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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
Health System
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DATE:
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January 19, 2011
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BOARD MEETING DATE:
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February 15, 2011
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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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Jean S. Fraser, Chief, Health System
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Louise Rogers, Director, Behavioral Health and Recovery Services
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SUBJECT:
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San Mateo County’s membership in the California Counties’ Mental Health Services Authority via a Joint Exercise of Powers Agreement
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RECOMMENDATION:
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Adopt a Resolution authorizing the:
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A)
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President of the Board to authorize the County’s participation in the Joint Exercise of Powers Agreement that governs the operations of the California Mental Health Services Authority; and
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B)
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Director of Behavioral Health and Recovery Services to serve on the Board of Directors of the California Mental Health Services Authority; and
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C)
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Director of the Behavioral Health and Recovery Services to execute the Joint Exercise of Powers Agreement for and on behalf of the County.
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BACKGROUND:
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In 2004 voters approved Proposition 63, the Mental Health Services Act (MHSA), which provided for the State Department of Mental Health (DMH) to implement various mental health services through contracts with county mental health programs. For certain programs that are most efficiently performed as a statewide service, DMH has given counties three options: a Joint Powers Authority, a multi-County collaborative, or assignment to DMH.
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DISCUSSION:
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It is recommended that San Mateo County join the California Counties' Mental Health Services Authority (CalMHSA), a Joint Exercise of Powers Authority (JPA) that was developed in collaboration with the County Mental Health Directors Association to administer the statewide training, technical assistance and capacity building for the Prevention and Early Intervention (PEI) program and other statewide programs as needed. Approval of the JPA will allow Behavioral Health and Recovery Services to participate in the CalMHSA to jointly develop and fund mental health services and education programs as determined by CalMHSA Board on a regional, statewide, or other basis. As of January 2010, CalMHSA has 31 member counties containing more than 85% of the state’s population and accounting for more than $130,000,000 of the $160,000,000 allocated to counties to administer the three statewide Prevention and Early Intervention (PEI) Projects over the four-year period. Each member county will have representation on the Authority's Board of Directors.
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The Agreement and the Resolution have been reviewed and approved by County Counsel.
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The Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by ensuring the timely and proper administration of statewide projects such as Student Mental Health Initiative, Suicide Prevention, and Stigma and Discrimination Reduction. The services provided within this Agreement are an established level of care. It is anticipated that 77% of clients who receive services through this Agreement will be maintained at a current or lower level of care.
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Performance Measure:
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Measure
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FY 2009-10
Actual
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Percentage of clients maintained at a current or lower level of care.
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77%
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77%
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FISCAL IMPACT:
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There is an application fee of $500 (which is calculated on the basis of the County’s population) to join CalMHSA. Participation in the Joint Exercise of Powers Authority will not impose any additional County costs. Funding for the statewide PEI projects has been reserved for counties acting jointly or collaboratively, and is separate from the ongoing base funding of the counties for the PEI programs developed and operated by individual counties.
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