1. Department of Behavioral Health Mental Health Services Act (MHSA)
San Bernardino County
Department of Behavioral Health
Mental Health Services Act (MHSA)
Board of Supervisor’s Presentation February 7, 2006

2. Mental Health Services Act (MHSA)
Proposition 63, the MHSA, became law January 1, 2005
Provides funding to transform local mental health systems
Population Served: Seriously Mentally Ill & Seriously
Emotionally Disturbed
Goal: To improve resiliency and recovery

3. Mental Health Services Act (Cont’d)
Six components for funding
Community Public Planning
Community Services and Supports
Capital Facilities and Technology
Education and Training
Prevention/Early Intervention
Innovative Programs
Requires local public planning process
Requires development of three-year plan

4. San Bernardino County MHSA
W&I (a) A draft plan and update shall
be prepared and circulated for review and comment for at least 30 days to representatives of stakeholder interests and any interested party who has requested
a copy of such plans.

5. San Bernardino County MHSA
W&I b) The mental health board established pursuant to Section 5604 shall conduct a public hearing on the draft plan and annual updates at the close of the 30–day comment period required by subsection (a).
Each adopted plan and update shall include any substantive written recommendations for revisions. The adopted plan or update shall summarize and analyze the recommended revisions. The mental health board shall review the adopted plan or update and make recommendations to the county mental health department for revisions.

6. MHSA Funding for San Bernardino County
$17,168,200 million/year for community services
and supports
Total of 51,504,600 million over first three years
Funding will continue as long as MHSA is law
Funding expected to increase in future

7. San Bernardino County MHSA Planning Process and Results
Open, inclusive process
Community Outreach
3000 attendees participated
21 Training Workshops
4 Age Specific Workgroups
79 Member Community Policy
Advisory Committee (CPAC)
120 Focus & Stakeholder groups
6 Public Forums
1863 (to date) Community
Stakeholder Surveys

8. San Bernardino County MHSA
Issues and Needs
54,893 persons in the county are in need of
some level of mental health intervention and
services.
Significant racial and ethnic disparities exist
among the number of persons unserved,
underserved, or inappropriately served

9. San Bernardino County MHSA Issues and Needs (Continued)
Children/Youth
Transitional Age Youth (TAY)
Adults
Older Adults
Family and Peer problems; at risk of out of home placement for children
Homelessness
Access to care
Involvement in the child welfare system and juvenile justice system
Institutionalization and incarceration
Frequent hospitalizations and emergency room visits
Frequent hospitalizations, episodes of emergency care, and incidents of relapse to previous behavior
Acute psychiatric inpatient hospitalizations
Inability to live independently
Inability to work
Inability to manage independence
Alcohol and drug problems experienced by youth and families dealing with mental illness
Isolation

10. San Bernardino County MHSA
Values and Outcomes
Culturally competent
Client/family-driven services
Wellness/Recovery/Resilience focused
Reduce disparities in access to care
Measurable positive outcomes: decrease in
hospitalizations, incarcerations, homelessness,
and out-of-home placements
State Department of Mental Health will
provide statewide criteria

11. San Bernardino County MHSA Programs for Children and Transitional Age Youth
New
One-Stop Transitional Age Youth Centers
Expanded
Comprehensive Child & Family
Support Systems
Children Crisis Response Teams

12. San Bernardino County MHSA Programs for Adults and Older Adults
New
High Hospital User Assertive Case
Management Team
Circle of Care: Mobile Outreach &
Intensive Case Management
Expanded
Consumer-Operated Peer Support Svcs &
Clubhouse Expansion
Forensic Integrated Mental Health Services
Crisis Walk-in Centers
Psychiatric Triage Diversion Team at Arrowhead
Regional Medical Center
Circle of Care: System Development

13. San Bernardino County MHSA Programs Potential Program Providers
Some services will be contracted out
Department of Behavioral Health (DBH) will use
Request for Proposal Process
DBH will select appropriate community providers
Some Services will be provided by DBH

14. San Bernardino County MHSA Budget by Age Group and Administration Costs
Children $2,722,710
TAY $3,528,712
Adults $6,349,921
Older Adults $2,022,972
Administration $2,543,884

15. San Bernardino County MHSA Number of Clients to be Served
Estimated over the next three years (not unduplicated)
1285 Full Service Partnerships,
including housing if needed
8848 System Development
2248 Outreach and Engagement

16. One Time Only Funding Capital Purchases $4,013,800
Improving Information Services $2,264,916
Training/Education and $2,213,533
Cultural Competency Activities
Housing Set-Aside $3,975,000
Total $12,467,249

17. San Bernardino County MHSA Next Steps
Mental Health Commission endorses Plan February 2, 2006
Board of Supervisors approves Plan February 7, 2006
Submit Plan to State February 13, 2006
Proposed time for State approval of the CSS Plan is 90 days. Implementation is estimated to begin in late spring or early summer.

18. Conclusion
The Department of Behavioral Health would like to thank the many individuals who provided the feedback that was instrumental in forming the foundation of the CSS Plan.
Additionally, a special thank you is extended to the work group chairs and members who utilized this public feedback to develop the CSS Plan and the various program proposals for each specified age range.

19. San Bernardino County MHSA Funding Distribution by Age Group