July Meetings 

Monday, July 10

— 12:00 noon: the Data Committee of the Care First Jails Last Task Force should meet.  Link.

Tuesday, July 11

9:30 a.m.: the Board of Supervisors will meet.  Agenda.  Link.  The meeting begins with a closed session (they will discuss lawsuits, including one by the relatives of Maurice Monk, who had SMI and died in jail). The open session rarely begins before 10:45.  

Some agenda items:

2.  (Social Services) Approves sole-source agreements with 12 organizations (including Abode and BOSS) operating shelters for $24M over 3 years.  Money is from the General Fund.  The county is said to have over 7000 homeless, of whom 1710 at a time are staying in shelters.

6  (Behavioral Health) Amends ACBH’s contract with the City of Berkeley for the latter to operate Mental Health Plans to reflect new reim-bursement rates under CalAIM.

7  (Behavioral Health) Extends a sole-source contract for 4 years for $1.28M with Alameda Health Consortium, to provide “leadership, coordinating, and consulting” for an alliance of 8 Federally Qualified Health Centers (e.g., La Clínica).  Money is from MHSA (though the work described in the memo doesn’t involve mental illness)

8.  (Behavioral Health) Approves agreements with out-of-network providers for people on Medi-Cal needing individually designed services. There are 7 such individuals right now. Estimated cost is $250k a year. Services like this are usually covered by “Services As Needed” agree-ments.  Out-of-network providers complain about the complexity of Alameda County’s contracting rules. Money is from 1991 Realignment and 2011 Realignment.

10 (Behavioral Health & GSA) Approves a $479k contract with The Indigo Project (Roberta Chambers) to be the county’s consultant for the implementation of CARE Court.  Indigo was the only bidder on this contract.  20% of the contract will be sublet out to SKS Consulting, a certified SLEB.  Money is from “CARE Court start-up funding.”

11 (Health Care Services) Increases the amount in the Housing Solutions for Health Vendor Pool to extend contracts with Abode and East Bay Innovations to provide housing and housing-related services to people exiting medical respite facilities and skilled nursing facilities. 

14 (Health Care Services) Approves a contract with Alameda Health Services to provide services to low-income uninsured people (Health-Pac).

15 (Health Care Services) Increases the Housing Solutions for Health Vendor Pool by $409k to pay Katherine Gale to support “coordinated entry” and to Covenant House to support its Youth Advisory Board.  Money is from HHAP round 3 and California Emergency Solutions and Housing Round 2.

17  (Health Care Services) Approves $200k from the Housing Solutions for Health vendor pool for Bay Area Legal Aid to represent homeless people seeking housing.

18  (Health Care Services) Approves 75k for Oakland Pharmacy to provide pharmacy medication and supplies to Alameda County Health Care for the Homeless. Money is in part from a federal Health Resources and Services Administration grant (not clear). 

19 (Health Care Services) Approves $810 k total for 19 nonprofits for “capacity building for housing community supports services.”  Money is from the Housing and Homelessness Incentive Program. 

20  (Health Care Services) Approves a one-year extension for $416 k of a contract with BrowneInc for “brand redesign services.”  Money is from the federal ARPA grant.

22 (Health Care Services) Approves $80 k for Tipping Point Community Youth Homelessness Project to prevent homelessness in Transitional Age Youth.  Not clear where the money comes from.

23 (Health Care Services) Approves contracts for $1.8 M for street health outreach with Roots, Abode, Lifelong, and Tiburcio Vasquez Clinic.  Money is from HHAP, OHCC General Funds, Health Resources and Services Administration, Measure A one-time COVID funds, and MHSA.

27 (Health Care Services) Approves amendments with various medical, mental health, and public health vendors spending Measure A money.

29 (Health Care Services) Accepts $500 k from Alameda Alliance for Health for a Legal Services Pilot Project  addressing homelessness.   

31(Health Care Services) Approves amended agreements for $515 K with Strategic EMS Consulting & with BOSS to operate the Safe Parking Program & Fairmont Navigation Center respectively.  Money is from State One-Time Whole Person funds, HHAP round 3, & Boomerang.

43 (Supervisor Carson) Awards $300 k to La Familia to operate its El Chante drug rehab residence.  Money is from Dist. 5 Fiscal Management Rewards funds.

51 (Community Development) Approves amendments to agreements with four contractors to provide services to the unsheltered, including $88k for BOSS for mental health services.  Money is from “Boomerang” (Shelter Crisis/Affordable Housing Fund).

56 (Community Development and Social Services Agency) Approves a year-long amendment to a contract with First Presbyterian Church of Hayward for services to the homeless including safe parking & tiny homes.  The $2M comes from Boomerang, ESG, & Social Services Agency.

78 (Probation) approves $1M for incentives to clients for good behavior (bus tickets, gift cards, food, clothes, etc.)  Money comes in part from AB 109.

82 (Sheriff) Approves $140 k for people to attend a Narcotic Officers’ Association, plus uniforms and body armor.  Money is from Alameda County Narcotics Task Force Asset Forfeiture funds.

84 (Sheriff) approves an MOU between the Sheriff and La Familia to provide pre-release counseling (CBI and job training) to people in Santa Rita.  Money (amount unspecified) is from the Inmate Welfare Fund.

88 (Sheriff) Extends contract with Global Tel*Link through 4/24 to provide tablets for phone conversations to inmates at Santa Rita.  Funding comes from “inmate telephone services purchases.”

90 (Sheriff) Extends contract with Global Tel*Link for internet video visitation for people at Santa Rita.  The services is funded by commis-sions (paid by people in the jail?)

102 (Health Care Services, consent calendar) Extends at no cost an agreement with Elemeno Health to support a web-based platform for gathering data about homeless and crisis clients. 

110 (Supervisor Miley, consent calendar) Appoints Oscar Perez (a Sheriff’s representative) to the Care First Jails Last Task Force.

July 11 in Sacramento:  8:30 a.m.: Assembly Judiciary Cmte. will consider SB-43, Eggman’s Grave Disability bill, and SB-35, Umberg’s amendments to last year’s CARE Court bill.  No phone testimony is allowed.  Contact us if you are interested in attending.


July 11 in Sacramento: 1:30 p.m.:  Assembly Health Cmte. will have the first hearing on the newly revised SB-326, Eggman’s bill incorporating rating most of Newsom’s “Modernization.”  No discussion allowed. Procedural only to move to set up discussion at a session in August. 

Friday, July 14 

–Time?:  Budget Committee of the Care First Jails Last Task Force, which meets every second Friday, should meet.  Committee is made up of Corrine Lee of Probation, Michelle Staratt of the Housing & Community Development Dept., our own Kimberly Graves, & Judge Greg Syren.    Expected meeting link (Microsoft Teams).


Monday, July 17

— 10:00 a.m.: Alameda Co. BOS Health Committee should meet.
— 1:30 p.m.: Alameda Co. BOS Personnel/Legislation/Administration
Committee should meet.

— Time?: Alameda Co. Mental Health Advisory Board should meet.


Tuesday, July 18

–11: 00 a.m.:  California Health & Human Services will hold a training
on “supported decision-making” under the CARE Act.  
To register.  

possible this might be limited to people from counties implementing
the CARE Act early (SF, Tuolumne, Stanislaus, etc.)


Thursday, July 20

 –1:00 p.m.:  Care First Jails Last Task Force will meet.  Link.

— 5:30 p.m.: Family Dialogue Group may meet (or it may meet next month)


Monday, July 24

–2:30 p.m.:  Alameda Co. BOS Social Services Committee will meet.


Wednesday, August 2

— 9:00 a.m.: California HHS will hold a training on the role of
the Supporter in CARE Court.  
To register.  (It’s
possible this training might be limited to people from counties implementing
the CARE Act early (San Francisco, Tuolumne, Stanislaus, and others).


May 2023



Not many are posted.  The Board of Supervisors calls “Special” meetings, including about the budget, on a day’s notice.  They are difficult to keep up with and to post on calendar.  Best thing to do is check here frequently:

Tuesday, May 30 and Wednesday, May 31:

— 9:30 am, the Board of Supervisors will have special meetings in Livermore.  Tuesday agenda.  Wednesday agendaPossible link (not sure if will be available via Zoom). The meetings seem to be about internal Board processes: ·  Revisions to Board Operating Policies ·  Ethics Policy ·  Board Priorities and Initiatives ·  Team Building Exercises ·  (on Wednesday) Public Employee Ethics Training

Saturday, May 20

— 12:30 to 5:00 pm the Supportive Housing Community Land Alliance (funded by Alameda Co. Behavioral Health with MHSA Innovation money) will host a discussion by board & care operators and residents at the Oakland Museum.

Monday, May 22

— 10:00 am, there will be a joint meeting of the Health Committee and the Public Protection Committee of the Board of Supervisors.  Agenda.  Link.  Two items on the agenda:  (1)  A presentation by the Dept of Public Health on Violence Prevention.  Doesn’t appear to address treatment of serious mental illness as a violence prevention strategy.  (2)A progress report on the Care First Jails Last Task Force (which seems to be progressing very slowly).

— 1:30 pm, the BOS Personnel-Legislative-Admin Cmte. will meet.  Agenda.  LInk. Health Care Services is asking that the county oppose a measure (AB 1168) reassigning responsibility among jurisdictions for EMS services. (Not sure how that affects our families. Some firefighters support the measure, many counties & ambulance services oppose it)

Tuesday, May 23

— 10:00 am, the BOS will have a Work Meeting (Special Meeting), in person & virtual.  Agenda.  Link. Meeting starts with closed session, after which there are 5 agenda items, each with its own public comment period.  It looks like there are several opportunities to speak up about budget issues at the jail – for example, whether they need to put $26 million into an expansion (voted on May 9) for construction of a Mental Health Programs and Services Unit which is not needed because its design keeps changing, the jail is only half full, and we need to move the seriously mentally ill out of jail.  (1) (from Sup Tam) Calling for independent investigation of the Sophia Mason child welfare case; (2)  Federal/State/County Budget (3) i. Update on Alameda Sheriff’s Office Transition Plan (3ii).  Update on AB 1185, Sheriff’s Oversight (4ii) Update on Reimagine Adult Justice

— 4:00 pm, the Adult Cmte of the MHAB will meet.  Agenda.  Link.  There will be a presentation by Asian Health Services & La Clinica about difficulties Asians & Hispanics face in getting mental health care.  Kate Jones, director of ACBH’s Adult/Older System of Care, usually gives a report; this is the part of ACBH that deals with allocation of scarce hospital beds & board-and-care beds for the conserved. Public comment is allowed.

Wednesday, May 24

— 11:00 am PDT, the Alliance for Health Policy and the Schizophrenia & Psychosis Action Alliance will hold a teleconference on “Making the System Work for People with Schizophrenia.”  They will discuss schizophrenia & psychosis as brain disorders & the policy questions they raise. Link to register

Thursday, May 25

— 10:00 am, the BOS Public Protection Cmte (Supes Márquez & Miley) will meet.  Agenda.  Link.  Two items: (1) Update by Capt. Justin Miguel of the Sheriff’s Office on “Santa Rita Jail Programs & Contract Service Provider Operation.” This is a follow-up on a Nov. 2022 update by the Sheriff’s Office.  (2) Update by Wendy Still of the Reimagine Adult Justice Project on “Arrest & Jail Population Data Analysis Elements 2, 8, 9, 10, 11, and 12.”

— 1:00 pm the interagency Care First Jails Last Task Force will meet.  Link.

— 5:30 pm, ACBH’s Office of Family Empowerment will host a monthly meeting of family members.Link.  A representative of the Public Guardian’s Office will answer questions.



MONDAY, MAY  15th 

3:00 pm, the MHAB meets, in person & remotely.  Agenda.  Link.  The last 40 minutes of the meeting (from 4:20 on) are supposed to be a hearing on the current 3-year Mental Health Services Act plan; they have these formal hearings on every plan, even after getting
written comments & focus group comments.  Draft specific comments by the Mental Health Advisory Board on the three-year plan.



–9:30  am, the BOS meets, in person & virtually. Agenda. Link. Public comment is allowed at the very beginning, during the discussion of an item (if you happen to hear it come up), & at the end. The meeting begins with a closed session. “Proclamations” addressed no earlier than 11 AM. We’re never sure which items to include from the agenda. There are dozens of items about county agencies relating to the justice-involved, homeless, prisoners, Medi-Cal, & foster children. All these populations are disproportionately mentally ill & probably disproportionately SMI, whether or not the service providers are aware of the need to provide any special services to the SMI.
     Some agenda items:
     +6 Extends for one year for $547 k a contract with West Coast Children’s Clinic for the Family Urgent Response System which tries to
stabilize foster families by phone calls aimed among other things to avoid psychiatric hospitalization & law enforcement involvement.
     +8 Accepts a $639K state grant for the County Workforce Development Bd. from the Prison-to-Employment 2.0 grant initiative. The grant will give employment & training services to about 75 formerly incarcerated & justice-involved people.
     +10 Awards a new competitive contract for $138 k with CBO Destiny Arts Center for a wellness program for McClymonds High School. Funding is from Measure A.
     +11. Secures state matching funds for Children’s & Eden Hospitals for trauma services. The County match is $4.5M, $3.9M from Measure C
& $612 k from charitable donations.
     +12. report on the Health Care & Behavioral Health agency’s trust funds. Behavioral Health has $56 M set aside for the implementation of the 3-year MHSA plan; $14.5M is set aside for MHSA as a “prudent reserve” in case of economic downturns; & an additional $7.3 M of MHSA money has been set aside unspent for Capital Facilities & Technology Needs; Workforce, Education, & Training; and/or a Special Needs Housing Program. The Special Needs Housing Program has been used in other counties to build apartment buildings with units set aside for the SMI. 

     +14. Provides $15K to Berkeley Place to renovate Casa de la Vida, a group residence at 420 Fairmont, & bring it up to code. It used to
be a main placement for people with SMI in Assisted Outpatient Treatment & the justice-involved. Money is from Dist. 5 discretionary Measure A funds. (Berkeley Place also seems to have applied for a State license for a 14-bed Casa de La Vida on Henry St. in West Oakland.)
     +15. Extends by two months a contract with La Clínica to provide dental services to homeless people. La Clinica plans to complete  treatment plans for about 80 homeless people by March 31 2023. Also extends a contract with Shannon Smith-Bernardin for advice on how to provide street health in homeless encampments.
     +16. Approves $12M for Alameda Health Services to provide medical services to the indigent (through “HealthPac”). The money is from 1991 Realignment.
     +21. Awards $15K of District 4 ARPA money to Dr. Herbert Guice Christian Academy in East Oakland which could not do fundraisers during
the pandemic. 
     +23: Awards  $15K of District 4 discretionary funds to consultant Lisa MacCarley to evaluate probate & conservatorship programs.
Part of her task is to evaluate public files of contentious conservatorship proceedings—probably not LPS conservatorship proceedings—and help prepare the conservatorship calendar for a potentially much larger case load.
     +23.1, 24: small awards of Dist 3 fiscal management awards by Supes Haubert & Tam
     +26. Increases funding by $188K for three agencies
providing housing for the formerly homeless. Money is from federal “Boomerang” funds (?).
     +31. Authorizes bids for the construction of a new fiber optic camera network at Santa Rita Jail.
     +36. (cont’d from last week) Sets salaries for Forensic BH Clinical Supervisor & Forensic BH Clinical Manager
     +39, 40. Changes which part of the Santa Rita Jail property provides security for some state bonds.
     +41 (cont’d from last week) Authorizes the spending of $305K from the DA Trust fund for a contractor (Tryfacta) who helped onboard DA
     +44. Increases by $74K the contract with BridgeForth Consulting for assessment, training, coaching, & roadmapping consulting for
the Public Defender’s office regarding structural racism.
     +68: Resignation of Loren Farrar from Tam’s district from the MHAB.

     +70. “As time permits” update on transparency & accountability  in ranked choice voting results.



–11:00 am, the state CARE Act Working Group will meet for the second time. Agenda & link. The physical meeting is at 1215 O Street, room 110 A & B, in Sacramento.

4:30 pm, the Criminal Justice Cmte. of the MHAB will discuss Behavioral Health Court, one of the main ways people with SMI can be diverted from jail. LinkMas Morimoto of the DA’s office, Brian Caruth of the Public Defenders, & Penny Bernhisel of ACBH should be there. The DA would like to make more people eligible for Behavioral Health Court; Judge Syren, however, has said he can’t expand the program without more Crisis Residential beds (of the Jay Mahler/Woodroe Place/Amber House class).




–10:00 am the State Senate Appropriations Cmte.  is supposed to have a hearing on certain bills: SB 43, SB 45, SB 65, SB 326, SB 363, SB 513.  The agenda (and phone number if you want to call in) should be posted there soon.



–10:00 am, SB-43, the bill expanding the “grave disability” standard for conservatorship, will be heard by the state Senate Appropriations Cmte..  This Appropriations Cmte. hears dozens of bills a week and often puts them in the “suspense file” to deal with later.  It is possible, though difficult, to call in and give a well-timed one-sentence statement over the phone.  Call-in instructions should be posted soon on the Cmte. page at the link above.

–10:00 am, the Alameda County BOS Health Cmte. meets.  Agenda Link.  Two items on the agenda:

Reports by Michelle Starattand by the Community Development Agency on Measure A1 (which is different from Measure A and is for housing).

A report on the Fairmont tiny homes (which they want to convert to 100% housing for people with medical needs) and on Alameda Co. Street Health Teams.

–Personnel/Admin/Legislative Cmte. meets.  Agenda.  Link.  HCSA supports AB 1060 which would require Medi-Cal to pay for Narcan (naloxone, which can save the life of a person overdosing on Fentanyl).


–9:30 am:  BOS meeting.  Agenda.  Link.  There is a “set matter” at 11 AM (proclamations, plus item 91, increased fees for some homes on private roads in Fairview). Some agenda items (they seem unusually cryptic this week):

8.  Changes the name of the Alameda County Network of Mental Health Clients to “Peer Wellness Collective.”  This entity has provided “advocacy and peer support services” to ACBH for 40 years.

9.  Makes final adjustments to Medi-Cal reimbursement totaling $759 k to 16 contractors providing care to the seriously mentally ill (“Specialty Mental Health Services”).  Beneficiaries include Abode, Homeless Action Center, Bonita House, BOSS, Fred Finch, La Clínica, Mental Health Association of Alameda County, and others.

10  Accepts $278 k in federal SAMHSA (“PATH”) money for people with SMI experiencing homelessness.  BOSS has helped 41 people, with 2 of them securing permanent housing.

11  Accepts settlements in lawsuits against opioid manufacturers and drugstores that will total $40-46 million over 18 years.  The County already accepted $5.85 million.  The state requires at least half the money to be spent on a list of opioid abatement strategies including medication-assisted treatment.  I wonder if the other half of the money can be spent on things not related to opioids.

12.  Increases by $900 K the budget for non-contracted (including out-of-county?) hospitals providing inpatient psych services.  Money comes from 1991 Realignment.

16. Gives $300 K of District 5 Enhancing Vision 2026 Funds to the Oakland Private Industry Council for job training and employment services.

17.  Increases reimbursement rates to Alameda Alliance for Health for Enhanced Care Management which seems to be a name for services to the SMI under Cal-AIM

18. Gives an additional $357 k to Covenant House for a mid-county shelter under construction for Transitional Age Youth.  Funding is from the state HHAP Round 2 program.

19.  Accepts $12 M in housing money from HHAP Round 4.

20.  Approves an agreement with Alameda Point Collaborative to buy land from the feds to build a 50-bed respite and clinic for homeless people with acute or terminal health conditions at Crab Cove in Alameda.  $3.47 M is to come from MHSA and $6.79 M from Measure A.  Also on site will be a 100-bed home for seniors funded by Measure A1.  

24.  Gives $169 k to Corporation for Supportive Housing and $39 k to Aspire for training and capacity building related to housing programs

26.1  Establishes an Elections Commission for Alameda County 27-29.  Give small amounts of ARPA and Fiscal Management Rewards funds to various nonprofits and businesses

51.  Commits $26 million in County match funding to the “Santa Rita Jail Mental Health Program and Services Unit.”  Increases the budget for that project by $18.9 M, to $81 M total.  Original funding was from SB 863 of 2014.  Since then, as the memo describes, the project has changed locations and purposes, and now includes workspaces for 107 full-time-equivalent ACBH workers.  Its design is not final.  The $26 million County contribution will come from the Capital Financing Plan Designation and other sources.

52.  Establishes pay scales for supervisors of behavioral health workers in the jail (Forensic Behavioral Health Clinician I and II).  Salaries include a 15% incentive for working in the jail and a 10% incentive to attract more candidates.

60.  Approves the Sheriff’s revised military equipment list.

“As time permits” update on ranked-choice voting.


— 10:30 am is FASMI’s general meeting.  Mark Gale, Criminal Justice Chair for Greater LA NAMI, wll speak.  Reply for link.


— 3:00 pm, the Mental Health Advisory Board would be expected to meet.  Link.


— 4:30 pm, the Criminal Justice Cmte. of the MHAB will discuss Behavioral Health Court, one of the main ways people with SMI can be diverted from jail.  Link. Mas Morimoto of the District Attorney’s office and Brian Caruth of the Public Defenders will be there.  The DA would like to make more people eligible for Behavioral Health Court; Judge Syren, however, has said he can’t expand the program without more Crisis Residential beds (of the Jay Mahler/Woodroe Place/Amber House class).

— The next scheduled meeting of the State CARE Act Working Group, a state oversight agency.  People may want to go to Sacramento to attend in person, but virtual comment is possible at the end of the meeting.  More details next week .



Tuesday, June 6:

–9:30 am is the next scheduled regular Board of Supervisors meeting


Saturday, June 10:

–10:30 am – FASMI general meeting. Contact us for link.

–11:00 am – the Care First Community Coalition will have another annual Alameda County Budget Training session. These sessions are full of useful information.  Register

Monday, June 12:

–Data Working Group of the Care First Jails Last interagency task force will meet, and talk about demographics and the need for beds and services.  Look for notice on the Care First Task Force home page.


Tuesday June 13:

–9:30 am – the Board of Supervisors is supposed to adopt its final budget. A demonstration in protest of their spending decision is being planned.  Watch for upcoming events.


Mon., April 24, at 10 am, the BOS Health Cmte. (Carson & Tam) will meet.  Agenda.  Link. Three items on the agenda: 

  1. Presentation on spending of Measure A money in FY 2019.  This half-cent sales tax is for health care services (including some mental health services)  for the underserved,.  Some money goes to John George, Forensic Behavioral Health, Patients’ Rights Advocates, and Abode.  The committee overseeing Measure A money has many empty spots.  (Not clear why their reporting is three years behind.)
  2. Update on Behavioral Health Programs by Dr. Karyn Tribble of Behavioral Health.  Many statistics.  Note: It’s curious and troubling that both this report and the next one seem to say that a reduction in 5150s and 5250s is a measure of success.  Such a metric would conflict with the more important objective of extending the lives and protecting the health of the most seriously mentally ill.  5250s and 5150s save lives.  A 5250 is the only way to get into secure treatment that lasts more than a day or two, and you need a 5150 first for that to happen.  Would we be bragging about reductions in the diagnosis of cancer, or reductions in the referral to treatment for people with cancer, in the absence of any evidence that cancer is less common than it used to be?  It would make no sense.  Hopefully, people who are comfortable with statistics wil show up and ask how these statistics are intended to guide policy.
  3. Dr. Tribble presentation on what kinds of providers are, and will be, eligible to designate 5150 holds.

Mon., April 24, at 2:30 pm, the BOS Social Services Cmte. (Miley & Tam) will meet.  Agenda.  Link.  Two things on the agenda:

Tues., April 25, at 9:00 am, the California Senate’s Judiciary Cmte. will hold a hearing on SB-43, Sen Susan Eggman’s bill to expand the definition of “gravely disabled” under the LPS Act.  Agenda.  It’s possible to make a spoken comment online– see teleconferencing instructions.

Wed., April 26, at 4:30 pm, the MHAB’s Criminal Justice Cmte. meets.  Agenda.  Link. Juan Taizan of Forensic Behavioral Health (AFBH) expected to talk about services to mentally ill people in the jail.

Wed., April 26, at 7:30 pm, East Bay NAMI’s meeting will feature AC FASMI members, including Katy Polony, Patricia Fontana, and Molly Shirk, to speak about advocacy.  Link

Thurs., April 27, at 10 am, the BOS Public Protection Cmte. (Miley & Márquez) meets.  Agenda.  Link.  (1) A report by Brian Ford of Probation on phasing out the use of Pepper Spray [in juvenile facilities]. ( This is the fourth presentation on this topic.)  (2) An update on the Sheriff’s Office.

Thurs., April 27, at 12:40 pm (during a meeting that begins at 9 am), the Mental Health Services Oversight and Accountability Cmte. will hear a presentation by state CHHS official Stephanie Welch on Newsom’s “Modernization” of the mental illness system (which, among other things, would reduce the power of this cmte.) Agenda.  Link.

Thurs., April 27, at 1 pm, the Care First Jails Last Task Force will meet.  

Thurs., April 27 Late in the day, there may be an ad hoc meeting of the MHAB concerning the Mental Health Services Act.

Thurs., April 27, at 5:30 pm, there will be a Family Dialogue Group meeting featuring Stephanie Montgomery of  the Health Equity Dept. of Alameda County Behavioral Health .  Link to access meeting.  Please RSVP to Rosa Warder at if you plan to attend


February 2023

 Tuesday, Feb. 21, at 3 pm,
Thursday, Feb. 23, at 1 pm, the county interagency Care First Jails Last Task Force should meet.  Look for the agenda hereLink.  There will be a presentation from community representative Kimberly Graves.
Thursday, Feb. 23, at 1 pm, the Crisis and Recovery Enhancement Technical Assistance Center will put on a Zoom panel discussion on how to use MHSA money for housing.  To register.  Presenters:   Danny Offer, NAMI California. Angela Brand, CARE TA Center. Teresa Pasquini, Housing that Heals  
Thursday, February 23, at 5:30 pm, the ACBH Office of Family Empowerment will probably have a “Family Dialogue” Zoom meeting about CARE Court.  Email if you want the zoom link.
Thursday, Feb. 23, at 7 pm, the Berkeley Mental Health Commission will meet.  There should be a presentation about the MH First crisis response program in Oakland.  AgendaLink.
Meetings Later
Tuesday, Feb. 28, at 9:30 am, is the next scheduled regular meeting of the Board of Supervisors.  Watch this site for one-day notice of any special meetings.
Thursday, March 23rd, at 10:00 am, is the next scheduled meeting of the Public Protection Committee. Link.

January 2023


The Board of Supervisors will have regular meetings January 24th and January 31.  

On Wednesday, January 25, (the first day of a two-day meeting), the state MHSAOC (Mental Health Services Act Oversight Commission) will discuss two projects for the forensically-involved mentally ill that Alameda County wants to fund with MHSA “Innovation” money: “Peer-Led Continuum” and “Alternatives to Confinement.”  Agenda.  Meeting link.

On Thursday, January 26, at 1 PM, the County interagency Care First Jails Last Task Force will likely meet. Link.

On Thursday, January 26, at 7 PM, the Berkeley Mental Health Commission will likely meet. 

Thursday, Feb. 23, is the next scheduled meeting of the BOS Public Protection Committee.  A Jan. 26 meeting was canceled.

Monday, Feb. 27, is the next scheduled meeting of the BOS Health Committee. The Jan. 23 meeting of the BOS Health Committee was canceled.

Updates as of January 15, 2023

About State Senator Susan Talamantes Eggman, who has introduced a lot of bills in favor of treatment of SMI.

The California state budget includes money specifically for CARE Court.  Dr. Tribble said at a Jan 9 MHAB meeting that the county has already received $1.1 million for startup costs of CARE Court. According to the Jan. 11 San Francisco Daily Journal, Newsom’s budget summary says last year’s budget had $37.7 million for CARE court, this year’s has $23.8 million,  2024-25 has $50.6 million, and 2025-26 has $68.5 million.

Lee Davis and LD Louis resigned from the Mental Health Advisory Board.  Brian Bloom is the new chair.

New York:

–New York Times:  “I am all that stands between my relative and New York.”

– Lisa Raven, chief of Emergency Medicine at UCSF Medical Center, explains in the Chronicle why the system for the homeless SMI is broken and why Mayor Adams of New York is unlikely to be able to fix it on his own.  She says we need more psychiatric hospital beds as well as more non-hospital services and housing. 

-Some details about implementation of the New York plan, from the New York Times.

–New York Daily News on Mayor Adams’s New York initiative.  One of the authors, Norm Ornstein of the American Enterprise Institute, is a pro-treatment conservative who sometimes worked with the late family activist DJ Jaffe.

–NAMI Massachusetts opposes the New York plan.  NAMI’s different chapters and local organizations have been split for years on whether to endorse involuntary treatment, and Massachusetts seems to have anti-treatment politics as state politics go. / But here’s the Boston Globe endorsing the need for Assisted Outpatient Treatment in Massachusetts


WWeek of December 12-16, 2022

Mon., Dec. 12, @ 9:30 a.m. the BOS Health Committee meets.  Agenda.  Link.  Four items on the agenda: 1. A report on the County’s eight Community Health Centers (e.g., La Clínica and Lifelong).  Why there is a long wait to get appointments, especially for dental work and mental health, and why it takes many months to hire providers, especially behavioral health providers:  lagging reimbursement rates from the state. // 2. A recommendation that Measure A money be spent:  $366 k (one time) on the Recipe4Health program (which gave bags of produce and/or health coaching to 2200 people), $360 k for ambulance service for the HealthPAC program (which serves 23,000 uninsured people) plus $660 k for RedMane case management software (HealthPACs old software is being discontinued). // 3. A report on past and future bond initiatives for affordable housing. // 4. A report on Medi-Cal’s plan to unwind most of the 100+ emergency provisions they implemented during the soon-to-end COVID emergency.  For example, no one has been dropped from Medi-Cal as disqualified since March 2020. Enrollment increased by 170,000 during that period.  Ninety days after the end of the federal emergency they will start re-evaluating people’s eligibility, and some people will no doubt lose their benefits.

Mon., Dec. 12, @ 1:30 p.m., the BOS Personnel/Administration/Legislation (PAL) Committee meetsAgenda.  Link. The Health Care Services Agency is asking for an endorsement of two federal bills letting prisoners keep their Medi-Cal:  HR 9555 and S. 285 would make prisoners eligible for Medi-Cal 30 days before release, and S. 3050 would let people in pre-trial detention keep their Medi-Cal.  “People diagnosed with a serious and persistent mental illness make up over 20% of the incarcerated population”.

Tues., Dec. 13, @ 9:30 a.m., the AlaCo BOS meets.  Agenda.  Link.  The open session may begin at 10:45.Public comment is allowed at the very beginning of the meeting, during discussion of agenda items, and at the very end.  Some items: 1.  Authorizes applying for money to state’s Transitional Housing Program for youth in foster care and on probation. // 6.  Increases contract amounts with CBOs to provide Medi-Cal and Cal-Fresh navigation (because increased state money is available). // 7.  Increases Telecare’s $57 M contract by $3 M to include managing the Crisis Stabilization Unit at the adolescent mental hospital Willow Rock. 8.  Increases by $1.4 M a contract with HHREC (Health and Human Resource Education Center) to (among other things) assist ACBH’s Health Equity Division and plan the African American Wellness Hub.  Money is from the Mental Health Services Act. // 9.  Approves $467 k to hire the equivalent of three full-time people in the Office of Homeless Care and Coordination to support Cal-AIM Housing Community Support Services.  $217 K of this has to come from the General Fund until expected Medi-Cal revenue materializes (not at all clear). // 10.  Extends the County’s July 2018 declaration of a “shelter crisis” until the end of 2024. // 11.  HCSA asks for $12 k of federal Urban Areas Security Initiative money for 16 patient tracking devices and software to be used after disasters to allocate hospital beds.  No further details about the devices here. // 26.  Raises salaries for Director of HCSA (by 8%) and Assistant Chief Probation Officer (by 10%) // 28.  Contracts with VOX network services ($2.99 M) to maintain the County’s old phone system Avaya; the contract will end when Avaya is decommissioned (January 2024?) // 29.  Increases a contract with Aramark Correctional Services by $278 k for food provided to the jail through 6/23; Aramark needs the money to “provide a greater variety of foods and nutrients” as recommended in a 2019 “Alameda County Public Health Safety” report.

Tues., Dec. 13, (time TBA), the BOS will hold a Special Meeting or Work Session.  The agenda should be posted here at some point.

Wed., Dec. 14, @ 4:30 p.m., the Criminal Justice Subcommittee of the MHAB should meet.  Link. They will discuss what they plan to talk about in the next year.

Thurs., Dec. 15, at 10:00 a.m., the Public Protection Committee of the BOS will meet.  Eventually an agenda with link will be posted here.

EVENT: Fri., Dec. 16, @ 4:30 p.m., there will be a candlelight vigil for Mark Rippee at 1119 East Monte Vista Ave., in Vacaville.