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In 1957, the State of California passed the Short-Doyle Act, which gave to counties the responsibility for providing treatment and care to the mentally ill through a community-based and community-operated mental health system. The Legislature at the same time mandated the establishment of a Mental Health Board (MHB) in each county. The boards were seen as a key mechanism for assuring citizen involvement and therefore accountability for the mental health systems in the communities which they serve. San Francisco, however, had established its own MHB a year earlier than that, and when the state legislation came along, incorporated that language into its City Ordinance regarding the Board.