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 Third Sector Multi-County Full-Service Partnership Project
RECOMMENDATION:
title
Adopt a resolution authorizing an agreement with California Mental Health Services Authority for the Third Sector Multi-County Full-Service Partnership Project for the term July 1, 2020 through December 31, 2024, in an amount not to exceed $750,000.
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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 County Health budget.
During the County’s FY 2019-20 MHSA Annual Update planning process and through a series of stakeholder meetings held between April and August of 2019, funding priorities for a plan to spend available one-time funding (Plan) were developed. The Plan included prioritized funding to participate in a state-wide initiative to improve Full-Service Partnership (FSP) services, including data collection and reporting. The nonprofit consulting company Third Sector was selected at the state level as the provider to work with all counties participating in the multi-county redesign of FSP services to achieve improvement goals.
On November 6, 2019, the Mental Health and Substance Abuse and Recovery Commission held a public hearing, reviewed and recommended that your Board approve the Plan to Spend as part of the FY 2019-20 MHSA Annual Update.
On April 7, 2020, your Board approved the FY 2019-20 MHSA Annual Update, which included the Plan.
DISCUSSION:
Since the MHSA’s creation in 2004, FSP’s have supported high risk individuals often with co-occurring mental health needs. These MHSA-funded FSP programs are designed to apply a “whatever it takes” approach to serving and partnering with individuals living with severe mental illness. FSP programs are effectively improving life outcomes. However, despite the positive impact, the program has yet to reach its full potential. Many individuals with serious mental illness still struggle to achieve fuller, more independent lives through the outcomes that MHSA prioritizes (i.e., reduced criminal justice involvement, incarceration, unnecessary hospitalizations, in-patient stays, and homelessness).
Six Counties, including San Mateo County, came together and proposed a multi-county FSP project in response to the aforementioned challenges by reframing FSP programs. It was determined that meaningful outcomes and client/consumer experience - along with the development and implementation of new data-driven strategies to better coordinate FSP service delivery, operations, data collection, and evaluation - was needed.
The California Mental Health Services Authority (CalMHSA) will serve as the administrative entity overseeing this project. CalMHSA has contracted with Third Sector to lead Counties through the process of developing and implementing this project, as well as facilitate a broader statewide exchange of collective learning and shared opportunities for the improvement of FSP programs.
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. This agreement is late coming to your Board due to delayed receipt of the agreement from CalMHSA.
It is anticipated that 100% of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA will be completed by CalMHSA.
PERFORMANCE MEASURE:
|
Measure |
FY 2020-21 Estimated |
FY 2021-22 Projected |
|
Percentage of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA that will be completed by CalMHSA |
100% 5 of 5 items |
100% 5 of 5 items |
FISCAL IMPACT:
The term of the agreement is July 1, 2020 through December 31, 2024. The amount of the agreement is not to exceed $750,000 and is included in the BHRS FY 2020-21 Adopted Budget. The Mental Health Services Act will fund 100% of the agreement.