TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Approval of the Mental Health Services Act Fiscal Year 2024-2025 Annual Update to the Three-Year Plan for Fiscal Year 2023-2024 to Fiscal Year 2025-2026
RECOMMENDATION
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Adopt a Resolution approving the County’s Mental Health Services Act Fiscal Year 2024-2025 Annual Update to the Three-Year Plan for Fiscal Year 2023-2024 to Fiscal Year 2025-2026. (No Fiscal Impact)
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BACKGROUND
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. The resulting revenue increased State funding for local mental health services by approximately 10%. Nevertheless, the stated intention of the proposition was to “transform” local mental health service delivery systems from a “fail first” model to one promoting intervention, treatment and recovery from mental illness. A key strategy in the act was the prioritization of prevention and early intervention services to reduce the long-term adverse impacts of untreated, serious mental illness on individuals, families and state and local budgets.
The former State Department of Mental Health implemented the MHSA by imposing an elaborate set of substantive and procedural requirements as a prerequisite to each county drawing down its share of the new tax revenues. The funds were divided into six components, for which separate assessment and planning processes were required: Community Program Planning; Community Services and Supports; Prevention and Early Intervention; Innovation; Capital Facilities and Technology Needs; and Workforce Education and Training.
County behavioral health agencies are required to develop detailed plans for the use of MHSA funds in each of these components, and then submit those plans to the Mental Health Oversight and Accountability Commission (MHSOAC) or State for approval. The planning process requires extensive community input - in Napa County over 1,000 individuals have provided input into the planning process since local implementation of the MHSA began. Utilizing this state-mandated, participatory process, counties identify local “underserved populations” most severely affected by, or at risk of, serious mental illness and then develop “culturally and linguistically competent approaches” to connect with and meet the needs of those underserved populations.
The Behavioral Health Division has complied with all requirements for the local stakeholder planning process and 30-day public review and comments, and the established MHSA Stakeholder Advisory Committee meets monthly. The County has complied with all pertinent regulations, laws, and statutes of the MHSA, including stakeholder participation and non-supplantation requirements
Requested Action:
1. Adopt a Resolution approving the County’s Mental Health Services Act Fiscal Year 2024-2025 Annual Update to the Three-Year Plan for Fiscal Year 2023-2024 to Fiscal Year 2025-2026.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
No |
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.