About the Commission for Behavioral Health

Guiding the transformation of mental health care for all Californians

Proposition 63, approved by California voters in 2004, created the Mental Health Services Oversight and Accountability Commission to drive transformational change across the state’s mental health system.

The Commission oversees the implementation of the far-reaching initiative, which imposed a 1 percent income tax on wealthy residents to pay for mental health services and established a framework for continuous improvement of mental healthcare in the state.

Partnering with public and private mental health agencies at all levels, the Commission works to ensure that people get the care they need in a timely, comprehensive, effective, and culturally competent manner. In everything, it vigorously promotes community collaboration.

A hallmark of the Mental Health Services Act (MHSA) is its directive that the Commission empower stakeholders and put them at the center of its decision-making process. Accordingly, the law reserves seats on the Commission for representatives of consumers and their families, service providers, law enforcement, educators, and employers, among others. The Commission also includes representatives of the Attorney General, the Superintendent of Public Instruction, the State Senate, and the State Assembly.

Our Role

The Commission’s primary function is to oversee the implementation of the Mental Health Services Act. The Commission distributes grants, collects and shares spending and efficacy data on local programs, spreads best practices, conducts research into critical subject areas like criminal justice involvement of people with mental health needs, and engages experts to develop policy proposals and other pathbreaking solutions.

Data collection is an increasingly important focus for the Commission; its Transparency Suite is an online tool that provides high-level spending and outcome metrics for programs by county.

The Act charges the Commission with reviewing county spending of Mental Health Services Act money for prevention and early intervention programs. The Commission also distributes money raised through the Act for local innovation projects that pioneer new approaches to administration and treatment, like youth drop-in centers.

Another of the Commission’s continuing endeavors is to develop ways to overcome the stigma that often faces people living with mental health challenges.

The Commission advises the Governor and Legislature on mental health policy. In addition, lawmakers have periodically given the Commission new responsibilities, including distributing grants to expand mental health services in schools, helping develop voluntary standards to support mental health in the workplace, and helping to build a statewide suicide prevention plan.

 

What Guides Our Work

The principles of wellness and recovery guide the Commission, which prioritizes prevention and early intervention to minimize the harmful effects that can result from unaddressed mental health needs, particularly the seven negative outcomes identified by Prop. 63: suicide, incarceration, school failure, unemployment, prolonged suffering, homelessness, and the removal of children from their homes.

The Commission works through partnerships to catalyze transformational changes across service systems so that everyone who needs mental health care has access to and receives effective and culturally competent care.

 

Racial Equity Plan

The California mental health system has not been designed with an equity lens. Bias, discrimination, a lack of cultural competency and wide disparities exist within the mental health system.

To address these challenges effectively, mental health programs and practices must be informed by these challenges.

In partnership with the Capitol Collaborative on Race and Equity, Race Forward, as well as the work of Vice Chair Mayra E Alvarez and a dedicated team of Commission staff, the Commission created this plan for intentionally building racial equity strategies into Commission operations and priorities.

Commissioners

Chair

Mayra E Alvarez

Seat: Attorney General or designee
Appointed by: Attorney General
City: Los Angeles
Vice Chair

Al Rowlett

Seat: Mental health professional
Appointed by: Governor
City: Sacramento

Pamela Baer

Seat: Person with knowledge and experience in community-defined evidence based practices and reducing behavioral health disparities
Appointed by: Governor
City: San Francisco

Michael Bernick

Seat: Representative of an aging or disability organization
Appointed by: Governor
City: San Francisco

Mark Bontrager

Seat: Health care service plan/insurer representative
Appointed by: Governor
City: Napa

Sheriff Bill Brown

Seat: County sheriff
Appointed by: Governor
City: Lompoc

Keyondria Bunch, Ph.D.

Seat: Labor organization representative
Appointed by: Governor
City: Los Angeles

Robert Callan, Jr.

Seat: Family member of someone with substance use disorder
Appointed by: Governor
City: San Francisco

Steve Carnevale

Seat: Small employer representative
Appointed by: Governor
City: San Francisco

Rayshell Chambers

Seat: Mental health peer
Appointed by: Governor
City: Los Angeles

Shuo Chen

Seat: Family member of an adult peer
Appointed by: Governor
City: Berkeley

Chris Contreras

Seat: Professional with expertise in housing and homelessness
Appointed by: Governor
City: Northridge

Senator Dave Cortese

Seat: California Senate
Appointed by: President pro Tempore of the Senate
City: Santa Clara

Makenzie Cross

Seat: A peer youth
Appointed by: Governor
City: Elk Grove

Amy Fairweather, J.D.

Seat: Veteran or representative of a veterans’ organization
Appointed by: Governor
City: San Francisco

Brandon Fernandez

Seat: Peer with a substance use disorder
Appointed by: Governor
City: Los Angeles

David Gordon

Seat: School district superintendent
Appointed by: Governor
City: Sacramento

Asm. John Harabedian

Seat: California Assembly
Appointed by: Speaker of the Assembly
City: Pasadena

Karen Larsen

Seat: Peer with a substance use disorder
Appointed by: Governor
City: Sacramento

Mara Madrigal-Weiss

Seat: Superintendent of Public Instruction or designee
Appointed by: Superintendent of Public Instruction
City: San Diego

Gladys Mitchell

Seat: Family member of a child peer
Appointed by: Governor
City: Sacramento

James Robinson, Psy.D.

Seat: Large employer representative
Appointed by: Governor
City: Sacramento

Marvin Southard

Seat: Current or former county behavioral health director
Appointed by: Governor
City: Avila Beach

Jay’Riah Thomas-Beckett

Seat: Mental health peer
Appointed by: Governor
City: Wilton

Gary Tsai, MD

Seat: Physician specializing in substance use disorder
Appointed by: Governor
City: Los Angeles

Seat Unfilled

Seat: Family member of an adult or older adult peer with substance use disorder
Appointed by: Governor
City:

Jevon Wilkes

Seat: Representative of a children and youth organization
Appointed by: Governor
City: Sacramento

In Memoriam

Tina Wooton portrait photo

Tina Wooton

Commission Member, Santa Barbara

Tina Wooton worked in the mental health system for 23 years, advocating for the employment of consumers and family members at the local, state and federal levels. From 2009 to 2021 she served as the Consumer Empowerment Manager for the Santa Barbara County Department of Alcohol, Drug, and Mental Health Services.

From 2005 through 2009 she worked as the Consumer and Family member liaison for the California State Department of Mental Health and was staff to the state Mental Health Services Act Implementation Team. Between 1997 and 2005 she served as Consumer Liaison for the Mental Health Association / County Mental Health of Sacramento and as service coordinator for Human Resources Consultants from 1994 through 1997.

Wooton was Vice President of AMP (Arts Mentorship Program) for Santa Barbara Dance Arts and a Santa Barbara Elks member. Commissioner Wooton represented clients and consumers.

Click to read more about Commissioner Wooton in a remembrance.

CBH Contracts

To request a copy of a specific contract, send an email to: bhsoac@bhsoac.ca.gov

Click here for a list of active contracts.

CBH Workforce and Succession Plan

View the Commission’s Workforce and Succession Plan 2018 – 2023: Click here.

CBH Rules of Procedure

View the Commission’s rules of procedure: Click here.