San Mateo County MHSA (Prop 63)
Mental Health Services Act (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!
Latest News – MHSA Innovation!
New MHSA Innovation Funding Cycle
Share Your Ideas! A new submission packet will be released on June 1st. In the meantime, mark your calendars and register below to join our Info and Support Sessions to help you complete the submission packet and submit your ideas for funding.
- Innovation Flyers – English / Spanish / Chinese
- Info Session (June 2nd, 3-4pm) – Register here
- Online Research Tips (June 8th, 3-4pm) - Register here
- Submission Support Sessions – view dates/times and register here
A workgroup of BHRS staff, community members and clients and family members convened between Feb-April to help develop an inclusive and supportive process for applying, submitting and selecting innovative ideas for funding. You can view the workgroup meeting materials under the MHSA Planning tab on this website.
Other Announcements
MHSA Annual Update
The Mental Health and Substance Abuse and Recovery Commission (MHSARC) voted to close the public comment period on Wed, April 6th for the FY 22-23 MHSA Annual Update and subsequently voted to submit the Annual Update to the Board of Supervisors for approval.
- Presentation Slides, Executive Summary
- Full Document with Public Comments - updated 5/9/22
How To Provide Public Comments:
- Quick Tips – How to Give Public Comment at a public meeting
- Online Form
- Download a form, fill it out and email to mhsa@smcgov.org
- Leave a phone message at (650) 573-2889
How to Get Involved – and stay informed!
- Sign-up to receive MHSA emails from this website; link above
- Join one of many Standing Committees
- View the monthly Director’s Update provided to the commission
- Subscribe to the BHRS Blog
- For funding opportunities, sign up on the Request for Proposal website
About MHSA
- MHSA Info Sheet
- MHSA Components and Programs
- MHSA FY 2021-22 Budget
- MHSA Fiscal & Planning Guidelines and Funding Principles
- How to Give Public Comment - quick tips
MHSA planning, implementation and updates happen on a Fiscal Year (FY) calendar July 1 – June 30. Counties are required to submit Annual Updates and Three-Year Plans that are developed in collaboration with clients, family members of clients, community members and other stakeholders; this process is known as a Community Program Planning (CPP).
Current Three-Year Implementation Phase: July 1,
2020 – June 30, 2023
Annual Updates Due: June 30th of
each year
Next Three-Year Planning Phase
Begins: September 2022
Next Three-Year MHSA Plan Due: June 30, 2023
MHSA Issue Resolution Process Policy
An Issue Resolution Process Policy 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 Issue Resolution Process policy is focused on grievances related to the planning and implementation of MHSA specifically.
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 for individuals living with serious mental health challenges.
Prevention & Early Intervention (PEI)
PEI activities target individuals of all ages prior to the onset of mental illness, with the exception of programs focusing on early onset of psychotic disorders. At least 51% of PEI dollars have to be spent on programs for children and youth ages 0-25.
Innovation (INN)
The MHSA INN component allows counties to apply for funds for innovative projects that are implemented for 3-5 years and evaluated to develop new best practices in behavioral health. Final reports for previous projects are available under the Evaluation tab above.
- MHSA INN One-pager
- Summary of INN Project Implementation in San Mateo County
Three new Innovation projects were approved in 2020. The full project proposals are linked below.
- 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
In 2018, San Mateo County joined a statewide Innovation project Help@Hand (formerly Tech Suite) to pilot behavioral health online apps as a complimentary support system to care. Help@Hand Advisory Committees for both older adults and youth meet monthly to guide the implementation, customization and evaluation of this project.
- Info Sheets (English/Spanish/Chinese) and Frequently Asked Questions
- San Mateo County Innovation Plan - updated August 2018
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 through June 2018 for San Mateo County. An independent contractor was hired to develop a 10-year impact report and a sustainability plan for WET.
Housing
The MHSA Housing Program was established to create permanent supportive housing for individuals living with serious mental health challenges who are homeless or at risk of homelessness. Since 2006, the funding has led to 72 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 & Technology Needs (CFTN)
The CFTN component funded e-Clinical Care, an integrated business and clinical information system (electronic health record) as well as ongoing technical support. Currently, CFTN funds devices with data plans for clients to engage in telehealth and recovery services online.
MHSA Planning
Current Three-Year Implementation Phase: July 1,
2020 – June 30, 2023
Annual Updates Due: June 30th of
each year
Next Three-Year Planning Phase
Begins: September 2022
Next Three-Year MHSA Plan Due: June 30, 2023
A Community Program Planning (CPP) process involves clients of behavioral health services, families of clients and other community stakeholders in planning, implementation and evaluation activities of MHSA funded programs.
MHSA Workgroups
The MHSA Steering Committee hosts two workgroups per year. Workgroup members provide input in planning new services and recommendations for improvements on prioritized topics.
- Spring 2022 – Innovation (INN) Workgroup
- Fall 2021 – Full Service Partnerships (FSP) Workgroup Recommendations
- Spring 2021 – MHSA Housing Initiative Taskforce
MHSA Three-Year Plan
During the development of the MHSA Three-Year Plan, stakeholder input is gathered at existing community meetings, at ad-hoc input sessions throughout the county, through surveys, and as formal public comment during a required 30-Day Public Comment and Public Hearing. Input for the MHSA Three-Year Plan is focused on:
- Highlighting what’s working well
- Identifying what needs improvement
- Prioritizing identified needs for potential future funding.
- Developing strategy ideas to address priority needs and serve as the basis for future funding of programs and services
The Fiscal Year 20/21 – 22/23 MHSA Three-Year Plan was developed in collaboration with over 400 clients and families, community members, staff, community agencies and stakeholders.
- 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)
Steering Committee
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. One month prior to each meeting, details for each meeting will be posted under the “Announcement” tab above.
- MHSA Steering Committee Application, Membership Roster and Roles and Responsibilities
- New Member Orientation Packet
MHSA Steering Committee Meeting Materials for the current Three-Year Plan: July 1, 2020 – June 30, 2023
- Materials for May 5, 2022 Meeting Notes & Attendance
- Materials for February 3, 2022 Meeting Notes & Attendance
- Materials for December 2, 2021 Meeting Notes & Attendance
- Materials for September 2, 2021 Meeting Notes & Attendance
- Materials for May 6, 2021 Meeting Notes & Attendance
- Materials for February 4, 2021 Meeting Notes & Attendance
- Materials for October 7, 2020 Meeting Notes & Attendance
Evaluation Reports
Full Service Partnerships (FSP)
- FSP Outcomes: FY 2020-21, FY 2019-20, FY 2018-19
Prevention & Early Intervention (PEI)
- PEI 3-Year Reports: FY 2018-21, FY 2016-18
- Outreach Collaboratives: FY 2020-21, FY 2019-20, FY 2018-19
- Health Equity Initiatives: 10-Year Impact - Jan 2017
Innovation (INN)
Evaluation Reports for current MHSA Innovation projects:
- The Pride Center: Final Report
- Health Ambassador Program for Youth (HAP-Y): Final Report
- Neurosequential Model of Therapeutics (NMT) in an Adult System of Care: Final Report
- Help @ Hand: Year 1 , Year 2, Statewide Evaluation,
Workforce Education and Training (WET)
- WET 10-Year Impact & Sustainability Report – Feb 2018
Three-Year Plans, Annual Updates and 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 2020-21 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