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Key Findings

1. The Los Angeles County Department of Mental Health has used funding from California's Mental Health Services Act to offer mental health and support services to at-risk populations.
2. The mental health programs evaluated provided services to vulnerable and diverse individuals across the county.
3. Prevention and Early Intervention programs for youth were associated with staying well and improvement in mental health outcomes.
4. Full-Service Partnership programs, which focus on doing "whatever it takes" to improve the lives of those with serious mental illness, were associated with improvements in life circumstances and health.

In 2004, California voters approved Proposition 63, which was signed into law as the Mental Health Services Act (MHSA). The intent of the act was to address the urgent need for expanding access to community mental health services. The MHSA levied a 1 percent tax on all California personal incomes over $1 million, resulting in a substantial investment in mental health services in the state. Because California has a decentralized behavioral health system, most MHSA funding has been administered by California's counties.