723:
September 2011) earmarked for the MHSA, the unremittingly high numbers of mentally ill who lack treatment contrast starkly with the implementation of new programs like the FSPs, which may cost tens of thousands of dollars annually per person. The MHA Village program, for example, averages around $ 18,000 annually per person. One of the major growing concerns regarding MHSA implementation is its unintentional but worrying tendency to create silos of care. As directed by the DMH, counties search for "unserved" mentally ill or at-risk individuals to enroll in their new programs, while keeping existing and perhaps underserved clients in old programs that are usually underfunded, but cannot take MHSA funds. Ironically, while the MHSA was established in part to address racial/ethnic disparities in health care, it may be perpetuating the disparity in services delivery between underfunded and well-funded, new programs.
51:
coordinated and more comprehensive care to those with serious mental illness, particularly in underserved populations. Its claim of successes thus far, such as with the development of innovative and integrated Full
Service Partnerships (FSPs), are not without detractors who highlight many problems but especially a lack of oversight, large amount of unspent funds, poor transparency, lack of engagement in some communities, and a lack of adherence to required reporting as challenges MHSA implementation must overcome to fulfill the law's widely touted potential.
674:, is the legislative advocate for the California Council of Laborers. He was previously the Assistant Secretary at the Labor and Workforce Development Agency (An Agency that he helped create), deputy director for the Department of Industrial Relations and Prior to his State service Special Advisor and Congressional Liaison to President Bill Clinton. Henning is a member of the Career Technical Education Standards and Framework Advisory Group and the California Assembly Speaker's Commission on Labor Education. He represents labor.
60:
residents, especially those with serious mental illness, over the past few decades. In 1991, to build a more community- and county-based system of care, the
California legislature instituted realignment, a delegation of the control over mental health funds and care delivery from state to county. This was followed by a succession of legislation targeted towards marginalized populations with high documented rates of mental illness, such as the homeless (AB 2034, in 1999) and the potentially violent mentally ill (
1409:
688:(ACT), which has effectively reduced homelessness and hospitalizations while bettering outcomes. But the FSP model looks more like that of the also-popular MHA Village in Long Beach, which is a center that offers more comprehensive services besides those specifically mental health-related. Beyond these guiding principles, however, there has not been much consensus over unifying strategies to define and implement an FSP - resulting in varying FSP structures across counties.
727:
relatively new entity, having been created by the MHSA in 2004, and has yet to fully delineate its role in the MHSA. With time, the MHSOAC will hopefully continue to develop towards its stated function. Objective and expert evaluation of the MHSA will also be necessary to achieve the kind of longstanding system-wide improvement that then becomes a model for others.
145:(DMH) will contract with county mental health departments (plus two cities) to develop and manage the implementation of its provisions. Oversight responsibility for MHSA implementation was handed over to the sixteen member Mental Health Services Oversight and Accountability Commission (MHSOAC) on July 7, 2005, when the commission first met.
64:, in 2002). However, with the passage of Proposition 63 in 2004, California voters acted upon a widespread perception that state and county mental health systems were still in disrepair, underfunded, and requiring a systematic, organizational overhaul. This perception echoed a nationwide perspective, with the President's
683:
One unqualified success story from the MHSA thus far involves the implementation of Full
Service Partnerships (FSPs) demonstrating the "whatever it takes" commitment to assist in individualized recovery - whether it is housing, "integrated services, flexible funding , intensive case management, 24 h
79:
and Rusty Selix, executive director of the Mental Health
Association in California, led the initiative by collecting at minimum 373,816 signatures, along with financial ($ 4.3 million) and vocal support from stakeholders. Though Governor Arnold Schwarzenegger and the business community were opposed
726:
A possible solution to this issue highlights another challenge for the MHSA: the need for more comprehensive evaluation, oversight, and advisory mechanisms. Though there is an accountability commission, the MHSOAC, its oversight and regulatory responsibilities are not well-defined. However, it is a
137:
Notably, none of the funds were to be used for programs with existing fund allocations, unless it was for a new element or expansion in those existing programs. At least 51% of the funds have to be spent on community services and support for children and adults with or at risk of developing mental
316:
The authors of the MHSA created the MHSOAC to reflect the consumer-oriented focus of the law, mandating at least two appointees with severe mental illness, two other family members of individuals with severe mental illness, and various other community representatives. This diverse commission holds
59:
At one time, California was known for having a strong mental health system. Treatment was available for Medi-Cal recipients with few limitations on care. Legislators and voters have acknowledged the inadequacy of
California's historically underfunded mental health system to care for the state's
224:
MHSA specifies three stages of local funding, to fulfill initial plans, three-year plans, and long-term strategies. No services would be funded in the first year of implementation. The DMH approved the first county plan in
January 2006. Allocations for each category of funding were planned to be
182:
Starting from enactment, implementation of the MHSA was intended to take six months; in reality, the process of obtaining stakeholder input for administrative rules extended this period by several months. By August 2005, 12 meetings and 13 conference calls involving stakeholders across the state
722:
According to the UCLA Center for Health Policy
Research, the 2007 and 2009 California Health Interview Surveys (CHIS) demonstrate continued mental health needs of almost two million Californians, about half of which were unmet in 2011. In spite of steady tax revenue ($ 7.4 billion raised as of
50:
systems. The MHSA is funded by imposing an additional one percent tax on individual, but not corporate, taxable income in excess of one million dollars. In becoming law in
January 2005, the MHSA represents the latest in a Californian legislative movement, begun in the 1990s, to provide better
233:
While the county mental health departments are involved in the actual implementation of MHSA programs, the MHSA mandates that several entities support or oversee the counties. These include the State
Department of Mental Health (DMH) and the Mental Health Services Oversight and Accountability
186:
Counties are required to develop their own three-year plan, consistent with the requirements outlined in the act, in order to receive funding under the MHSA. Counties are obliged to collaborate with citizens and stakeholders to develop plans that will accomplish desired results through the
92:
process, a comprehensive approach to providing community based mental health services and supports for
California residents. Approximately 51,000 taxpayers in California will be helping to fund the MHSA through an estimated $ 750 million in tax revenue during fiscal year 2005–06.
225:
granted annually, based upon detailed plans with prior approval. However, an amendment to the MHSA, AB 100, which passed in March 2011, serves to streamline the DMH approval and feedback process to the counties, ostensibly to relieve the DMH of some of its administrative burden.
321:-relieving strategies, and recommending service delivery improvements to the state on an as-needed basis. Whenever the commission identifies a critical issue related to the performance of a county mental health program, it may refer the issue to the DMH.
242:
In accordance with realignment, the DMH approves county three-year implementation plans, upon comment from the MHSOAC, and passes programmatic responsibilities to the counties. In the first few months immediately following its passage, the DMH has:
269:
Established a 16-member Mental Health Services Oversight and Accountability Commission (MHSOAC), composed of elected State officials and Governor appointees, along with procedures for MHSOAC review of county planning efforts and oversight of DMH
80:
to Proposition 63 because of the tax it would impose on millionaires, the opposition raised only $ 17,500. On November 2, 2004, Proposition 63 passed with 53.8% of the vote, with 6,183,119 voting for and 5,330,052 voting against the bill.
568:
Andrew Poat (Rep), 45, of San Diego, former director of the government relations department for the City of San Diego, a member of the public policy committee for the San Diego Gay and Lesbian Center, and a former deputy director of the
191:, education, and social and community activities. Also required will be annual updates by the counties, along with a public review process. County proposals will be evaluated for their contribution to achieving the following goals:
1202:
Cashin, Cheryl; Scheffler, Richard; Felton, Mistique; Adams, Neal; Miller, Leonard (October 2008). "Transformation of the California mental health system: stakeholder-driven planning as a transformational activity".
162:
Expand the kinds of successful, innovative service programs for children, adults and seniors already established in California, including culturally and linguistically competent approaches for underserved
156:
Define serious mental illness among children, adults and seniors as a condition deserving priority attention, including prevention and early intervention services and medical and supportive care
573:. Poat represented employers of more than 500 workers on the commission, and says he will use his experience building multimillion-dollar programs to bring together mental health advocates.
68:
in 2003 calling for fundamental transformation of the historically fragmented mental health system. The MHSA is California's attempt to lead the way in accomplishing such systemic reform.
328:
was selected unanimously by fellow commissioners as chairman, without comment or discussion. After accepting the gavel, Steinberg was roundly praised for devising Proposition 63's '
367:
378:
1292:
1230:
Coldwell, Craig M.; Bender, William S. (2007). "The effectiveness of assertive community treatment for homeless populations with severe mental illness: a meta-analysis".
71:
In the end, voter consciences were pricked by the well-organized and -funded campaign that displayed both the need (50,000 mentally ill homeless people, according to the
691:
Overall, though, the Petris Center, funded by the DMH and California HealthCare Foundation to evaluate the MHSA, has reported quantifiable improvements in many areas:
1476:
1412:- 'Governor Schwarzenegger Appoints Twelve to the Mental Health Services Oversight and Accountability Commission', Office of the Governor Press Room (June 21, 2005)
640:, is currently the chief of addiction medicine at Kaiser Foundation Hospital, South Bay, a member and former chair of the Behavioral Health Advisory Board of the
148:
The MHSA specifies requirements for service delivery and supports for children, youths, adults and older adults with serious emotional disturbances and/or severe
1481:
1082:
1486:
1439:
1406:- 'Mental Health Services Act (MHSA): MHSOAC (Mental Health Oversight and Accountability Commission) Home Page', California Department of Mental Health
797:
20:
904:
166:
Provide State and local funds to adequately meet the needs of all children and adults who can be identified and enrolled in programs under this measure
260:
Defined requirements for the maintenance of current State and local efforts to protect against supplanting existing programs and their funding streams
1261:
388:
287:
Client/family-driven mental health system for older adults, adults and transition age youth and family-driven system of care for children and youth
761:
100:
Its funding source, quantity, and allocation is dedicated for mental health services, including times of budget cuts to many other public programs
65:
1449:
554:
Sheriff and president of the State Sheriffs Association, a member of the State Board of Corrections, and was for three years the director of the
297:
The DMH, in assuming and asserting its primacy over MHSA implementation, has dictated requirements for service delivery and supports as follows:
532:
1021:
944:
332:' scheme. Steinberg then said, "We must focus on the big picture," and stated his priorities with regard to the implementation of the MHSA:
1022:"Proposed initiative enters circulation - mental health services expansion and funding. Tax on incomes over $ 1 million. Initiative statute"
857:"What does it take? California county funding requests for recovery-oriented Full Service Partnerships under the Mental Health Services Act"
607:
606:, is chief executive officer of EMQ (a provider of mental health services for children and youth), a board member and past president of the
1391:
503:, an attorney, the author of Proposition 63, former Assemblyman. Steinberg is the appointee of the Superintendent of Public Instruction.
475:, chair of the Senate Budget and Fiscal Review Committee and the Senate Select Committee on Developmental Disabilities and Mental Health.
273:
Developed and published regulations and provide preliminary training to all counties on plan development and implementation requirements
159:
Reduce the long-term adverse impact on individuals, families and State and local budgets resulting from untreated serious mental illness
72:
781:
626:
611:
1491:
1426:
75:) and the promise (successes of past mental health initiatives) of increased funding for the mental health system. Then-Assemblyman
1169:
142:
1443:
596:
47:
1299:
581:
629:, the founder and former president of the American College of Mental Health Administration, and a former president and CEO of
570:
106:
It was focused on developing preventive and innovative programs to help transform the mental health care system in California.
776:
663:
Golden Gate and member of the Board of Registered Nursing. Hayashi's concerns include transportation access for clients and
592:
1397:
1358:
1324:
Grant, David; Padilla-Frausto, Imelda; Aydin, May; Streja, Leanne; Aguilar-Gaxiola, Sergio; Patel, Beena; Caldwell, Julia.
584:. Her son has schizophrenia, and her stated priority is to enhance provision of housing for mental health service clients.
1060:
685:
422:
110:
To accomplish its objectives, the MHSA applies a specific portion of its funds to each of six system-building components:
293:
Integrated service experiences for clients and their families throughout their interactions with the mental health system
169:
Ensure all funds are expended in the most cost-effective manner and services are provided in accordance with recommended
1471:
551:
521:
641:
671:
360:
818:
1089:
751:
555:
429:
756:
746:
741:
652:
618:
384:
1293:"Evidence on the effectiveness of Full Service Partnership programs in California's public mental health system"
630:
1269:
307:
Outreach and Engagement Funding - funds for those populations that are currently receiving little or no service
301:
Full Service Partnership (FSP) Funds - funds to provide necessary services and supports for initial populations
622:
915:
637:
528:
479:
374:
336:
Prioritize prevention and early intervention, without falling into the trap of fail first service provision,
998:
Scheffler, Richard M.; Adams, Neal (2005). "Millionaires and mental health: Proposition 63 in California".
500:
394:
251:
waivers, State authority, additional resources and technical assistance in areas related to implementation
121:
183:
resulted in the final draft of rules by which counties would submit their three-year plans for approval.
1325:
766:
736:
656:
603:
562:
547:
512:
On June 21, 2005, Governor Schwarzenegger announced his appointment of twelve appointees to the MHSOAC:
397:, who shall seek individuals who have had personal or family experience with mental illness, to include:
218:
1291:
Scheffler, Richard M.; Felton, Mistique; Brown, Timothy T.; Chung, Jessica; Choi, Sun-Soon (May 2010).
978:
Achieving the promise: transforming mental health care in America. Final Report. Pub. No. SMA-03-3832
786:
771:
517:
89:
819:"Overview of the 2000-01 Budget Bill: California's mental health system- underfunded from the start"
558:(CYA). Kolender's wife died as a result of mental illness, and he has a son with a mental disorder.
355:
In accordance with MHSA requirements, the Commission shall consist of 16 voting members as follows:
1032:
490:
188:
951:
195:
Safe and adequate housing, including safe living environments, with family for children and youths
1454:
660:
645:
472:
329:
580:, a board member and past president of NAMI California, and a past chairman and a member of the
1394:- 'Sacramento County Funding Request for Mental Health Services Act Community Planning Program'
577:
496:
325:
173:, subject to local and State oversight to ensure accountability to taxpayers and to the public
76:
103:
It was intended to engage communities in prioritizing which service elements would be funded.
1239:
1212:
1138:
1003:
878:
868:
536:
317:
the responsibility of approving county implementation plans, helping develop mental illness
373:
The Chairperson of the Senate Health and Human Services Committee or another member of the
324:
The first meeting of the MHSOAC was held July 7, 2005, at which time Proposition 63 author
792:
433:
277:
The DMH has directed all counties to develop plans incorporating five essential concepts:
1177:
1400:- 'Mental Health Services Act (MHSA): Home Page', California Department of Mental Health
257:
Developed criteria and procedures for reporting of county and state performance outcomes
883:
856:
468:
254:
Established detailed requirements for the content of local three year expenditure plans
170:
149:
61:
96:
The MHSA was an unprecedented piece of legislation in California for several reasons:
1465:
648:. He says members of his family have an "80 percent rate of drug and alcohol abuse."
318:
266:
Determined how funding will flow to counties and set up the mechanics of distribution
212:
644:, and former medical director of family recovery services at St. Joseph Hospital in
486:
343:
217:
Reduction in involuntary services, including reduction in institutionalization and
1442:- 'County Officials Work To Create Plans for Allocation of Proposition 63 Funds',
684:
access to care." FSP interventions are based upon evidence from such programs as
88:
The voter-approved MHSA initiative provides for developing, through an extensive
664:
439:
263:
Developed formulas for how funding will be divided or distributed among counties
1243:
1216:
304:
General System Development Funds - funds to improve services and infrastructure
873:
187:
meaningful use of time and capabilities, including things such as employment,
31:
27:
1143:
1126:
1174:
AroundTheCapitol: California political news, opinion, laws & legislation
482:, a member of the Assembly Health committee and former L.A. city councilman.
1007:
383:
The Chairperson of the Assembly Health Committee or another member of the
945:"History and funding sources of California's public mental health system"
825:
588:
248:
312:
Mental Health Services Oversight and Accountability Commission (MHSOAC)
46:), which has been designed to expand and transform California's county
290:
Wellness focus, which includes the concepts of recovery and resilience
565:, a superintendent of the Dry Creek Joint Elementary School District.
540:
412:
a family member of a child who has or has had a severe mental illness
339:
Address "the plight of those at risk of falling off the edge," and to
208:
633:
of California. Feldman was appointed as a health care plan insurer.
516:
MHOAC Vice Chairman Linford Gayle (declined to state party), 46, of
905:"Proposition 63, the Mental Health Services Act: a research agenda"
855:
Felton, Mistique C.; Cashin, Cheryl E.; Brown, Timothy T. (2010).
409:
a family member of an adult or senior with a severe mental illness
1157:
1127:"The 'Millionaires Tax' and mental health policy in California"
667:
services, and represents employers with 500 or fewer workers.
976:
President's New Freedom Commission on Mental Health (2003).
447:
a representative of an employer with more than 500 employees
444:
a representative of an employer with less than 500 employees
1403:
1170:"AB 100 (Committee on Budget): Mental Health Services Act"
450:
a representative of a health care services plan or insurer
980:. Rockville, MD: Department of Health and Human Services.
599:. Diaz has a family member with a severe mental illness.
463:
The initial government officials and designee appointed:
1088:. California Department of Mental Health. Archived from
1422:
1326:"Adult mental health needs and treatment in California"
204:
Timely access to needed help, including times of crisis
1452:- 'Mental health funding offers hope', Sara Steffens,
608:
California Council of Community Mental Health Agencies
415:
a physician specializing in alcohol and drug treatment
152:. MHSA funding will be made annually to counties to:
531:, a labor attorney and a board member of California
114:
Community program planning and administration (10%)
595:Department of Mental Health and a board member of
576:Darlene Prettyman (Rep), 71, of Bakersfield, is a
238:California State Department of Mental Health (DMH)
1429:: Linking People to Disability Rights and Issues'
943:California Mental Health Directors Association.
898:
896:
894:
587:Carmen Diaz (Dem), 53, of Los Angeles, a family
1031:. California Secretary of State. Archived from
612:California Mental Health Advocates for Children
535:(NAMI). Henry is afflicted by 'rapid cycling'
1427:California Disability Community Action Network
817:Senate Committee on Budget and Fiscal Review.
342:Advocate for mental health services from his "
127:Education and training (human resources) (10%)
8:
1255:
1253:
698:Entry rates into the criminal justice system
143:California State Department of Mental Health
993:
991:
989:
987:
597:United Advocates for Children of California
1352:
1350:
1158:Teen Mental Health Treatment in California
1120:
1118:
1116:
1114:
1112:
1110:
1055:
1053:
798:Mental Health Association of San Francisco
1197:
1195:
1142:
938:
936:
882:
872:
582:California Mental Health Planning Council
493:, a former State Senator and Assemblyman.
478:Assemblyman Mark Ridley-Thomas (Dem), of
1335:. UCLA Center for Health Policy Research
850:
848:
846:
571:United States Office of Consumer Affairs
543:, and another son with a mental illness.
520:, a mental health program specialist at
406:two persons with a severe mental illness
912:MHSA briefing paper from 2006 symposium
809:
762:New Freedom Commission on Mental Health
130:Prevention and early intervention (20%)
66:New Freedom Commission on Mental Health
19:For Proposition 63 of other years, see
1477:Mental health law in the United States
533:National Alliance for the Mentally Ill
201:A network of supportive relationships
117:Community services and supports (45%)
7:
1482:United States disability legislation
1357:Yannello, Amy (September 15, 2011).
368:Superintendent of Public Instruction
1487:2004 California ballot propositions
379:President pro Tempore of the Senate
73:National Alliance on Mental Illness
782:Texas Medication Algorithm Project
627:American Psychological Association
14:
1359:"Two-tiered mental-health system"
642:California Healthcare Association
527:Karen Henry (Republican), 61, of
1444:California Healthcare Foundation
789:(award-winning recovery program)
636:Gary Jaeger, M.D. (Dem), 62, of
617:Saul Feldman DPA, (Dem), 75, of
561:Kelvin Lee, Ed.D. (Rep), 58, of
26:In November 2004, voters in the
1298:. Petris Center. Archived from
1063:. California Secretary of State
914:. Petris Center. Archived from
546:William Kolender (Rep), 70, of
247:Obtained federal approvals and
1232:American Journal of Psychiatry
777:Psychiatric survivors movement
713:General satisfaction with FSPs
670:Patrick Henning (Dem), 32, of
602:F. Jerome Doyle (Dem), 64, of
207:Reduction in incarceration in
1:
1260:Editorial (January 3, 2006).
686:Assertive community treatment
141:The MHSA stipulates that the
1363:Sacramento News & Review
1176:. March 2011. Archived from
1083:"Mental Health Services Act"
418:a mental health professional
1262:"A musician of the streets"
1061:"Campaign finance activity"
651:Mary Hayashi (Dem), 38, of
459:State government appointees
1508:
1244:10.1176/appi.ajp.164.3.393
1217:10.1176/appi.ps.59.10.1107
752:Lanterman-Petris-Short Act
631:Health America Corporation
556:California Youth Authority
507:
229:Roles and responsibilities
40:Mental Health Services Act
18:
874:10.1007/s10597-010-9304-6
757:MindFreedom International
747:History of mental illness
742:Chemical imbalance theory
621:, is chairman and CEO of
393:Twelve appointees of the
198:Reduction in homelessness
21:California Proposition 63
1492:Disability in California
1440:CaliforniaHealthline.org
1333:Health policy fact sheet
1144:10.1377/hlthaff.28.3.809
623:United Behavioral Health
610:, and a board member of
120:Capital (buildings) and
861:Community Ment Health J
659:and a board member for
524:Mental Health Services.
389:Speaker of the Assembly
281:Community collaboration
1125:Feldman, Saul (2009).
1008:10.1377/hlthaff.w5.212
701:Suffering from illness
438:a representative of a
370:or his or her designee
363:or his or her designee
219:out-of-home placements
122:information technology
1417:Private Organizations
767:Outpatient commitment
737:Care in the Community
591:coordinator with the
508:Governor's appointees
234:Commission (MHSOAC).
48:mental health service
1450:ContraCostaTimes.com
1205:Psychiatric Services
772:Psychiatric hospital
718:Continued challenges
539:, has a son who has
351:MHSOAC commissioners
1472:California statutes
1386:Government agencies
1305:on 20 December 2011
1272:on January 27, 2013
921:on 8 September 2008
655:, president of the
284:Cultural competence
189:vocational training
1455:Contra Costa Times
1095:on 12 January 2012
903:Felton, Mistique.
695:Homelessness rates
661:Planned Parenthood
657:Iris Alliance Fund
625:, a member of the
440:labor organization
330:creative financing
1404:www.mhsoac.ca.gov
1211:(10): 1107–1114.
704:Daily functioning
578:psychiatric nurse
497:Darrell Steinberg
485:Attorney General
326:Darrell Steinberg
77:Darrell Steinberg
1499:
1374:
1373:
1371:
1369:
1354:
1345:
1344:
1342:
1340:
1330:
1321:
1315:
1314:
1312:
1310:
1304:
1297:
1288:
1282:
1281:
1279:
1277:
1268:. Archived from
1257:
1248:
1247:
1227:
1221:
1220:
1199:
1190:
1189:
1187:
1185:
1166:
1160:
1155:
1149:
1148:
1146:
1122:
1105:
1104:
1102:
1100:
1094:
1087:
1079:
1073:
1072:
1070:
1068:
1057:
1048:
1047:
1045:
1043:
1038:on 14 March 2012
1037:
1026:
1018:
1012:
1011:
995:
982:
981:
973:
967:
966:
964:
962:
956:
950:. Archived from
949:
940:
931:
930:
928:
926:
920:
909:
900:
889:
888:
886:
876:
852:
841:
840:
838:
836:
830:
824:. Archived from
823:
814:
710:Employment rates
679:Current progress
552:San Diego County
537:bipolar disorder
522:San Mateo County
387:selected by the
377:selected by the
361:Attorney General
150:mental illnesses
1507:
1506:
1502:
1501:
1500:
1498:
1497:
1496:
1462:
1461:
1457:(July 11, 2005)
1446:(July 11, 2005)
1436:
1419:
1410:Governor.ca.gov
1392:CAIChildLaw.org
1388:
1383:
1378:
1377:
1367:
1365:
1356:
1355:
1348:
1338:
1336:
1328:
1323:
1322:
1318:
1308:
1306:
1302:
1295:
1290:
1289:
1285:
1275:
1273:
1259:
1258:
1251:
1229:
1228:
1224:
1201:
1200:
1193:
1183:
1181:
1168:
1167:
1163:
1156:
1152:
1124:
1123:
1108:
1098:
1096:
1092:
1085:
1081:
1080:
1076:
1066:
1064:
1059:
1058:
1051:
1041:
1039:
1035:
1024:
1020:
1019:
1015:
997:
996:
985:
975:
974:
970:
960:
958:
954:
947:
942:
941:
934:
924:
922:
918:
907:
902:
901:
892:
854:
853:
844:
834:
832:
828:
821:
816:
815:
811:
806:
793:Whitehall Study
787:The Village ISA
733:
720:
707:Education rates
681:
672:West Sacramento
510:
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1180:on 7 July 2012
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867:: 441–451.
665:paratransit
638:Harbor City
593:L.A. County
529:Granite Bay
480:Los Angeles
90:stakeholder
62:Laura's Law
1466:Categories
1368:28 January
1339:28 January
1309:28 January
1276:28 January
1184:28 January
1099:28 January
1067:28 January
1042:28 January
961:28 January
925:28 January
835:28 January
804:References
501:Sacramento
499:(Dem), of
163:population
124:(IT) (10%)
55:Background
32:California
28:U.S. state
604:Los Gatos
563:Roseville
548:San Diego
421:a county
138:illness.
1423:CDCan.us
1266:LA Times
731:See also
589:advocate
518:Pacifica
467:Senator
395:Governor
385:Assembly
249:Medi-Cal
84:Overview
884:2929427
491:Hayward
423:Sheriff
34:passed
881:
646:Eureka
550:, the
541:autism
473:Arcata
375:Senate
319:stigma
38:, the
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489:, of
432:of a
209:jails
1370:2012
1341:2012
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1278:2012
1186:2012
1101:2012
1069:2012
1044:2012
963:2012
927:2012
837:2012
366:The
359:The
211:and
44:MHSA
1425:- '
1240:doi
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1213:doi
1139:doi
1004:doi
879:PMC
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30:of
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