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– COMMUNICATION FROM THE OFFICE OF THE BHD DIRECTOR –
TO: Community Stakeholders
FROM: Karyn L. Tribble, PsyD, LCSW BHD Director
Greetings, Community Stakeholders, Collaborative Partners, and Colleagues:
I am thrilled to announce a significant milestone for our organization: the official
release of our Department’s Strategic Plan Report! These past several weeks, we have
been circulating this important update in order to bring community awareness and
transparency. On March 13, 2024 our department presented an overview of this Report to
the Alameda County Board of Supervisors’ Health Committee. This completed Strategic
Plan includes critical perspectives across communities, our internal agency, external
stakeholders, county leaders, and partner organizations; and highlights a path towards a
successful integration of shared employee and community voices. It represents a variety
of diverse perspectives gathered in a comprehensive report that represents a community-
driven perspective into how best to shape the County’s Behavioral Health System.
We are also incredibly grateful for the expertise provided by the California Institute for
Behavioral Health Solutions (CIBHS) and the Equity and Wellness Institute (EqWI) as they
jointly led this strategic planning process. Their efforts allowed for authentic stakeholder
engagement and fact-finding in an effort to provide this information to you – today.
BHD Strategic Plan Context, Purpose, and Vision
Our strategic planning efforts were first launched in the Summer/ Fall of 2022. Our BHD
Executive Team was committed to conducting an internal and external process to ensure
the greatest amount of participation, candor, and shared visioning across Alameda
County. The process involved multiple stakeholders and included feedback from
employee team members. The purpose of the process was to help BHD focus on
pathways for system improvement on behalf of our clients and families as we jointly face
a host of policy and legislative changes impacting the delivery of behavioral health
services. We anticipated that it would require a multi-year process given the scope of our
work, and we committed ourselves to the process until its completion. Since the final
report includes feedback garnered over the past two years, some of the references may be
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outdated (for example, “ACBH” or “HCSA”). However, we ask that you consider them
through the context of our current legislative landscape, agency, and departmental
naming conventions.
BHD Strategic Plan Next Steps
Our Goal: Ultimately, our aim is to use the contents of the strategic plan through the
application of the department’s priority framework (Alignment, Communication, and
Organizational Structure) to drive all potential elements of implementation.
The Next Steps (Phase 1, Phase 2, and Phase 3): Given the number of individuals and
organizations engaged over the past two years, we believe that it is essential that we
disseminate the full report as widely as possible as we consider it to be Phase 1 of our
strategic implementation process. This phase will also include translating its contents
into multiple languages to ensure that we reach as many community members as
possible. Phase 2 will require that we internally analyze the contents, including reviewing
the more recent regulatory (and legislative changes) impacting our system. Based upon
an initial review of the report by our Executive Team, this next step (Phase 2) must also
include integrating various approaches to help us remain on track so that we may be as
successful as possible. These approaches include being mindful of the process,
strategies, and the communication we employ with our internal and external
stakeholders. When we are ready to implement the BHD Strategic Plan (Phase 3), our
department will remain true to a process that is informed by ongoing education, review of
departmental/community priorities, and opportunities for bi-directional feedback and
strategy planning.
Our Ask of You: We are sharing the full report with each of you so that you may learn more
about what service-related feedback you and/or others across the community provided to
our consultants throughout the process. At this time, we invite you to become as familiar
with its contents as possible.
Our Future Asks and Your Potential Participation in the Future: As you review the
Strategic Plan Report, please keep in mind that our department has developed True North
Metrics to help us work together with a shared vocabulary and understanding of our
aspirational goals. For those who are willing, we hope to create future opportunities to
discuss the contents and co-create solutions for strengthening our work as a well-
organized, equity-focused, and community-connected system for the Alameda
Community. We look forward to those opportunities as they will help us to purposefully
evaluate the current landscape to inform the development of an Implementation Plan
(Phase 3).
Thank you to those who have already provided feedback regarding our county’s behavioral
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health service delivery system – and thank you to all Stakeholders who will provide ongoing
feedback in the months to come!
Your ongoing commitment to Alameda County, clients, families, and the community is
sincerely appreciated.