Mental Health Services Act (Prop 63)

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The passage of Proposition 63, known since November 2004 as the Mental Health Services Act (MHSA), 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





Innovation Funding

The MHSA Innovation Component allows counties to apply for funds for innovative projects, defined as novel, creative, ingenious approaches developed within communities and lead to learning for the mental health system. In 2014, the Community Program Planning (CPP) process to develop the MHSA Three-Year Plan included generating ideas for innovative projects.   The MHSA Steering Committee made recommendations on which projects to move forward for further exploration, listed below in the order of votes received. For the next phase of the MHSA INN project development, we are requesting a Letter of Interest from organizations for the following six project areas:

•    The Health Ambassador Program
•    Neurosequential Model of Therapeutics (NMT) for adults
•    Housing advocacy services
•    LGBTQ Behavioral Health Center
•    Technology Innovations to support youth treatment and crisis
•    Technology Innovations for engaging isolated and hard-to-reach adults

For more information on any of the proposed project areas, please contact Doris Estremera at (650)573-2889 or


MHSA Evaluation

Prevention & Early Intervention Program Evaluation

In July 2013, we set out to evaluate our Prevention & Early Intervention (PEI) programs to understand the impact these programs are having in terms of promoting mental health, reducing the risk of mental illness, and decreasing the severity and negative consequences associated with onset of mental illness. The first year report, for services implemented in fiscal years 2013-14, is now available.


Statewide MHSA Evaluation Reports Released

The Steinberg Institute and the County Behavioral Health Directors Association (CBHDA) released a report this month to demonstrate the effectiveness of the Prop. 63. While this first report focused much more on the impacts of Full Service Partnerships across the State, future reports will be inclusive of Community Services and Supports and Prevention and Early Intervention (PEI). Last month, the RAND Corporation released a report regarding emerging short-term outcomes form the PEI statewide projects being administered by the California Mental Health Services Authority (CalMHSA) on behalf of the counties.


Full Service Partnership Qualitative Evaluation

In 2014 our Full Service Partnership (FSP) programs were evaluated to understand how well FSPs are working from the perspectiveof administrators, providers and consumers/clients.

Please send all comments/questions to, or by mail to:
Doris Estremera, MPH
MHSA Manager
Behavorial Health and Recovery Services
225 37th Avenue, 3rd Floor
San Mateo, CA 94403

For the most current program-specific updates, which include MHSA funded programs, sign up to receive the BHRS e-journal, Wellness Matters. To receive updates on the BHRS  Community Service Areas, which inform MHSA planning, visit the BHRS Good and Modern page.


MHSA Steering Committee

The MHSA Steering Committee makes recommendations to the planning and services development process of MHSA.  As a group, the MHSA Steering Committee assure that MHSA planning reflects local diverse needs and priorities, contains the appropriate balance of services within available resources and meets the criteria and goals established.  View the current list of MHSA Steering Committee members and the Roles and Responsibilities document.



MHSA Plan and Components


MHSA Three-Year Plan & Annual Update

On January 27, 2015, the San Mateo County Board of Supervisors reviewed and approved the MHSA Three-Year Program and Expenditure Plan FY 2014-2015 through FY 2016-2017 & Annual Update FY 2014-2015:

The development of the MHSA Three-Year Plan involved a thorough Community Program Planning (CPP) process. Instructions and guidelines for the development of the plan can be found at the Mental Health Services Oversight and Accountability Commission(MHSOAC) website.  See the following presentation and documents for more information on our local CPP process:


Annual Updates

MHSA fundable activities are grouped into “components” each one with its own set of guidelines and rules:


Community Services & Supports (CSS)

CSS activities focus on providing direct services and treatment to people of all ages living with serious mental illness. At least 51% of CSS dollars have to be spent on full service partnerships, which provide 24/7 wraparound services.

Previous Years:


Prevention & Early Intervention (PEI)

PEI activities target individuals of all ages prior to the onset of mental illness, with the one exception of programs focusing on early onset of psychotic disorders. Learn more about the Office of Diversity and Equity, the Stigma Free San Mateo County and Prevention & Recovery in Early Psychosis (PREP); three PEI funded programs.

Current Approved Plan:

Previous Years:


Capital Facilities & Information Technology (CF & IT)

CF&IT component funded eClinical Care, an integrated business and clinical information system (electronic health record) as well as ongoing technical support.



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 (MHA) of San Mateo County submitted a proposal to develop Waverly Place Apartments in North Fair Oaks community, which was reviewed and accepted by committee in February, 2014. Visit our MHSA Housing Program page for updates on this project.


Innovation (INN)

BHRS builds on several emerging, innovative practices for the San Mateo County INN program, Total Wellness.


Workforce Education & Training (WET)

WET programming includes training, education, programs and policies to assist in the engagement and selection of a diverse workforce that includes consumers, families, and community members and schools.  Visit the BHRS WET website to learn more about the programs and services.

Current Approved Plan

Previous Years

For any comments or questions, contact:

Doris Estremera, MHSA Manager
Behavioral Health and Recovery Services Division, San Mateo County Health System
225 37th Avenue, San Mateo, CA 94403
Phone: 650.573.2889