Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health, and Recovery Services
Subject: Participation Agreement with California Mental Health Services Authority for the Statewide Prevention and Early Intervention Program
RECOMMENDATION:
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Adopt a resolution authorizing a Participation Agreement with the California Mental Health Services Authority to participate in the Statewide Prevention and Early Intervention Program for the term of July 1, 2023, through June 30, 2026, in an amount not to exceed $570,072.
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BACKGROUND:
In 2004, California voters passed Proposition 63, known as the Mental Health Services
Act (MHSA), which created additional State funds to expand mental health services. MHSA resources and expenditures are approved by this Board as part of the larger County Health budget.
Since the passage of MHSA in 2004, the MHSA Statewide Prevention and Early Intervention (PEI) Program-required component has provided a dedicated source of funding to bring mental health and substance use awareness to the San Mateo County community through public education initiatives and campaigns, outreach, and early identification (prior to diagnosis) efforts. The goals are to reduce risk factors, build protective factors and skills, and increase supports for positive cognitive, social, and emotional development and overall well-being.
California Mental Health Services Authority (CalMHSA) is a public entity created under authority of a Joint Powers of Authority, formed in 2009 by California counties (including the County of San Mateo). CalMHSA provides administrative and fiscal services for PEI efforts. Specifically, CalMHSA has supported San Mateo County Behavioral Health and Recovery Services’ (BHRS) education and awareness efforts related to May Mental Health Month and September Suicide Prevention Month. The May Mental Health Month Take Action campaign distributed 252,720 toolkit materials across the state and 350,000 Lime Green Ribbons, supported the Take Action website which resulted in 13,514 downloaded resources, and led a statewide social media campaign. These activities complemented local San Mateo supports, including mini-grant funding distributed to seven community-based agencies, cities, and school districts to facilitate local educational activities and advocacy days where 17 out of 20 San Mateo County cities proclaimed 2023 May Mental Health Month (up from 15 out of 20 in 2022) and seven local cities (up from five cities in 2022) lit up their government buildings in green.
Between November 2022 and May of 2023, a community program planning process to develop the County’s FY 2023-26 MHSA Three-Year Plan included a comprehensive needs assessment, stakeholder and community input sessions and prioritization by the MHSA Steering Committee. Priority expansions for MHSA funding were developed, which included the ongoing commitment to funding for the PEI Program under CalMHSA.
On September 12, 2023, this Board approved the FY 2023-26 MHSA Three-Year Plan.
Following the Behavioral Health Commission public hearing, 30-day public comment period and recommendation that this Board approve the plan.
DISCUSSION:
Starting in FY 2023-24, based on learnings and input from California counties, CalMHSA expanded its menu of services to include additional technical assistance and support for PEI activities, including train-the-trainer for behavioral health ambassadors and peers for suicide prevention trainings, marketing and social media strategies including media buys, and customized program impact statements. San Mateo County BHRS is opting to partner with CalMHSA to receive these specific PEI supports.
CalMHSA engaged in a multi-year forensic audit to confirm County PEI balances, based on the County’s ongoing contribution to the Statewide PEI Program. This agreement is going to this Board late due to a delay by CalMHSA to submit a customized agreement to San Mateo County BHRS that addresses the local needs starting this current fiscal year 2023-24.
The resolution contains the County’s standard provision allowing amendment of the County’s fiscal obligations by a maximum of $25,000 (in aggregate).
The agreement and resolution have been reviewed and approved by County Attorney as to form.
It is anticipated that 66% of projects identified in Exhibit A of the Participation Agreement will be implemented.
PERFORMANCE MEASURES:
|
Measure |
FY 2023-24 Estimated |
FY 2024-25 Projected |
|
Percentage of projects identified in Exhibit A of the Participation Agreement that are implemented |
16% 2 of 6 items* |
66% 4 of 6 items |
* This is a multi-year contract, with 2 projects per year. It is projected that 6 of 6 items will be implemented by FY 2025-26.
FISCAL IMPACT:
The term of the agreement is July 1, 2023, through June 30, 2026. The amount of the agreement is not to exceed $570,072 for the three-year term. Funds in the amount of $190,024 are included in the BHRS FY 2023-24 Adopted Budget. Funds in the amount of $380,048 will be included in FY 2024-25 and FY 2025-26 Recommended budgets. Of the FY 2023-24 amount, it is anticipated that $190,024 will be funded by Mental Health Services Act funds.