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




Now Open for Public Comment:  MHSA Three-Year Draft Plan

The San Mateo County Mental Health and Substance Abuse Recovery Commission (MHSARC) will release the County’s Draft Mental Health Services Act Three-Year Program and Expenditure Plan FY 2014-2015 through FY 2016-2017 & Annual Update FY 2014-2015 for the 30-day public review/comment period on Wednesday, October 1, 2014. Meeting time and location is noted below.

The public review/comment period of the Draft Plan is from October 1, 2014 to October 30, 2014. Please review the Plan and provide your comment by utilizing the comment form below:

The Mental Health and Substance Abuse Recovery Commission will hold a Public Hearing on the MHSA Three-Year Program and Expenditure Plan FY 2014-2015 through FY 2016-2017 & Annual Update FY 2014-2015 on Wednesday, November 5, 2014. Meeting time and location is noted below. We hope to see you there.

MHSARC Meeting time and location:
3:00-5:00 p.m.
Room 100, 225 37th Avenue
San Mateo, CA 94403

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

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:

MHSA 3-Year 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 Oversight and Accountability Commission (MHSOAC) website.  See the following presentation and documents for more information:

We had a very successful Community Input Session with over 95 diverse and very engaged participants providing input on MHSA strategies for the next three years of services. A Summary of Input provided is now available as well as a summary of Participant Demographics and follow up Stakeholder Input Sessions

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.

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.

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:

Statewide Resources

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