Sacramento County Supervisors form Behavioral Health Commission dissolving two advisory boards

A significant shift in Sacramento County's approach to mental health and substance use services was approved during the Board of Supervisors meeting on May 20, 2025. The board unanimously voted to establish the Sacramento County Behavioral Health Commission, which will replace the existing Mental Health Board and Alcohol and Drug Advisory Board. This move aligns with the requirements of the Behavioral Health Services Act and aims to create a more integrated system for addressing the intertwined issues of mental health and substance use.

Ryan Quist, the county's behavioral health director, presented the proposal, emphasizing the need for a unified advisory body that reflects the community's diverse perspectives. The new commission will consist of 21 members, including consumers, family members, and public interest representatives, ensuring that at least half of the members have lived experience with behavioral health services. This structure aims to foster inclusivity while addressing the complexities of mental health and substance use treatment.

During the discussion, board members raised concerns about the size of the commission, with some suggesting a reduction to 16 members to facilitate more manageable meetings. However, Quist defended the larger group, arguing that it would allow for adequate representation from both existing boards and ensure that all voices are heard.

The commission will also feature various standing committees, including a newly proposed crisis and justice-involved continuum committee, which aims to streamline discussions around crisis response and improve collaboration across different services. This change comes in light of recent policy shifts from the sheriff's department regarding crisis intervention.

Public comments during the meeting reflected a mix of support and concern. Many speakers, including representatives from WellSpace Health and current board members, expressed optimism about the new commission's potential to enhance service delivery and reduce stigma surrounding mental health issues.

The board's decision marks a pivotal moment in Sacramento County's efforts to improve behavioral health services, with the first commission meeting scheduled for September 2025. This initiative is expected to not only reshape the landscape of mental health and substance use treatment in the county but also foster a more supportive environment for individuals seeking help.