This report provides an update on the County of San Diego Health and Human Services Agency’s Mental Health Services Act (MHSA) Three Year Program and Expenditure Plan for Fiscal Year (FY) 2014-15 through FY 2016-17 (MHSA Three Year Plan). Included in this document as mandated by State regulations are FY 2014-15 program highlights, demographic data, and changes to the MHSA Three Year Plan for FY 2015-16 and FY 2016-17.