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San Mateo County MHSA (Prop 63)


Mental Health Services Act (Prop 63)

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The passage of Proposition 63, known since November 2004 as the Mental Health Services Act (MHSA), provides the first opportunity in many years for increased funding, personnel and other resources to support County mental health programs and monitor progress toward statewide goals for children, transition-age youth, adults, older adults and families.

The Act addresses a broad continuum of prevention, early intervention and service needs and the necessary infrastructure, technology and training elements that will effectively support this system. We are thrilled to have you as a visitor, and hope you will want to become involved in MHSA planning processes as they occur. For information regarding the contents of the site or to learn more about how to become involved in planning processes, email


MHSA 3-Year Plan Prioritization Session

Open to the public! Join behavioral health advocates, providers and clients and provide your input on the next 3 years of MHSA priorities. You will also learn about MHSA programs key successes, needs and outcomes.

Wednesday, April 26 2017, 4-7pm
Veterans Memorial Senior Center, Redwood Room 
1455 Madison Ave. Redwood City, CA  94061

 Please view the flyer(s) for additional details:

New Resource!

How to Give Public Comment – Adapted from CAMHPRO’s Delivering the ABC’s of Advocacy training,

MHSA 3-Year Planning Launch

About 120 clients, families, community members and stakeholders attended the launch of the MHSA 3-Year Planning process.  Highlights included an 1) an MHSA Housing proposal, 2) public comment from clients, families and community members on priority needs and gaps in mental health services, and 3) breakouts to develop strategies on key themes. Materials are posted below:


MHSA Annual Update 

The MHSA Annual Update for Fiscal Years 2016-17 will be presented to the Board of Supervisors for approval next, stay tuned for confirmation on the presentation date.  Materials from the presentation to the MHSA Steering Committee and the Mental Health & Substance Abuse Recovery Commission (MHSARC) are posted below:

You are welcome to provide public comment by submitting a comment form to Doris Estremera, MHSA Manager by email at or by mail to:

Office of Diversity & Equity / MHSA
310 Harbor Blvd. Bldg. E
Belmont, CA 94003


For the most current program-specific updates, which include MHSA funded programs, sign up to receive the BHRS e-journal, Wellness Matters and visit the BHRS Blog. The Community Service Areas (CSA) inform MHSA planning, visit the CSA webpage for updates.

If you have any comments or questions, please send them to

Steering Committee

The MHSA Steering Committee makes recommendations about the planning and services development process of MHSA. As a group, the MHSA Steering Committee assure that MHSA planning reflects local diverse needs and priorities, contains the appropriate balance of services within available resources and meets the criteria and goals established. View the current Steering Committee Membership list and the Roles and Responsibilities document for more details. If you are interested in joining, please complete the Steering Committee Application and submit by email to   



MHSA planning, implementation and updates are on a Fiscal Year (FY) calendar July 1 – June 30. Counties are required to plan for and submit a Three-Year MHSA Plan and Annual Updates each year.   

Current Three-Year Implementation Phase: July 1, 2014 through June 30, 2017
Annual Updates Due: December 2015, December 2016, December 2017
Next Three-Year Planning Phase: January 2017 – April 2017
Next Three-Year MHSA Plan Due: December 2017

MHSA Issue Resolution Process 

An Issue Resolution Process (IRP) has been adopted to resolve specific MHSA issues related to: 

  1. The Community Program Planning (CPP) process
  2. Consistency between approved MHSA plans and program implementation
  3. The provision of MHSA-funded programs and services

In San Mateo County, the Office of Consumer and Family Affairs (OCFA) manages service/treatment grievances for BHRS. The MHSA IRP is particularly focused on the planning and implementation processes.


Prevention & Early Intervention Program Evaluation

In July 2013, we set out to evaluate our Prevention & Early Intervention (PEI) programs to understand the impact these programs are having in terms of promoting mental health, reducing the risk of mental illness, and decreasing the severity and negative consequences associated with onset of mental illness. The first year report, for services implemented in fiscal years 2013-14, is now available.

Full Service Partnership Qualitative Evaluation

In 2015, the American Institutes for Research (AIR) conducted a number of analyses of the San Mateo County FSP Programs outcomes and a full report will be released soon. In the meantime, check out the FSP hospitalization and psychiatric emergency outcome report. Clients of San Mateo County’s FSP Program had statistically significant decreases in psychiatric hospitalizations and emergency services according to this recent study. Reductions in use of psychiatric hospitalizations and emergency services may indicate that individuals’ mental health status has improved and that they no longer require intensive care.

In 2014 our Full Service Partnership (FSP) programs were evaluated to understand how well FSPs are working from the perspective of administrators, providers and consumers/clients.

  • Full Service Partnership Evaluation Executive Summary – July 2014 PDF
  • Full Service Partnership Evaluation Full Report – July 2014 PDF

Statewide MHSA Evaluation Reports Released

  • MHSA Statewide Outcomes Report – Released March 2015 PDF by Steinberg Institute
  • Evaluation of California’s Statewide Mental Health PEI Programs – Released February 2015 PDF by RAND Corporation
  • Evaluation of Statewide MHSA Community Program Planning (CPP) Practices  - Released 2014 by the MHSOAC

Plan and Components

MHSA Three-Year Plan & Annual Update

On January 27, 2015, the San Mateo County Board of Supervisors reviewed and approved the MHSA Three-Year Program and Expenditure Plan FY 2014-2015 through FY 2016-2017.  The development of the MHSA Three-Year Plan involved a thorough Community Program Planning (CPP) process.  See the following presentation and documents for more information on our local CPP process:

MHSA Annual Updates

MHSA fundable activities are grouped into “components” each one with its own set of guidelines and rules:

Community Services & Supports (CSS)

CSS activities focus on providing direct services and treatment to people of all ages living with serious mental illness. At least 51% of CSS dollars have to be spent on full service partnerships, which provide 24/7 wraparound services.

Previous Years:

Prevention & Early Intervention (PEI)

PEI activities target individuals of all ages prior to the onset of mental illness, with the one exception of programs focusing on early onset of psychotic disorders. Learn more about the Office of Diversity and Equity, the Stigma Free San Mateo County and Prevention & Recovery in Early Psychosis (PREP); three PEI funded programs. MHSA PEI funds the following Community Interventions for School Age and TAY programs:

  • Early Childhood Community Team – supporting social emotional development in child care settings by providing consultation to child care providers;
  • Seeking Safety – helping people attain safety from trauma/PTSD (Post Traumatic Stress Disorder) and substance abuse
  • Project SUCCESS – preventing and reducing substance use and abuse and associated behavioral issues among high risk, multi-problem adolescents
  • School-based Services – aligning mental health clinicians to four middle schools in San Mateo County to serve SED children

Previous Years:

PEI Planning

Capital Facilities & Information Technology (CF & IT)

CF&IT component funded eClinical Care, an integrated business and clinical information system (electronic health record) as well as ongoing technical support.


The MHSA Housing Program funds permanent supportive housing for individuals with severe mental illness and that meet the MHSA eligibility criteria as homeless or at-risk of being homeless. The Mental Health Association (MHA) of San Mateo County submitted a proposal to develop Waverly Place Apartments in North Fair Oaks community, which was reviewed and accepted by committee in February, 2014. Visit our MHSA Housing Program page for updates on this project.

Innovation (INN)

The MHSA Innovation Component allows counties to apply for funds for innovative projects. An Innovative Project is designed and implemented for a defined time period and evaluated to develop new best practices in mental health services and supports.

The Community Program Planning (CPP) process to develop the MHSA Three-Year Plan, 2014-2017, included generating ideas for innovative projects. The MHSA Steering Committee prioritized 5 Innovation Projects for possible funding, a Letter of Interest process further identified capacity and interest.  

In July 2016, three projects were approved by the state to move forward for implementation. To learn more about the 2016 MHSA INN projects, see the final Project Briefs below. 

Previous INN Project

From 2010 through June 2015, BHRS built on several emerging, innovative practices for the San Mateo County Total Wellness program.

Workforce Education & Training (WET)

WET programming includes training, education, programs and policies to assist in the engagement and selection of a diverse workforce that includes consumers, families, and community members and schools. Visit the BHRS WET website to learn more about the programs and services.

MHSA WET received one-time funding from MHSA for up to 10 years, which is ending in June 2018 for San Mateo County.  We are currently working with an independent contractor to develop a 10 year MHSA WET impact report and a sustainability plan for evaluation of the MHSA INN projects.  The planning process has begun and we will share updates as they become available.

Previous Years