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DPH outlines Behavioral Health Services Act update, Prop. 1 implementation timeline and program outcomes

San Francisco Public Safety and Neighborhood Services Committee · November 14, 2024
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Summary

The Department of Public Health presented the annual update to the Mental Health/Behavioral Health Services Act and described work to align local spending with Proposition 1 (including a $6.4 billion bond), highlighted program outcomes and set a timeline to implement a three-year integrated plan by mid-2026.

Jessica Brown of the Department of Public Health presented the annual update for the Mental Health Services Act, which the transcript identifies as now referred to as the Behavioral Health Services Act following changes enacted by Proposition 1. Brown described the act as funded by a 1% tax on personal incomes over $1 million and summarized FY22–23 outcomes, service categories and community-engagement work used to plan allocations across more than 85 programs.

Brown highlighted several program outcomes reported by DPH: an 88% decrease in mental-health and substance-use disorder emergencies for adults participating in the Full Service Partnership model and a 96% decrease in arrests for youth participants. She said the new state-level Proposition 1 changes require counties to produce integrated three-year plans and to reorient funding toward housing and full-service partnerships; the timeline given requires implementation by mid-2026.

The committee asked no questions during the presentation; the item was advanced to the full Board as a committee report with a positive recommendation.