Mental Health Services Act (MHSA) MHSA Component Funding Guidelines and Decision Tree Mental Health Services Act Mental Health Services Act (MHSA) Purpose The MHSA is intended to expand and transform mental health services in California to provide a better coordinated and more comprehensive system of care for those with serious mental illness, and to define an approach to the planning and the delivery of mental health services that are embedded in the MHSA Values. MHSA Components Meaningful Stakeholder Involvement 1 MHSA Populations The MHSA intends that there be “ meaningful stakeholder involvement on MHSA is intended to increase access Community Services & Supports (CSS) mental health policy, program planning, and implementation, monitoring, and services for underserved, Outreach and direct services for children, quality improvement, evaluation, and budget allocation. ” MHSA-funded unserved, and inappropriately transition age youth (TAY), adults and older initiatives should engage the following community members: served populations in the following adults with the most serious mental health MHSA Values • Adults and seniors with • Education agencies Social services age groups: needs serious mental illness agencies • Families of children, adults, • Veterans and representatives from Children and youth: 0-15 Prevention & Early Intervention (PEI) and seniors with severe veterans organizations Transitional age youth: 16-25 Prevention services to promote wellness and emotional disturbance or • Providers of alcohol and drug services Adults: 26-59 prevent the development of mental health serious mental illness • Health care organizations Older adults: 60+ problems, and early intervention services to • Providers of mental health • Other important interests screen and intervene in early signs of mental services health issues • Law enforcement agencies MHSA History MHSA Funding to Counties MHSA Funding Rules Capital Facilities & Technology Needs (CFTN) Infrastructure development to support the More than 2 million people in California are affected by implementation of the technological Counties may use up to 20 percent of the The MHSA specifies that MHSA funds infrastructure and appropriate facilities to potentially disabling mental illnesses every year. Thirty years average amount of funds allocated to the cannot be used to supplant existing provide mental health services ago, the State cut back on services in state hospitals for county for the previous five years to fund state or county funds for mental people with serious mental illnesses but did not provide PEI: 15-20% WET and CFTN expenses and a prudent health services. Workforce Education & Training (WET) adequate funding for community-based mental health reserve. 2 Counties received 10-year services. Cuts to federal Medicaid (Medi-Cal) during the Support to build, retain, and train a allocations for WET and CFTN activities The state cannot decrease its level of INN: 0-10% competent public mental health workforce 1980s further devastated the public mental health system. and the most recent MHSA Expenditure financial support for mental health These cuts prevented tens of thousands of Californians from Report states that they have until the end programs. CSS: 75-80% accessing much-needed mental health care, which led to Innovation (INN) of FY 2018-19 to spend them. New approaches that may improve access, increased homelessness, hospitalizations, and incarceration. MHSA funds cannot be used to pay To address the gap in services, voters passed the Mental collaboration, and/or service outcomes for County Boards of Supervisors are the for services in long-term hospital all mental health consumers, with a focus on Health Services Act (MHSA) in 2004. The MHSA places a 1% approval body for MHSA funding, except and/or institutional settings . tax on personal income above $1 million. Since then, it has unserved, underserved, and inappropriately for INN, which is approved by the Mental served populations generated approximately $8 billion for the public mental Health Services Oversight & health care system. Accountability Committee 1 Welfare and Institutions Code Section 5848(a) 2 Welfare and Institutions Code Section 5892(b) Prepared by RESOURCE DEVELOPMENT ASSOCIATES February 2018 | 1
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