Mental Health Services Act

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The Department of Behavioral Health has launched the 2017 Fresno County Mental Health Services Act Community Program Planning Process through established meetings that take place throughout our community, collection of individual stakeholder input, review and use of data collected through stakeholder processes as well as with focus groups and community meetings.


The Annual Update/ Three Year Plan Public Comment period is now closed.   

English:  FY 16-17 ANNUAL UPDATE & THREE-YEAR 17/18-19/20 PLAN - FINAL DRAFT

Please note, the addendum to the annual update now includes the full fiscal budgeting portion. 

As this is a large document, there is an Executive Summary available on this website.  Copies of the plan can be made available upon request.  

Requests can be made to: or by calling (559) 600-6842. Comments received will be posted at the end of each week for stakeholder viewing.

Comments received will be posted at the end of each week for stakeholder viewing.  

Public Comment Received To Date:  Annual Update Posting Activities Log - 101717

Annual Update Changes Log - 101717
Annual Update Changes Log - Fiscal - 101217

Additional Worksheets to be included in the plan:
APP for Transportation Program:
Intensive Transition Team Program:
Technology Based Mental Health Solutions Program:


English:   FY16/17 Annual Update & Three-Year Plan FY 17/18 - 19/20 Public Comment Form
Hmong:   FY 16/17 Annual Update & Three-Year Plan FY 17/18 - 19/20 Public Comment Form Hmong
Spanish:  FY 16/17 Annual Update & Three-Year Plan FY 17/18 - 19/20 Public Comment Form Spanish

MHSA Executive Summary

DBH is pleased to post the MHSA Annual Update/Three Year Plan Executive Summary.  This document will provide you with an overview of the contents of the plan.  This document is undergoing translations and will be made available as quickly as possible.

English:  FY 16/17 Annual Update & Three Year Plan FY 17/18 - 19/20    MHSA Executive Summary
Spanish: FY 16/17 Annual Update & Three Year Plan FY 17/18 - 19/20 MHSA Executive Summary Spanish
Hmong:  FY 16/17 Annual Update & Three Year PLan FY 17/18 - 19/20 Executive Summary Hmong 


Innovation Final Reports - POSTED

The Department of Behavioral Health is posting two Innovations programs that are being ‘deleted.’  

“Deleted’ communicates to the public that these plans have been implemented and their learning goals have been tested, evaluated and implemented in our the system of care.    

The two programs posted include activities or services have either been funded with a new funding stream (Community Services and Supports) or their activities have been embedded into our system of care for continued growth and learning.   These two programs were identified as deleted in the prior Update process, this action shares the required final reports.   

New Innovation (INN) programs under initial consideration are outlined in the Executive Summary posted here, INN programs will undergo stakeholder input and formal request during this fiscal year.  

Thank you

Integrated Discharge Team
AB109 Program

Individual Input Opportunity

The purpose of this form is to capture individual’s input and ideas regarding MHSA plan/gaps/needs. This input will be incorporated into the MHSA Community Program Planning Process.

Stakeholder Meeting Input Opportunity

The purpose of this form is to capture dialogue and conversations during meetings that stakeholders attend or facilitate that can be used in the input process.

CPPP Stakeholder Meetings Flyer/Minutes

Stakeholder Data Collection

The prior MHSA Community Program Planning Process included robust a robust and rich collection of data that will inform the current MHSA stakeholder process. Since the Annual Update’s data collection, the Department completed several additional stakeholder processes, including

  • Fresno DBH Sequential Intercept Mapping Report- designed to address the connection between behavioral health services and criminal justice
  • Fresno DBH Housing Assessment—designed to address chronic homelessness, residential treatment and emergency/temporary/transitional housing and the connection to access to behavioral health services.
  • Proposition 47, Drug MediCal Waiver Community Engagement & Planning Process—designed to expand Substance Use Disorder services and create a system of integrated care that include behavioral health and

Data collected from the 2016 MHSA Three-Year Annual Update will inform the plan update along with Department-led initiatives that are focused on persistent community challenges, including the nexus of Behavioral Health with the criminal justice system, housing needs and gaps, suicide prevention and substance use services, and challenges in meeting rural behavioral health care needs, among others. Each of these initiatives has included participants with lived experience and their family members or other loved ones, as well as subject matter experts across allied professions,including primary care service providers, law enforcement and criminal justice professionals, mental health providers, substance use disorder service providers, and participants from the County’s diverse communities. Together, these outreach and engagement initiatives provide data, facts, finding and recommendations on addressing the most pressing and persistent challenges to public mental health.

MHSA Housing Application Documents


Click Here to view Fresno County Department of Behavioral Health, MHSA VIDEOS 

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