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Last Updated:  06/24/2005

Copyright © 2005
Alameda County Behavioral Health Care Services

 


Update from CMHDA


February, 2005

Source:  CMHDA's Newsletter, Volume IV, Issue I, February 7, 2005

We did it!  Proposition 63 is no longer a wish – it is a reality.  Thanks to the hard work, financial contributions and dedication of many Californians over the past couple of years -- with a special thanks to former Assemblyman Darrell Steinberg and Rusty Selix, the official co-proponents of Proposition 63 -- the Mental Health Services Act (MHSA) is now law in California.  And we must begin the second phase of the campaign, which is implementation.

According to the MHSA, counties, along with the state Department of Mental Health, have the primary responsibility for implementing this important new initiative.  Counties (and cities, as applicable) are responsible for working with individuals served, families and other local stakeholders to prepare and submit to the state Department of Mental Health (DMH) and the Oversight and Accountability Commission a 3-year plan for implementing the MHSA. 

As county mental health directors and staff are well aware, hard work is already underway in local communities to begin turning the vision of the MHSA into reality.  The vision, as outlined recently by state DMH Director Stephen W. Mayberg, is “to transform the current mental health system in California … toward a state-of-the-art culturally competent system that promotes recovery/wellness through independence, hope, personal empowerment, and resiliency for adults and seniors with serious mental illness and for children with serious emotional disorders and their families.”

DMH last month released the allocation formula that will be used to let counties know how much community program planning money they are eligible to apply for.  It includes a minimum allocation of $75,000 for each county, with the rest based on percentage of population under 200% of the federal poverty level.  It also finalized the guidelines counties must follow in submitting their applications for the planning funds (see DMH Letter 05-01), at http://www.dmh.ca.gov/DMHDocs/docs/letters05/05-01.pdf.

In a nutshell, counties must include enough details of their proposed activities to allow reviewers to determine if the county’s proposed Community Program Planning:

  • Reflects the scope of the MHSA;

  • Is complete and responsive to DMH Letter 05-01 requirements; and

  • Describes reasonable county planning activities in light of the funding requested.

The deadline for submitting the funding requests is March 15, 2005.  However, as a courtesy for those counties who submit their funding requests sooner, DMH will begin reviewing requests as of February 15.  DMH will either approve or disapprove plans within 30 days of receipt.  To learn more about what some of your colleagues are up to with regard to developing a “plan to plan,” be sure to attend the panel discussion on county planning activities at our Friday morning All Directors session (February 11) during the California Mental Health Policy Forum in San Diego.

Next Steps:  Counties are anxiously awaiting guidance from DMH on two important issues:  1) the criteria and methodology for distributing services funding (pursuant to the systems of care provisions for children, adults and older adults); and 2) guidelines for determining how the local supplantation language from the MHSA (Section 5891, which states simply that “these funds shall not be used to supplant existing state or county funds utilized to provide mental health services”)  will be defined.  DMH hopes to have a proposal for the services funding piece out by March 1.  The expected date for the proposed supplantation guidelines is unknown at this time.

For more information and guidance on MHSA implementation issues, be sure to keep an eye on the training opportunities that CIMH is sponsoring http://www.cimh.org/home/index.cfm.  To keep up on any new information coming out from DMH, go to their special MHSA site at http://www.dmh.ca.gov/MHSA/default.asp.