Expenditure Plan Measure O

The Sonoma County Local Mental Health, Addiction and Homeless Services Measure Expenditure Plan below provides investment into five program categories. Each program category receives a percentage share of sales tax revenues, currently estimated at approximately $30 million annually for 10 years.

1. Behavioral Health Facilities — 22% of total funding
   1. Residential Care Facility (RCF) - RCFs provide housing & services to individuals with Severe Mental Illness (SMI) who need additional social and behavioral health support to live in the community.
   2. Transitional Housing for individuals discharging from crisis services - Transitional Housing is a needed service for individuals who have high levels of mental health needs and do not have a long-term placement agreement.
   3. Psychiatric Health Facility & Operations - There is a need for a local locked psychiatric facility to serve Sonoma County residents. This will ensure individuals access emergency psychiatric services more timely, at a cost savings to the County.
2. Emergency Psychiatric/Crisis Services — 44% of total funding
   1. Mobile Support Team (MST) Expansion/ Crisis, Assessment, Prevention, and Education (CAPE) - MST accompanies law enforcement on calls to provide crisis intervention to individuals in psychiatric distress. CAPE provides crisis services to schools in Sonoma County.
   2. Crisis Stabilization Unit (CSU) - The CSU provides services to individuals in psychiatric crisis, to assist them to stabilize and return to the community or transfer to a psychiatric facility for ongoing treatment.
   3. Residential Crisis Services - Crisis Residential Treatment facilities provide housing & mental health services to individuals who require longer-term services to stabilize & do not require a locked setting.
   4. Inpatient Hospital Services – Adult - County Department of Health Services (DHS), as the Mental Health Plan, is required to provide inpatient psychiatric care to Medi-Cal beneficiaries on involuntary holds or otherwise in need of intensive psychiatric services.
3. Mental Health & Substance Use Disorder Outpatient Services — 18% of total funding
   1. Mental Health Services at Children’s Shelters - DHS provides on site mental health services to children who have experienced trauma living in the County Children’s Shelter.
   2. Mental Health Services for Children and youth - Children and Youth with mental health needs will receive services for prevention, early intervention and case management.
   3. Services to support Residential Care Facilities, Permanent Supportive Housing, and other Housing - Individuals with mental health and/or Substance Use Disorder (SUD) needs who require in-home and community-based services to live successfully in the community. These services will support individuals provided with permanent supportive housing, which interrupts the cycle of homelessness.
   4. Substance Use Disorder Services Expansion - Expand Sonoma County Drug Medi-Cal Services to provide outpatient and residential treatment services to individuals with substance use disorders.
4. Behavioral Health Homeless / CareCoordination — 14% of total funding
   1. Behavioral Health Services for individuals who are homeless - Individuals who are homeless or need mental health and substance use disorder services to successfully transition to housing in the community.
   2. Care Coordination for High Needs Homeless - Care Coordination provides multi¬disciplinary case management and other services to enable individuals who have been homeless to live successfully in permanent supportive housing in the community.
5. Transitional & Permanent SupportiveHousing — 2% of total funding
   1. Supportive Housing Pool - To help secure housing resources to service the homeless