General Information

All participating MHPs, regardless of the amount of MHSA resources dedicated to Suicide Prevention (SP) Programs or Stigma and Discrimination Reduction (SDR) Programs, should report the following information for fiscal year 2018/2019.

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* 2. MHSA Suicide Prevention Program Expenditures

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* 3. MHSA Stigma and Discrimination Reduction Program Expenditures

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* 4. Total MHSA Expenditures

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* 5. Other source of Suicide Prevention funds (#1). If no funds other than those provided by MHSA were spent on SP programs, leave this field blank.

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* 6. Expenditure from other source of Suicide Prevention Funds (#1). Enter the amount spent during the fiscal year from the above source of funds.

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* 7. Other source of Suicide Prevention funds (#2). If no funds other than those provided by MHSA were spent on SP programs, leave this field blank.

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* 8. Expenditure from other source of Suicide Prevention Funds (#2). Enter the amount spent during the fiscal year from the above source of funds.

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* 9. Other source of Stigma and Discrimination Reduction funds (#1). If no funds other than those provided by MHSA were spent on SDR programs, leave this field blank.

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* 10. Expenditure from other source of Stigma and Discrimination Reduction Funds (#1). Enter the amount spent during the fiscal year from the above source of funds.

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* 11. Other source of Stigma and Discrimination Reduction funds (#2). If no funds other than those provided by MHSA were spent on SDR programs, leave this field blank.

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* 12. Expenditure from other source of Stigma and Discrimination Reduction Funds (#2). Enter the amount spent during the fiscal year from the above source of funds.

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* 13. Most recent estimated county population. If your MHP is not a county, enter the estimated population of the jurisdiction.

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* 14. Most recent certified Medi-Cal Eligible population

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