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Agenda Item
ASR
Control 21-000425 |
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MEETING DATE: |
06/22/21 |
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legal entity taking action: |
Board of Supervisors |
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board of supervisors
district(s): |
All Districts |
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SUBMITTING
Agency/Department: |
Health Care Agency
(Approved) |
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Department contact
person(s): |
Annette Mugrditchian (714) 834-5026 |
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Jeff Nagel (714) 834-7024 |
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Subject: Mental Health Services Act
Annual Plan Update FY 2021-22
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ceo CONCUR |
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Clerk of the Board |
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Concur |
No Legal Objection |
Discussion |
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3 Votes Board Majority |
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Budgeted: N/A |
Current Year Cost:
N/A |
Annual Cost:
$10,471,163 |
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Staffing Impact: |
No |
# of Positions:
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Sole Source:
N/A |
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Current Fiscal Year Revenue: N/A
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Prior Board Action: 06/02/2020
#52, 05/21/2019 #33, 04/09/2019 #10, 01/29/2019 #26 |
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RECOMMENDED ACTION(S):
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1. |
Approve the annual updates to the Orange County Mental Health Services Act Three-Year Program and Expenditure Plan for the provision of the Mental Health Services Act, Proposition 63, for the period of July 1, 2021, through June 30, 2022. |
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2. |
Authorize the Health Care Agency Director, or designee, to execute the annual update to the County's Mental Health Services Act Three-Year Program and Expenditure Plan as referenced in the Recommended Actions above. |
SUMMARY:
Approval of the FY 2021-22 annual update to the Orange County Mental Health Services Act Three-Year Program and Expenditure Plan will fund all Mental Health Services Act Programs for the upcoming FY 2021-22.
BACKGROUND INFORMATION:
In November 2004, California voters approved Proposition 63, the Mental Health Services Act (MHSA). MHSA provides counties a source of funding for expanded county mental health programs. The overall goal of the expanded county mental health programs is to not only reduce the long-term adverse impact of untreated mental illness but also provide a comprehensive system of care for the target population through the various MHSA programs, e.g. Prevention and Early Intervention (PEI), Innovation, Community Services and Support (CSS) evidence-based programs and practices.
Welfare and Institutions Code §5847 and §5848 require that a three-year program and expenditure plan and annual updates, be prepared through a meaningful stakeholder process at the local level and subsequently adopted by your Honorable Board of Supervisors (Board) prior to its submission to the California Department of Health Care Services and Mental Health Services Oversight and Accountability Commission.
The Board took the previous board actions related to the MHSA Three-Year Plan:
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Board Date |
Contract/ Amendment |
Action |
Term |
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January 29, 2019 |
MHSA FY 2018-19 Plan Amendments |
Board Approved |
July 1, 2018 - June 30, 2019 |
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April 9, 2019 |
MHSA FY 2018-19 Plan Amendments |
Board Approved |
July 1, 2018 - June 30, 2019 |
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May 21, 2019 |
Mental Health Services Act Annual Plan Update FY 2019-20 |
Board Approved |
July 1, 2019 - June 30, 2020 |
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June 2, 2020 |
MHSA Three-Year Program and Expenditure Plan |
Board Approved |
July 1, 2020 - June 30, 2023 |
The FY 2021-22 annual update to the Three-Year Plan is a comprehensive plan and review of all County MHSA programs, budgets and outcomes from the previous fiscal year. The programs in the plan cover the full continuum of services including: Awareness and Prevention, Access and Linkage to Treatment/Services, Crisis Prevention, Outpatient Treatment, Supportive Services, Workforce Education and Training, Capital Facilities and Technological Needs and Special Projects. Many of these programs assist individuals experiencing homelessness and can provide resources for those who need specialized care and/or another level of care.
The FY 2021-22 Plan Update was developed through robust community planning, which included a Community Survey, Community Engagement Meetings and Provider Engagement Meetings.
The MHSA Steering Committee reviewed the FY 2021-22 programs and budgets included in the proposed annual update at their regularly scheduled meetings on March 15, 2021, and April 19, 2021. In accordance with Welfare and Institution Code Section 5848, the proposed Annual Plan Update was posted and distributed on May 2, 2021, throughout the community for a 30-day Public Comment period. At the close of the Public Comment period, the Behavioral Health Advisory Board held a Public Hearing on the Plan Update on June 10, 2021. As of the filing of this Agenda Staff Report, there have been three public comments on the plan submitted by members of the public.
Notable Changes/Additions to the Three-Year Plan as a Result of the Proposed Annual Updates:
CSS
· Expand the scope of work for the Telehealth/Virtual Behavioral Health Care Program to include a client and provider needs assessment and development of culturally and linguistically responsive training materials, videos and tipsheets on technology and digital health literacy.
· Add funding, not to exceed $400,000, for facility design enhancements (i.e., paint, accent furniture/brochure displays, consumer-created artwork, plants, etc.) to make Behavioral Health Services clinics feel less institutional and more welcoming, thereby improving consumers’ willingness to and comfort with engaging in services.
· Increase funding for Program for Assertive Community Treatment by $100,000 for staffing the Older Adult team.
· Remove the Integrated Community Services program, as it transitioned to CalOptima, thereby helping consumers feel a in FY 2019-20.
PEI
· Increase the Mental Health Community Education Events for Reducing Stigma and Discrimination for a time limited increase of $319,000 and a total budget of $1.2 million, with a set-aside for an event for Veterans/Military-connected families.
· Increase outreach for Increasing Recognition of Early Signs of Mental Illness by $2.7 million for continued work on the StigmaFree OC campaign and website, web design and content work on ochealthinfo.com, continued airing of mental health-related public service announcements on television, hosting a statewide Directing Change event, expansion of social marketing of mental health resources, etc.
· Add a total of $3 million to OC Links to cover the additional staffing for a 24 hours a day, seven days per week expansion as well as a Countywide marketing campaign.
· Increase Warmline funding by $500,000 to improve staffing/shift coverage now that the program has shifted to a 24/7 operation.
· Increase Suicide Prevention Services by $500,000 for the contracted provider and increase on-going budget by $1.5 million to establish the Office of Suicide Prevention as directed by the Board, and to identify and implement pilot project in suicide prevention.
Capital Facilities and Technology Needs (CFTN)
Continued development and enhanced functionality of the HCA electronic health record, which will include the transfer of additional funds in FY 2021-22.
The program highlights above are some of the more significant or noteworthy changes to the MHSA Plan. Due to program budget rightsizing, every change is not listed. Below is the cumulative component budget approved in the MHSA Three Year Plan for FY 2021-22, the component budget’s requested increase or decrease and the proposed FY 2021-22 component budget for this current update.
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Component |
FY 2021-22 Budget from Three-Year Plan |
Requested Change |
Proposed FY 2021-22 Budget Update |
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CSS |
$ 164,627,171 |
($5,842,061) |
$158,785,110 |
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PEI |
$ 49,286,926 |
$6,857,175 |
$56,144,101 |
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Innovation |
$ 9,009,773 |
$1,989,417 |
$10,999,190 |
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Workforce Education and Training |
$ 5,219,984 |
- |
$5,219,984 |
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CFTN |
$ 8,840,752 |
$7,466,632 |
$16,307,384 |
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TOTAL |
$ 236,984,606 |
$10,471,163 |
$247,455,769 |
FINANCIAL IMPACT:
All expenditures related to the FY 2021-22 annual update to the MHSA Three-Year Program and Expenditure Plan are approved by your Board through separate actions, in accordance with County budgeting and procurement processes.
Appropriations and Revenue for the MHSA Plan will be included in the Budget Control 042 FY 2021-22 Budget.
STAFFING IMPACT:
N/A
ATTACHMENT(S):
Attachment A - MHSA Annual Plan Update FY 2021-22
Attachment B - Welfare and Institutions Code §5847 and §5848