TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services
REPORT BY: Shelli Brobst, Contracts Manager
SUBJECT: Approval of the Mental Health Services Act Fiscal Year 2021-2022 Annual Update to the Three Year Plan for Fiscal Year 2020-2021 to Fiscal Year 2022-2023

RECOMMENDATION
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Director of Health and Human Services requests adoption of a resolution approving the County’s Mental Health Service Act Fiscal Year 2021-2022 Annual Update to the Three Year Plan for Fiscal Year 2020-2021 to Fiscal Year 2022-2023.
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EXECUTIVE SUMMARY
Approval of the recommended action to adopt the Napa County MHSA FY 21-22 Annual Update will allow HHSA’s Mental Health Division to comply with state requirements for local approval per AB1467 and to submit the Mental Health Division’s MHSA FY 21-22 Annual Update to the Mental Health Oversight and Accountability Commission (MHSOAC) for review and approval. The Mental Health Division has complied with all pertinent regulations, laws, and statutes of the MHSA, including stakeholder participation and non-supplantation requirements.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
No |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.
BACKGROUND AND DISCUSSION
The Mental Health Services Act of 2004 (MHSA), passed by the voters as “Proposition 63,” increased overall State funding for the community mental health system by imposing a 1% income tax on California residents with more than $1 million per year in income.
County Mental Health Plans are required to develop detailed plans for the use of MHSA funds in each of these components, and then submit those plans to the MHSOAC or State for approval. The planning process requires extensive community input - in Napa County, thus far, well over 1,000 individuals have provided input into the planning process since local implementation of the MHSA began.
The FY 21-22 Annual Update provides updates on the implementation of previously approved MHSA programs and changes to program offerings, which include the following new/mandated programs - Assisted Outpatient Treatment, Mobile Crisis Response Team, and Family Urgent Response Services - and discontinuation of MHSA funding for the Crisis Stabilization Unit, which will be funded with other revenue sources.
The Mental Health Division has complied with all requirements for the local stakeholder planning process and 30-day public review and comment period and the established MHSA Stakeholder Advisory Committee meets monthly. The Mental Health Division is in full compliance with all relevant regulations and the Stakeholder Committee and Mental Health Board continue to submit their recommendations for review by the Mental Health Director prior to preparation for the Board’s final review and adoption.
SUPPORTING DOCUMENTS
Resolution
MHSA Update to Three Year Plan
CEO Recommendation: Approve