San Mateo County MHSA (Prop 63)
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!
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 email@example.com.
The MHSA Annual Update is submitted annually to the State after local review and Board of Supervisors approval and includes:
- Outcomes of all existing MHSA funded programs including program data, challenges, successes and client stories
- Implementation highlights, progress made and any amendments to the Three-Year Plan
- 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:
- Plan to Spend Available One Time MHSA Funds
- Five MHSA Innovation Projects (full proposals linked below)
Draft Innovation Project Proposals:
- Addiction Medicine Fellowship
- Co-location of Prevention and Early Intervention Services in Low‐Income Housing
- PIONEERS - Pacific Islander college‐age youth mental health
- Older Adult Homelessness Prevention and Economic Stress
- Social Enterprise Cultural and Wellness Café for Filipino/a/x youth
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: firstname.lastname@example.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:
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:
- 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.
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.
- 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
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.
- 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
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.
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
- Annual Outreach Collaboratives Report - FY 2016-17 (updated April 2018)
- Outreach Collaborative Evaluation, FY 2015-16
- 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
Evaluation Reports for Year 1 and Year 2 of the MHSA Innovation projects are now available:
- The Pride Center: Year 2 / Year 1
- Health Ambassador Program for Youth (HAP-Y): Year 2 / Year 1
- Neurosequential Model of Therapeutics (NMT) in an Adult System of Care: Year 2 / Year 1
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
- - 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 / approved 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.
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
- MHSA INN Regulations Amendment – effective July 2018
- MHSA INN Regulations - effective October 2015
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 firstname.lastname@example.org to learn more and/or join the committee(s).
- Info Sheets (English/Spanish/Chinese) and Frequently Asked Questions
- Presentation to the MHSARC – June 6, 2018
- San Mateo County Innovation Plan - updated August 2018
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:
- Project Brief #1: Health Ambassador Program for Youth (HAP-Y)
- Project Brief #2: LGBTQ Coordinated Behavioral Health Services Center (Pride Center)
- Project Brief #3: Neurosequential Model of Therapeutics (NMT) within an Adult Service System
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.
- The Pride Center Article and Extension Request
- NMT in an Adult System of Care Presentation
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.
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.