Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Scott Gilman, Director, Behavioral Health and Recovery Services
Subject: Agreement with California Mental Health Services Authority for the Mental Health Services Action Innovation Program
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with California Mental Health Services Authority for the Mental Health Services Act Innovation Program for the term July 1, 2019 through June 30, 2020, in an amount not to exceed $2,452,525.
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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.
Since 2006, MHSA resources and expenditures have been approved by your Board as
part of the larger Health System budget.
During San Mateo County’s FY 2017-20 MHSA Three-Year Community Program Planning (CPP) process and through a series of stakeholder meetings held in April and May of 2018, stakeholders voiced a need for new approaches leveraging technology to connect mental health clients/consumers to services and supports, especially for isolated older adults, transition age youth, and underserved racial and ethnic communities.
On June 6, 2018, The Mental Health and Substance Abuse Recovery Commission reviewed and recommended that your Board approve the AB114 Reversion Plan and Innovation Plan to join a statewide County Behavioral Health Technology Collaborative.
On August 7, 2018, your Board approved the MHSA Three Year Plan and Annual Update, which included the MHSA Innovation Program.
DISCUSSION:
In 2018, the Los Angeles and Kern Counties initiated a collaborative approach that invited Counties statewide to bring technology-based solutions to behavioral health, forming the County Behavioral Health Technology Collaborative. Given that San Mateo County’s Behavioral Health and Recovery Services (BHRS) prioritized technology innovations in the FY 2014-17 planning process and reaffirmed this priority in the most recent FY 2017-20 planning process, San Mateo County, with guidance from the MHSA Steering Committee, opted to join the County Behavioral Health Technology Collaborative “Tech Suite Project” in 2018.
The Tech Suite is a highly innovative set of mobile applications that serves as a complementary support system by: offering a bridge to care, helping to identify early warning signs of mental health needs, offering timely support if needed, requiring less effort than in-person interventions, and removing some barriers a client or family may face when seeking conventional mental health services.
The County’s investment in the Tech Suite will leverage subject matter experts, application development engineers, project management, procurement of vendors, and the collaborative learning approach facilitated by California Mental Health Services Authority (CalMHSA). An evaluation component will analyze the extent to which the Tech Suite engages and supports the County’s identified priority populations: isolated older adults and transition age youth.
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 Counsel as to form.
Approval of this agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by increasing access to wellbeing and support services to isolated older adults and transition age youth that may have trouble accessing conventional in-person services. It is anticipated that 100 percent of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA will be completed by CalMHSA.
PERFORMANCE MEASURE:
|
Measure |
FY 2019-20 Estimated |
FY 2020-21 Projected |
|
Percentage of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA completed by CalMHSA. |
100% 5 of 5 items |
100% 5 of 5 items |
FISCAL IMPACT:
The term of the agreement is July 1, 2019 through June 30, 2020. The amount of the
agreement is not to exceed $2,452,525 for the one-year term, which will be included in the BHRS FY 2019-20 Recommended Budget. This amount is 100 percent funded by the Mental Health Services Act.