During a recent government meeting, the focus was on the comprehensive behavioral health and wellness programs provided by the Department of Health. Dr. Africa presented an extensive overview of the services available, emphasizing the department's role as a safety net for individuals with severe mental illnesses and substance use disorders.

The department operates with a budget of approximately $340 million and employs around 516 staff members across five regional clinics in San Mateo County. Services range from prevention and early intervention to crisis management and aftercare, catering primarily to low-income and uninsured individuals. Dr. Africa highlighted the importance of partnerships with community-based providers, law enforcement, and the judicial system to enhance service delivery.

A significant portion of the discussion centered on the newly implemented mobile crisis response team, which offers 24/7 support for individuals in crisis. This initiative, mandated by the Department of Health Care Services, aims to provide non-armed, immediate assistance to those in need, ensuring a compassionate approach to mental health crises. The team consists of a behavioral health clinician and a peer specialist, emphasizing the value of lived experience in crisis intervention.

Dr. Africa also detailed various programs targeting justice-involved populations, including the Pathways program, which collaborates with probation and the courts to provide mental health services to individuals under community supervision. The Assisted Outpatient Treatment (AOT) program, established under Laura's Law, offers intensive support for individuals with severe mental illnesses who have not engaged in voluntary treatment.

The meeting underscored the county's commitment to addressing housing needs for individuals with behavioral health issues, with several initiatives aimed at providing stable housing options. This includes partnerships with the Department of Housing to create permanent supportive housing units.

In response to questions from commissioners, Dr. Africa clarified the distinctions between different crisis response teams, noting that while the Community Wellness and Crisis Response Team collaborates with city police departments, the PERT team works closely with the sheriff's office for follow-up care.

Overall, the meeting highlighted the county's multifaceted approach to behavioral health, emphasizing the importance of accessibility, community partnerships, and tailored services for vulnerable populations.