Mental Health Services Act (MHSA)

 

Recovery Oriented Treatment Services

Services traditionally provided in the mental health system including screening and assessment, clinical case management, individual or group therapy and medication management.  These services support the MHSA’s philosophy that mental health needs are not defined by symptoms but rather by a focus on achieving, maintaining, and promoting the overall health and well-being of the individual and family.

The majority of MHSA funding for Recovery-Oriented Treatment Services is allocated to Full Service Partnership (FSP) Programs. The remaining funds are distributed to the following: (1) Trauma Recovery Programs, (2) the Behavioral Health and Juvenile Justice Integration, (3) the Prevention and Recovery in Early Psychosis Program, (4) the Behavioral Health Access Center, (5) Dual Diagnosis Residential Treatment, and (6) Behavioral Health and Primary Care Integration.
*Innovations funding also supports several programs in this MHSA service category.

Full Service Partnership Programs

Full Service Partnership (FSP) programs reflect an intensive and comprehensive model of case management based on a client- and family-centered philosophy of doing “whatever it takes” to assist individuals diagnosed with Severe Mental Illness or Severe Emotional Disturbance to lead independent, meaningful, and productive lives. Services include integrated, recovery-oriented mental health treatment; intensive case management and linkage to essential services; housing and vocational support; and self-help.

Target Population	Lead Agency	Services
Children 0-5 & Families	Instituto Familiar de la Raza (IFR)	Provides trauma focused dyadic therapy, intensive case management and wraparound services to the 0 – 5 population.
Children & Adolescents	Seneca SF Connections	Offers wraparound services to help children and their families achieve stability and increase access to community resources
	Family Mosaic Project	Provides intensive case management and wraparound services in the Bayview, Mission, and Chinatown neighborhoods
Transition Age Youth (TAY)	Family Service Agency	Provides physical health care, mental health treatment, medication management, employment assistance, housing support, and peer support
	Behavioral Health Services - TAY	Conducts intensive services (e.g., training on independent living skills, mental health and substance abuse counseling) with youth transitioning out of foster care and the child welfare system
Adults	Hyde Street Community Services	Implements mental health promotion efforts to homeless individuals in the Tenderloin who have not successfully engaged with outpatient services and frequently experience multiple co-occurring disorders
	Family Service Agency	Conducts wellness and creative arts workshops, holds community cultural events, offers support groups, and organizes healing circles for African Americans living in the Bayview, Oceanview, and Western Addition neighborhoods
	SF-Behavioral Health Services & UCSF Citywide Case Management (AOT)	Improves the quality of life of participants, supports them on their path to recovery and wellness, and prevents cycling through acute services and incarceration with a particular focus on providing community-based services and multiple opportunities for an individual to engage in voluntary treatment
	SF Fully Integrated Recovery Service Team	Provides services (e.g., individual or group therapy, medication management) to individuals with SMI who have been homeless for an extended time
	UCSF Citywide Case Management Forensics	Provides consultation, services, screening and assessment, and other mental health services to adults who are engaged with the Behavioral Health Court
Older Adults	Family Service Agency	Serves older adults ages 60 and above who need specialized geriatric services related to mental health  and aging

Trauma Recovery

Trauma Recovery programs address the need for community-based, client-driven therapeutic interventions for individuals, families and communities who are impacted by violence.  MHSA-funded lead agencies partner with community response networks and frontline violence response programs.

Lead Agency	Program	Services
Instituto Familiar de la Raza (IFR)	La Cultura Cura – Trauma Recovery and Healing Services	Provides trauma recovery and healing services (e.g., assessment, grief counseling, crisis response, collateral intervention) to youth between ages 14 to 25 and their families, particularly to residents in the Mission District and Latinos citywide
Horizons Unlimited	Emic Behavioral Health Services	Meets the unmet mental health needs of youth and families whose problems   place them at significant risk, and impede adequate functioning within their family, school, community and mainstream society. The treatment model combines culturally informed, evidence based substance abuse and mental health principles.

Behavioral Health and Juvenile Justice Integration

Both nationally and locally in San Francisco, over 70 percent of youth involved in the juvenile justice system have behavioral health problems. Detention offers a critical window to link youth to appropriate mental health services. However, alarmingly high numbers of youth in juvenile justice systems nationwide have untreated mental health needs that may be the basis of their delinquent and risk-taking behaviors and pose obstacles to rehabilitation, thus contributing to increased recidivism.  To develop plans that mitigate risk and support therapeutic progress, San Francisco Juvenile Probation and the CYF System of Care have partnered to establish a collaborative planning and shared decision-making approach with youth, families and caregivers.

Lead Agency	Program	Services
1) Seneca Center   2) City and County of San Francisco	AIIM (Assess, Identify Needs, Integrate Information, & Match Services) Higher	A multidisciplinary and cross agency team that provides standardized assessment and planning that supports the engagement of youth and families in appropriate and effective services. Services include: behavioral health screening; consultation with probation, courts, and community providers; resource referral; and linkage and engagement services.

Prevention and Recovery in Early Psychosis (PREP)

PREP is an early intervention treatment program for schizophrenia and early psychosis for individuals between the ages of 16 and 30 to support symptoms remission, active recovery, and full engagement with co-workers, peers, and family members. PREP is a partnership involving five agencies. The lead agency is Family Service Agency, UCSF and the Mental Health Association of San Francisco are primary partners, and Larkin Street Youth Services and the Sojourner Truth Foster Care Agency work with special populations of at-risk youth (i.e., foster care and homeless youth). PREP treatment services include the following: algorithm-based medication management, cognitive rehabilitation, cognitive behavioral therapy for early psychosis, multi-family groups (MFG), strengths-based care management, and neuropsychiatric and other advanced diagnostic services.

Behavioral Health Access Center

Provides centralized referral and linkage to services through the co-location of five behavioral health programs including, 1) Mental Health Access, for authorizations into the Private Provider Network, 2) the Treatment Access Program, for assessment and placement into addiction and dual diagnosis treatment, 3) the Offender Treatment Program, (formerly SACPA Prop 36), for placement of mandated clients into addiction and dual diagnosis treatment, 4) COPE/OBIC for evaluation and placement into Opiate Replacement Therapy, and 5) the CBHS Pharmacy.

Dual Diagnosis Residential Treatment

Dual diagnosis residential treatment and support is provided by HealthRIGHT 360. Services are provided to individuals who do not have Medi-Cal coverage and who would otherwise not be eligible for services.

Integration of Behavioral Health and Primary Care: San Francisco Health Network (SFHN)

In this model, behavioral health clinicians work as members of the primary care team providing services to patients in primary care clinics.  Services include the delivery of brief, evidence-based therapeutic interventions, consultation to primary care team members, and participation in population-based care “pathways,” and self- and chronic-care management services (e.g., class and group medical visits).  In 2014, this program was expanded to include primary care clinics based at Zuckerberg San Francisco General Hospital (ZSFG), and as of the past year, Tom Waddell Urban Health has been included in the PCBH model.  Services have also been expanded to include pediatric primary care services in the community and at ZSFG.  MHSA has provided resources to support this initiative.