LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 100.08 Mental Health Services Act Three Year Plan Development and Review
 
Policy Category: Administrative
Distribution Level:  Directly Operated
Responsible Party:  Mental Health Services Act Administration Division
 
Approved by Kalene Gilbert, LCSW, Mental Health Program Manager IV, on Mar 29, 2024
 
I.  PURPOSE
 
To ensure the Los Angeles County Department of Mental Health (DMH) is compliant with Welfare and Institutions Code Section 5847 requiring county mental health programs to prepare and submit a Three-Year Program and Expenditure Plan and Annual Updates for Mental Health Service Act (MHSA) programs and expenditures.
 
II.  DEFINITIONS
 
Adults: Individuals 18 years - 59 years of age. 
 

California Code of Regulations (CCR): Regulations adopted, amended, or repealed by state agencies pursuant to the Administrative Procedure Act (APA). Properly adopted regulations filed with the Secretary of State have the force of laws. 
 

Capital Facilities and Technological Needs (CFTN): Funds for projects designed to enhance the infrastructure needed to support the behavioral health system, which includes improving or replacing existing technology systems and/or developing capital facilities to meet increased needs of the local mental health system. 
 

Children and Youth: Individuals from birth through 17 years of age and individuals age 18 and older who are eligible to receive services. 
 

Client Driven: Utilization of clients’ input as the main factor for planning, policies, procedures, service delivery, evaluation and outcomes (Client's determine the definition and determination of outcomes). The client has the primary decision-making role in identifying their needs, preferences, and strengths. They have a shared decision-making role in determining the services and supports that are most effective and helpful for them.
 

Community Collaboration: A process by which clients and/or families receiving services, other community members, agencies, organizations, and businesses work together to share information and resources to fulfill a shared vision and goals. 
 

Community Services and Supports: The component of the Three-Year Program and Expenditure Plans that refers to service delivery systems for mental health services and supports for children and youth, transition age youth, adults, and older adults. 
 

Department: The Los Angeles County Department of Mental Health. 
 

Early Intervention Services: Services to individuals showing early onset of mental illness/emotional disturbance. 
 

Family Driven: Families of children and youth with serious emotional disturbance have a primary decision-making role in the care of their own children, including the identification of needs, preferences and strengths, and a shared decision-making role in determining the services and supports that would be most effective and helpful for their children. Family driven programs/services use the input of families as the main factor for planning, policies, procedures, service delivery, evaluation and the definition and determination of outcomes. 
 

Innovation (INN) Projects: Projects designed to test time-limited new or changing mental health practices that have not yet been demonstrated as effective. The purpose of the INN component is to infuse new, effective mental health approaches. 
 

Mental Health Services Act (MHSA): A law passed in 2004 designed to expand and transform California's behavioral health system to better serve individuals with, and at risk of, serious mental health issues, and their families. 
 

Mental Health Services Oversight & Accountability Commission (MHSOAC): The group of individuals who oversee the implementation of the MHSA and who ensure stakeholders are at the center of the decision-making process.
 

Older Adults: Individuals 60 years and older. 
 

Prevention and Early Intervention (PEI): The component which funds programs designed to prevent mental illnesses from becoming severe and disabling, with an emphasis on improving timely access to services for underserved. 
 

Prevention Services: Interventions for individuals who are at risk for mental illness/emotional disturbance. 
 

Prudent Reserve: Reserved capital funds of monies allocated to the Community Services and Supports component which cannot exceed 33% of a county's average distribution for the previous five years.
 

Transitional Aged Youth (TAY): Individuals between the ages of 16 and 25. 

Underserved: Clients of any age who have been diagnosed with a serious mental illness and/or serious emotional disturbance and are receiving some services but are not provided the necessary or appropriate opportunities to support their recovery, wellness and/or resilience. 

 

Unserved: Individuals who may have serious mental illness and/or serious emotional disturbance and are not receiving mental health services. 
 

Welfare and Institutions Code (WIC): The WIC establishes programs and public social services for promoting the public welfare. 
 

Workforce Education and Training (WET): Programs designed to enhance the public mental health workforce. 
 

III.  POLICY
 

The Three-Year Program and Expenditure Plan shall be developed and approved through a diverse local stakeholder process and must include all the necessary elements required state authorities.   
 

The Annual Update must be adopted by the Los Angeles County Board of Supervisors and submitted to the Mental Health Services Oversight and Accountability Commission (MHSOAC) within 30 days of Board of Supervisor approval. 
 

VI.  PROCEDURES
 
Procedures - Mental Health Services Act Three Year Plan Development and Review
 
V.  AUTHORITIES
 
9 California Code of Regulations §§ 3300; 3315; 3650; 3705(1)3930 (b)(1)
California Welfare and Institutions Code §§ 5840; 5847(e); 5848

 
VI.  ATTACHMENTS
 
No attachments are associated with this policy.