Title
Health and Human Services Agency, Mental Health Division, recommending the Board consider the following:
1) Authorize implementation of the Fiscal Year 2012-13 Mental Health Services Act (MHSA) Plan Update; and
2) Until the Fiscal Year 2013-14 MHSA Plan is presented to and approved by the Board, authorize the continuation of the County's MHSA programs as identified in the Fiscal Year 2012-13 MHSA Plan Update. (Est. Time: 15 min.)
FUNDING: State Mental Health Services Act (MHSA) Funds.
Body
Fiscal Impact/Change to Net County Cost
No change. MHSA funding was anticipated in the FY 2012-13 Approved Budget and FY 2013-14 Recommended Budget for the Mental Health Division (MHD). There is no Net County Cost associated with the MHSA program.
Background
California voters passed Proposition 63, the Mental Health Services Act (MHSA) in November of 2004, and the MHSA became effective January 1, 2005. The MHSA imposes a one percent (1%) tax on personal income in excess of $1,000,000. These funds are distributed to counties through the State and are intended to transform the mental health system into one that is consumer and family driven, is recovery oriented, has services that are accessible, and is culturally competent and offers services appropriate for the population that is served.
Effective March 24, 2011, Assembly Bill (AB) 100 amended several sections of the MHSA, resulting in the elimination of the requirement that the State and the Mental Health Services Oversight and Accountability Commission (MHSOAC) review, comment on, and approve county MHSA plans and updates, with the exception of the Innovation Plan that must still be approved by the MHSOAC after approval of the Board of Supervisors.
The MHSA established five components that address specific goals for priority populations and key community mental health needs:
• Prevention and Early Intervention (PEI) - Programs designed to prevent mental illnesses from becoming severe and disabling.
• Community Services and Supports (CSS) - Mental health services and supports for children and youth, transition age youth, adults, and older adults. This component includes Housing.
• Innovation (INN) - New, emerging and/or unique mental health practices/approaches that contribute to learning.
• Workforce Education and Training (WET) - Education and training programs and activities for prospective and current Public Mental Health System employees, contractors and volunteers.
• Capital Facilities and Technology Needs (CFTN) - Support for items necessary to develop an integrated infrastructure and improve the quality and coordination of care.
On September 25, 2012, the Board approved continuation of the FY 2011-12 MHSA Plan until the development and approval of the FY 2012-13 MHSA Plan.
Reason for Recommendation
MHSA plans are required to be updated annually. The community planning process includes, at a minimum, public meetings, a 30-day comment period on the draft MHSA plan and a public hearing by the Mental Health Commission. The 30-day comment period for the draft FY 2012-13 MHSA Plan Update ended May 28, 2013 and the public hearing before the Mental Health Commission was held on June 26, 2013.
The FY 2012-13 MHSA Plan Update provides an update of the County's MHSA program in a single, consolidated document; it is not intended to be a comprehensive MHSA Plan but rather a summary of all approved County MHSA Plans. The FY 2012-13 MHSA Plan Update reflects programs that started or were discontinued after receiving Board approval, and programs that continued from FY 2011-12:
• Community Services and Supports (CSS): Continue funding current programs but eliminate the Crisis Residential Treatment (CRT) program and develop local residential programs and an Intensive Case Management team.
• Prevention and Early Intervention (PEI): Continue funding current programs, but consolidate the program categories. It was also recommended that the County proceed with the procurement process to engage community partners and solicit proposals for the remaining PEI funds in youth and children's services through a competitive procurement process.
• Workforce Education and Training (WET): Continue funding current programs, with the exception of Rural Mental Health Masters of Social Work Weekend Program, which was completed in FY 2011-12, and the Consumer, Family Member and Volunteer Program. Additionally, there was support for Crisis Intervention Training (CIT) for law enforcement and other emergency services staff.
• Capital Facilities and Technology (CFTN): Continue funding current programs.
• Innovation (INN): Suspend expenditures on current plan and develop a new Innovation Plan(s).
The budget for FY 2012-13 MHSA budget is included in the FY 2012-13 MHSA Plan Update and has been updated from the original estimates prepared early in FY 2012-13, however expenditures are anticipated to remain within the FY 2012-13 Approved Budget and the FY 2013-14 Recommended Budget for the MHD.
Action(s) to be taken following Board approval
The Department will implement the FY 2012-13 MHSA Plan Update, which will remain in effect until the FY 2013-14 MHSA Plan is approved by the Board.
Contact
Jan Walker-Conroy, Interim Director.