San Mateo County MHSA (Prop 63)
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 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!
MHSA Steering Committee Meeting
The MHSA Steering Committee makes recommendations to the planning and services development process of MHSA. All Steering Committee meetings are open to the public and will include time for public comment. Download the meeting flier for more details.
MHSA Steering Committee Meeting
April 22, 2019, 3:00 pm – 4:30 pm
County Health Campus, Room 100
225 37th Ave., San Mateo
- Provide input on MHSA Plan to spend available one-time revenue
- Receive an update on MHSA Innovation funding cycle
- Hear from current Innovation project, the Health Ambassador Program for Youth
Innovation Funding - Submit Your Ideas! [Deadline has been extended]
MHSA funds Innovative Projects to develop new best practices in behavioral health services and supports, see flyer. We are looking for Innovation Project ideas that address the following prioritized areas of need:
- Engagement and integration of older adults
- Culturally relevant outreach and service delivery
- Integration of peer/family supports
- Integration of co-occurring practices
- Engagement services for transition-age youth
- Broader housing options across the continuum of care
Please complete the Innovation Project Form, deadline to submit your idea for consideration is March 15, 2019.
Funding Extension for the San Mateo County Pride Center
The 2-year funding extension request for the San Mateo County Pride Center, an MHSA Innovation project, was approved by the San Mateo County Board of Supervisors on February 26th. The request will now go to the State of California Mental Health Services Oversight and Accountability Commission (MHSOAC) for approval on March 28, 2019. To learn more about the extension request, see the presentation and materials provided below or join the Info Night organized by the Pride Center on March 20th from 6:30pm-8:00pm:
- The Pride Center MHSA Innovation Extension Request
- MHSA Steering Committee meeting materials: agenda, presentation, meeting notes and sign-in
Behavioral Health Technology-based Interventions
San Mateo County has opted to join a statewide collaborative funded by MHSA Innovation to pilot behavioral health apps to engage individuals who struggle connecting with traditional in-person behavioral health supports. Advisory Committees for both older adults and transition age youth have started meeting to guide the implementation, customization and evaluation of this project, contact Brittany Ganguly at email@example.com to join. To learn more about the Tech Suite, you can view the approved plan, presentations and other materials below:
- Info Sheets (English/Spanish/Chinese) and Frequently Asked Questions
- Presentation to the MHSARC – June 6, 2018
- San Mateo County Innovation Plan - updated August 2018
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. Visit and subscribe to the BHRS Request for Proposal website to keep informed of funding opportunities .
If you have any comments or questions, please send them to firstname.lastname@example.org or you can submit an optional Public Comment Form to 310 Harbor Blvd, Bldg E, Belmont CA 94002.
MHSA Planning in San Mateo County
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: December 2017
Current Three-Year Implementation Phase: July 1, 2017 through June 30, 2020
Annual Updates Due: December 2017, December 2018, December 2019
Next Three-Year Planning Phase: January 2020 – April 2020
Next Three-Year MHSA Plan Due: December 2020
Community Program Planning (CPP) Process
How to Give Public Comment
Assembly Bill (AB) 114 Plan to Spend Reallocated Funds
The San Mateo County’s proposed AB 114 Plan, which includes an Innovation (INN) Plan on technology-based behavioral health interventions, was approved by the our Board of Supervisors on August 7, 2018. Materials and details are available below.
- 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
During the most recent community planning process, the need to convene a taskforce of PEI experts, leaders, clients/consumers and family, and community members to develop specific strategic and programmatic recommendations for children 0-25, was identified. Between October-December 2017, a PEI Ages 0-25 special taskforce was convened.
- 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
MHSA Three Year Plan FY 17/18 through FY 19/20
About 300 clients, families, advocates, community members and providers participated in a series of sessions to launch the MHSA 3-Year Planning process and to share their stories and public comments in support of 17 priority recommendations for potential MHSA funding.
- Voting Results – Priority Recommendations
See the following clips of public comments from our top three prioritized recommendations:
- Ziomara Ochoa and Yolanda Novelo, Coastside CSA: Mobile mental health and wellness services to expand access to Coastside behavioral health clients and families
- Kava Tulua, One East Palo Alto and Mary Bier, North County Outreach Collaborative: Expansion of culturally responsive resources and outreach strategies to effectively link high-risk, isolated and emerging cultural and ethnic groups to needed services
- Bruce Adams and Mike Krechevsky, PREP San Mateo: After-care services for early psychosis treatment alumni that includes booster sessions and re-engagement, maintenance and family navigator support
MHSA Issue Resolution Process
An Issue Resolution Process (IRP) has been adopted to resolve specific MHSA issues related to:
- The Community Program Planning (CPP) process
- Consistency between approved MHSA plans and program implementation
- 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.
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 a Steering Committee Application:
Download the application and submit by email to email@example.com.
We are excited to release the first year evaluation reports for three of our MHSA Innovation Programs: The Pride Center, Health Ambassador Program for Youth (HAP-Y) and Neurosequential Model of Therapeutics (NMT) in an Adult System of Care.
- The Pride Center: Year 1 Evaluation Report
- HAP-Y: Year 1 Evaluation Report
- NMT in Adult System of Care: Year 1 Evaluation Report
Workforce Education and Training (WET)
MHSA WET strategies received a one-time funding allocation in Fiscal Years 2006 to 2008, with a ten-year timeframe to expend the allocated funds. With MHSA WET funding ending in 2018, BHRS assessed the impact of WET and identified priorities for the future.
Our annual report on MHSA Outreach Collaboratives, the North County Outreach Collaborative (NCOC) and the East Palo Alto Partnership for Mental Health Outreach (EPAPMHO) is now available.
- Annual Outreach Collaboratives Report - FY 2016-17 (updated April 2018)
In FY 15-16, Harder+Company Community Research, was contracted to evaluate the MHSA Outreach Collaboratives.
- Outreach Collaborative Evaluation Report, FY 15-16 (includes data analysis by the American Institute on Research)
Prevention & Early Intervention Programs Evaluation
In FY 15-16, Harder+Company Community Research, was contracted to develop an impact report for the Health Equity Initiatives.
In July 2013, we set out to evaluate 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 and second year report, for services implemented in fiscal years (FY) 2013 through 2015, are available.
Full Service Partnership Qualitative Evaluation
The American Institutes for Research (AIR) supports evaluation and analyses of the San Mateo County FSP Programs outcomes. The full FSP outcome reports are available.
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.
Statewide MHSA Evaluation Reports Released
- - Released March 2015 by Steinberg Institute
- - Released February 2015 by RAND Corporation
- - Released 2014 by the MHSOAC
Plans, Updates and Revenue & Expenditure Reports
MHSA Three-Year Plan & Annual Update
- Annual Update FY 18/19 (presentation / DRAFT plan)
- Three-Year Plan FY 17/18 – FY 2020 & Annual Update FY 17/18 (three-year plan presentation, annual update 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 (RER)
- Fiscal Year 2017-18 RER
- Fiscal Year 2016-17 RER
- Fiscal Year 2015-16 RER
- Fiscal Year 2014-15 RER
- Fiscal Year 2013-14 RER
- Fiscal Year 2012-13 RER
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;
- 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.
- Teaching Pro-Social Skills - addressing the social skills needs of students in public elementary schools who display aggression or other problem behaviors.
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 MHSA Housing Program was established to create permanent supportive housing for individuals with serious mental illness who are homeless or at risk of homelessness, and are enrolled in Full Service Partnerships, receiving wraparound services and supports. Since 2006, the funding has supported 62 housing units across four housing developments in Redwood City, South San Francisco, San Mateo and North Fair Oaks community.
Most recently, BHRS contributed the last of the MHSA Housing dollars, about $1.1 million, to the Affordable Housing Fund administered by the Department of Housing, which led to 12 additional MHSA units expected in 2018 .
Visit our MHSA Housing Program for more information.
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.
- New MHSA INN Regulations (effective October 1, 2015)
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.
- Project Brief #1: Health Ambassador Program for Youth
- Project Brief #2: LGBTQ Coordinated Behavioral Health Services Center
- Project Brief #3: NMT within an Adult Service System
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.