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Mental Health Services Oversight and Accountability Commission (MHSOAC)

1812 9th Street Sacramento, CA 95811


(916) 500-0577

Executive Director

Toby Ewing


(916) 445-8696


The MHSOAC's mission is to provide vision and leadership, in collaboration with clients, their family members, and underserved communities, to ensure Californians understand mental health is essential to overall health. Hold public mental health systems accountable. Provide oversight for eliminating disparities; promote wellness, recovery and resiliency; and ensure positive outcomes for individuals living with serious mental illness and their families.

Commission Chair

Mara Mara Madrigal-Weiss

Constituency: Education

Commission Vice Chair

Mayra Alvarez

Constituency: Public Health Services


Review of MHSA Programs 

The MHSOAC oversees the MHSA funded programs and services through the counties’ annual updates. Counties submit updates every year to reflect the status of programs and services in their counties. 


The MHSOAC has a statutory mandate to evaluate how MHSA funding has been used, what outcomes have resulted, and how to improve services and programs. 


The MHSOAC supports collaborative research efforts to develop and implement improved tools and methods for program improvement and evaluation statewide. Triage County triage personnel provide linkages and services to what may be the first mental health contact for someone in crisis. Crisis services are provided at shelters, jails, clinics and hospital emergency rooms to help link a person to appropriate services. Stakeholder Contracts Statewide stakeholder advocacy contracts are focused on supporting the mental health needs of consumers, children and transition aged youth, veterans, racial and ethnic minority communities and their families through education, advocacy, and outreach efforts. 

Commission Projects 

The MHSOAC selects special project topics and under the direction of a subcommittee of Commissioners, conducts research through discussion, review of academic literature, and interviews with those closely affected by the topic to formulate recommendations for administrative or legislative changes. 

Technical Assistance & Training 

The MHSOAC offers technical assistance and training to counties, providers, clients and family members, and other stakeholders to support the goals of the MHSA and specific responsibilities of the Commission, such as review of counties’ MHSA-funded Innovative Program Plans.

Commission Meetings

Meetings take place on the fourth Thursday of each month from 9:00 am - 1:00 pm. (may be subject to change). Please check the MHSOAC Website to confirm each month's meeting location.

Client and Family Leadership Committee
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