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San Mateo County MHSA (Prop 63)

Overview

Mental Health Services Act (Prop 63)

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Proposition 63, known since November 2004 as the Mental Health Services Act (MHSA), 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. 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!

Announcements

MHSA Annual Update and 30 Day Public Comment Period

The FY 2019-20 MHSA Annual Update was presented at the Mental Health Substance Abuse and Recovery Commission (MHSARC) meeting on December 4th.  Commissioners voted to open a 30-day public comment period for review of the report.  All materials are posted below; hard copies are available upon request to mhsa@smcgov.org.   

The MHSA Annual Update is submitted annually to the State after local review and Board of Supervisors approval and includes:

  1. Outcomes of all existing MHSA funded programs including program data, challenges, successes and client stories
  2. Implementation highlights, progress made and any amendments to the Three-Year Plan
  3. Updated budgets

One-Time Funds and MHSA Innovation Projects

On November 6th, the MHSARC met and reviewed public comments received, voted to close the 30-day public comment period and subsequently voted to submit the following items to the Board of Supervisors for approval: 

  1. Plan to Spend Available One Time MHSA Funds
  2. Five MHSA Innovation Projects (full proposals linked below)

Draft Innovation Project Proposals:

Stay tuned for the posting of the final project proposals including recommendations from the public comments received. 

For comments or questions, contact Doris Estremera, MHSA Manager by:

  • Email: mhsa@smcgov.org
  • Phone: (650) 573-2889
  • Mail: 310 Harbor Blvd, Bldg E, Belmont CA 94002
  • Optional Public Comment Form

 

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 .

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

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 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.

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.

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. 

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.   

Priority Matrix and Agreement Results

MHSA Three Year Plan FY 17/18 through FY 19/20

Approximately 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.  

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

 

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 a Steering Committee Application:

Download the application and submit by email to mhsa@smcgov.org.

Evaluation

Full Service Partnerships

The American Institutes for Research (AIR) supports evaluation and analyses of the San Mateo County FSP Programs outcomes. 

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.

Prevention & Early Intervention 

Innovation (INN)

Evaluation Reports for Year 1 and Year 2 of the MHSA Innovation projects are now available: 

Workforce Education and Training (WET)

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

Statewide MHSA Evaluation Reports 

Plans, Updates and Revenue & Expenditure Reports

MHSA Three-Year Plan & Annual Update

Annual Revenue and Expenditure Reports (RER)

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.

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; 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. 

Previous Years

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.

Behavioral Health Technology-based Interventions

San Mateo County joined a statewide collaborative to pilot behavioral helth online apps as a complimentary support system offering a
bridge to care and removing some barriers clients or family members may face when seeking conventional mental health services.  Advisory Committees for both older adults and transition age youth have started meeting to guide the implementation, customization and evaluation of this project.  You can contact Brittany Ganguly at bganguly@smcgov.org to learn more and/or join the committee(s). 

Other Current INN Projects

The Community Program Planning (CPP) process to develop the MHSA Three-Year Plan, 2014-2017, included generating ideas for innovative projects.  In July 2016, three projects were approved by the state to move forward for implementation:

On March 28, 2019 the Pride Center was approved for a two-year  funding extension.  On June 5, 2019, the Mental Health and Substance Abuse Recovery Commission (MHSARC) approved a one year extension request for HAP-Y and NMT in an Adult System of Care, at no additional cost. 

Total Wellness Program

From 2010 through June 2015, BHRS built on several emerging, innovative practices for mental health and physical health integration:

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

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, 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 2019.

Visit our MHSA Housing Program for more information.

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.

Commands