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COUNTY OF SAN MATEO
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Inter-Departmental Correspondence
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Health Department
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DATE:
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January 18, 2008
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BOARD MEETING DATE:
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January 29, 2008
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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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Louise Rogers, Director, Behavioral Health and Recovery Services
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SUBJECT:
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Agreement with State Department of Mental Health for Mental Health Services Act Expansion Funding
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RECOMMENDATION:
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Adopt a resolution authorizing the President of the Board to execute a superseding Agreement with the State Department of Mental Health (DMH) for Mental Health Services Act (MHSA) funding for the term July 1, 2004 through June 30, 2008, increasing the original approved amount by $2,544,748 to a new approved amount of $17,760,871.
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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 MHSA Three-Year Plan.
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Performance Measures:
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Measure
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Youth Full Service Partnership (FSP) Services – Percentage reduction of total days of incarceration
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Adult FSP Services – Percentage reduction of total days of hospitalization
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*The target for these measures is 70% for all FSP services.
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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 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. On February 6, 2007, your Board approved an Agreement with DMH that approves MHSA funding in the amount of $15,216,213 for the term March 1, 2006 through June 30, 2008.
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DISCUSSION:
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This superseding agreement with the DMH modifies the available MHSA funding based upon current revenue estimates. Funding will be used to support eight program strategies organized into three expenditure categories: outreach and support, system transformation strategies, and FSP services. Fifty percent of the funding is required to be directed to FSP services, which are comprehensive services for highest risk individuals. In San Mateo County FSP services have been implemented for youth, for 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 FSP services.
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It is anticipated that DMH will provide a subsequent amendment to this Agreement for an additional augmentation for this fiscal year once this Agreement is in place. 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 modified term of the agreement is July 1, 2004 through June 30, 2008. The earlier start date allows for the distribution of Community Program Planning funds for FY 2004-05. 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 maximum approved amount is $17,760,871, with an annual maximum of $7,358,200 for FY 2007-08. These funds have been included in the Behavioral Health and Recovery Services Adopted Budget for FY 2007-08. No County General Fund is required.
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