Mental Health Services Act



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Community Planning Meetings - MHSA Annual Update
Annual-Update-Community-Planning-Meetings-Oct-2023.pdf(PDF, 2MB)



Mental Health Services Act (MHSA) 

The Mental Health Services Act was voter approved initiative in 2004 to fund efforts to close gaps in the behavioral health system and to transform the behavioral health system in California to be one focused on wellness, recovery and resilience.

The MHSA uses revenues from a 1% sales tax on millionaires to fund local programs driven by local needs. This page provides information on MHSA as well as Fresno County’s MHSA driven activities.


MHSA is comprised of five different components. Each of the components have their own focus, funding and sometimes reporting requirements and outcomes.

MHSA activities are driven by the MHSA Three Year Plan (and Annual Updates) which are formulated following a community planning process that uses meaningful stakeholder input. Below you will find information on each of the five components, short video for each, and any related plans, regulations, or resources.



Community Services and Supports (CSS)


CSS as it's known is one of the five components of MHSA. Its broken into three categories which include intensive outpatient services and whole person support through Full-Service Partnerships.

Systems Development, the second component can be range from out-patient programs, to systems support and resources development. The last component is Outreach and Engagement-which is focused on assisting persons with a serious mental illness into care.

Prevention and Early Intervention (PEI)

Prevention and Early Intervention (PEI), consistent of six strategies. Services in PEI are meant to prevent or reduce seven negative outcomes from an unaddressed mental health issue:

  1. school failure
  2. justice involvement
  3. loss of placement
  4. loss of employment
  5. housing/homelessness
  6. prolonged suffering
  7. suicide as a result of an untreated mental illness

PEI services focus on reducing disparities for unserved, underserved, and inappropriately served racial, ethnic, and cultural communities. Also, a majority of PEI funding has to be spent on services for children, youth and transition aged youth.

The six strategies for PEI are:

  1. Prevention
  2. Early Intervention-which are short term services up to 18 months, or up to four years if for the first episode or early on-set of a serious mental illness or emotional disturbance
  3. Outreach for Increasing Recognition of Early Signs of Mental Illness
  4. Access and Linkage
  5. Suicide Prevention
  6. Stigma and Discrimination Reduction

A county of Fresno’s size is required to have a program in each of the six strategies. Full list of all PEI programs can be found in the MHSA Three Year Plan and Annual Updates.  For details on PEI regulations and requirements click here.

Innovation (INN)


INN-MHSA’s Innovation (INN) component provides California the opportunity to develop and test new, unproven mental health models, to try adaptions of others, with the potential to become tomorrow’s best practices. 

The primary purpose of Innovation Projects is to provide learning. More information around Innovation can be found here.


Workforce Education and Training (WET)


WET- Workforce Education and Training (WET) component of MHSA is to develop a well-trained, informed and culturally diverse workforce to meet the growing needs of California. WET programs and services are used to educate and train new members of the workforce including peers.

To develop, improve and enhance the professional skills of the workforce, and to help develop the next generation of behavioral health workforce thought pathways, training, education, etc. For more information on WET services you can contact the WET Coordinator through our email.

Capital Facilities and Technology Needs (CFTN)


Capital Facilities and Technology Needs (CFTN) - a part of the MHSA that counties can contribute MHSA funds to, in order to address infrastructure needs of the system of care.

This may range from development of clinics, training centers, to development of electronic health records, data systems, software, etc. to improve service delivery.



Mental Health Services Act (MHSA)

For Information about the Mental Health Services Act use this think -->

MHSA Document Archive

If you have a Behavioral Health emergency
please call 9-1-1

For Access to Services or the Crisis Line,
1 800 654-3937

 CalHOPE Warm Line
1 833 317-HOPE(4673)

Central Valley Suicide Prevention Lifeline
1 800 273-8255