San Mateo County MHSA (Prop 63)

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The Mental Health Services Act (MHSA), Proposition 63 in 2004, provides increased funding, personnel and other resources to support County behavioral health programs and monitor progress toward statewide goals for children, transition-age youth, adults, older adults and families. MHSA addresses a broad continuum of prevention, early intervention and direct 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!

Announcements

Full Service Partnership (FSP) Workgroup

MHSA prioritizes Full Service Partnership (FSP) services for adults living with serious mental illness and children/youth living with serious emotional disturbance. An FSP Workgroup made up of clients, family members, providers and other stakeholders was selected to provide input on local FSP outcomes and FSP services for ongoing quality improvement.

FSP Workgroup meeting materials, presentations and recordings will be shared here:

• September 2nd - recording, presentation slides + FSP Client and FSP Provider input summaries
• October 7th -  recording, notes, presentation slides + pre-meeting handout 
• November 4th - Coming soon

Mental Health Digital Literacy 

In response to feedback received via the Race & COVID Town Halls and peer staff that are distribution devices to clients, we are offering Tech Cafe’s and Advanced Zoom trainings to support digital literacy.  Check back for an updated training schedule coming soon!

MHSA Ongoing Planning – How to Get Involved

The best way to learn about how to get involved in MHSA ongoing program planning is to sign up to receive email updates; link above on this webpage. When new programs need to be developed, we often work through BHRS standing committees and will announce these opportunities here on the MHSA website and to our MHSA email subscribers.

Questions/Comments:

Send your questions/comments to Doris Estremera, MHSA Manager:

• Email: mhsa@smcgov.org / phone: (650) 573-2889
• Optional Public Comment Form

For the most current BHRS updates, which include MHSA funded programs, view the monthly Director’s Report  provided to the MHSARC Commission and/or subscribe to the BHRS Blog.  To keep informed of funding opportunities visit and subscribe to the Request for Proposal website.

MHSA Planning in San Mateo County

• MHSA Info Sheet 
• MHSA Components and Programs FY 2020-21 
• MHSA FY 2020-21 Budget
• MHSA Fiscal & Planning Guidelines Summary  & Funding Principles

MHSA planning, implementation and updates happen on a Fiscal Year (FY) calendar July 1 – June 30. Counties are required to conduct a thorough Community Program Planning (CPP) process, submit a Three-Year Plan and Annual Updates.   

Current Three-Year Plan Due: June 30, 2020
Current Three-Year Implementation Phase: July 1, 2020 through June 30, 2023
Annual Updates Due: June 30th of each implementation year
Next Three-Year Planning Phase: January 2023 – April 2023
Next Three-Year MHSA Plan Due: June 30, 2023

MHSA Issue Resolution Process Policy

An Issue Resolution Process (IRP) Policy 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 and therefore MHSA issues will be routed through the formal OCFA Grievance process. The MHSA IRP is focused on grievances related to the planning and implementation of MHSA.

• MHSA Issue Resolution Process Policy

Community Program Planning (CPP) Process

How to Give Public Comment

Check out the How to Give Public Comment quick tips- adapted from CAMHPRO’s Delivering the ABC’s of Advocacy training.

Three-Year Plan Development, FY 20/21 through FY 21/23 

The MHSA Three-Year Plan was developed in collaboration with clients and families, community members, staff, community agencies and stakeholders.  Over 400 participated in the planning through surveys, input sessions and key interviews.

• Strategy Prioritization (April 29th) Agenda/Minutes, Presentation, Recording, &  Voting Results
• Strategy Launch (March 3rd) Agenda/Minutes, Presentation
• Strategy Development Input Sessions & Notes
• Needs Prioritization Survey Results 
• Framework for Community Program Planning (CPP) 

Assembly Bill (AB) 114 Plan to Spend Reallocated Funds 

The San Mateo County’s proposed AB 114 Plan to Spend Reallocated Funds was approved by the our Board of Supervisors on August 7, 2018. 

• AB 114 Reversion Summary
• AB 114 Presentation to the MHSARC – May 2, 2018
• San Mateo County AB 114 Reversion Plan - updated August 2018

Prevention & Early Intervention (PEI) Planning

Between October-December 2017, a taskforce of PEI experts, leaders, clients/consumers and family, and community members was convened to develop recommendations for children 0-25.   

• Meeting #1 (10/27/17) – Meeting Materials / Minutes and Attendance
• Meeting #2 (11/17/17) – Meeting Materials / Minutes and Attendance
• Meeting #3 (12/8/17) – Meeting Materials / Minutes and Attendance

Priority Matrix and Agreement Results

Steering Committee

MHSA Steering Committee Meetings

MHSA Steering Committee meetings are open to the public to provide input, make recommendations and stay up-to-date on new MHSA developments and ongoing programming.  Meetings  are scheduled on the first Thursday at 3pm in February, May, September and December.  Upcoming meeting details can be found under the “Announcement” tab above, one month prior to the meeting.  

If you are interested in serving as an MHSA Steering Committee member, please complete an MHSA Steering Committee Application. Members are involved in making recommendations for improvement and funding of behavioral health services and assure that MHSA planning reflects local diverse needs and priorities. View the current Steering Committee Membership list and the Roles and Responsibilities for more details.

MHSA Steering Committee Meeting Materials

• Materials for September 2, 2021 Meeting Notes & Attendance
• Materials for May 6, 2021 Meeting Notes & Attendance
• Materials for February 4, 2021 MHSA Steering Committee Orientation Packet Meeting Notes & Attendance
• Materials for October 7, 2020 Meeting Notes & Attendance
• Materials for April 29, 2020 Meeting Notes & Attendance
• Materials for March 3, 2020 Meeting Notes & Attendance
• Materials for October 2, 2019 Meeting Notes & Attendance
• Materials for April 22, 2019 Meeting Notes & Attendance
• Materials for January 30, 2019 Meeting Notes & Attendance
• Materials for September 24, 2018 Meeting Notes & Attendance
• Materials for February 16, 2018 Meeting Notes & Attendance
• Materials for April 26, 2017 Meeting Notes & Attendance
• Materials for March 13, 2017 Meeting Notes & Attendance
• Materials for December 7, 2016 meeting Meeting Notes & Attendance
• Materials for March 15, 2016 meeting Meeting Notes & Attendance
• Materials for October 28, 2015 meeting  Meeting Notes & Attendance
• Materials from March 30, 2015 meeting
• Materials from August 27, 2014 meeting
• Materials from June 10, 2014 meeting
• Materials from March 6, 2013 meeting
• Materials from May 2, 2012 meeting
• Materials from March 23, 2011 meeting
• Materials from October 26, 2010 meeting

Evaluation

Full Service Partnerships

The American Institutes for Research (AIR) supports evaluation and analyses of the San Mateo County FSP Programs outcomes. Following are the annual FSP Outcome Findings Reports:

• FSP Evaluation, FY 2018-19
• FSP Evaluation, FY 2017-18
• FSP Evaluation, FY 2016-17
• FSP Evaluation, FY 2015-16

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.

• Executive Summary – July 2014
• Full Report – July 2014

Prevention & Early Intervention 

AIR also supports evaluation and analyses of the MHSA Outreach Collaboratives . Following are the annual reports:

• Outreach Collaborative Evaluation, FY 2018-19
• Outreach Collaborative Evaluation, FY 2017-18
• Outreach Collaborative Evaluation, FY 2016-17
• Outreach Collaborative Evaluation, FY 2015-16

Additional program evaluation and impact reports:

• Health Equity Initiatives – A Ten Year Review, FY 2015-16
• PEI Programs Year 1 Evaluation Report, FY 2013-14
• PEI Programs Year 2 Evaluation Report, FY 2014-15

Innovation (INN)

Evaluation Reports for current MHSA Innovation projects are now available: 

• The Pride Center: Year 4 / Year 3 / Year 2  / Year 1 
• Health Ambassador Program for Youth (HAP-Y): Final Report
• Neurosequential Model of Therapeutics (NMT) in an Adult System of Care: Final Report

Workforce Education and Training (WET)

A WET one-time funding allocation was received in Fiscal Years 2006 to 2008, with a ten-year time frame to expend the funds. 

• WET 10-Year Impact & Sustainability Report

Statewide MHSA Evaluation Reports 

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

Three-Year Plans, Updates and Revenue & Expenditure Reports

MHSA Three-Year Plan & Annual Update

• Annual Update FY 21/22 – presentation / approved plan
• Three-Year Plan FY 20/21 – FY 22/23 & Annual Update FY 20/21 – presentation / approved plan
• Annual Update FY 19/20 - presentation  / approved plan
• Annual Update FY 18/19 - presentation / approved plan
• Three-Year Plan FY 17/18 – FY 19/20(presentation) & Annual Update FY 17/18 (presentation) - approved plan
• Annual Update FY 16/17 - presentation/approved plan
• Annual Update FY 15/16 - presentation/approved plan
• Three-Year Plan FY 14/15 – FY 16/17 & Annual Update FY 14/15 - presentation/approved plan
• Annual Update FY 13/14 - presentation/approved plan
• Annual Update FY 12/13 - presentation/approved plan

Annual Revenue and Expenditure Reports (ARER)

• Fiscal Year 2019-20 ARER
• Fiscal Year 2018-19 ARER
• Fiscal Year 2017-18 ARER
• Fiscal Year 2016-17 ARER
• Fiscal Year 2015-16 ARER
• Fiscal Year 2014-15 ARER
• Fiscal Year 2013-14 ARER
• Fiscal Year 2012-13 ARER

MHSA Components

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.

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; the Suicide Prevention Committee; Prevention & Recovery in Early Psychosis (PREP); Youth Crisis Intervention; and the San Mateo County Mental Health Assessment and Referral Team (SMART).

MHSA PEI also 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.
• Trauma-Informed Co-Occurring Services for Youth - evidence-based or promising practice intervention/curriculum to address trauma and co-occurring substance use issues with youth.
• Project SUCCESS – preventing and reducing substance use and abuse and associated behavioral issues among high risk, multi-problem adolescents.
• Teaching Pro-Social Skills -  addressing the social skills needs of students in public elementary schools who display aggression or other problem behaviors. 

Innovation (INN)

The MHSA INN component allows counties to apply for funds for innovative projects that are designed and implemented for a defined time period and evaluated to develop new best practices in mental health services and supports.

• MHSA INN One-pager 

New Innovation Project Proposals

Three new Innovation projects were approved by the State Mental Health Services Oversight and Accountability Committee (MHSOAC) approval.  The full project proposals are linked below.

• Co-location of Prevention and Early Intervention Services in Low‐Income Housing
• PIONEERS - Native Hawaiian and Pacific Islander (NHPI) college‐age youth mental health 
• Social Enterprise Cultural and Wellness Café for Filipino/a/x youth

Help@Hand

San Mateo County joined a statewide collaborative Help@Hand (formerly Tech Suite) to pilot behavioral health online apps as a complimentary support system to care.  Advisory Committees for both older adults and transition age youth meet monthly to guide the implementation, customization and evaluation of this project. 

• Info Sheets (English/Spanish/Chinese) and Frequently Asked Questions 
• Presentation to the MHSARC – June 6, 2018
• San Mateo County Innovation Plan - updated August 2018

Previous INN Projects

• The San Mateo County Pride Center: Project Brief,  article and extension request 
• Health Ambassador Program for Youth (HAP-Y): Project Brief and presentation
• Neurosequential Model of Therapeutics (NMT) within an Adult Service System: Project Brief and presentation
• Total Wellness Program: Total Wellness Innovation Plan

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.

Housing

The MHSA Housing Program was established to create permanent supportive housing for individuals with serious mental illness who are homeless or at risk of homelessness. Since 2006, the funding has led to 62 supportive housing units developed in San Mateo County.

Visit our MHSA Housing page for more information and the most recent MHSA Housing Initiative.

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.