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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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January 25, 2007
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BOARD MEETING DATE:
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February 6, 2007
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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 A. Silva, Director of Health
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Gale Bataille, Director of Mental Health Services
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SUBJECT:
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Agreement with State Department of Mental Health for Mental Health Services Act Funded Services
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute an agreement with State Department of Mental Health for Mental Health Services Act funds for the term March 1, 2006 through June 30, 2008, for a maximum obligation of $15,216,123.
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VISION ALIGNMENT:
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Commitment: Ensure basic Health and Safety for all.
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Goal 8: Help vulnerable people-the aged, disabled, mentally ill, at risk youth and others-achieve a better quality of life.
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The agreement contributes to this commitment and goal by providing funding for mental health services as described in the approved San Mateo County Mental Health Services Act (MHSA) Three-Year Plan.
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Performance Measure:
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Measure
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Youth Full Service Partnership (FSP) Services – Percent reduction of total days of hospitalization
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Adult FSP Services – Percent reduction of total days of incarceration
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BACKGROUND:
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On November 8, 2005, your Board approved submission of the San Mateo County MHSA Community Services and Supports (CSS) Three-Year Plan (Plan) to the State Department of Mental Health (DMH). The Plan was the result of a comprehensive planning process that was designed to facilitate meaningful participation of a broad range of stakeholders including members of historically unserved and underserved populations. The formal planning process included participation by several hundred stakeholders and outreach to over 1000 community members. DMH approved the Plan on March 30, 2006. Following approval of the Plan DMH began to provide funding for MHSA services in anticipation of the completion of this agreement.
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DISCUSSION:
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This agreement with the DMH provides funding for the term March 1, 2006 through June 30, 2008, which is the term of the CSS Three-Year Plan. Funding will be utilized to support eight program strategies organized into three expenditure categories: outreach and support, system transformation strategies, and full service partnerships. Fifty percent of the funding is required to be directed to full service partnerships, which are comprehensive services for highest risk individuals. In San Mateo County FSP services have been implemented for youth, transition-age youth, and for adults and older adults. Other services that have been implemented include: Pathways, a mental health court; expansion of primary care based mental health services; expansion of senior focused services; expansion of services for children, youth, and adults; hiring and 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; and subsidized housing for clients who are receiving full service partnership services.
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The State has not yet released MHSA funds designated for education and training; housing, capital projects, and technology; prevention and early intervention; and innovative services.
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The term of the agreement is March 1, 2006 through June 30, 2008. The agreement has been reviewed and approved by County Counsel and Risk Management. This agreement was prepared by the DMH and has been delayed due to the increased DMH workload related to the implementation of the MHSA.
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FISCAL IMPACT:
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This agreement maximum is $15,216,123, with annual maximums of $2,421,112 for FY 2005-06; $6,338,400 for FY 2006-07; and $6,456,611 for FY 2007-08. This funding is anticipated to leverage an additional $7.3 million in Medi-Cal, Healthy Families and Healthy Kids revenue over the three years for a total of $22.5 million. These funds have been included in the Adopted Budget for FY 2006-07 and will be included in the Recommended Budget for FY 2007-08. No 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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