacity and resources. So we would love to see community
defined policy recommendations. That acknowledge
all of these components and pieces and coming up with strategies
that, address the impacts of social determinants
of on behavioral health. And always focusing on stigma reduction. Excuse me. And stigma reduction and promotion
of mental well-being and resilience. Next slide please. And related to that
but we would also love to see you know regional implementation
of focus strategies. So again we know that
the regional approach has many benefits. California has a lot of diverse needs. We would like to see tailored efforts
to unique regional characteristics, promote promote strategic and effective,
you know, resource sharing and use and, collaboration
to leverage limited resources that are that are out there
and also essentially encourage peer learning in these regions and help share
best practices among the partners. And also just, facilitating
deeper engagement with that leagues in these regions to assess community needs
and determining strategies. So we know that there are different
demographics and health experiences of, you know, in these different regions
throughout California. So again, we would love to see
just strategic resource pooling, peer learning, and just leveraging resources
as much as possible. Next slide please. Training and technical assistance grants. Just like it says here and as we went over
earlier, it really is to provide support around specific strategies
and specific implementation efforts. We want to strengthen local capacity
and improve equitable, equitable access. We want to build trust, you know,
focus areas, as you see on the slide here, include older adult behavioral health
veterans, the 988 crisis services, regional approaches
and train the trainer models. And now I will turn it back over to Trudy. Thank you. Calandra. Next slide please. So I wanted to talk a little bit
about two other buckets of funding, that we are investing in
as part of our phase two guide. The first is a dedicated, pot of money for tribes. We really want to this and this dedicated,
pot of funding is really just, looking at acknowledging
and specifically addressing, what we have seen are as the persistent
socio economic, disparities
faced by our Native American communities. I’ve been, it’s been a privilege
to be able to host, formal tribal consultation,
with our tribes, because we want to make sure that this process, as we go through it is informed, by our tribes
and that it remains accessible. It remains inclusive,
but really is intended to help meet and, their needs, so that it acknowledges
their sovereign status and really, their wisdom
to be able to tailor strategies, specific, for tribes. The other pot of money that I wanted to go
over, is some dedicated funding to support our local health
jurisdiction partners. They are going to be asked with
these dollars to really do three things. Number one, act as local prevention
coordinators. And so, what we’ll discuss
in the next couple of slides is this idea of having them convene. As you saw, we are making available,
we are proposing a variety of funding buckets,
to help to really think about implementation
of our statewide strategies. And so we want to be able to convene
a table that brings all of those funded partners and others
and other important stakeholders, to the table
to ensure that there is, visibility, and alignment across all of this work. They’re also going to be tasked
with leading the development or update of local suicide plans. I think as part of our research,
we’ve seen that there are 17 existing
plans, across the state. And so really want to think about
how do we leverage, this exciting work across the state. And then really, as part of our kind of
efforts to continue to integrate, align, not just at the state level,
but at the local level as well. Integration of these convenings
and the data and the needs and the assets and that are identified
as part of these convenings, ultimately into the local health
jurisdiction led community health assessment
and community health improvement plans. And if folks have
not been tracking, the work, that we have been doing again with our DCS colleagues around population, population health, we are looking at,
instituting requirements that states would be required
to do, a charter check by 2028 and 2029. So it’s really thinking about long term. How do we integrate all of this,
behavioral health related work, into the community health assessment
and community health improvement process? To again, avoid, any time we can, duplication, community fatigue, but really leverage the strong backbone
that I think leagues create. As they do their time check process. Next slide please. So for the tribal grant program. So our eligibility right now
is for federally recognized tribes Indian health
clinics and urban Indian organizations. And these are, again, things
that we’ve been working very closely
with our tribes and tribal partners on. In terms of defining all of these things. Again, as I said, the purpose is really
just to acknowledge and formalize, the government
to government relationship and approach and really just acknowledging
the tribal sovereignty. We think it will provide access to crucial resources that I think we can
all acknowledge have been incredibly limited
or denied, in the past. And it allows that our tribes to create
really tailored approaches for them. And really just, acknowledges their wisdom and being able to clearly identify,
what works for them. Next slide please. And so for the local health
jurisdiction role, there are three areas where,
this funding will help will help support. So again, having them act as conveners
at the local level, to bring in, to create a table
that would bring in, all of the funded entities
at the local level as well. As a as part of that approach, we really want to emphasize
that these convenings are really, intended to just, coordinate
the resources across the jurisdiction. Make sure that we are reducing any sort of duplication
or mitigating the risk of duplication. Continuing to identify gaps
or any emerging issues, that result as part of this process. So what we’ve also included is a list of,
at a minimum, entities that will be that,
they will be required to convene. And I want to highlight county
behavioral health departments, as part of this process. And this is really just an acknowledgment
that county behavioral health is part of the current and prior MHC, really led the prevention efforts
at the local level. So we want to ensure that there continues
to be visibility to all of that prevention programing
that has been happening, on the ground. And we think MCC plays M.c.p.s, play
a very critical role, across our behavioral health continuum. And so ensuring that they are represented
at this table. Tribes, we want to make sure
that the voices of tribes are heard and that their needs are heard
at the local level. Areas on aging, county veteran services
officers, those are a part
of our priority populations. And we think, local areas on aging,
and certainly county officers are probably the best equipped
and most expert, to really be able to convey
the needs, of those special populations and then including our local education
partners and others that are serving children and families. Also, they are strongly encouraged for the ljs
to think about how to incorporate those with lived experience
as part of this convening. We know those are a critical voices. That should be part of the process on the local suicide prevention plans. It’s really honing in on two things. Number one, really looking at the data. So how do we conduct suicide
fatality review so that, local jurisdictions and all of the, all of the entities
that they’re convening, truly understand the impact of suicide,
in their jurisdiction, and then based on that data, developing data driven and data informed strategies, again, in coordination
with the stakeholders at the table, and then ultimately this vision
for alignment of at the local level, really thinking through, you know,
how do we make sure that we are, avoiding any sort of redundancy
and community fatigue? So really thinking through
how do you integrate all of this work over this
first three year cycle, ultimately into the community health assessment? And community health improvement process? By 28 and 29. Next slide please. So I want to talk a little bit, as we’ve
been, saying we are really focused on this idea of aligning
not just at the state level, but at the local level as well. Next slide. So this is just a visual of how we are kind of seeing,
this alignment work happening. And as you can see in the visual,
ultimately, our goal is to integrate all of this
VHA local prevention coordinator into the Ltcg chart and chip, right
now, as we stand, we know that there can’t be perfect
integration because, LH JS other either
are have not started a charge process, but if folks have just a unique
understanding of ledgers and chips, they’re not on a consistent,
synchronized statewide, timeline. And so just acknowledging
that there going to be variations across the 61 jurisdictions,
but ultimately the vision, as we create a synchronized system
by 28 and 29, that all of this effort
really be integrated into the John chip. And then again, just standardizing
across the state, starting in 2028. Next slide please. And so from a timing perspective, this is kind of what we are
expecting to see. So starting in in June July of 2026, our our partners will start to begin these coordination
efforts around HSC prevention. This is, timed along with the first local
behavioral health integrated plans being due in June of 26. By December of 28. We would expect to see is that, all of these kind of prevention, convenings and coordination,
really get integrated into, the lag time chip, both in the summer
of 28 to end June of 29. And really the idea being that we are,
intentionally integrating, those behavioral,
the behavioral health data, behavioral health needs
and the behavioral health as, assets, they’re developed as part of this process, into those community health assessments
and community health improvement plans. Next slide please. So this is I think the most important part of all of this conversation
is really the public comment. That is why we wanted to host
these webinars is to get your feedback, on all of, not just our guide, but, any ideas that we presented
before you today? So with that, I am going to turn it
over to Jonathan Bell. From CSU’s to walk us through, facilitation of public comment. Thank you very much, Trudy. All right, really quickly, just
a few guidelines for everyone to consider. First off, equity, please be mindful of whose voices are being heard
and make space for others. Importantly,
this will include trying to stick to, our time
limit of two minutes for comments. We have over 800
people in attendance today. Making room for as many people to speak as possible
is important. Secondly, please keep respect in mind. Speak to one another with care
even if you disagree. Stay focused, on the topic at hand. Use non stigmatizing language
when you’re speaking. Focus on people first rather than labels. Avoid stereotypes and speak in ways that
honor folks strengths and again strengths. Please welcome new ideas. And lastly, practice active listening,
which again includes honoring
speakers time and perspective. Next slide please. It’s a couple different ways
for you to provide public comment. You are free to continue to use the chat
for comments. The Q&A for questions. There is the a public forum, the Microsoft forum, which the link
I think has been shared in chat. You can provide your comments there or you can speak verbally here
during the webinar. In order to do that,
please use the raise hand feature. You’ll find that in your toolbar. I will call on everybody in the order that you have raised
your hand. And I will say in advance
that, I will call on you using your name, and I apologize
if I mispronounce your name. Please introduce yourself. Before sharing your comment. And the last thing I want to mention
is that if we receive comments in Spanish and you would prefer to hear
the English translation of that comment, you are able to use the interpretation
button at the bottom of your screen. Click that. Click the English channel,
and you should be able to hear an English translation
of any Spanish comments that come through. And I guess the last thing I’ll say is
that you will see a timer on your screen. As soon as you start your
your comment will have that timer going. So you have a sense
of how much time you have left. All right. I think that’s it. The. Oh, I’m sorry.
And I need to say this aloud. Because phoning participants
won’t be able to see it. If you are calling in from a phone
and you would like to speak. Press star. And then number nine to raise your hand. Then press star
and the number six to mute. Unmute yourself. All right, that’s it. Mia. Mia Cooper. Com. You are the first person. Are you able to unmute? Hi. Can you hear me? Yes you can. Go ahead. Thank you. Hi. My name is Mia Cooper Khan. I’m the senior manager
of integrated health at Alameda Health Consortium in Alameda County. Just thank you for the presentation today
and the additional information. We hope that the Department
of Public Health will allocate a significant percentage
of this prevention funding to support local initiatives and local CBOs, including federally
qualified health centers. Through the
the options that were named today, including the caps, the local messenger grants, etc.. I didn’t see estimated kind of numbers in terms of the, how much would be allocated
in each of those buckets, but just wanted to name that here
in Alameda County with the transition to be just say. We’re hearing
from our behavioral health department that they’re forecasting a 75.5
million deficit and the behavioral health services and supports category
for starting fiscal year 26. And we are expecting to see an
on elimination and reduction in, a lot of the, existing prevention programing. So just wanted to, to name that and appreciating any future guidance
coming out around and more specifics around the local funding opportunities,
including that, community defined practices. Thank you so much. Great. Thank you very much, mayor. Next on the list I have Angela, are you able to unmute Angela? Yes. Thank you. Angela Vasquez, ad advocacy director over mental health
at the Children’s Partnership. First,
I want to thank, the department for, a, you know, this, more detailed plan this year. Very responsive to, you know, stakeholders
feedback in the past, asking for a lot more detail on your plan. In particular,
I want to really applaud you for, considering and responding to the feedback
for more, for a plan that has a local strategy for implementation of upstream prevention, for behavioral health in California. One note is that, I think we would very much
like to see more detail on, the department’s strategy for children and youth, particularly since, the, that statute requires that CDP spend 51%, of its efforts on children and youth
and so would very much love to, hear more about, where where those investments are,
particularly for children and youth. We’ll come and then, I also want to, just, re-emphasize
the importance of this local strategy. We’d love to hear more, of the rationale behind, having the local strategy
be almost, equivalent
to the statewide awareness campaigns. Just given the current context. As you heard in the prior comment
before that, counties and other local jurisdictions, CBOs are, entering a, an even greater
phase of scarcity, and especially with, you know, federal, increasing
federal limits on, healthcare resources, really want to encourage the department
to think about how especially in this, these first couple of years
of implementation of prop one, how, they might strengthen the local strategy
to backfill the infrastructure that counties have, built up over
the last 20 years around prevention. Thank you. It’s it’s great. Thank you very much, Angela. Next on the list is Joel. Joel, are you able to come up on mute? Yes I am. Thank you very much. Thank you very much. Yeah. Thank you. Joel Baum. He him pronouns. I’m with safe passages,
which is one of the organizations that make up the CDP
the Reducing Disparities project. Echoing
others want to appreciate the presentation and the, information being provided. I also appreciate the opportunities
for engagement. I would have loved a little more time
to digest the document, but I know we have until December
to give you our comments. I want to uplift,
I guess, the, the emphasis on equity. And while, of course, it’s applauded. I’d like to hear a little bit more or see
a little bit more actionable, ways in which equity is going to be incorporated and integrated into the plan. In my initial reading,
it felt a little bit layered on top of, I know it’s mentioned throughout, but
I want to see something that’s actionable. What does it look like for the department
to actively, ensure equity,
to look at, community voices, to gauge the degrees
to which equitable practices are in place? That’s one piece. And then the other thing
I’d like to emphasize, and I very much love hearing, see,
that’s being mentioned so frequently. And in fact, I would like us to make sure we keep,
keep in mind that when we talk about steps and evidence based practices, as
if CDPs are not evidence based, they are. And in fact, there’s fabulous
and very rigorous research that points to their effectiveness. I want to make sure
that they’re not seen as sort of, you know, second class
citizen at the table. CDPs are profoundly impactful
and have demonstrated both anecdotally, but also,
quite, rigorously and in evaluation. So thank you very much. Thank you. Joe. Next on my list, it looks like Alberto. Other. All right. But I come off of mute. I think I am. Can you hear me? Yep. Yes we can. I my name is Alberto Perez. I’m, the program manager of the Prevention
Early Intervention program
here in La Clinica de la Raza in Oakland. I also want to appreciate
all of the information. The presentation
really was a wonderful work. So I really want to thank you all for that
and have a couple of comments. One of them is related to the priority
populations list. I appreciate you
including some of those categories. I see you were courageous
in some of the wording you used. And still I feel like, linguistic minorities were not in there and I would love to see that included
explicitly. Language is a huge factor
in access to services and outcomes. And, our communities and our organizations
are very focused in ensuring that those communities have services
in the languages that they preferred. And so I think including the MSA
priority population will be, good. And the other piece of it
is, you know, we’re also part of the CDP Family California Reducing Disparities
project. We’ve already demonstrated that we are
effective, just as Joel before me alluded. We have a lot of research evaluation that was done for the past
five years at least. That proves that we are,
effective in the work we do. And so I would love to see more support
for, our family of organizations that are delivering, community
to defined evidence, practices. I so I was mentioning that,
but I feel like we do the work in not we only,
we provide the services effectively. We, in fact, helped the state
and the institutions in reducing cost. There’s a wonderful paper
that was written by Yolanda Amount. I hope you get a chance to read it. That proves that we’re a good investment. And so I want to see that taken into consideration when thinking of our programs. And that’s it. Thank you. All right. Okay. Thank you. Alberto. Next on my list, it looks like, Priya. Priya, are you able to come off of mute? Yes. Can hear me? Yes, we can. Hey, thanks. I’m Priya Kanwal. I am the Behavioral Health Services Act coordinator
for Nevada County Behavioral Health. And thank you again for your presentation
and clarity as to, the phase two plan. I have two major points. One, really want to encourage CDP to consider expanding eligibility
of the CDO grant bucket to local health jurisdictions, such as county public
health departments in Nevada County. I’m not exactly sure how the $12 million
local health jurisdiction, bucket will be administered,
across health jurisdictions. But if we utilize the HSA, percentage allocations
that we currently use, that would look like something
like $29,000 allocated to Nevada County of the local health
jurisdiction allocations. For context, currently
we fund our public health department, in to the tune of nearly $150,000
annually. I know those are small numbers,
but we’re a small county, and there are no other CBOs
in our community who provide this type of prevention
based work. And our public health department
has been doing this work for decades. We have no federally recognized
tribe as well. So my fear is by limiting that bucket
to only CBOs that small rural communities will and counties will be left in the dust
where their public health departments are holding most of this, work
in, in these small communities, that they’ll be shut
out of this bucket entirely. And so I really encourage
and urge CDP to consider, that bucket a little bit more carefully with, with regard
to especially small rural counties. And secondly,
just would love to see more detail as to where some of the, these,
funding buckets crosswalk to for example, the trusted messenger grant,
does that fall under the CBO grants bucket or does that fall into the tribal
grants buckets? So more clarity from the slides
is, compared to the, pie chart buckets in the in the plan. Thank you. All right. Thank you. Priya. Next on my list is Roberto. Roberto able to come off of mute? Yes, I am. Thank you. All right. Great. Hi. So, my name is Roberto Velasquez,
and I’m president and CEO of Southern Caregiver
Resource Center, in San Diego. And, we are part of the 11 caregiver
resource centers in the state of California. That work with family caregivers
across the spectrum of different illnesses,
that they’re providing care for. And one of the things
that I have not seen, and it’s not happening in our county
here in San Diego. So I’m wondering if this is, something that the state is looking into is the fact
that family caregivers are being, are not. I haven’t seen anything that indicates
that family caregivers are going to be part of this prevention plan,
because especially when you’re
dealing with older adults, older adults, whether they have behavioral problems
because they have severe mental illness or because they’re dealing with, substance abuse or they’re dealing
with neurocognitive disorders like Alzheimer’s disease or a stroke
or and have behavioral issues. There’s a family caregiver
that’s providing that care. And the problem with this plan is it doesn’t include family caregivers,
is that there’s going to be nobody. The help that individual, with the, the interventions, the services, to connect them, to keep them, to maintain them in home at home. And the other side of it is that the family caregivers themselves
develop mental illness, particularly depression and even suicidal ideations,
as they’re caring for chronic neurodegenerative diseases,
again, like Alzheimer’s, for somebody that they love
and they’re themselves becoming ill. And we run programs at Southern Caregiver
Resource Center that are helping those individuals. And they’re very strong evidence based, proven programs that have been
eliminated on a local basis. So I’d like to see that
on a statewide level, if possible. Thank you. Thank you very much for that. Next on my list is John. John, be able to come up on mute. Yes. Can you hear me? Yes. We can. Go ahead. Well, thank you very much. My name is John Goldfinger,
and I’m a trauma focused pediatrician, public health professional,
and the CEO of Just Whole Care. Health equity consultancy. Our firm specializes in integrating both
clinically and financially behavioral health prevention through early
intervention and crisis care. Working with CBOs, County
Behavioral health plans, managed care plans, and increasingly,
local health jurisdictions and others. So I first want to just thank you
for this very thoughtful guide for how CDP would use these funds
and really, very helpful webinar
and how you’re sharing the information. My first concern is really with regard
to H.R. one and how CDP might in being flexible,
which is brilliant, direct some of these investments
toward improving resilience in communities that have been so impacted traumatically
by federal immigration policy. Could you partner with DCFs to enable
the investments like the trusted messengers, regional policy
and MTA, to really help build that resilience and even consider
how do we keep people covered by Medi-Cal so that you can have
that integration at the local level? We also appreciate your focus
on early childhood. It would be great to see, evidence and some amount of transparency
in terms of technical assistance on how CBOs are meant to raid this funding with essentially dyadic
services, which is similar prevention services that overlap psychoeducation
and child developing support. It’s great to see 988 represented as well. So we really need warm handoffs
to consider from primary prevention into crisis systems. As a pediatrician
who also lead A988 center in Los Angeles. We just don’t see these connections,
and we would love to see them work and we appreciate the focus on positive
childhood experience, I said. So it’d be great to think about how
this will leverage the activities, stipends, and other work in VHA connect as well as, CDSs rate reforms for kids. Thank you. Okay. Thank you. John. Laura, like you’re up next, are you able to unmute? I think I’m unmuted. Yes, I can hear you. Perfect. I’m sorry. Lingering call. So I’m Laura and Hamida, and I’m with Muslim-American Society
Social Services Foundation, which was one of the implementation projects. Which actually conducted
one of the implementation pilot projects. And I’m called the Reducing Mental Health
Disparities Coalition. I haven’t heard post-traumatic stress disorder
talked about in this, presentation, but I’d like to see it
elevated to be explicitly, part of the plan because it tends to be forgotten, partly because it can be caused by experiences
later in life. While proposition
one sort of zoomed our focus towards schizophrenia. And other disorders that may be primarily
genetically, biologically based and not as, dependent
on what the individual experiences. So, PTSD clips to it for prevention of PTSD
and people who at different ages
from infancy up to older age. Would be something
I’d like to see explicitly, talked about. I know that you’re kind of well,
during this, the, California Reducing Disparities project,
they often talked at the beginning that we’re flying the plane
more, building it. Well, you’re in the UN and UN budget position. Trying to improve prevention in the state while the feds are trying to disassemble
the airplane. If not, shoot it down. So I respect
all the work that you’ve done, but I do wonder how the money
is going to be allocated. Money’s always important. Who’s going to decide
and tell us about that process? So thank you so much. And keep up the good work. Great. Thank you very much, Laura. Next on my list is Regina. Regina, are you able to come off of mute? Can you hear me? Yes, we can. Go ahead. Wonderful. Okay. Thank you
so very much for this opportunity. I’m Regina mason. I’m with the village project
on the Central Coast in Monterey County, California. And it is a pleasure to be here. I want to I’ve provided multiple comments, in the chat, so I’m going to stick to. I had nine points that I wanted to make,
and the first one is that I appreciate that. On page 13 acknowledges
the importance of community. Find evidence based practices
as alternatives or complements to traditional IB piece. However,
it is critical that these not be treated as quote optional reference
tools, unquote. I urge the Department to prioritize CDPs as a core strategy and to ensure ongoing funding, technical assistance,
and policy integration so that steps are sustained and scaled
equitably across the jurisdiction. Another point I wanted to make is that, with regards to the advisory committee and, equity first approach, this committee must have real decision
making power ensuring that funding prioritizes
and evaluation frameworks reflect community
voices and equity principles. And then I fully support the focus
on youth and family engagement, especially the 51% funding requirement
for the 25 and younger. However, engagement
should mean more than participation. It should mean youth leadership. I recommend adding language
to ensure youth and families from historically marginalized
backgrounds have paid roles in co-designing, implementing
and evaluating these, programs. And then lastly, I urge CDP to embed civic steps
and culturally grounded practices throughout the entire prevention
framework. Not as a side note,
but as a core strategy. And thank you so much for
this opportunity to speak. Thank you very much, Regina. And let’s see, Liz, like you’re up next, is there? Sorry about the mute.
Hello? Can you hear me? Yes, you can go ahead. Excellent.
Thank you. This has been very helpful. I appreciate all the work behind it. To bring us this webinar today. I’m a Napa County supervisor
that previously worked at our local hospital
and community outreach. I have been, a member of a diverse
local suicide prevention
council here in Napa since 2018. The county of Napa, Public Health
Department has included a side that has included suicide data
in our current chat and chip that was done in partnership
with local hospitals. The data, the Suicide Prevention
Council has access to is being directed by data from 2021 2022. Is there a best practice approach
to access more local and current data to direct outreach in prevention,
prevention and intervention? Additionally, there is also important data
at our local hospitals, specifically in the emergency departments,
showing both, self-harm, suicide ideation and attempts. The data I’ve seen in the past show
a very high number of adolescents and young adults. We have submitted a request to
for shared data from our local hospitals. But it’s been difficult
to get this approval from the health system head office,
which is actually out of state. Is there something the state can do
to help us access that data to provide, to the county’s
behavioral health department? That’s all I have.
And thank you very much. Thank you very much. That’s, Christopher. Looks like your next analyst. Are you able to confirm mute? Yes. Thank you. Wanting to appreciate CDP
and all of your work in engaging folks and communities
across the state of California. As HRSa is being implemented in the 51% focused on children and youth,
I really want to encourage CDP to focus that maintain opportunities to really support youth and children,
specifically in schools. One of the potential opportunities
for funding is using it in school based health centers. And so wanting to encourage CDP
to identify opportunities for expanding and creating new school
based health centers as a delivery system. It’s important that we create as many opportunities
and access points for health services. As many previous individuals said, there’s so many cuts right now to health services
across California. Lots of health systems are having
challenges, being able to meet demand. And so being able to meet children
and youth where they’re at is really important. And so wanting to encourage
CDP to, investigate and see what other opportunities
are to really invest in our schools. And thank you very much, Christopher. Courtney,
looks like you are next on the list. Are you able to come up on mute? So you come up for a minute, Courtney,
but you’re back. There you go. There you go. Okay. Hi. Courtney Armstrong, I’m the director of government affairs
for the first five Association. And, really wanted to thank the department
for moving in this direction. We really appreciate the effort
to get the prevention dollars
as close to the community as possible. We know there
you know, it’s a large shift in prevention and early intervention dollars
happening as a result of the HSA. And, we’d like to ensure that services,
especially services for young children
and families, are preserved. To what extent is possible? And we would like to urge
that, first fives are required to be part of the local convenings
from local health jurisdictions. And also,
would like to see the eligibility under CBOs expanded such
that first fives, are eligible to apply. First fives have the voter mandate to establish and strengthen
the early childhood system in California. And for over two decades, first fives in every county in California
have pioneered many of the interventions that will be listed under the seed
ABS for, infant and early childhood Mental health and prevention. And first fives also serve as local early
childhood experts and convening hubs, for local early childhood systems
and our RCN by the community as places to go for state investments
and for efficiencies. So it’s especially important, as mentioned
in other comments. In rural and smaller communities
where no coordination agency, is able to serve the young children
population and also, for a first time to be able to serve as coordinating hubs
for those, for those communities. So thank you very much. And we look forward
to, submitting written comment as well. Okay. Thank you. Courtney. Next up, Josephina, are you able to come off of mute? Yes. Thank you. Josephine Alvarado
Manna, CEO, Safe Passages and also a member of the California
Reducing Disparities Project. First, I want to appreciate the Department
for incorporating so many community
voices, into this process. And we can see it in the guidance. I also really appreciate, health equity
being stated as fundamental and that it will be incorporated
into the behavioral health goals. But many previous initiatives
have included similar language but have not achieved equity goals
and implementation. So I want to put a question on the table
in terms of what standards will be used in the utilization of the equity lens
to measure increased access and reduction of disparities, to ensure
health equity is achieved within each strategy and policy area? I also want to note that,
although there is a lot of reference to health equity,
the language is very light in terms of specific references to people
of color and LGBTQ plus populations. For example, Bipoc appears
only one time in the entire document. The word LGBTQ plus appears six times, but
two of those times are in the footnotes. The word black appears five times,
but two times in the footnotes. The Dan name or the API, I mean appears two times and footnotes
only. And Latino population is explicitly mentioned
only one time in the footnotes. So in a time of tremendous federal erasure policy, and strategies,
I think it’s very critical that CDP include explicit references
to these priority populations as they represent the vast
majority of Californians. Also, I would encourage CDP, and I’m very interested in hearing more
about the allocation of the CBO funding towards the scaling of CDPs
and would advocate for that funding to be greater than the amount that is currently
invested at the state level. Thank you. Okay. Thank you very much for Sophina. Jason, you are next on the list. Are you able to come up to mute?
I hope so, can you hear me? Yes, we can. Go ahead. Wonderful. Thank you. Jason Robinson. I’m with, share, the share the self-help
and recovery exchange in Los Angeles. I’m also a member of the peer
advisory committee, and I’m hoping that, in the creation
of the Office of Social Health, that community based, pure
run organizations can be included as input providers
as they are often at the intersection of connecting people in systems
to community and to social supports. I’d also love to see an emphasis across our, our different stages on connecting all individuals
to community based, self-help support groups,
which is where people get social supports. And and I want to thank the department
for the session and the information. Thank you. Thank you. Jason. Joseph, you’re up. I guess I’ll come off of you. Yes. Can you hear me? Yes we can. Awesome. So my name is Joseph Page. I am the creator of the beats, a local entertainment, and, Media, music, things like that. I’ve been working with clients
over at the Blaine Street Clinic, and I’m a client there myself. I volunteer there and mental health media. I’m a digital media specialist. Graduated. Not saying you said no college. And I found that recording their stories, enhancing their sound and teaching them
how to be influencers. The entertainment factor
has been a great help for the clients inside of our group. It empowers us to feel like we’re somebody when somebody’s watching our video
and says, oh, that was really good. We have one person that does voices,
multiple voices. We recorded his cartoon voices. He saw himself on the video
and just was so appreciative. So I’m thinking that
if we can implement this program and mimic what we’ve been doing at Blaine Street
out here in Riverside, that it will benefit multiple clients,
and then also it saves them from what happens in the industry,
because if you lose, mental health diagnosis
such as myself to the industry with I also I’m a performing artists, I rap,
I have albums out published professionally and I know how to do that
because of what I learned, a mistake. I’m able to do that for others, help them
publish books and all of this stuff. But when the industry gets them, they will feed us as many drugs
as they can. If we get fentanyl and die, they just take our art and they still
publish it and make money off of it. If we teach them how to do it
and offer them a program and say, but you must be clean. I’ve seen them come. Oh, Joseph. Yeah,
I just want to be a part of the studio. I want to go on record. When can we get back on video? Yeah,
I want to go to to rehab because of this. So that’s just a small idea
that I’d like to plant as a client and as somebody that benefits
from our services. Thank you so much for the time. Thank you very much, Joseph. Bernice or Bernice, you’re are next. You want to come after you? You better come off on mute. Yeah. Can you hear me? Yes, we can. Go ahead. Okay. My comment is going to be in, Spanish. Of miembros and Departamento
de Salud Publica de California. My numbers an unsolicited listed
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permanent para Los productos the CDP case on practicas
y servers in evidencia de. If you need por la comunidad or CDPs. Para nuestras comunidades a largo plazo or in the middle,
a list of precious thank you. All right. Thank you very much. Looks like next on the list is naming. Are you able to come off on mute? I mean, all, the member Damico en espanol. That’s good. When I, when I start, is miembros
del Departamento de Salud Publica de California. You know. No. Me we if you wanted us to imagine
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look at their own practicas with us. And maybe that’s the other thing
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para la la. This body that this CDP Como una
is that they had estrategias de prévention any real estate that I can make
of nosotros an area that you will enter the best asset
when the la comunidad and then mexicana Latina and it’s finally Mexico
and the list for for a purpose. But I still see veterans comunidades
actually podemos familias para las lesbian and since deportation I este es and most of them I look at it Mister programa
assertive para estar especifica poblacion porque estamos viendo in sweet uma and sus practicas,
even hemos de la comunidad. Just most incremental. Los fondos e un espacio
permanente established. But ITP I guess on practicas versus and I didn’t say that we knew that por la
comunidad startups. Yes. Post your Nando realmente
para comunidades de Como escuchando. Yeah. You un report. Yeah. Salido de la universidad de lo cual amount. Yes. Exactly. A Lago
plus or other. 18 zero. Mucho estado dirty and programas casi statement. Muchas gracias. Thank you very much, Naomi. Looks like next on
the list is Monica Monaco. You have to come up for mute. Monica. Zuniga, are you able to come up a bit up. There you go. Now, now I did, thank you. Yes. Thank you everyone. Thank you. First of all, today
for this very useful presentation. My name is Monica. I’m a psychologist
who has worked more than nine years in a successful CDPs program. Our work has been supported by CDP
research and evaluation, and their results have consistently show
how effective these programs are in reaching out
our most vulnerable communities. So I’m definitely agree
with all that has been said. The only thing that I want to add is that I’m deeply concerned
that this strong partnership and programs we have built over
the years could be dissolved, as we are now competing
for the same limited funds that once you need us, please remember
that clips were created with a mission to serve communities
with less access to care for individuals without insurance, without consistent
access to health services. I’m facing many years language
and cultural barriers. These programs
don’t just provide services, they build trust, promote prevention,
and save lives. Ending or fragmenting
them will mean losing years of progress in culturally rooted, community
driven mental health care. I respectfully urge you to protect and strengthen
in funding for existence. Steps
to sustain what has been proven to work, and to ensure that our communities
continue to receive the support, dignity
and access to care that they deserve. Thank you. Thank you very much, Monica. Let’s see. Teresa, is next on the list. Sorry. You able to come off of mute? Oh, I see Miss gotcha. Yes. Go ahead. Buenos. Today’s. Buenas tardes. Me nombre es Teresa Santos. Bebo and la ciudad de Oxnard in el condado
de aventura de trabajo para la organization
Como del proyecto México indigena. Makeup Como
promotor navegador de salud mentally violencia domestika Aguilar disco mucho
per month. Inner practicas ambassadors and evidencia
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para la desigual. Dedos historica
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la production de las this paredes Como estrategia de prevention
animal estatal a quién my proyecto mixed up podium uppermost in Dia de
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otros situaciones Como traumas sexuales intento this
we see your procesos that way. Law separation is familias por immigration actos is so different. The necesidades de nuestras comunidades
and frente them. He said we most nuestras comunidades pendulous and this passes cultural linguistic comment propels podemos comunidad is the community
that is indigenous Latinas in espanol. Mixtec, Los servicios de ofrecer. Most personas paso seguros también
especialmente por las situaciones. Cada familia presenta in most observable
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les primos incremental de Los fondos equidad, una spazio permanente
established para Los proyectos this year. We get some practical bachelor’s and life
evidencia definido por la comunidad gay nando
para las comunidades k a largo plazo R&D natural 8% muchos
beneficios social gracias. Thank you very much. Martha, you are next on the list here, but come up on mute I am so I’m Martha Burns with peer support,
education and training in Riverside University Health Systems,
and we are certified through Cal Mesa. We also get the requirements and funding
for our training through Cal Mesa. And we’d like to know what, if
anything, will change under Bessa as well. In general, where peer support fits in
with the best priorities. Thank you. Thank you very much. To come to your next panel, it’s. There’s my microphone. Hi. Dakota Brown. I am, in the cultural competence
department at Riverside University. Health System Behavioral Health. And as a Californian, I’m
so proud of the way that the state is stepping up in the midst
of some appalling federal actions. I did notice on your priority populations that people with disabilities
is not on that list. The DHS focuses on the disabled population as a key population within its health
equity roadmap. We know this group
is historically oppressed. And then you have the intersectionality
with the other minority groups. People with disabilities
often were already stigmatized. And then when there’s
a mental health, issue on top of it, it can feel like just one more thing
wrong with our bodies and our brains. So I would definitely like to see, people
with disabilities included in the, prioritized populations. And as mentioned before, their family
caregivers, the unpaid masses of sandwhich caregivers
who are raising kids and taking care of their aging parents
at the same time. So unsung. And, finally, residential facilities like nursing homes
with the privatization of nursing homes, the abuses
and the corruption have just exploded. And this needs to be
something looked at from a mental health, viewpoint. So, to recap, people with disabilities, caregivers and residential facilities
like skilled nursing units. Thank you so much for the chance I get to go to, Helen. And looks like you are the next panelists. Are you able to come up with you? Yes, I am, thank you. Thanks for the presentation. As you said, 51% of the funds
go to those under age 25. Many of them are in our K-12 system. Teachers, it’s been noted in many surveys,
are trusted messengers and in fact, rank up at the top, with nurses,
for example, as trusted messengers. And so I wanted to ask whether, the grants that are available for trusted
messages are going to be open to schools. I see you the CBS. I’m not sure whether you qualify. They would qualify as a CBO
and would just want to know I see it, less, local education
agencies are included as one of the groups
that will be coordinated with. But could you give some more details
on how this will happen? There are 1104 school
districts in California, so it would be very helpful to know. I know I see that your office of school health is on this,
and they’re just a wonderful resource. So I’m hoping you can use them to do this. But really, on the funding issue,
I don’t see and maybe you can correct me where there’s
funding available for schools. Thank you. Thank you. Helen. Say on your next on the list,
you know, they come up for me. Yes. Hello. My name is Cynthia Lollipop, and I’m the county of San Diego
public health officer. And I just wanted to make sure if you all. I’m guessing you all very aware
of this, resource, but the CDC just very recently,
in the last couple of months, put out a, engage, project,
which I’ll put in that chat. But it really looked at the evidence in
terms of what what types of interventions and what strategies work in terms
of preventing youth substance use. And just this just wanted
to recommend this as a framework when we’re thinking about,
you know, how to, build out this plan and program and,
and identify the needs. And of course, I agree
with so many of what everyone said in terms of cultural competency
and including the right people, lived experiences,
voices, peers, etc.. But I just want to make sure you had this. And then the person who actually led
the team at CDC, actually is no longer with the CDC
as and is in California and is probably available
if you all need to tap into that. I know he’s helping with some marijuana,
efforts as well with the state as well. Over. Thank you. Thank you very much. Katie. Okay. But I come off the mute. Yes. Hello. Katie Weber from the Institute on Aging. Appreciate you guys holding this webinar and the opportunity
to give public comment. I think it’s really important
for us to focus on the upstream supports, stigma reduction
and meeting older adults where they are. And the Institute on Aging has a warm line
called the Friendship Line, which, the state has been supporting
for many years. And we really see this as a population
based prevention strategy. Many older adults don’t feel comfortable
accessing traditional behavioral health systems. And so I think it’s, really important
to see these warm lines. I know warm
lines are mentioned in the guide, but more specifically focusing
on older adults, as a way for them to have a connection
to the behavioral health system without necessarily seeing themselves with, specific behavioral health diagnoses. And I think that, overall, it fits in
well as a, example of the kind of social and behavioral health interventions that can exist from a broader population
prevention, perspective. But overall, I just wanted to say
thank you for including older adults and, the importance of warm lines. Getting Katie, Stacy. Are you able to come off of mute Stacy. Yes. Thank you. God, thank you. Just took me to a second. Stacy here, a modal with called color,
Racial and Ethnic Mental Health Disparities coalition. I really want to thank the department
for conducting this and providing so much time
for public comment. And, Jonathan,
you’re doing a great job too. Thank you. I just want to say that,
you know, people have been asking me, what do you
how do you think you know about this? For phase two? And it’s hard for me
because it is very detailed, which is nice, but some of the detail,
such as how the pots for example, the CBO, category or the other large
categories will be broken out. You know, within, within that category, the funding,
how will it be broken out? As far as the report
I want to bring out on page ten for just an example,
you know, the table of focused set of strategies. And the programs listed below, I totally understand building upon what is already in motion or operating, but I am concerned that
some or many of the programs listed we do not know how well they serve Bipoc and LGBTQ communities because they either don’t,
you know, collect data, or we frankly already know that they are not serving
LGBTQ and Bipoc communities very well. I mean, if you look at the table
on page 11 of the allowable activities, yes, there is one among those 20 bullets
that say traditional healing
practices and community healing circles. But many of the other activities listed do not serve
Bipoc and LGBTQ community as well. So I just want to point that out. So when I’m not sure, I do appreciate that
the community defined evidence based practices are listed in this same section,
but it’s a little bit difficult for me to figure out
how these are going to all be combined. And if again, you are building
upon programs that are already existing, I hope that, it will be taken into consideration
how they how they are serving, our communities. And then the other thing, oh, yeah. And on page 14, again listing, existing campaigns that may. Oh, I’m sorry,
did my time run out on this? It has
if you want to conclude your comment. So that’s that’s fine. Okay. I just on page 15
I, I am concerned about the bullets under this suicide and self harm statewide education
and awareness campaign. The API community
has met in the past with, the Department of Public Health
to register our concerns about how suicide,
some of their suicide projects have not, accurately represented the API community. And I question
some of these bullets on page 15 and just want the department to be careful about proceeding
with the suicide prevention. Thank you. Okay. Thank you. Stacy. Ellen. All right, next on the list. But they come after me. You name? Yes. Can everyone hear me? Okay, we can go ahead. Hello, everyone. My name is Alan Morales. Lopez and I serve as a program coordinator
for Latino Commission. Our organization is dedicated
to provide mental health services, substance use prevention
services, and substance use prevention services
throughout the Coachella Valley. Our work is supported right now through the funding
from Riverside County. But, as the county is transitioning its funding structure
to align with proposition one, support for the prevention
programs is scheduled to conclude June 30th, 2026. So, this change is not
will not only impact the dedicated community workers
who deliver these services, but it will also create a gap in access
to the evidence based prevention programs
that have been making a real difference in the lives of the families
across our community. The program I coordinate is,
the Strengthening Families program, which brings parents and children together
to share a meal, learn communication skills, live skills,
and build stronger, healthier family relationships, ultimately
helping uplift the entire community. We remain hopeful and committed to ensure
that there’s a seamless transition so that my role programs
like the Strengthening Families Program continue to receive support
under the new funding structure. That is all. Thank you so much. Okay. Okay. Thank you very much. All right. Next up is Erica. And as Erica is unmuted,
I just want to mention we are not, All right, 1220 right now
we have about five minutes left. And public comment
we have, I think, five hands raised. I apologize in advance
if we’re not able to get to everyone. Please
remember some of the other ways to, share comments with CDPs and with that,
I will turn it over to Erica. Thank you. I’ll try to be brief. So. Hello, my name is Erica. John. I’m with special service
for groups research and evaluation. I’ve worked with the California
Reducing Disparities project, the CDP, for the past ten years. I wanted to thank CDP
for today’s presentation and the investment in this public comment
period and process. We really appreciate that you are open
and listening to all of the communities that are out there. I appreciate the expressed desire
to incorporate health equity and prioritize various
at risk populations and community to find evidence, practices, steps
within the draft phase two guidelines. I think it will be important to think
through how those with highest need and at greatest risk
for negative outcomes, as mentioned in the draft,
are identified and engaged. Whether they are getting effective
services in a culturally responsive manner that includes language needs by trusted community experts, and then what evaluation or accountability
measures will be put in place to ensure that there is, in fact,
health equity in practice? Thank you. All right. Thank you very much. Unfortunately, we just lost
all of the hands that were raised. Lupita,
I believe that you were next on the list. I am just scrolling through right now
trying to find you. Yes. I’m unmuted. Okay, great. Hi. My name is Dr. Peter Rodriguez. I am with the Health education Council
and our program medicine. Either center is funded to the CRT, of which I have been a part of
since we started it. And, I just want to echo, the previous comments on that, on a more robust
and intentional mention of Bipoc and LGBTQ populations
in, in the guidelines presented. And I do want to thank CDP for
for calling out and highlighting that in the guidelines
that that were presented. Thank you. All right. Thank you. Peter. Yeah, I think you’re next. Are you able to unmute? Yes. Thank you so much. I appreciate you taking my my comment. I mean, I’ll do mine in Spanish. Me number three or. Lauren. Sorry. So you’re not persona Mixtec,
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al estado. Even if a mostrar cannot be
granted access. I thank you very much, Leticia. All right. I am going to pass. We go to the next slide and pass it back
to Trudy to wrap up the day. All right. Thank you, Jonathan. And thank you, everyone
for all of the incredible comments. Your insights are really
what is going to help us inform, how we operationalize all of these things
and just ensuring that, we keep all of these comments, in mind,
for the future. So thank you for joining us. Thank you for staying with us
for the last two, hours. I especially want to just acknowledge
and applaud, those of you that provided your comment in Spanish
and just your willingness to participate, in this process, it was incredibly
meaningful and important for us. So in terms of next steps, just note that we will be, closing the public comment period
at midnight on December 2nd. We will need to take some time,
just given the breadth, the depth of of feedback and comments
that we’ve heard. But we will take the time to analyze
and synthesize, all of the comments, both, those provided
today orally, as well as any written comments and ultimately, incorporate
into what I had mentioned before, which is our final VHA
population based prevention plan, which will incorporate both phase one
and phase two, as part of this process. And so if you have any additional questions,
please do not hesitate to reach out to us. You will see, our inbox information here. We again, your input, your feedback, your questions,
really are going to help us drive, how we operate, operationalize
all of these things, but ensure that it’s meaningful, for the community
and for those that we serve. So with that, just a huge thank you again. And, just one minute over. So, please enjoy the rest of your day. Thank you.
Technical note: This video temporarily switches to Spanish for about 2 minutes. This occurred because of a technical error.
On November 13th 2025, CDPH is invited interested parties and Tribes to participate in a public comment session on the second phase of the Behavioral Health Services Act (BHSA) Population-Based Prevention Program Guide.
This was an open virtual meeting that consisted of an overview presentation of the BHSA Population-Based Prevention Program Guide – Phase 2 (Phase 2 Guide). The Phase 2 Guide is intended to act as a complement to the CDPH Behavioral Health Services Act Population-Based Prevention Program Phase 1 Guide. It provided the operational and administrative components to execute the BHSA Population-Based Prevention Program Framework with specific activities for each of the Statewide Prevention Strategy Components. It included details on funding levels and implementation activities per strategy.
During the webinar, participants and Tribes had the opportunity to share their feedback on the Phase 2 Guide.