BACKGROUND:
Proposition 63 was passed by California voters in the November 2004 election. Now known as the Mental Health Services Act (MHSA), the legislation provides public mental health funding by imposing an additional one percent tax on individual taxable income in excess of one million dollars. There are a total of five MHSA components which have been enacted out over time by the State with the goal of creating a better program of mental health services and supports in California’s public mental health systems. The five components include: Community Services and Supports; Prevention and Early Intervention; Workforce Education and Training; Capital Facilities and Technology; and Innovation. There are multiple programs operated within each component. This is a state mandated program under Welfare & Institutions Code.
The Three-Year Plan describes programs that are funded by the MHSA, what they will do, and how much money will be set aside to fund these programs. The Plan also describes what will be done to evaluate plan effectiveness and ensure that all MHSA-funded programs meet the intent and requirements of the Mental Health Services Act.
Key updates to the Plan for the Fiscal Years 2023-2026, which is attached to this item, include:
- Full-Service Partnership performance indicators for FY 21-22
- Transitions Team Expansion to include new Behavioral Health Outreach Programs
- Housing expansions to include increasing support to board & care operators; bolstering the housing continuum of care by adding more units of housing in various categories; and identifying funds to acquire and develop capital projects for housing and treatment programs
- Funding to support Community Based Organizations (CBOs) during the transition to California Advancing and Innovating Medi-Cal (CalAIM), a mutli-year statewide initiative geared toward transforming the Medi-Cal delivery system
- Prevention and Early Intervention (PEI) Data & Performance Indicators
- New Suicide Prevention 5-Year Strategic Plan
- Innovation project updates and new programming to increase equity and cultural responsiveness
- Investments in workforce retention and recruitment strategies
- Updated budget to reflect estimated available funding for FY 23-24
This Plan was posted for public comment in on the County's Mental Health Services Act webpage for a 30-day period, and was finalized following the Public Hearing held as a noticed and posted item on the July 5th, 2023 meeting of the Mental Health Commission.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, it would result in the loss of mental health programs and related services (including Full Service Partnerships, Assisted Outpatient Treatment, Forensic Mental Health, Housing Services, Prevention and Early Intervention and more) which serve Contra Costa community members of all ages who reside in every region of the County.
CHILDREN'S IMPACT STATEMENT:
Mental health impacts people of all ages and impacts entire family systems and communities.
This recommendation supports all of the following children's outcomes:
- Children Ready for and Succeeding in School;
- Children and Youth Healthy and Preparing for Productive Adulthood;
- Families that are Safe, Stable and Nurturing; and
- Communities that are Safe and Provide a High Quality of Life for Children and Families.
Additionally
- Preventing mental health problems in children and youth from developing and becoming severe and disabling.
- Children and youth recovering from impact of trauma, severe emotional disturbance, and mental illness.