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 Greater Bay Area Regional Partnership Workforce Education and Training Grant
RECOMMENDATION:
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Adopt a resolution authorizing agreement 969-WET-2021-SMC with California Mental Health Services Authority for the Greater Bay Area Regional Partnership Workforce Education and Training Grant for the term of July 1, 2021 through June 30, 2025, in an amount not to exceed $246,024.
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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, priorities for one-time funding were developed, which included addressing the shortage of behavioral health practitioners in public behavioral health systems.
On November 6, 2019, the Mental Health and Substance Abuse and Recovery Commission (Commission) held a public hearing, where the Commission reviewed and recommended that your Board approve the FY 2019-20 MHSA Annual Update, including the one-time funding priorities.
On April 7, 2020, your Board approved the FY 2019-20 MHSA Annual Update.
DISCUSSION:
Since the passage of MHSA in 2004, the MHSA Workforce Education and Training (WET) component has provided a unique opportunity to expand and improve the public behavioral health workforce, including: evidence-based and promising approaches to training and capacity building for providers responding to behavioral health issues; trainings for and by client/consumers and family members; career pathways to address ongoing vacancies in hard-to-fill positions; and stipends to trainees who contribute to the diversity and equity issues of Behavioral Health Recovery Services (BHRS).
The California Department of Health Care Access and Information (HCAI), formerly Office of Statewide Health Planning and Development, addresses the needs of the behavioral health workforce statewide. In February 2019, HCAI released a 2020-2025 MHSA WET Five-Year Plan to address the shortage of behavioral health practitioners through five categories of workforce supports including: Pipeline Development, Loan Repayment Program, Undergraduate College and University Scholarships, Clinical Master and Doctoral Graduate Education Stipends, and Retention Activities.
Implementation of HCAI’s 2020-2025 MHSA WET Five-Year WET Plan will occur through a regional partnership framework. San Mateo County will participate in the Greater Bay Area Regional Partnership, and the California Mental Health Services Authority (CalMHSA) will serve as the administrative and fiscal agency for this partnership.
San Mateo County’s match amount as part of the Bay Area Regional Partnership $246,024. BHRS will transfer the match amount to CalMHSA, which will then administer and manage the HCAI Regional Grant Funds’ total grant amount of $991,548. Of this total grant amount, CalMHSA’s administration fee is $129,333; the remainder amount of $862,215 will be available to fund workforce strategies in San Mateo County through June 30, 2025. BHRS’ scope of workforce strategies will include Student Loan Repayment, Undergraduate College and University Scholarships, Pipeline Development programs and Retention Strategies.
CalMHSA has been coordinating with all Bay Area Regional Partnership counties to draft a standardized agreement for the region and with counties individually to customize portions of the agreement to address local needs. This coordination led to a delay for CalMHSA to be able to submit a customized agreement to counties (i.e., BHRS) for processing.
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.
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 MEASURES:
|
Measure |
FY 2021-22 Estimated |
FY 2022-23 Projected |
|
Percentage of fiscal and administrative responsibilities identified in the Participation Agreement between the County and CalMHSA that will be completed by CalMHSA |
100% 9 of 9 items |
100% 9 of 9 items |
FISCAL IMPACT:
The term of the agreement is July 1, 2021 through June 30, 2025. The amount of the agreement is not to exceed $246,024 for the four-year term and is included in the BHRS FY 2021-22 Adopted Budget. MHSA will fund 100% of the agreement.