Tsev Kev Siv Zog Los Txo Qhov Tsis Sib Xws Hauv Kev Noj Qab Haus Huv Tus cwj pwm​​ 

Kev siv zog los txo qhov tsis sib xws hauv kev noj qab haus huv​​ 

Cov Kev Pabcuam thiab Kev Pabcuam thiab Kev Pabcuam Kev Kawm​​ 

Tej yaam num​​ 

Community Mental Health Equity Project​​ 

  • Assembly Bill (AB) 74 (Tshooj 23, Txoj Cai ntawm 2019) tau tso cai nyiaj txiag los muab kev cob qhia thiab kev pab cuam rau lub nroog cov chaw saib xyuas kev noj qab haus huv. Lub hom phiaj yog txhawm rau txhim kho lawv cov kev txawj ntse hauv kev coj noj coj ua, kev noj qab haus huv kev ncaj ncees, kev koom tes nrog cov neeg koom tes, kev nkag mus rau cov lus, kev sib txawv ntawm cov neeg ua haujlwm, thiab kev saib xyuas raug mob. Qhov kev txawj ntse no yuav yog qhov tseem ceeb hauv kev txhim kho cov pej xeem tshwj xeeb thiab cov kev coj noj coj ua hauv zej zog tsim los txo qhov tsis sib xws thiab txhim kho kev nkag mus rau kev saib xyuas kab lis kev cai.​​ 
  • The funding created a collaborative relationship between the California Department of Public Health’s Office of Health Equity (CDPH-OHE) and DHCS’ Medi-Cal Behavioral Health Division (DHCS-MCBHD). The collaboration is known as the Community Mental Health Equity Project (CMHEP) and addresses strategies and interventions aimed at reducing disparities in access to health and behavioral health care.​​ 
  • Lub hom phiaj ntawm CMHEP yog: 1. Kev tsim cov lus qhia tshiab ntawm DHCS txog cov phiaj xwm kev txawj ntse hauv kab lis kev cai uas sib haum nrog cov qauv ntawm National Culturally and Linguistically Appropriate Services (CLAS) uas tau tshaj tawm los ntawm Office of Minority Health hauv xyoo 2013. Cov lus qhia no yuav siv tau rau ob qho tib si Cov Kev Npaj Kho Mob Hlwb (MHPs) thiab cov nroog ua haujlwm nyob rau hauv Drug Medi-Cal Organized Delivery System (DMC-ODS).2. Txhim kho kev nkag mus rau cov kev pabcuam kev noj qab haus huv uas cuam tshuam nrog kab lis kev cai thiab lus thiab sib haum xeeb hauv Medi-Cal los ntawm kev cog lus nthuav dav ntawm Lub Nroog Behavioral Health Plans thiab cov koom haum hauv zej zog (CBOs) uas muaj kev txawj ntse hauv kev coj ua hauv zej zog uas tsom mus rau cov zej zog uas tsis tau txais kev pabcuam thiab/lossis tau txais kev pabcuam tsis tsim nyog nrog lub hom phiaj ntawm kev txhim kho kev ncaj ncees ntawm kev noj qab haus huv thiab txo qhov sib txawv ntawm cov neeg tau txais txiaj ntsig Medi-Cal.3. Tsim kom muaj kev sib koom tes ua haujlwm ntawm cov chaw haujlwm saib xyuas kev noj qab haus huv ntawm lub nroog kom cov kev pabcuam tsim nyog rau cov zej zog uas tsis tau txais kev pabcuam thiab tsis tau txais kev pabcuam los ntawm ntau haiv neeg, haiv neeg, thiab haiv neeg sib txawv.4. Kev koom tes ntawm cov neeg koom nrog los txhim kho kev txo hwj chim ntawm txhua tus neeg koom nrog hauv qhov project, nrog lub hom phiaj kom nkag siab txog keeb kwm yav dhau los ntawm ib leeg, thiab thaum kawg tsim kom muaj kev sib koom tes thiab kev ntseeg siab ua haujlwm.​​ 

DHCS-MCBHD​​   ntiav ib tug kws pab tswv yim rau:​​ 
Pab hloov kho cov kev cai tshiab rau txoj kev npaj txog kev txawj ntse hauv kab lis kev cai;
Muab kev pab txog kev txawj thiab kev cob qhia (TTA), kev pab tswv yim thiab kev sib koom tes ua haujlwm khwv tau nyiaj rau cov neeg ua haujlwm hauv nroog, CBO, thiab lub xeev;
Tsim cov kev pab cuam TTA uas tsom mus rau kev siv cov ntaub ntawv, kev teb rau kab lis kev cai, kev paub txog kev raug mob thiab kev coj ua hauv zej zog los txo qhov sib txawv ntawm kev noj qab haus huv thiab xyuas kom muaj kev saib xyuas ncaj ncees.
Tsim ib lub moj khaum ntsuas kev ua tau zoo los txiav txim seb CMHEP ua tiav li cas.
Xav paub ntxiv txog CARS tuaj yeem nrhiav tau ntawm CARS Webpage. CARS tau tsim ib nplooj ntawv web tshwj xeeb rau CMHEP ntawm CMHEP Webpage uas cov neeg koom nrog xav tau tuaj yeem sau npe kom tau txais cov xov xwm thiab cov kev hloov tshiab tsis tu ncua txog CMHEP.​​  

Cultural Competence Plan Requirements (CCPRs)​​ 

DHCS tsim, siv thiab saib xyuas Cov Kev Cai Cultural Competence Plan Requirements (CCPRs) thiab cov kev hloov tshiab txhua xyoo uas yuav tsum tau ua los ntawm tag nrho cov phiaj xwm Kev Puas Siab Puas Ntsws (MHPs) raws li California Code of Regulations, Title 9, §1810.410 (9 CCR §1810.410). Qhov kev xav tau no kuj yog ib qho kev cog lus ntawm cov nroog thiab DHCS, thiab tau txuas ntxiv mus rau cov nroog uas koom nrog Kev Kho Mob-Tshuaj Kho Mob (DMC-ODS) Kev Zam Txim txij li thaum nws siv xyoo 2017.​​ 

CCPRs xav kom cov nroog txheeb xyuas, txheeb xyuas, thiab tshaj tawm qhov tsis sib xws hauv kev pabcuam kev noj qab haus huv rau cov zej zog uas tsis tau txais kev pabcuam thiab tsis tau txais kev pabcuam thiab tsim cov phiaj xwm nrog cov tswv yim los daws qhov tsis sib xws.​​ 

Raws li yav dhau los Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DMH) Cov Ntawv Ceeb Toom 10-02 thiab 10-17 (kev hloov pauv hauv nroog me), cov nroog raug qhia kom xa cov ntaub ntawv mus rau lub tuam tsev ntawm yim yam hauv qab no:​​ 

  • Criterion 1: Commitment to cultural competence​​ 
  • Criterion 2: Updated assessment of service needs​​ 
  • Criterion 3: Strategies and efforts for reducing racial, ethnic, cultural, and linguistic mental health disparities​​ 
  • Cov Cai 4: Cov neeg siv khoom / tsev neeg / pawg neeg hauv zej zog: kev koom ua ke ntawm pawg neeg hauv lub nroog txoj kev noj qab haus huv​​ 
  • Nqe 5: Kev cob qhia kev coj noj coj ua muaj peev xwm​​ 
  • Criterion 6: County’s commitment to growing a Multicultural workforce: hiring and retaining culturally and linguistically competent staff​​ 
  • Cov Cai 7: Kev muaj peev xwm hais lus​​ 
  • Nqe 8: Kev hloov kho cov kev pabcuam​​                                                                

Yim yam qauv no yog ib txoj hauv kev rau cov nroog los qhia txog kev tsim thiab siv cov tswv yim thiab kev cuam tshuam uas haum rau kab lis kev cai thiab lus uas tso cai rau kev nkag mus rau cov kev pabcuam kev noj qab haus huv raws sijhawm. Cov nroog xa lawv cov phiaj xwm kev txawj ntse kab lis kev cai (CCPs) mus rau lub chaw haujlwm txhua xyoo ntawm MCBHD.CCPR@dhcs.ca.gov. Ntxiv rau, cov nroog tshaj tawm lawv cov CCPs rau ntawm lub vev xaib ntawm lawv lub chaw haujlwm kev noj qab haus huv tus cwj pwm hauv nroog.​​     

Technical Assistance thiab Training Resources​​ 

Community Mental Health Equity Project (CMHEP):​​         

Neeg Asmeskas​​ 

Neeg Esxias thiab Pacific Islander​​ 

Latino​​ 

LGBTQ​​ 

Native American​​ 

Cultural Competence Plans and Requirements​​ 

Cov Lus Qhia​​ 

 DMH- Daim Ntawv Ceeb Toom 10-02​​ 
DMH-Information Notice 10-02 Enclosure 1​​ 
DMH Daim Ntawv Ceeb Toom 10-17​​   
DMH-Information Notice 10-17 Enclosure 1​​ 
Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv Tus Cwj Pwm: 20-070​​ 

Below please find the links to counties’ CCPs:​​ 

A​​ 

Alameda​​ 
Alpine​​ 
Amador​​ 

B​​ 

Butte​​ 

C​​ 

Calaveras
Colusa
Contra Costa​​ 

D​​ 

Del Norte​​ 

E​​ 

El Dorado​​ 

F​​ 

Fresno​​ 

G​​ 

Glenn​​ 

H​​ 

Humboldt​​ 

Kuv​​ 

Imperial
Inyo​​ 

K​​ 

Kern
Kings​​ 

L​​ 

Lake
Lassen
Los Angeles​​ 

M​​ 

Madera​​ 
Marin​​ 
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey​​ 

N​​ 

Napa​​ 
Nevada​​ 

O​​ 

Orange​​ 

P​​ 

Chaw / Sierra​​ 
Plumas​​ 

R​​ 

Riverside​​ 

S​​ 

Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Siskiyou
Solano
Sonoma
Stanislaus
Sutter/Yuba​​ 

T​​ 

Tehama​​ 
Trinity​​ 
Tulare
Tuolumne​​ 

V​​ 

Ventura​​ 

Y​​ 

Yolo​​ 

National Association of State Mental Health Program Directors (NASMHPD) Project​​ 

Subcommittee ntawm Racial Equity thiab Systemic Racism hauv Kev Kho Mob:​​ 

  • Lub koom haum National Association of State Mental Health Program Directors (NASMHPD) Children, Youth, and Families (CYF) Division tau koom tes nrog National Council for Behavioral Health los daws cov kev kho tus cwj pwm kev noj qab haus huv tsis sib xws thiab kev ntxub ntxaug hauv kev saib xyuas tus cwj pwm. Lub subcommittee tau tsim los tham txog kev ncaj ncees ntawm haiv neeg thiab kev ntxub ntxaug lwm haiv neeg hauv lub tebchaws.​​ 
  • The group looked internally within state agencies’ hiring practices and office culture and externally to improve the state agencies’ value within the communities to best serve beneficiaries and their families.​​ 
  • Cov tswv cuab ntawm pawg thawj coj sawv cev rau ntau lub xeev, suav nrog Vermont, Delaware, Virginia, West Virginia, Ohio, Kentucky, South Carolina, Louisiana, Utah, Washington, California, thiab Hawaii. Lub subcommittee tau ntsib txhua hli txij Lub Xya Hli 2020 txog Lub Plaub Hlis 2021.​​  
  • Based on a foundation of cultural humility and sensitivity, the subcommittee’s goal was to generate actionable items to present to the parent committee on approaches to root out and address the insidious forms of systemic racism and health disparities interwoven into the behavioral health care system.​​ 
  • List of ideas presented to parent committee (coming soon).

    Resources:
    NASMHPD website
    NASMHPD – Children Youth Families Division website
    The National Council for Behavioral Health website​​ 

Office of Minority Health (OMH): Culturally and Linguistically Appropriate Services- (CLAS) Standards:​​ 

The National CLAS Standards describe a framework to deliver services that are culturally and linguistically appropriate and respectful, and that respond to individuals’ cultural health beliefs, preferences and communication needs. They are intended to advance health equity, improve quality, and help eliminate health care disparities and constitute a comprehensive series of guidelines that inform, guide, and facilitate practices related to culturally and linguistically appropriate health services.​​  

Resources:​​ 

National CLAS Standards website​​ 

If you have any questions, please submit them to our mailbox MCBHD.CCPR@dhcs.ca.gov.​​ 

For more information on the department’s efforts regarding the reduction of disparities, please refer to Eliminating Health Disparities in the Medi-Cal Population website.​​