Performance Accelerator Knowledge Center

Module Four: Facilitating Governance and Accountability

For Behavioral Health Boards (BHB) & Boards of Supervisors (BOS)

This module outlines the key components of Behavioral Health Transformation (BHT) and clarifies the roles of BOS and BHB members in supporting BHT accountability. It also offers practical guidance on reviewing key planning and reporting documents, including the Behavioral Health Services Act (BHSA) Integrated Plan (IP), Annual Updates (AU), and Behavioral Health Outcomes, Accountability, and Transparency Report (BHOATR).

There is a unique module guide for Behavioral Health Boards (BHB) and Boards of Supervisors (BOS):

Module Four Objectives

Understand Behavioral Health Transformation (BHT) and your role as an advisor

Learn how to review Behavioral Health Services Act Integrated Plans, Annual Updates, etc.

Learn about how and when to review system performance

Understand how your actions drive system improvement

What you'll learn

PART 1
PART 2
PART 3
PART 4
California's Behavioral Health Transformation Explained
At-a-glance overview highlights key elements of the Behavioral Health Transformation (BHT)
BOS/BHB Requirements Under BHSA
Understand the role you play in facilitating accountability
Engagement Throughout the BHSA Cycle
What level of engagement is required for BHB/BOS?
Understanding Performance Management
An overview of the performance management framework your county will be leveraging

Not sure where to start?

This 30-minute overview of Module Guide Four helps BOS members and the staff who support them understand their BHSA responsibilities during implementation — reviewing progress, asking the right questions, and exercising meaningful oversight that drives accountability and results.

Module Four Resources

Resources to help you support your understanding of Behavioral Healt Transformation and the role you play in your behavioral health system

Resource 4A

BOS and BHB Requirements in the BHSA
Summary of the statutory requirements outlined in the Behavioral Health Services Act (BHSA) for boards of supervisors and county behavioral health boards and commissions
Access Resource

Resource 4B

Review Guide for Boards of Supervisors
High-level overview of three core deliverables outlined in the BHSA for Boards of Supervisors to review
Access Resource

Resource 4C

Review Guide for Behavioral Health Boards
High-level overview of three core deliverables outlined in the BHSA for Behavioral Health Boards to review
Access Resource

Resource 4D

Sample 3-Year Engagement Guide for BOS
A practical tool for meaning BOS participation in the BHSA planning process
Access Resource

Resource 4E

Sample 3-Year Engagement Guide for BHB
A practical tool for meaning BHB participation in the BHSA planning process
Access Resource

Get hands-on support to put these resources into practice

New tools and requirements can be complex to navigate. Our goal is to make this work easier and more effective for your county. To support that, we offer one-on-one introductory sessions designed to help you understand how the Knowledge Center tools can be applied in your local context. In this session, counties will:

  • See how the Knowledge Center tools can fit your county’s priorities and capacity 

  • Learn how counties are effectively applying these tools 

  • Identify which resources are most relevant to your county’s BHSA priorities 

  • Get connected to upcoming hands‑on support: workshops, webinars, office hours, and more

“The Performance Accelerator team really helped us to understand better what our programs and relationships with contracted providers could look like under BHSA.”

Get started with Module Four

Module Guide for Behavioral Health Boards

Module Guide for Boards of Supervisors

Get in touch with the Performance Accelerator team

Fill out the form below or email us at bhtaccelerator@hbgi.org