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HomeMy WebLinkAboutStaff Report 2511-5442F.Discussion on allcove Palo Alto New Item Added, At Places Memo Item No. F. Page 1 of 1 9 8 6 0 City Schools Liaison Committee At Places Memo From: City Manager’s Office Meeting Date: November 13, 2025 Item Number: F Report #:2511-5442 TITLE At Places Memo: Discussion on allcove Palo Alto BACKGROUND Staff is providing the attached materials as information to aid the Committee’s discussion. ATTACHMENTS Attachment A: Santa Clara County Health and Hospital Committee allcove Report APPROVED BY: Chantal Cotton Gaines, Deputy City Manager County of Santa Clara Santa Clara Valley Health & Hospital System Behavioral Health Services Department Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 1 of 9 County Executive: James R. Williams 123579 DATE: April 30, 2025 TO: Health and Hospital Committee FROM: Sherri Terao, Director, Behavioral Health Services SUBJECT: allcove Report RECOMMENDED ACTION Receive report from Behavioral Health Services Department relating to allcove Palo Alto. FISCAL IMPLICATIONS There are no fiscal implications from this informational report. REASONS FOR RECOMMENDATION At the request of former Health and Hospital Committee (HHC) Chair Simitian, the following is a report on the allcove program, covering the reporting period of January 1, 2024, through December 31, 2024. Overview Established in 2021, allcove Palo Alto (allcove) serves as a community wellness center and a welcoming space for youth and young adults (ages 12-25) with mild to moderate behavioral health/well-being needs. Developed in collaboration with youth and young adults, BHSD’s allcove model aims to combat stigma, promote mental well-being, foster community ties, and provide culturally sensitive services. The allcove program provides youth and young adults with an array of services: • Mental Health Services - individual counseling and support groups to address mental health needs and raise awareness about challenges faced by youth/young adults, such as anxiety and depression. • Substance Use Prevention Services - screening, psychoeducation (e.g., information on the dangers of fentanyl), counseling, peer support groups, linkages to treatment services to address alcohol and/or substance use issues. • Physical Health Services - safe, confidential, and judgment free sexual and reproductive health testing, medication information, and connection to care. 6 Packet Pg. 24 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 2 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 • Supported Education and Employment (SEE) Services - services to help youth/young adults prepare for college, vocational programs, assistance with school reentry, employment, and nontraditional secondary education. • Peer Support Services (PSS) - mentorship and emotional support provided by peers with lived experience. PSS is available to support individuals in navigating and bridging to other community resources, such as housing supports. • Other Support - workshops, recreational activities, social engagements, and other relevant activities are provided in a community space for youth/young adults, and their families on a weekly basis to reduce social isolation. Youth Advisory Group An essential component of the allcove model is the Youth Advisory Group (YAG), composed of 12-15 young people (ages 16-25) representing diverse backgrounds. YAG plays a pivotal role in shaping allcove’s policies, structure, and services, while ensuring that young voices and opinions are at the core of the allcove experience (i.e., youth input relating to physical design, staffing, activities, and communication style). Each year, a new YAG cohort is recruited between the months of January and June with the cohort term beginning in August. YAG members can serve only up to two terms to ensure ongoing recruitment of new voices, fresh ideas, and opportunities for youth/young adults to develop leadership skills. In this reporting period, YAG Cohort #7 has been actively collaborating with the allcove staff and providing feedback about how to effectively create youth friendly marketing language to promote allcove’s services on social media. YAG collaborated with BHSD’s Alexian Children, Family and Community Service (CFCS) Youth Substance Use Treatment Services Clinic and BHSD’s communications team to create a 60-second commercial about BHSD’s substance use treatment services, available on the County website and social media platforms, (e.g., Facebook and Instagram). With YAG’s input, allcove has been successful in reaching out to youth from diverse cultural backgrounds and connecting with underserved and culturally specific populations. Additionally, BHSD has offered YAG members opportunities for youth leadership development and professional skills building. YAG has been invited to actively participate in panel interviews for hiring allcove staff and has also joined the allcove team in facilitating workshops, such as Love and Limits, Youth Community Services (YCS) Anti-Burnout Workshop, and Game for Neurodiversity. Several YAG members have supported Stanford’s Central allcove Team (CaT) with event planning and preparation for the February 2025 allcove conference, and YAG helped with co -development and co-presentation of allcove Palo Alto updates at the conference. These events and activities are providing opportunities for YAG members to build their leadership skills, promote overall wellness, and support educating other young people and their families in the community on behavioral health issues. As the current YAG cohort is finalizing their work, allcove has begun recruiting for a new YAG Cohort (#8) for the application period between January and April 2025. Interviews for 6 Packet Pg. 25 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 3 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 the new cohort will finalize in June 2025 to complete the selection process for the new Cohort by July 2025. Outreach and Engagement As part of the youth-centered allcove model, the allcove team works closely with YAG to outreach and promote the allcove center and services. Joint efforts include developing and delivering presentations and/or informational sessions about allcove’s program, event planning, and conducting outreach activities at community events such as Mission College’s Self Love, Gunn High School Prime Day, Alta Housing Spring Fair, the annual Children’s Summit, and the Palo Alto Community Health Fair. To further expand outreach, the allcove team has partnered with BHSD’s Associate Communications Officer, YAG, and Homestead High School’s Future Business Leaders of America to share ideas and create content for social media posting on YouTube, Facebook, and Instagram about the allcove program and to introduce the public to allcove’s team members. Additionally, to increase public awareness and engagement, the allcove team continues to provide tabling at many community events as listed in Table 1: Table 1 2024 allcove Team Tabling at Community Events Quarter 1 January – March Quarter 2 April - June Quarter 3 July - September Quarter 4 October - December • Wellness Week - JLS Middle School • Peer Advocate Advisory Council Resource Fair • Unity Walk for Suicide Prevention • Taking Action for Whole Health and Wellbeing • Denim Day - West Valley • Alta Housing Event • Gunn High School Neurodiversity Fair • Viva Calle • San Jose Community College Career Fair • Los Altos High School Wellness Week • Wavefest • BHSD Mental • Minority Mental Health & Wellness Resource Fair • Mission College Basic Needs Fair • National Night Out • Viva Parks • Titan Health Fair • Mountain View Teen Wellness Retreat • Mission College Wellness Fair • Finals Cram Slam • College, Career, and Community Resource Fair • Undocumented Student Resource Fair • Day on the Bay • Kara Grief Walk n Run to Remember • Palo Alto High School Wellness Fair hosted by YCS • Gunn High 6 Packet Pg. 26 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 4 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 Health Awareness Month School Wellness Pop-up allcove Data Summary and Program Updates Between January 1, 2024 and December 31, 2024, a total of 362 youth visited allcove Palo Alto, and 222 youth completed a welcome packet. While all youth may participate in any of the pro-social, wellness and psychoeducation workshops, youth wishing to receive any of the core services, including physical health, behavioral health, psychiatry, peer support and SEE services, must complete a welcome packet that includes an initial screening and application. The allcove program continues to enroll approximately 20 new and unduplicated youth each month. Cumulatively, since June 2021 (allcove center launch) through December 31, 2024, a total of 1,221 unduplicated youth have visited allcove Palo Alto with 819 youth completing a welcome packet for received services alongside general allcove activities. The majority of youth (80%) participate in services for approximately three to six months, and about 10% of all youth receiving services return to allcove for additional services at a later time. Table 2 Youth Participation in allcove Services and Workshops Service Category* CY 2021** CY 2022 CY 2023 CY 2024 Total Physical Health Services 7 11 20 26 64 Behavioral Health Services 50 175 163 162 550 Psychiatry 2 34 40 34 110 Peer Support Services 56 107 74 108 345 Supportive Education & Employment (SEE) 10 64 35 68 177 Workshop Attendance 20 81 264 376 741 *Note: A given youth may receive multiple services and/or attend multiple workshops ** CY 2021 provides data from allcove center launch in June 2021 through December 2021 In comparing the current Calendar Year (CY) 2024 data with previous years since the launch of allcove in June 2021, the following trends have been observed: 6 Packet Pg. 27 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 5 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 • In CY 2024, similar to previous calendar years, behavioral health services (including substance use prevention and family services) continue to be the most requested by youth and account for 45% (n =162 out of 360) of the available encounters accessed. • While CY 2024 saw the highest number of requests for physical health services compared to previous calendar years, physical health services continue to be at 17% (n = 32 out of 184) of the encounters accessed by youth. • For SEE services, with the exception of CY 2023, when allcove experienced a temporary staffing reduction for about 4-5 months, the rate of service access has remained similar over the years, and the current CY 2024 rate is at 37% (n = 68 out of 180) of the available encounters accessed by youth. SEE service distribution is expected to remain unchanged or grow at a nominal rate as youth in Palo Alto and its surrounding areas report less need, as similar services are already provided as part of school programs and through family/community connections. • Since allcove opened in CY 2021 and over the years, allcove team has observed a significant increase (over 350%) in youth workshop attendance from 20 participants in CY 2021 to 376 in CY 2024. allcove has capacity for ongoing increase in workshop attendance with ability to serve up to approximately 800 attendees annually. Youth accessing allcove services are covered by various types of health insurance. When comparing annual insurance coverage data for youth receiving allcove services, from CY 2021 through CY 2024, the percentage of youth covered by private insurance has been decreasing from 58% to 35%, while the percentage of youth covered by Medi-Cal insurance has been relatively constant at approximately 25%. The percentage of youth lacking insurance coverage has slightly decreased from CY 2021/2022 to CY 2024 from about 5% to 1%. Over the years, allcove has continued to make efforts to collect insurance related information about youth served. However, about a third of youth receiving allcove services have either omitted or declined to provide insurance information. Youth with missing insurance information are either presumed to be uninsured or privately insured but would not include Medi-Cal recipients, as allcove has access to verify any individual who is covered by Medi-Cal insurance. In addition to the above listed allcove services in CY 2024, allcove also expanded its youth workshops as shown in Table 3 below. Table 3 Objective Workshops Topic Highlights* Stress Management 1. Button-Up with Love 2. Sensory Soothing 3. Mind and Body 4. Seasonal Saddies 5. Double Dog Day Developing strategies to self-regulate and to manage stress 6 Packet Pg. 28 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 6 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 6. Crochet Tote Bags Education & Employment Support 1. Discover Supported Education and Employment (SEE) 2. Write On 3. Study Solutions 4. Financial Wellness 5. Summer Camp Series 6. College Prep 101 Developing skills and strategies to manage educational demands and obtaining employment opportunities Substance Use Prevention 1. Let’s talk about it 2. Carecove Opportunities to learn effects of substance use on the body and trainings on Narcan administration and prevention Pro-Social Engagement 1. Open Mic Night 2. Pizza Puzzle Party 3. The Friendship Formula Opportunities for youth to connect with likeminded and positive peers Wellness/Emotional Wellbeing 1. Healthy Relationships with Medical 2. Family Resource Hours (parents) 3. Create and Relate 4. Wellness Wednesdays 5. Booknook Series 6. Corny Thursday Series Activities to support overall wellness and provide psychoeducation about mental health issues Culture, Diversity, and Inclusion 1. Queer Support Group 2. Heritage Month Movie Night 3. Stimmy with Me 4. Formal Clothes Drive 5. Queercove 6. Dia de Los Muertos Celebration Supporting specific youth groups that have been negatively impacted by the system *Refer to Attachment 1 – Samples of allcove’s Monthly Workshop Calendars for more information and details. Community Involvement In addition to offering workshops onsite, the allcove team also provides workshops in the community at local schools, such as Palo Alto High School, Gunn High School, and Greene 6 Packet Pg. 29 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 7 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 Middle School, and at community resource/nonprofit locations such as Alta Housing and Little Blue House. Workshops for youth include wellness/peer-support related activities (e.g., slime making, aroma therapy, Mario Kart Prime at PALY; button making at Greene Middle School; wellness pop-up, prime day, and friendship bracelets at Gunn High School; cookie decorating, lunch time, affirmation bracelets, and gift wrapping at Alta Housing). Another core component of the allcove model is to ensure that community voice is part of program development. allcove accomplishes this through facilitation of the Community Consortium, an advisory group consisting of community stakeholders and local organizations (e.g. nonprofits such as Alta Housing and Reaching and Inspiring Success Through Education (RISE), Palo Alto Unified School District, Mountain View Los Altos Union High School District, and Mitchell Park Library). In CY 2024, the Community Consortium supported the allcove team with designing recreational and educational workshops that engage a diverse audience and about destigmatizing mental health. Workshops included the Lunar New Year event, Black History Month event, and Sensory Soothing workshop that offer inclusive activities and promote mental health among hard-to-reach youth, who are less likely to engage in mental health services. Along with YAG, the Consortium has thought partnered with the allcove team on how to address youth mental health barriers and needs, build on existing marketing strategies to educate the community about allcove’s services to effectively increase program utilization. Lastly, allcove has been working with community organizations such as the Palo Alto Unified School District’s Black Student Union and Little Blue House in planning events and activities to attract underserved, and vulnerable groups, including Asian American and Pacific Islanders, Black/African American, and neurodiverse populations. Youth Experience To ensure that services are effective and youth-friendly, allcove invites all youth visiting the center to complete a post-visit survey about their allcove experience. Quantitative and qualitative data from these surveys help the allcove team measure youth satisfaction and identify service gaps. As shown in Table 4, CY 2024 survey results suggest that youth remain highly positive about their allcove experience. Table 4 Youth Experience - allcove Survey Results CY 2021 CY 2022 CY 2023 CY 2024 Number of Youth Surveys Completed 45 129 119 77 Percentage of youth feeling heard, understood, and respected by allcove staff 100% 99% 96% 95% Percentage of youth feeling satisfied with allcove services 96% 97% 96% 95% 6 Packet Pg. 30 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 8 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 Percentage of youth that recommend allcove to a friend 96% 96% 97% 93% Most participants learned about allcove through their peers sharing their own positive experiences in visiting and receiving services at the center. Survey respondents identified allcove as a comfortable space, where they are provided clear, youth -oriented information, timely access to services and linkages to other community resources. Additionally, respondents noted that the allcove center helps address their needs and reduce their sense of stigma in accessing behavioral health care. Challenges for CY 2025 Since the allcove implementation, BHSD has been working closely with the State’s Commission for Behavioral Health, formerly the Mental Health Services Oversight and Accountability Commission (MHSOAC) and their consultants, Stanford Psychiatry CYMHW, and other allcove grantees to explore strategies to support allcove program sustainability. The allcove program has an estimated $4.25 million annual budget with approximately 71% of the budget covering staff salaries and benefits. In the initial years of launching allcove, funding was provided through the Innovation component of the Mental Health Services Act (MHSA). However, the MHSA innovation funding has ended on December 31, 2023. While allcove has been funded by MHSA’s Prevention and Early Intervention (PEI) component since January 1, 2024, with the MHSA transition to the Behavioral Health Services Act (BHSA), all counties are expecting to receive about 5% less funding and counties must dedicate more local funding to housing and intensive service. Therefore, other funding options need to be evaluated for sustaining the allcove program. BHSD and its partners continue exploring the feasibility of using the Children and Youth Behavioral Health Initiative (CYBHI) Multi -Payer Fee Schedule Initiative (Fee Schedule),1 which is being implemented through school districts and/or Local Educational Agencies (LEAs) in Fiscal Years (FY) 2024-2025 and FY 2025-2026. BHSD and allcove partners are also exploring how to bill private insurance plans directly. BHSD is currently assessing utilization rates for billable services compared to budgeted capacity. This will help BHSD determine the extent to which behavioral health and medical services must be modified in order to be sustainable. CHILD IMPACT The recommended action would positively impact youth and young adults as the allcove program sites promote Every Child Safe, Every Child Healthy, Every Child Successful in Learning, and Every Child Successful in Life. SENIOR IMPACT 1 The CYBHI is a California initiative with state investments aimed at improving mental health and well -being of children and youth. As part of the CYBHI workstream, the state has developed a Fee Schedule for LEAs to expand access to outpatient mental health or substance use disorder services for students up to 25 years of age at or near a school site. The Fee Schedule scope of reimbursement will cover psychoeducation, screenings and assessments, therapy, and care coordination for mild to moderate conditions or needs. https://www.dhcs.ca.gov/CYBHI/Pages/Fee-Schedule.aspx 6 Packet Pg. 31 Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga Page 9 of 9 County Executive: James R. Williams Agenda Date: April 30, 2025 The recommended action will have no/neutral impact on seniors. SUSTAINABILITY IMPLICATIONS The recommended action will have no/neutral sustainability implications BACKGROUND The allcove innovation project was approved in November 2017 by the County of Santa Clara MHSA Stakeholder Leadership Committee, the County Board of Supervisors, and the MHSOAC. On August 23, 2018, the MHSOAC approved the use of MHSA innovation funds to begin implementation of the allcove model consisting of integrated health centers for youth and young adults (ages 12-25) with mild to moderate needs that includes access to behavioral health, physical health, employment, education, and peer support services. ATTACHMENTS: • Attachment 1 - allcove Monthly Workshop Calendars (PDF) • Attachment 2 - 2024 allcove Report PPT (PDF) 6 Packet Pg. 32 3 create & relate 5 - 6 pm 22 23 let it grow 4:30 - 6:30 pm 10 24 7 21 28 14 29 8 15 6 20 13 27 17 4 11 25 18 5 12 26 19 9 16 S U N M O N T U E W E D T H U F R I S A T 21 April Events allcove.org game night 5:30 - 6:30 pm open mic 5:30 - 6:30 pm game night 5:30 - 6:30 pm strategies for success 5 - 6 pm open mic 5:30 - 6:30 pm open mic 5:30 - 6:30 pm center hours Monday - Friday: 10 am - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm 30 open mic 5:30 - 6:30 pm allcove Palo Alto2741 Middlefield Road, Suite 102Palo Alto, CA 94306650-798-6330 drop-in therapy 3 - 7 pm open mic 5:30 - 6:30 pm Closed for Cesar Chavez Day Taylor Swift listening party 4:30 - 6 pm formal clothes shop 5 - 6 pm spring into health 4 - 6 pm parent/guardian support resource group 5 - 6 pm strategies for success 5 - 6 pm strategies for success 5 - 6 pm strategies for success 5 - 6 pm formal clothes shop 5 - 6 pm formal clothes shop 5 - 6 pm teen Mental Health First Aid Training 5 - 6:30 pm create & relate 5 - 6 pm create & relate 5 - 6 pm create & relate 5 - 6 pm ATTACHMENT 1 - ALLCOVE MONTHLY CALENDAR 2024 (SAMPLES)6.a Packet Pg. 33 24 7 21 28 14 29 8 22 15 6 20 13 27 3 10 17 4 11 25 18 5 12 26 19 9 23 16 S U N M O N T U E W E D T H U F R I S A T 21 September Events allcove.org center hours Monday - Friday: 10 am - 7 pm drop-in therapy 11 - 3 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm 30 allcove Palo Alto2741 Middlefield Road, Suite 102Palo Alto, CA 94306650-798-6330 Closed for Labor Day drop-in therapy 11 - 3 pm drop-in therapy 11 - 3 pm drop-in therapy 11 - 3 pm one-in-a-melon health fair 4 - 6 pm drop-in therapy 3 - 7 pm drop-in SEE support 5 - 6 pm queer support group: gayme night 5 - 6 pm queer support group: support group (12-17) 5 - 6 pm queer support group: drag night 5 - 6 pm sensory self-care: slime making 5 - 6 pm sensory self-care: scavenger hunt 5 - 6 pm sensory self-care: candle making 5 - 6 pm sensory self-care: blind taste test 5 - 6 pm latinx heritage month movie night 5 - 6 pm parent/guardian support resource group 5 - 6 pm parent/guardian support resource group 5 - 6 pm nature & nurture 10 am - 12 pm drop-in SEE support 5 - 6 pm drop-in SEE support 5 - 6 pm drop-in SEE support 5 - 6 pm drop-in SEE support 11 am - 12 pm drop-in SEE support 11 am - 12 pm drop-in SEE support 11 am - 12 pm drop-in SEE support 11 am - 12 pm lunar lantern party 5 - 6 pm September is Suicide Prevention Month If you, or someone you know is struggling, or in crisis, help is available. Call or text 988 for support. queer support group: support group (18-25) 5 - 6 pm 6.a Packet Pg. 34 volunteer with allcove @ Webster Wood Apartments 4 - 6 pm 24 7 21 28 14 29 8 22 15 6 20 13 27 3 10 17 4 11 25 18 5 12 26 19 9 23 16 S U N M O N T U E W E D T H U F R I S A T 21 December Events allcove.org center hours Monday - Friday: 10 am - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm drop-in therapy 3 - 7 pm 30 allcove Palo Alto2741 Middlefield Road, Suite 102Palo Alto, CA 94306650-798-6330 drop-in therapy 11 - 3 pm drop-in therapy 11 - 3 pm drop-in therapy 11 - 3 pm drop-in therapy 11 - 3 pm drop-in SEE support 11 am - 12 pm drop-in SEE support 11 am - 12 pm Closed for Christmas Day 31 winter fest 5 - 6 pm smart goals 5 - 6 pm drop-in SEE support 11 am - 12 pm crochet tote bags 5 - 6 pm drop-in therapy 11 - 3 pm 1 Closed for New Year’s Day finals survival kit party 5 - 6 pm barbie nutcracker movie night 5 - 6 pm parent/guardian support resource group 5 - 6 pm parent/guardian support resource group 5 - 6 pm holiday art show 5 - 6 pm drop-in therapy 3 - 7 pm seasonal saddies 5 - 6 pm drop-in SEE support 5 - 6 pm drop-in SEE support 5 - 6 pm drop-in SEE support 5 - 6 pm drop-in SEE support 5 - 6 pm drop-in SEE support 5 - 6 pm crochet tote bags 5 - 6 pm crochet tote bags 5 - 6 pm crochet tote bags 5 - 6 pm crochet tote bags 5 - 6 pm 6.a Packet Pg. 35 allcove Report Health and Hospital Committee Meeting April 30, 2025 Behavioral Health Services Department Zelia Faria Costa, LMFT Director, Children, Youth and Family System of Care Jennifer Pham, LCSW Division Director, Children, Youth and Family System of Care 6.b Packet Pg. 36 Focus Areas for Today’s Report allcove Palo Alto Program Overview Community Outreach and Engagement Program Results, Data Highlights Ongoing Efforts 31 42 2 6.b Packet Pg. 37 allcove Program Overview •allcove Palo Alto – Established in 2021, allcove Palo Alto (allcove) serves as a community wellness center and a welcoming space for youth and young adults (ages 12-25) with mild to moderate needs. •Youth Voice - An essential component of the allcove model is youth voice. The Youth Advisory Group (YAG), composed of 12-15 young people (ages 16-25) and representing diverse backgrounds, plays a pivotal role in shaping allcove's policies, structure, and services. With YAG’s input, allcove has been successful in outreach, attracting youth from diverse cultural backgrounds and connecting culturally specific groups and underserved populations to services and activities. Educational Workshops and Social Events Substance Use Prevention Services Physical Health Services Peer Support Services Supported Education and Employment Services Mental Health Services allcove Services and Activities 3 6.b Packet Pg. 38 allcove Palo Alto Program Overview (cont.) allcove Workshops for Youth and Caregivers Youth-oriented workshops have been developed using community voice and feedback from YAG, the Community Consortium (an advisory board consisting of key stakeholders, community members, and organizations), who provide feedback and support to address needs and barriers relating to youth mental health needs. Purpose To combat stigma, promote mental well-being, foster community ties, and provide culturally sensitive services 4 Sample of Events from CY 2024 Reporting Period 6.b Packet Pg. 39 allcove Palo Alto Data Highlights -CY 2024 Behavioral Health 40% (n=162) Peer Support Services 27% (n=108) Supportive Education & Employment (SEE) 17% (n=68) Psychiatry 9% (n=34) Physical Health 7% (n=26) CY 2024 - Youth Participation in allcove Services Annual: Jan 1, 2024 – Dec 31, 2024 362 number of youth visited allcove 222 intake screening packet completed by youth 376 number of workshop participants Cumulative: June 2021 – Dec 2024 1,221 number of youth visited allcove 819 intake screening packet completed by youth 741 number of workshop participants 5 Key Takeaways •Similar to previous years, behavioral health services (substance use prevention and family services) continue to be the most requested by youth. •For SEE, with the exception of CY 2023, when allcove experienced a temporary staffing reduction, the rate of service access has remained similar over the years. SEE expected to remain unchanged or grow at a nominal rate as youth in Palo Alto and its surrounding areas report similar services are already provided as part of school programs and through family/community connections. •Since allcove opened and over the years, allcove team has observed a significant increase (over 350%) in youth workshop. allcove has capacity to serve up to approximately 800 attendees annually. 6.b Packet Pg. 40 allcove Youth Experience 95% 77 93% youth surveys completed of youth would recommend allcove to a friend 95% of youth felt satisfied with services of youth felt heard, understood, and respected by allcove staff "I loved how accepting everyone was and I enjoyed how open I could be." “I thought [staff] was incredible and helped answer questions efficiently while also making me feel seen." 6 For CY 2024, 370 youth surveys completed Cumulative (since June 2021) 95%would recommend allcove felt heard, understood, respected satisfied with services 97% 96% "I didn't know this existed. What a great resource for the community." CY 2024 Survey Results 6.b Packet Pg. 41 Behavioral Health Services Department Zelia Faria Costa, LMFT Director, Children Youth and Family Division Catherine Aspiras, LMFT Division Director, School Linked Services Tablin •Gunn High School Pride Event •RISE Winterlodge Holiday Party •Palo Alto High School (PALY) Wellness Fair • Careers in Science – Cal Academy of Science •Undocumented Student Resource Fair •Day on the Bay • Los Altos Suicide Awareness Fair •National Night Out •Minority Mental Health & Wellness Resource Fair • Unity Walk for Suicide Prevention • And many more . . . Community Based Organizations •Youth Community Services •Project Safety Net •Alta Housing •Los Gatos Therapy Center Community Voices •Youth Advisory Group (YAG) •Community Consortium •Homestead High School’s Future Business Leaders of America Collaborations •Stanford Psychiatry •Other allcove grantees •Wellness Coordinators in Palo Alto Unified and Mountain View Los Altos Union High School Districts •Cities- Los Altos, Mountain View, Sunnyvale, and East Palo Alto Location: •Palo Alto Hight School •Gunn High School •Greene Middle School •Mitchell Park Library •Alta Housing •Little Blue House Activities for wellness and peer support: Slime Making, Aroma Therapy, Mario Kart Prime, Button making, Wellness Pop-up, Prime day and Friendship Bracelets, Cookie Decorating, Affirmation Bracelets, and Gift Wrapping. Tabling Community Events Location: •Gunn High School Prime Day •Mission College’s Self Love •Alta Housing Spring Fair •Annual Children’s Summit •Palo Alto Community Health Fair •allcove Palo Alto's Annual Open House •allcove Palo Alto's Art Show •Peers Supporting Peers Panel Topics: forming healthy relationships; using correct pronouns; considering alternative career options; and learning about sensory integration and communication styles Presentations & Informal SessionsCommunity Networks Community Outreach & Engagement Educational Workshops 7 6.b Packet Pg. 42 Ongoing Efforts •Engaging Diverse Communities - Efforts are underway to increase outreach and activities for diverse communities, such as Asian American and Pacific Islanders, Black/African Americans, and neurodiverse populations. •Developing New Partnerships - BHSD has been developing partnerships with more organizations that serve diverse and hard-to-reach communities. The allcove team is establishing partnerships with the Palo Alto Unified School District’s Black Student Union, Mekong Community Center, Fresh Lifelines for Youth (FLY), Little Blue House, and other organizations to plan events and activities to attract youth. •Sustainability and Funding Outlook - Since the allcove implementation, BHSD has been working closely with the Commission for Behavioral Health, formerly the Mental Health Services Oversight and Accountability Commission (MHSOAC) and their consultants, Stanford Psychiatry CYMHW, and other allcove grantees to explore strategies to support allcove program sustainability. 8 6.b Packet Pg. 43