Today I was astonished to read item 22 on the Calaveras County Board of Supervisors agenda for this coming Tuesday (April 23.) Said item indicated the board will be asked to approve an agreement with the state which would result in spending $8.1 billion over five years on “specialty mental health services to Medi-Cal beneficiaries of Calaveras County.”
So I did some math. That translates into about $1.6 billion a year. Assuming that all 45,000 of us living up here are mentally ill, then that would be more than $35,000 a year in mental health services for every man, woman and child in Calaveras. I left a phone message for Calaveras Health Services Agency Director Colleen Tracy, suggesting that it would probably solve most of our mental health problems to just send us all checks directly.
Tracy called back to explain the $8.1 billion. Turns out that is the total amount of federal money expected to flow statewide in California for such mental health services in the five years from now to 2018. State officials realized they didn’t know exactly how the money would get divvied up among the state’s 58 counties, so they asked every county to sign a contract for up to the full $8.1 billion. Tracy said the actual amount Calaveras will get over the five years is more like $6 million. That’s only about $1.2 million a year, or about $27 per year per county resident. So the good news is that Calaveras doesn’t need $8.1 billion in mental health services. The bad news is that we do have our share of mental health problems, and probably need more than the $6 million.