Cal. Code Regs. tit. 9 § 3560.010

Current through Register 2024 Notice Reg. No. 49, December 6, 2024
Section 3560.010 - Annual Prevention and Early Intervention Report
(a) The requirements set forth in this section shall apply to the Annual Prevention and Early Intervention Report.
(1) The first Annual Prevention and Early Intervention Report is due to the Mental Health Services Oversight and Accountability Commission on or before December 30, 2017 as part of an Annual Update or Three-Year Program and Expenditure Plan. Each Annual Prevention and Early Intervention Report thereafter is due as part of an Annual Update or Three-Year Program and Expenditure Plan within 30 calendar days of Board of Supervisors approval but no later than June 30 of the same fiscal year whichever occurs first. The Annual Prevention and Early Intervention Report is not due in years in which a Three-Year Prevention and Early Intervention Evaluation Report is due.
(2) The Annual Prevention and Early Intervention Report shall report on the required data for the fiscal year prior to the due date. For example, the Report that is due no later than June 30, 2020 is to report the required data from fiscal year 2018-19 (i.e. July 1, 2018 through June 30, 2019).
(3) The County shall exclude from the Annual Prevention and Early Intervention Report personally identifiable information as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH) and their implementing privacy and security regulations, the California Information Practices Act, and any other applicable state or federal privacy laws.
(A) When the County has excluded information pursuant subdivision (3) above, the County shall submit to the Mental Health Services Oversight and Accountability Commission one of the following:
1. A supplemental Annual Prevention and Early Intervention Report that contains all of the information including the information that was excluded pursuant to subdivision (3). This supplemental report shall be marked "confidential."
2. A supplement to the Annual Prevention and Early Intervention Report that contains the information that was excluded pursuant to subdivision (3). This supplement to the report shall be marked "confidential."
(b) The County shall report the following information annually as part of the Annual Update or Three-Year Program and Expenditure Plan. The report shall include the following information for the reporting period:
(1) For each Prevention Program and each Early Intervention Program list:
(A) The Program name.
(B) Unduplicated numbers of individuals served in the preceding fiscal year
1. If a Program served both individuals at risk of a mental illness (Prevention) and individuals with early onset of a mental illness (Early Intervention), the County shall report numbers served separately for each category.
2. If a Program served families the County shall report the number of individual family members served.
(2) For each Outreach for Increasing Recognition of Early Signs of Mental Illness Program or Strategy within a Program, the County shall report:
(A) The Program name
(B) The number of potential responders
(C) The setting(s) in which the potential responders were engaged
1. Settings providing opportunities to identify early signs of mental illness include, but are not limited to, family resource centers, senior centers, schools, cultural organizations, churches, faith-based organizations, primary health care, recreation centers, libraries, public transit facilities, support groups, law enforcement departments, residences, shelters, and clinics.
(D) The type(s) of potential responders engaged in each setting (e.g. nurses, principals, parents)
(3) For each Access and Linkage to Treatment Strategy or Program the County shall report:
(A) The Program name
(B) Number of individuals with serious mental illness referred to treatment, and the kind of treatment to which the individual was referred.
1. Treatment that is provided, funded administered, or overseen by county mental health programs, and the kind of treatment to which the individual was referred.
2. Treatment that is not provided, funded, administered, or overseen by county mental health, and the kind of treatment to which the individual was referred.
(C) For referrals to treatment that are provided, funded, administered, or overseen by county mental health, the number of individuals who followed through on the referral and engaged in treatment, defined as the number of individuals who participated at least once in the Program to which they were referred.
(D) For referrals to treatment that are provided, funded, administered, or overseen by county mental health, the average duration of untreated mental illness as defined in Section 3750, subdivision (f)(3)(A) and standard deviation.
(E) For referrals to treatment that are provide, funded, administered, or overseen by county mental health, the average interval between the referral and participation in treatment, defined as participating at least once in the treatment to which referred, and standard deviation.
(F) "Referral" as used in this subdivision means the process by which an individual is given a recommendation in writing to one or more specific service providers for a higher level of care and treatment. Distributing a list of community resources to an individual does not constitute a referral under this subdivision.
(4) For each Improve Timely Access to Services for Underserved Populations Strategy or Program the County shall report:
(A) The program name
(B) Identify the specific underserved populations for whom the County intended to increase timely access to services.
(C) Number of referrals of members of underserved populations to a Prevention Program, an Early Intervention Program and/or to treatment beyond early onset.
(D) Number of individuals who followed through on the referral, defined as the number of individuals who participated at least once in the Program to which they were referred.
(E) Average interval between referral and participation in services to which referred, defined as participating at least once in the service to which referred, and standard deviation.
(F) Description of ways the County encouraged access to services and follow-through on referrals
(G) "Referral" as used in this subdivision means the process by which a member of an underserved population is given a recommendation in writing to one or more specific service providers for a Prevention Program, an Early Intervention Program and/or a program providing treatment beyond early onset. Distributing a list of community resources to an individual does not constitute a referral under this subdivision.
(5) For the information reported under subdivisions (1) through (4) of this section, disaggregate numbers served, number of potential responders engaged, and number of referrals for treatment and other services by:
(A) The following age groups:
1. 0-15 (children/youth)
2. 16-25 (transition age youth)
3. 26-59 (adult)
4. ages 60+ (older adults)
5. Number of respondents who declined to answer the question
(B) Race by the following categories:
1. American Indian or Alaska Native
2. Asian
3. Black or African American
4. Native Hawaiian or other Pacific Islander
5. White
6. Other
7. More than one race
8. Number of respondents who declined to answer the question
(C) Ethnicity by the following categories:
1. Hispanic or Latino as follows
a. Caribbean
b. Central American
c. Mexican/Mexican-American/Chicano
d. Puerto Rican
e. South American
f. Other
g. Number of respondents who declined to answer the question
2. Non-Hispanic or Non-Latino as follows
a. African
b. Asian Indian/South Asian
c. Cambodian
d. Chinese
e. Eastern European
f. European
g. Filipino
h. Japanese
i. Korean
j. Middle Eastern
k. Vietnamese
l. Other
m. Number of respondents who declined to answer the question
3. More than one ethnicity
4. Number of respondents who declined to answer the question
(D) Primary language used listed by threshold languages for the individual county
(E) Sexual orientation,
1. Gay or Lesbian
2. Heterosexual or Straight
3. Bisexual
4. Questioning or unsure of sexual orientation
5. Queer
6. Another sexual orientation
7. Number of respondents who declined to answer the question
(F) Disability, defined as a physical or mental impairment or medical condition lasting at least six months that substantially limits a major life activity, which is not the result of a severe mental illness
1. Yes, report the number that apply in each domain of disability(ies)
a. Communication domain separately by each of the following
(i) Difficulty seeing,
(ii) Difficulty hearing, or having speech understood
(iii) Other (specify)
b. Mental domain not including a mental illness (including but not limited to a learning disability, developmental disability, dementia)
c. Physical/mobility domain
d. Chronic health condition (including, but not limited to, chronic pain)
e. Other (specify)
2. No
3. Number of respondents who declined to answer the question
(G) Veteran status,
1. Yes
2. No
3. Number of respondents who declined to answer the question
(H) Gender
1. Assigned sex at birth:
a. Male
b. Female
c. Number of respondents who declined to answer the question
2. Current gender identity:
a. Male
b. Female
c. Transgender
d. Genderqueer
e. Questioning or unsure of gender identity
f. Another gender identity
g. Number of respondents who declined to answer the question
(6) Any other data the County considers relevant, for example, data for additional demographic groups that are particularly prevalent in the County, at elevated risk of or with high rates of mental illness, unserved or underserved, and/or the focus of one or more Prevention and Early Intervention funded services.
(7) For Stigma and Discrimination Reduction Programs and Suicide Prevention Programs, the County may report available numbers of individuals reached, including demographic breakdowns. An example would be the number of individuals who received training and education or who clicked on a web site.
(8) For all programs and Strategies, the County may report implementation challenges, successes, lessons learned, and relevant examples.
(c) For a program serving children or youth younger than 18 years of age, the demographic information required under subdivision (b)(5) of this section relating to children or youth younger than 18 years of age shall be collected and reported only to the extent permissible by California Education Code, Family Educational Rights and Privacy Act (FERPA), Health Insurance Portability and Accountability Act of 1996 (HIPAA), California Information Practices Act, and other applicable state and federal privacy laws.
(d) Except for sexual orientation, current gender identity, and veteran status, a county shall collect the demographic information required under subdivision(b)(5) of this section from a minor younger than 12 years of age. Information that cannot be obtained directly from the minor may be obtained from the minor's parent, legal guardian, or other authorized source.
(e) A County with a population under 100,000, according to the most recent projection by the California State Department of Finance, may report the demographic information required under subdivision (b)(5) of this section for the County's entire Prevention and Early Intervention Component instead of by each Program or Strategy.

Cal. Code Regs. Tit. 9, § 3560.010

1. New section filed 10-7-2015; operative 10-7-2015 pursuant to Government Code section 11343.4(b)(3) (Register 2015, No. 41).
2. Amendment of section heading and subsections (a)-(a)(3), (a)(3)(A)1.-2., (b)(2)(D) and (b)(3)(B), new subsections (b)(3)(B)1.-2., amendment of subsections (b)(3)(C)-(E) and new subsections (b)(3)(F), (b)(4)(G) and (c)-(e) filed 5-14-2018; operative 7-1-2018 (Register 2018, No. 20).

Note: Authority cited: Section 5846, Welfare and Institutions Code. Reference: Sections 5840, 5845(d)(6) and 5847, Welfare and Institutions Code; and Uncodified Sections 2 and 3 of Proposition 63, the Mental Health Services Act.

1. New section filed 10-7-2015; operative 10/7/2015 pursuant to Government Code section 11343.4(b)(3) (Register 2015, No. 41).
2. Amendment of section heading and subsections (a)-(a)(3), (a)(3)(A)1.-2., (b)(2)(D) and (b)(3)(B), new subsections (b)(3)(B)1.-2., amendment of subsections (b)(3)(C)-(E) and new subsections (b)(3)(F), (b)(4)(G) and (c)-(e) filed 5-14-2018; operative 7/1/2018 (Register 2018, No. 20).