Regular-Health & Human Services # 41.
Board of Supervisors
- Meeting Date:
- 05/24/2022
- Brief Title
- Mental Health Services Act FY 22-23 Annual Update
From:
Nolan Sullivan, Interim Director, Health and Human Services Agency
Staff Contact:
Brian Vaughn, Community Health Branch Director, Health and Human Services Agency, x8771
Supervisorial District Impact:
Subject
Receive an update on the Mental Health Services Act (MHSA) Annual Update for fiscal year 2022-2023. (No general fund impact) (Sullivan)
Recommended Action
Receive an update on the Mental Health Services Act (MHSA) Annual Update for fiscal year 2022-2023.
Strategic Plan Goal(s)
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Thriving Residents |
 |
Safe Communities |
Reason for Recommended Action/Background
The Yolo County Health and Human Services Agency (HHSA) staff are currently developing the next MHSA Annual Update for Fiscal Year 2022-2023. This Annual Update will include an updated spend plan to account for the remaining $11.1 million in MHSA fund balance that was identified during the FY21-22 mid-year budget review.
This presentation will provide an update to the Board of Supervisors on the Community Program Planning (CPP) process and proposed spend plan for the Annual Update.
The process for development of the next MHSA Annual Update began in February 2022 and will last through June 2022. This will be the final Annual Update of the current three-year MHSA planning cycle. The process is being led by Community Health Branch staff in collaboration with staff from C.A.R.E. Consulting Group. As part of MHSA regulations, an Annual Report is required to account for changes that may have taken place from the initial Three-Year Program and Expenditure Plan, provide an update on services, and engage stakeholders in a community process to inform the update of the plan.
To date, staff has met with and solicited feedback from key stakeholders including the MHSA Community Engagement Work Group (CEWG) and the Local Mental Health Board (LMHB).
Background
The Mental Health Services Act, passed in 2004 as Proposition 63, provides for a 1% tax on personal incomes over $1 million. This revenue is divided by a State formula and distributed directly to counties to expand and transform the mental health system while meeting the needs of unserved or underserved consumers. Per MHSA regulations, county MHSA funds must be spent in the following manner across five core components:
This presentation will provide an update to the Board of Supervisors on the Community Program Planning (CPP) process and proposed spend plan for the Annual Update.
The process for development of the next MHSA Annual Update began in February 2022 and will last through June 2022. This will be the final Annual Update of the current three-year MHSA planning cycle. The process is being led by Community Health Branch staff in collaboration with staff from C.A.R.E. Consulting Group. As part of MHSA regulations, an Annual Report is required to account for changes that may have taken place from the initial Three-Year Program and Expenditure Plan, provide an update on services, and engage stakeholders in a community process to inform the update of the plan.
To date, staff has met with and solicited feedback from key stakeholders including the MHSA Community Engagement Work Group (CEWG) and the Local Mental Health Board (LMHB).
Background
The Mental Health Services Act, passed in 2004 as Proposition 63, provides for a 1% tax on personal incomes over $1 million. This revenue is divided by a State formula and distributed directly to counties to expand and transform the mental health system while meeting the needs of unserved or underserved consumers. Per MHSA regulations, county MHSA funds must be spent in the following manner across five core components:
- 76% on Community Services and Supports (CSS) for programs to address adults with severe mental illness and children and youth with serious emotional disturbance. Of this 76% in CSS funding, 51% must be spent on Full-Service Partnership programs that provide full wrap-around services for high-need clients
- 19% on Prevention and Early Intervention (PEI) services of which 51% must be allocated to services for individuals under 25 years old
- 5% on Innovation projects that introduce a new practice or approach
- Workforce Education and Training (WET)
- Capital Facilities and Technology (CFTN)
Community Program Planning (CPP) Process
On a triennial basis, each county is required to engage the public in a planning process and submit a program and expenditure plan to the State for use of MHSA funds, followed by two annual updates to the plan. This process requires each county to solicit input from local stakeholders across multiple sectors to: (1) identify community issues related to mental illness resulting from lack of community services and supports, including any issues identified during the implementation of the MHSA services, (2) analyze the mental health needs in the community, and (3) identify and re-evaluate priorities and strategies to meet those mental health needs.
HHSA utilizes this feedback to draft each MHSA Three-Year plan and their subsequent Annual Updates. HHSA is required to engage in a local review process prior to submitting each Three-Year plan and Annual Update for approval. The local review process requires HHSA to publish each plan and update for a 30-day public review period and to seek feedback from the Local Mental Health Board prior to obtaining final approval from the County Board of Supervisors. Per regulation, HHSA must follow the priorities set out in each Three-Year plan to guide funding and program decisions throughout the entire three-year cycle.
HHSA staff are currently developing the second Annual Update for Fiscal Year 2022-2023. This process began in February 2022 and will last through June 2022. This will be the final Annual Update of the current three-year MHSA planning cycle.
On a triennial basis, each county is required to engage the public in a planning process and submit a program and expenditure plan to the State for use of MHSA funds, followed by two annual updates to the plan. This process requires each county to solicit input from local stakeholders across multiple sectors to: (1) identify community issues related to mental illness resulting from lack of community services and supports, including any issues identified during the implementation of the MHSA services, (2) analyze the mental health needs in the community, and (3) identify and re-evaluate priorities and strategies to meet those mental health needs.
HHSA utilizes this feedback to draft each MHSA Three-Year plan and their subsequent Annual Updates. HHSA is required to engage in a local review process prior to submitting each Three-Year plan and Annual Update for approval. The local review process requires HHSA to publish each plan and update for a 30-day public review period and to seek feedback from the Local Mental Health Board prior to obtaining final approval from the County Board of Supervisors. Per regulation, HHSA must follow the priorities set out in each Three-Year plan to guide funding and program decisions throughout the entire three-year cycle.
HHSA staff are currently developing the second Annual Update for Fiscal Year 2022-2023. This process began in February 2022 and will last through June 2022. This will be the final Annual Update of the current three-year MHSA planning cycle.
Collaborations (including Board advisory groups and external partner agencies)
A broad array of community partners participate in the MHSA plan development.
Fiscal Impact
No Fiscal Impact
Fiscal Impact (Expenditure)
- Total cost of recommended action:
- $
- Amount budgeted for expenditure:
- $
- Additional expenditure authority needed:
- $
- On-going commitment (annual cost):
- $
Source of Funds for this Expenditure
- General Fund
- $0
Attachments
Form Review
- Form Started By:
- tdickinson
- Started On:
- 04/25/2022 01:17 PM
- Final Approval Date:
- 05/18/2022