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Santa Clara County Civic Gallery Board of Supervisors agenda intelligence

Matter SCC-128126

Consider recommendations relating to the Mental Health Services Act (MHSA) Innovation (INN) 18 Project: Program Improvements for Valued Outpatient Treatment (PIVOT).

Health & Hospital System Board of Supervisors
6 Documents on file 3.02 MB · 6 extracted · 6 AI summaries
File
SCC-128126
Type
Unknown
Status
Unknown
Requester
Unknown
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Last synced
15 Jul 2026 · 02:53

The papers

01 218 KB

Fiscal/Budget Item Printout

218 KB Extracted AI Summary
file Unknown sha be8002817397 source Open source document ↗
Generated summary AI-assisted

The source text indicates this attachment appears to be a draft document.

The document outlines recommendations for the Mental Health Services Act (MHSA) Innovation 18 Project, titled Program Improvements for Valued Outpatient Treatment (PIVOT). It includes actions for the Board of Supervisors to adopt the draft plan, authorize submissions to the Behavioral Health Services Oversight and Accountability Commission (BHSOAC), and approve a budget modification. The project aims to enhance behavioral health services for underserved communities and includes plans for staffing and funding allocations. A public review process was conducted prior to this recommendation.

Key points
  • The document is from the County of Santa Clara's Behavioral Health Services Department.
  • It discusses the Mental Health Services Act Innovation 18 Project, known as PIVOT.
  • Recommendations include adopting the draft plan, submitting it to BHSOAC, and approving a budget modification of $4,100,000.
  • The project aims to improve behavioral health services for underserved communities.
  • It includes the addition of 2.0 full-time equivalent positions to support the project.
  • A 30-day public review was conducted, receiving seven substantive comments.
  • The project is based on community and stakeholder feedback regarding equity and access.
Limitations
  • The document appears to be a draft as indicated by the use of 'Draft Plan' in the title.
  • Specific dates for actions and approvals are mentioned but not confirmed.
  • Some sections contain unresolved placeholders and references to attachments that are not provided.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 14,891 chars
County of Santa Clara Santa Clara Valley Health & Hospital System Behavioral Health Services Department 128126 DATE: May 19, 2026 TO: Board of Supervisors FROM: Sherri Terao, Director, Behavioral Health Services SUBJECT: Mental Health Services Act Innovation 18 - Program Improvements for Valued Outpatient Treatment RECOMMENDED ACTION Consider recommendations relating to the Mental Health Services Act (MHSA) Innovation (INN) 18 Project: Program Improvements for Valued Outpatient Treatment (PIVOT). Possible action: a. Adopt the MHSA INN 18: PIVOT Project Draft Plan, which includes community and stakeholder feedback regarding equity and access for underserved residents. b. Authorize the Behavioral Health Services Department (BHSD) to submit the MHSA INN 18: PIVOT Project Draft Plan to the Behavioral Health Services Oversight and Accountability Commission (BHSOAC). c. Authorize BHSD to submit a budget request to BHSOAC for the new MHSA INN 18: PIVOT Project. d. Approve Request for Appropriation Modification No. 140 - $4,100,000 increasing estimated revenue and expenditure appropriations in the BHSD budget, relating to the PIVOT Project. (4/5 Vote) FISCAL IMPLICATIONS The recommended...
02 917 KB

Attachment A - MHSA INN 18 PIVOT Project Draft Plan

917 KB Extracted AI Summary
file Unknown sha 11cf511eb3d4 source Open source document ↗
Generated summary AI-assisted

The source text indicates this attachment appears to be a draft document.

The document outlines the draft proposal for the Mental Health Services Act (MHSA) Innovation 18-PIVOT Project by the County of Santa Clara's Behavioral Health Services Department. It includes a 30-day public comment period from March 10, 2026, to April 9, 2026, and details the components of the project, which focus on Full-Service Partnership (FSP) reboot and developing capacity for specialty mental health services. The proposal emphasizes the need for system improvements, integration of co-occurring services, and culturally responsive care. It also describes stakeholder engagement activities and community data supporting the need for these initiatives.

Key points
  • The proposal is a draft and is open for public comments from March 10, 2026, to April 9, 2026.
  • Primary contact for the proposal is Roshni Shah, BHSA Coordinator.
  • The proposal includes components such as Full-Service Partnership reboot and capacity development for specialty mental health services.
  • The project aims to enhance administrative processes and service delivery for individuals with serious behavioral health conditions.
  • Stakeholder engagement included community surveys and conversations, highlighting the need for improved access and culturally responsive services.
Limitations
  • The text appears to be a draft, as indicated in the document.
  • Specific dates for the local MH Board hearing and BOS approval are mentioned but not fully detailed.
  • Some sections are truncated, limiting the completeness of the information.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 28,639 chars
County of Santa Clara Behavioral Health Services Department Mental Health Services Act (MHSA) Innovation 18-PIVOT Project Proposal DRAFT 30 Day Public Comment Period: March 10, 2026 – April 9, 2026 Use this link to submit your comments during the public comment period: https://www.surveymonkey.com/r/PIVOT26 County Contact and Specific Dates: • Primary County Contact: Roshni Shah, BHSA Coordinator • Date Proposal posted for 30-day Public Review: March 10, 2026 • Date of Local MH Board hearing: April 13, 2026 • Date of BOS approval or calendared date to appear before BOS: May 19, 2026 PIVOT Components: X Full-Service Partnership Reboot ☐ Integrated Complex Care Management for Older Adults X Developing Capacity for Specialty MH Plan Services with Diverse Communities ☐ Innovating Countywide Workforce Initiatives ☐ Innovative Approaches to Delivery of Care Local Need: Full-Service Partnership (FSP) Santa Clara County’s Behavioral Health Services Department (BHSD) currently provides FSP programs across our systems of care that provide intensive outpatient services and comprehensive case management for individuals living with serious behavioral health conditions. Under BHSA, FSP...
03 250 KB

Attachment B - MHSA INN 18 PIVOT Project Public Comments

250 KB Extracted AI Summary
file Unknown sha f08c41216002 source Open source document ↗
Generated summary AI-assisted

The source text indicates this attachment appears to be a draft document.

The document is a draft plan for the MHSA Innovation PIVOT Project, which is currently under a 30-day public review and comment period from March 10, 2026, to April 9, 2026. It includes responses from the Behavioral Health Services Department (BHSD) to public comments received regarding the project, which aims to transition from MHSA to BHSA. The plan highlights the importance of Full-Service Partnerships (FSP) and capacity building for diverse communities, while also addressing the implementation of California's SB 43 law. The document notes that seven public comments were received, with feedback focusing on various aspects of mental health services and the need for improved care transitions and support for vulnerable populations, including older adults.

Key points
  • The document is a draft plan for the MHSA Innovation PIVOT Project.
  • Public review period: March 10, 2026 - April 9, 2026.
  • Seven public comments were received regarding the project.
  • BHSD values public participation and provides responses to comments.
  • The plan discusses the transition from MHSA to BHSA and the final use of MHSA Innovation funds.
  • SB 43 is mentioned as a law affecting mental health services in Santa Clara County.
  • Feedback includes suggestions for case management continuity, readability of documents, and prioritization of services for individuals with anosognosia and older adults.
Limitations
  • The text contains unresolved placeholders and incomplete sections.
  • Specific details regarding the implementation of SB 43 and the full context of public comments are not fully captured.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 20,869 chars
MHSA Innovation PIVOT Project (Draft Plan) 30-Day Public Review and Comment Period: March 10th, 2026 - April 9 t h , 2026 Number of Public Comments Received: 7 Comment Submitted By: Comment submitted in response to: Submitted Comment/Feedback: BHSD Response: Thank you for your comments. The Behavioral Health Services Department (BHSD) values and appreciates your participation in our planning process. Tuesday, March 10th, 2026 1 Anonymous Full-Service Partnership (FSP) “Am I missing something? Where is the plan for SB43, which is a CA State LAW, and is supposed to be implemented Jan 2026 in Santa Clara County? FSP isn't that at all. Where is the plan for more CONSERVATORSHIP for those who are unable and/or unwilling to stay with treatment? FSP, AOT were both FAILURES for my family member. He keeps walking out of all 'voluntary' program, and wound up in JAIL due to assaulting someone. If he had been CONSERVED under SB43, this wouldn't have happened!! Why is this Dept. not dealing with those who completely lack insight and can't stay with FSP or AOT?” Please note that the MHSA PIVOT plan proposes the Department’s final use of MHSA Innovation funds before the Department transitions...
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Attachment C - MHSA INN 18 SAC Meeting

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file Unknown sha 48dce0eb07a6 source Open source document ↗
Generated summary AI-assisted

The PIVOT Project, proposed by Orange County, aims to utilize MHSA Innovation funds to evaluate and identify successful strategies and administrative changes for the transition into BHSA. It focuses on enhancing technical and data infrastructure and improving administrative processes. Santa Clara County's focus includes aligning Full-Service Partnership programs with BHSA requirements, supporting community organizations, establishing care standards, and improving operational efficiency. The total proposed budget is $4,100,000, with specific allocations for Full-Service Partnership and capacity building. Key dates include a public comment period starting on March 10, 2026, and a final launch deadline of June 30, 2026.

Key points
  • PIVOT stands for Program Improvements for Valued Outpatient Treatment.
  • The project is funded by MHSA Innovation funds.
  • Focus areas include technical/data infrastructure and administrative processes.
  • Santa Clara County aims to align programs with BHSA requirements and improve community services.
  • Total proposed budget is $4,100,000, with allocations for FSP, capacity building, and evaluation.
  • Key dates include public comment starting March 10, 2026, and a launch deadline of June 30, 2026.
Limitations
  • The document does not provide specific details on the outcomes or metrics for success.
  • There are unresolved placeholders regarding specific dates and dollar amounts.
  • The text indicates a budget but does not clarify the context or approval process.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 2,187 chars
Innovation 18: PIVOT Project Juan Miguel Munoz Morris What is PIVOT? The Program Improvements for Valued Outpatient Treatment (PIVOT) proposal was created by Orange County to utilize MHSA Innovation (INN) funds to evaluate/identify successful strategies and administrative changes needed to prepare for the transition into BHSA. PIVOT supports our county through two main categories: 1. Technical & Data Infrastructure • Enables counties to test and refine infrastructure before full BHSA implementation. 2. Administrative Processes • Emphasis on policies, workflows, data, staffing, and financing This is a time-limited opportunity (2 years) to use state Innovation dollars strategically Please note: These INN funds cannot be used for any other component or applied to BHSA components Santa Clara County’s Focus Full-Service Partnership (FSP) Capacity Building • Align FSP programs with BHSA requirements and BH Connect Evidence-Based Practices (EBPs). • Support community-based organizations providing early intervention, peer support, and culturally responsive services. • Establish acuity-based care standards with clear criteria for step-up/step-down transitions between service levels. •...
05 1.56 MB

Attachment D - MHSA INN 18 BHB Hearing

1.56 MB Extracted AI Summary
file Unknown sha 321685cc90f4 source Open source document ↗
Generated summary AI-assisted

The source text indicates this attachment appears to be a draft document.

The document outlines the PIVOT Project, an initiative under the Behavioral Health Services Act (BHSA) aimed at improving outpatient treatment in Santa Clara County. It includes an overview of the project, key components, expected outcomes, and budget details. The project focuses on enhancing service coordination, expanding culturally responsive mental health services, and increasing Medi-Cal billing capacity among providers. Public comments were received prior to the meeting, and the project was presented to the Behavioral Health Board for approval.

Key points
  • The PIVOT Project aims to improve outpatient treatment and prepare for the transition to BHSA.
  • Key components include Full-Service Partnership reboot, integrated care management, and workforce initiatives.
  • The project aligns with BHSA priorities and focuses on improving service coordination and culturally responsive services.
  • Public comments were collected prior to the meeting, addressing various concerns and suggestions.
  • The project budget outlines expenditures for FSP reboot, capacity building, personnel, and evaluation.
Limitations
  • The budget section contains placeholders and unresolved values.
  • Some sections of public comments are not fully detailed.
  • The document appears to be a draft, as indicated in the text.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 11,923 chars
Innovation 18: PIVOT Project Darren Tan, Deputy Director BHSD Juan Miguel Munoz Morris, Program Manager BHSA April 13th , 2026 Agenda • Overview of PIVOT Innovation Project Proposal • Highlight Key Components & Expected Outcomes • Budget Overview • Next Steps & BHB Action • Q&A Acronym Key Acronym Meaning MHSA BHSA INN EBP’s FSP SUD SCC BOS SMHS MH Mental Health Services Act Behavioral Health Services Act Innovation Evidence-Based Practices Full-Service Partnership Substance Use Disorder Santa Clara County Board of Supervisors Specialty Mental Health Services Mental Health Transition from MHSA to BHSA Significant changes under BHSA include: Orange County, Restructuring of MHSA to BHSA funding components (2024), PIVOT MHSA Innovation Project • Restructuring of funding components • Redefining priority populations to include those with SUD’s and prioritizing at risk individuals • Expansion of reporting processes, requiring an Integrated Plan (IP) every three-years In addition to the elimination of prevention & innovation programs. Counties must adapt service models, infrastructure, and provider networks to be compliant under BHSA. What is PIVOT? The Program Improvements for Valued...
06 28.4 KB

F85_140 MHSA INN PIVOT

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file Unknown sha 5d03e2e66fac source Open source document ↗
Generated summary AI-assisted

This document is a request for appropriation modification for the County of Santa Clara for the fiscal year 2026. It includes budget details for various cost centers and funded programs, totaling 4,100,000.00.

Key points
  • Document pertains to the County of Santa Clara.
  • Request for appropriation modification for fiscal year 2026.
  • Includes budget details for multiple cost centers.
  • Total amount involved is 4,100,000.00.
Limitations
  • Specific dates, votes, dollar amounts, parties, or outcomes are not provided.
  • Some fields are missing or contain placeholders.

Generated for convenience from extracted text using AI. Review the official source document before relying on this summary.

Extracted text preview · 876 chars
County Of Santa Clara Request For Appropriation Modification Fiscal Year = 2026 Fund Budget Unit Cost Center CI 1 0001 0415 4350 4920110 IC-Transfers In-Prop 63 2 0001 0415 4415 5255100 Professional and Specialized Services 1,123,854.00 3 0001 0415 4415 5255500 Contract Services 2,900,000.00 4 0001 0415 4415 5350400 SVS and Supplies - Other Line 0001 Funded Program CMB Revenues Budget Unit Cost Center CI 5 0453 0415 9865 5610110 0453 Description 76,146.00 0.00 Job Code Funded Program CMB Revenues 4,100,000.00 Transfer (From) To Fund Balance: (4,100,000.00) 4,100,000.00 Form ID# Included: 47510, 47605, Prepared By: CMB Expenditures IC - Transfers Out Grand Total: 5/6/26 CMB Expenditures 4,100,000.00 Transfer (From) To Fund Balance: Fund Line Description Job Code F - 85 # 140 Page: 1 of 1 4,100,000.00