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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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Health Department
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DATE:
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October 24, 2005
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BOARD MEETING DATE:
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November 8, 2005
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Charlene Silva, Health Services Director
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Gale Bataille, Mental Health Director
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SUBJECT:
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Mental Health Services Act (MHSA) Proposal to the State Department of Mental Health
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to accept and approve submission of the MHSA Community Services and Supports Three-Year Plan to the State Department of Mental Health.
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VISION ALIGNMENT:
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Commitment: Ensure Basic Health and Safety for All
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Goal(s): Help vulnerable people—the aged, disabled, mentally ill, and at risk youth and others achieve a better quality of life.
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Acceptance and approval of the MHSA Three-Year Plan contributes to this commitment and goal by securing funding to provide mental health services.
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Performance Measure(s):
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Measure
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FY 2004-05
Actual
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FY 2005-06
Projected
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MHSA outcomes exceed state baseline performance by 5 %
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NA
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Establish baseline for outcomes
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BACKGROUND:
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In November of 2004, California voters approved Proposition 63, the Mental Health Services Act. The State Department of Mental Health issued detailed final requirements for each county’s Three-Year Plan for Community Services and Supports (CSS) in August 2005. CSS represents 50% of available statewide funding through FY 2007-08. The State has not yet released MHSA funds designated for education and training; capital projects; prevention and early intervention and innovative services.
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DISCUSSION:
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San Mateo County’s proposed three-year CSS Plan is the result of a comprehensive planning process that was designed to facilitate meaningful participation from a broad range of stakeholders including members of historically un-served and underserved populations. The formal planning process included participation by several hundred stakeholders and outreach to over 1000 community members. The planning structure included the Mental Health Board; a MHSA Steering Committee of over 50 members chaired by Supervisor Rich Gordon and the Mental Health Board Chair, Raja Mitry; and Child and Youth, Transition Aged Youth, Adult and Older Adult Workgroups. The Mental Health Board was engaged in all aspects of this planning process and has formally approved this proposal for submission to your Board.
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San Mateo County’s proposal contains eight program strategies organized into three broad approaches that reflect State approved expenditure categories: outreach and support; system transformation strategies and full service partnerships. Fifty percent of the funding must be directed to full service partnerships: comprehensive services for highest risk individuals. The proposal also addresses the use of FY 2005-06 one-time funds for: training consumer and family members to serve as peer counselors; cultural competence training and grant projects for focused resource and materials development; development of effective treatment for co-occurring disorders including a three-year training plan for mental health and alcohol and other drug treatment providers—County and contracted; and, subsidized housing for clients who are receiving full service partnership services. The proposal includes 32 County positions and for the provision of approximately $6.3 million dollars (MHSA and other related revenue) per year in contracted services to be provided by community agency partners. Contracted services represent 76% of the annual program expenditures. New position and contracted services requests will be submitted to your Board during the next several months to permit rapid program start-up once the State approves San Mateo County’s proposal.
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FISCAL IMPACT:
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The MHSA will provide up to $15,994,994 for FY 2005-06 through FY 2007-08, inclusive of proposed COLAs. This base funding is anticipated to leverage an additional $7.3 million in Medi-Cal, Healthy Families and Children’s Health Insurance revenue over the three years for a total of $23.3 million. No additional County General Fund is required. After FY 2007-08 many of the initial State funding requirements and withholding provisions will expire. At that point the County is expected to receive significant additional MHSA funding in an amount that is not yet determined.
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