Resolution authorizing adoption of the San Francisco Behavioral Health Services Act Annual Update Fiscal Year (FY) 2025-2026.

This resolution authorizes the adoption of the San Francisco Behavioral Health Services Act (BHSA) Annual Update for Fiscal Year (FY) 2025-2026, as mandated by state legislation AB 1467. The BHSA, established by Proposition 1 in March 2024, replaces the Mental Health Services Act and expands its scope to include substance use disorders, housing interventions, and workforce development, supported by a $6.38 billion state bond.

Financial Overview:
Total actual expenditures for FY23-24 were $58,442,995.70, with 30% allocated to Recovery-Oriented Treatment Services and 24% to Mental Health Promotion and Early Intervention. Estimated expenditures for FY25-26 are $85,871,483, with a projected prudent reserve of $11,668,693 by June 30, 2026.

Key Service Areas & Highlights:

• Recovery-Oriented Treatment: Full-Service Partnership (FSP) programs served 743 unique clients in FY23-24, showing a 76-87% reduction in emergency events. The Behavioral Health Access Center (BHAC) expanded hours and transitioned to the Epic EHR system in May 2024.
• Housing Services: The plan details 191 B/MHSA-funded permanent supportive housing (PSH) units, and new No Place Like Home (NPLH) projects including 127 units at 1064-1066 Mission (completed Jan 2023), 70 units at 600 7th Street (opening Fall 2024), 20 units at 730 Stanyan Street (completion Fall 2025), 15 units at 78 Haight Street (completion late 2025), and 74 units at 1979 Mission (construction Fall 2026).
• Workforce Development: Programs focus on building a diverse behavioral health workforce, with 42 student interns receiving Multicultural Student Stipend Program funds in FY23-24.
• Capital Facilities: Significant investments include $2,000,000 for the HOPE SF Sunnydale Wellness Center and $10,000,000 planned for a new Mental Health San Francisco Services Site. Construction for Southeast Family Therapy Services is estimated to begin Spring 2025.

The update emphasizes culturally responsive services, peer support, and extensive stakeholder engagement, including feedback on the need for more diverse staff and targeted services for transgender individuals, birthing people of color, and Transitional Age Youth (TAY).