File #: 12-1455    Version: 1
Type: Agenda Item Status: Approved
File created: 11/16/2012 In control: Board of Supervisors
On agenda: 12/11/2012 Final action: 12/11/2012
Title: Health and Human Services Agency, Mental Health Division recommending the Board consider the following; 1) Approve the elimination of the Mental Health Services Act, Community Services and Supports Work Plan No.3 "Crisis Residential Treatment Facility" effective to December 1, 2012; and 2) Authorize the Director of the Health and Human Services Agency, or designee, to apply to the California State Department of Social Services for an increase in capacity of the Psychiatric Health Facility from ten (10) beds to sixteen (16) beds. (Est. Time 45 Min.) FUNDING: The Crisis Residential Treatment facility is funded by the Mental Health Services Act fund and Medi-Cal reimbursement. The Psychiatric Health Facility is funded by Realignment, Managed Care, and Medi-Cal reimbursement.
Attachments: 1. A - Presentation PHF Expansion.pdf
Title
Health and Human Services Agency, Mental Health Division recommending the Board consider the following;
1) Approve the elimination of the Mental Health Services Act, Community Services and Supports Work Plan No.3 "Crisis Residential Treatment Facility" effective to December 1, 2012; and
2) Authorize the Director of the Health and Human Services Agency, or designee, to apply to the California State Department of Social Services for an increase in capacity of the Psychiatric Health Facility from ten (10) beds to sixteen (16) beds. (Est. Time 45 Min.)

FUNDING: The Crisis Residential Treatment facility is funded by the Mental Health Services Act fund and Medi-Cal reimbursement. The Psychiatric Health Facility is funded by Realignment, Managed Care, and Medi-Cal reimbursement.

Body
Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with either the elimination of the Crisis Residential Treatment facility or the expansion of the Psychiatric Health Facility.

Background
The Mental Health Services Act (MHSA), also known as Proposition 63, was approved by voters in November of 2004 and enacted into law January 1, 2005. The MHSA imposed a one percent (1%) tax on individuals with an adjusted annual income over $1,000,000. This funding stream is dedicated to transforming the public mental health system and seeks to reduce the long-term adverse impact of untreated serious mental illness. MHSA is made up of five components: 1) Capital Facilities and Information Technology (CF/IT); 2) Community Services and Supports (CSS); 3) Innovation (INN); 4) Prevention and Early Intervention (PEI); and 5) Workforce Education and Training (WET).

Crisis Residential Treatment Facility (CRT): In Fiscal Year (FY) 2008-09 and after conducting a Community Program Planning (CPP) process, the Mental Health Division (MHD) proposed the establishment of and funding for a CRT facility under the CSS component of the MHSA plan. The CRT was proposed in res...

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