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Partnering with MHSA:
The Next Generation of
Successful Mental Health
Interventions
Neuroscience Research in Action:
Driven by Community Priorities
Enhanced by Community Partnerships
Shaping California’s Future
Service
Research
Education
California
Behavioral
Health Center
Providers
Families
Clients
The Missing Link
“In the years following Prop. 63, I’ve
realized that the good work of the MHSA
needed a firm pathway to neuroscience
research and new interventions. The best
outcomes are through research, counties
and communities working together.“
-Senate President pro Tem
Darrell Steinberg
Behavioral Health
Centers of Excellence
for California
University of California campuses at
Davis and Los Angeles
Behavioral Health
Centers of
Excellence
for California
Health
systems
Counties
Research
State
Government
Federal
Government
Communities
Building on the
success of the MHSA
• In the past 10 years, our understanding of the
mind and brain has increased dramatically
• UC Davis and UCLA: pioneers in neuroscience
research leading to discoveries that improve
mental and behavioral health
• UC Davis and UCLA: pioneers in translating
research to community benefit and engaging the
community in mental health services research
and neuroscience with positive outcomes
Partnering for Success
• Partner with providers through the MHSA to
meet the needs of our communities
• UCLA and UC Davis established effective
partnerships with LA and Sacramento counties
• Bringing research to scale and create greater
impact across the state, emphasizing
prevention and early intervention.
Los Angeles County
“As Director of the Los Angeles County Department
of Mental Health, I have directly observed the
benefits of the Mental Health Services Act for
improving services delivery and outcomes for
patients with severe mental illness and applaud
Senator Steinberg’s broad vision for legislation. A
complementary … center … would provide the
academic expertise and resources for partnering to
bring to scale across California’s counties, evidencebased interventions for prevention, early
intervention and treatment of mental disorders.”
- Martin Southard
Los Angeles County
• Community Partners in Care (CPIC): Engaged 95 programs in
South Los Angeles & Hollywood to implement depression care
across primary care, mental health, substance abuse, social
services, faith-based and other community-based programs.
• Compared to technical assistance to programs, engaging
whole communities improved mental health, physical activity
and reduced homelessness and hospitalizations.
• LAC DMH will use this as the basis for their “health
neighborhood” program under expanded Medicaid.
• Major programs in school-based intervention for child
violence exposure, early intervention in teen suicide,
psychosis, improving family education and support and
services quality for bipolar, schizophrenia, child disorders.
Leveraging UCLA Research for
State Benefit
• UCLA Semel Institute awarded $15 Million ARA grant for
translational research, levering $2.5-5 million of MHSA funds.
• CPIC: 116 community and academic leaders, 32 lead agencies
and 95 participating programs, won the 2014 Association of
Clinical and Translational Science “Team Science” Award—
NIMH announced a competition for a national demonstration
based on CPIC. UCLA announced as recipient 5/1/14; we will
lever this $30 million with new state funds of $5-7 million to
address mental health disparities in LAC/Orange/Riverside.
• New pilot grants in complementary areas: youth suicide
reduction/mental health stigma/youth school-based
interventions for violence exposure/
homelessness/incarceration recidivism.
UC Davis Community Partnerships in
Prevention and Early Intervention
• UC Davis (EDAPT Program) has provided prevention and early
intervention services for early psychosis for 10 years, serving
over 1,000 youth and families with high rates of school
success and employment, and almost zero homelessness for
our youth.
• Selected by the Robert Wood Johnson Foundation for their
national demonstration project for psychosis early
identification and prevention (EDIPPP project).
UC Davis Community Partnerships in
Prevention and Early Intervention
• Early Psychosis Program (SacEDAPT) is a unique embedded
partnership between UC Davis and Sacramento County
Mental Health to provide services, as funded through
MHSA/Prop. 63.
• This partnership has transformed the early diagnosis and
therapy of serious brain and behavioral disorders such as
schizophrenia in early teen years.
• In 2014 new MHSA supported partnerships with Solano
County and CBO’s in Napa and Placer Counties are bringing
state of the art prevention and early intervention to a large
swath of Northern California Communities.
Leveraging UC Davis Research for
State Benefit
• UC Davis awarded $3.25 million in ARRA funds for
the Center for Integrative Neuroscience Imaging.
• Three world renowned interdisciplinary neuroscience
centers (Center for Neuroscience, Center for Mind
and Brain, M.I.N.D. Institute) with over $70 million
dollars in basic and translational research funding.
• Pilot programs for innovative interdisciplinary
research from OVCR (Rise Initiative) and the CTSC.
• UC Davis BRAIN Initiative Consortium, program
building and pilot programs for interdisciplinary
neuroscience tool development and discovery.
Sacramento County
• “We are very pleased with the results of
SacEDAPT in Sacramento County. We are also
pleased to lead the way for other counties in
Northern California to implement this model
of excellence.”
- Uma Zykofsky,
Sacramento County
Mental Health Director
Sustainable Partnerships
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Members of vulnerable populations
Clients and families
Other campuses - University of California
California institutions (e.g., RAND)
Healthcare and community-based agencies
The Centers will promote partnerships and
improve early consensus toward shared goals.
Reducing Stigma
• As proven with the MIND Institute at UC Davis
for reducing stigma for people with autism.
• Identifying mental health disorders as brainbased disabilities reduces stigma.
• UCLA-LAC DMH implemented major stigma
reduction programs; community collaborative
have shifted community openness to mental
health programs.
• Will enhance and build on the existing
campaigns funded by Prop. 63
Solving Society’s Complex Problems
• The Behavioral Health Centers will:
– increase our understanding of how to address
mental health disparities, early intervention in
psychosis, and address other concerns such as
violence, incarceration and recidivism
– Leverage existing resources/new resources to
greater benefit for California’s diverse underresourced communities
community
THE ASCENDING STAIRCASE
OF NEUROSCIENCE RESEARCH
& HEALTH PROMOTION
SOCIETY
CULTURE & HEALTH
COMMUNITIES AT RISK
HEALTH SERVICES POLICY
CULTURE
KINSHIP
PRIMATE SOCIAL BEHAVIOR
MIND-BODY & IMMUNITY
INDIVIDUALS
HUMAN COGNITION & EMOTION
BRAIN IMAGING
BRAIN
BRAIN PHARMACOLOGY & REWARD
NEUROSCIENCE OF LEARNING AND MEMORY
NERVE CIRCUITS
NEUROSCIENCE OF NERVE CELL COMMUNICATION
GENOMICS & NEURAL STEM CELLS
MOLECULAR GENETICS AND NEUROCHEMISTRY
CELLS
MOLECULES
DEVELOPMENTAL NEUROSCIENCE
NEUROBEHAVIORAL GENETICS
GENES
Funding Request
• $20 million will support basic infrastructure in
neuroscience, seed grants, and 2-3 major
initiatives (disparities, early psychosis, child
violence and/or suicide prevention).
• $15 million will support infrastructure in
neuroscience, seed grants, and major initiative
(disparities, early psychosis).
Next Generation of Successful
Behavioral Health Interventions
• UC Davis and UCLA have created a close
partnership during this past year of discussions
with Senator Steinberg
• The Behavioral Health Centers for Excellence for
California are committed to sharing our
neuroscience research and collaborating with
communities to promote best practices, and to
improve outcomes, by building upon today’s
policy initiatives including MHSA and ACA.
Center for Healthcare Policy and
Research
UC Davis School of Medicine Departments
e.g. Neurology, Psychiatry, Neurosurgery, Pediatrics
Center for Reducing Health Disparities
800-member Faculty Practice Group
Betty Irene Moore School of Nursing
California Telehealth Network
UC Davis Medical Center
Graduate Programs
Clinical and Translational Science Center
Institute for Population Health Improvement
Imaging Research Center
UC Davis
Behavioral Health
& Neurosciences
Consortium
Center for Neuroscience
MIND Institute
Center for Mind and Brain
Center for Visual Sciences
Center for Health and Technology
Alzheimer’s Disease Research Center
Serving Inland Northern California and the San Joaquin Valley
• More than $195 million in research funding
• Total faculty: 1,342 , residents and fellows: 882
• Educating 800+ students in Schools of Health each year
Based on 2012 data
THE BRAIN IS A TRANSDUCER, LINKING THE INDIVIDUAL WITH THE WORLD
Semel Institute UCLA:
$170 million annually
In sponsored research
ACTION
PERCEPTION
SCHIZOPHRENIA: MANIC DEPRESSION
TOURETTES
STRESS….ANXIETY….DEPRESSION…
AUTISM SPECTRUM
DEVELOPMENT
ALZHEIMERS
….OBESITY…HEART DISEASE…SOME CANCERS
MATURITY
BRAIN DEVELOPMENT AND BRAIN DISORDER OVER THE LIFE CYCLE