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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!


MHSA Three-Year Plan Approval

The Mental Health and Substance Use Recovery Commission (MHSARC) held a special meeting on July 15th and voted to submit the following two MHSA items to the Board of Supervisors for approval. 

  1. MHSA Three-Year Plan, Fiscal Year 2020-23 - updated 7/15/20 to include all public comments received
  2. Plan to Spend $5M One-Time Funds on COVID-related impacts 

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

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

Three-Year Plan Development 

The MHSA Three-Year Plan is 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.

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.


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: June 2017
Current Three-Year Implementation Phase: July 1, 2017 through June 30, 2020
Annual Updates Due: June 2018, June 2019, June 2020
Next Three-Year Planning Phase: January 2020 – April 2020
Next Three-Year MHSA Plan Due: June 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


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:

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 

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

Additional program evaluation and impact reports:

Innovation (INN)

Evaluation Reports for current 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 

Three-Year Plans, Updates and Revenue & Expenditure Reports

MHSA Three-Year Plan & Annual Update

Annual Revenue and Expenditure Reports (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.

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 CommitteePrevention & 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’ Planning

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.

New Innovation Project Proposals

Five MHSA Innovation Projects were approved by the Board of Supervisors on April 7th and are now the awaiting final approval by the State Mental Health Services Oversight and Accountability Committee (MHSOAC) approval.  The full project proposals are linked below and include public comments and letters of support received.

Behavioral Health Technology-based Interventions

San Mateo County joined a statewide collaborative Help@Hand to pilot behavioral health 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 meet monthly to guide the implementation, customization and evaluation of this project. 

Other 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


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.

General information

Stigma Free San Mateo County

Be the One

Did you know that one in four people have a mental health condition? Chances are someone you know has a mental health issue that you may not know about because they are active, productive members of our community. But more than half of the people with mental health issues are not getting the help and treatment they need because of the stigma surrounding mental illness and fear others will judge them. You can Be the One to help.

General information
Storytelling Program

Storytelling Program

Hosted by The Office of Diversity and Equity

The Office of Diversity and Equity (ODE) storytelling program empowers community members to share their stories of recovery and wellness to heal and to address issues within their communities. Participants engage in workshops that help them create and share their stories in different forms. Beginning with a framing question, facilitators support participants to share their stories as Photovoices or Digital Stories.

General information

Get the Latest News

Check out the BHRS blog, a forum for discussing policies and issues related to mental health and substance use in San Mateo County.