Mental Health Services Act (Prop 63)

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The passage of Proposition 63, now known as the Mental Health Services Act (MHSA) in November 2004, provides the first opportunity in many years for increased funding, personnel and other resources to support county mental health programs and monitor progress toward statewide goals for children, transition age youth, adults, older adults and families. 

The Act addresses a broad continuum of prevention, early intervention and service needs and the necessary infrastructure, technology and training elements that will effectively support this system. We are thrilled to have you as a visitor, and hope you will want to become involved in MHSA planning processes as they occur. For information regarding the contents of the site or to learn more about how to become involved in planning processes, email



Upcoming MHSA 3-Year Program and Expenditure Plan

We have started the process toward development of the next MHSA 3-Year Program and Expenditure Plan for Fiscal Year (FY) 2014-15 through FY 2016-17. Instructions and guidelines for the development of the plan can be found at the Mental Health Services Oversite and Accountability Commission website.  See the following presentation and documents presented at the recent Mental Health and Substance Abuse Recovery Commission public meeting on April 2nd and check back for updates on how to get involved.

If you have any questions, please contact the MHSA Coordinator, Doris Estremera at 650.573.2889 or

MHSA Housing Program - Waverly Place Apartments Project

The MHSA Housing Program funds permanent supportive housing for individuals with severe mental illness and that meet the MHSA eligibility criteria as homeless or at-risk of being homeless.  The Mental Health Association of San Mateo County submitted a proposal to develop Waverly Place Apartment in North Fair Oaks community, which was reviewed and accepted by committee in February. 

As required, a 30 day public comment period to secure MHSA funding opened on March 5th and closed on April 5th.  During this 30 day period, public comments were sent to the San Mateo County Mental Health and Substance Abuse Recovery Commission (MHSARC).  The close of this public comment period, is not the final decision regarding the development of Waverly Place Apartments. An application will be submitted by the Mental Health Association to the San Mateo County Planning and Building Department for consideration, providing another opportunity for public comment and a public hearing.  The MHSARC holds monthly meetings on the first Wednesday of each month (3:00-5:00 pm at 225 37th Ave. in San Mateo) and public comments are also welcome there. 
In addition, the Mental Health Association will be hosting a community meeting to provide more information and opportunity for questions late April; more details on this to follow.

Please see our Frequently Asked Questions and the following documents for more information about the Waverly Place Apartment project.

If you have any questions, please contact Doris Estremera at 650.573.2889 or

Mental Health Services Act Components

MHSA Plan and Annual Updates

Community Services & Supports

Prevention & Early Intervention (PEI)

Capital Facilities & Information Technology



Workforce Education & Training

Current Approved Plan

Previous Years

MHSA Steering Committee

For any comments or questions, contact:
Doris Estremera, MHSA Coordinator
Behavioral Health and Recovery Services Division, San Mateo County Health System
225 37th Avenue, San Mateo, CA 94403
Phone: 650.573.2889