CA Mental Health Services Act Housing Program

In the November 2004 election, California voters approved Proposition 63, the Mental Health Services Act (“MHSA” or the “Act”). MHSA was intended to transform the mental health system in California. The Act provides a dedicated source of funds to reduce the long term impacts of untreated serious mental illness and to expand successful, innovative, service programs for people with serious mental illness.

California Executive Order S-07-06 created the Mental Health Services Act Housing Program. The goal of the Mental Health Services Housing Program is to create 10,000 supportive homes. The MHSA Housing Program uses MHSA funds to finance permanent supportive housing developments for homeless people with serious mental illness.

CSH's Role

CSH played a leadership role in creating the Mental Health Services Act Housing Program, and continues to provide ongoing training, technical assistance, and collaborative forums on the Mental Health Services Act Housing Program –please click here for the latest  MHSA Housing Program Statewide Technical Assistance Webinar calendar.

Impact and Outcomes

  • 10,615 Total affordable housing units                                
  • 2,340 Total MHSA units                                                       
  • $255,276,370 Total MHSA Housing Dollars                       
  • 926 MHSA units open/occupied
  • 1,010 MHSA units approved/loans closed
  • 404 MHSA units in the pipeline
  • 40 additional applications for projects are expected in 2013

CSH facilitates regular Webinars – please join us for upcoming webinars or use the links below to hear past webinars:

Wednesday, 5/8/2013 from 1:30 PM – 3:30 PM
MHSA Housing in Small Counties:
Shared and Multifamily Rental Approaches

Small Counties have particular challenges in developing and operating MHSA housing.  Join this webinar to hear an overview of the MHSA Housing Program outcomes to date and specifically discuss both shared and multifamily rental housing approaches in Small Counties.  Small County experiences of development/rehabilitation, lease up and ongoing operations of projects will be presented.  CalHFA will also discuss features that offer flexibility in Shared Housing applications.   Click here to listen to the Webinar Recording.


 Wednesday, 5/29/2013 from 1:30 PM – 3:30 PM
MHSA Supportive Housing:
Rental Assistance Funding and Important Trends

Reserve your Webinar seat now

In this webinar, we will discuss the California Project Rental Assistance Demonstration Program (PRA) – a new opportunity to provide rental assistance to individuals with disabilities – and how it may work for MHSA and other supportive housing projects.  The target population is Medicaid beneficiaries with disabilities ages 18 – 61 who have resided in a long-term health care facility for at least 90 days and desire to return to community living, or are at risk of institutionalization because of a loss of housing. In addition, we will discuss Olmstead and the recent impacts on supportive housing in other states and how it might affect MHSA and other supportive housing in California.  Finally, we will highlight innovative approaches to identifying rental subsidy commitments in MHSA Housing.

Wednesday, 6/19/2013 from 1:30 PM – 3:30 PM
The Affordable Care Act and MHSA Housing

Reserve your Webinar seat now

The Affordable Care Act will enable most homeless people to become Medicaid-eligible in 2014.  Join us to discuss a range of innovative approaches that use Medicaid-funded services in permanent supportive housing as well as new opportunities to build on these models through the Affordable Care Act.  In particular, the potential Health Home option may enable improved access to care of people with chronic physical, mental health, and substance abuse conditions; and expand Medicaid-reimbursable community mental health services that are typically seen in MHSA supportive housing settings. In addition, In addition, we will discuss opportunities for coordinating and integrating services offered through Federally Qualified Health Centers, mental health agencies, and substance use treatment.






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