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




MHSA Steering Committee Meeting

It's time for the MHSA Steering Committe to meet! The MHSA Steering Committee meets twice a year during the Implementation Phase of MHSA.  Please see the updated MHSA Steering Committee Roles & Responsibilities document. Agenda items include, next Annual Update due in May, opportunity for new Innovation project, Workforce Education and Training Plan, PEI Evaluation Findings for Year 1.  Looking forward to seeing you there.  See the meeting flyer for more details.

MHSA Steering Committee Meeting
Monday, March 30, 2015
3:00 pm - 5:00 pm
San Mateo City Library, Oak Room
55 W 3rd Ave, San Mateo, CA 94402


MHSA Three-Year Plan approved by the Board of Supervisors

We are excited to announce that 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. Thank you to all stakeholders, consumers/clients, families, community members, partner organizations and BHRS staff that participated in the planning process.  Next step, we will submit the MHSA Three-Year Plan to the State of California, Mental Health Services Oversight and Accountability Commission (MHSOAC).  See the final MHSA Three-Year Plan below, which now includes the MHSA County Compliance Certification:


The development of the MHSA Three-Year Plan involved a thorough Community Program Planning 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:


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


Public Comment Period on Draft Strategic Plan to Reduce Mental Health Disparities

The California Pan-Ethnic Health Network (CPEHN) opened a 30-day Public Comment Period on January 12, 2015 for the draft Strategic Plan to Reduce Mental Health Disparities.  The Strategic Plan provides community-driven strategies to reduce disparities in racial, ethnic, and LGBTQ communities and is part of the California Reducing Disparities Project (CRDP), funded by the Mental Health Services Act.

CPEHN is hosting five town hall meetings to hear community and stakeholder input on the Strategic Plan.  At these events, which coincide with the 30-day public comment period, you can hear more about the project and provide feedback on how the plan can better serve your community's needs.  Please visit the CPEHN website for more information about these town hall meetings and instructions for submitting your review and commnts on the Strategic Plan.


Full Service Partnership Qualitative Evaluation

This past year we set out to evaluate our Full Service Partnership (FSP) programs to understand how well FSPs are working from the perspective of administrators, providers and consumers/clients. The report is now available:

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


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