Voices of MHSA
“I’m a young woman in recovery from substance abuse and mental health challenges. Today, I am proud to say that I have 2 years clean and sober. I have more supporters now than I’ve ever had. I have wellness tools and action plans for when life shows up, because trust me it still does. I am working on myself daily and have achieved things I never thought I could’ve. I am finally on the path that I was meant to be on. For the first time in 7 years, I can say with confidence; I am truly, genuinely happy.” - Alcohol and Other Drug (AOD) treatment programs mhsa logo
Voices of MHSA
"When I first joined Pathways, I avoided social interactions and struggled to find stable employment. In February 2023, I finally got hired by an organization that still retains me on staff, and my manager has repeatedly praised my reliable performance. I simply did not have friends before joining the program, but I have a much more active social life now, even hosting a party at my house over the summer." - Pathways Program mhsa logo
Voices of MHSA
“When I'm with my peers, the staff, and participating in the program at Clubhouse, my mental illness symptoms go away. When I am isolated and not part of the community I am tormented. So I have to take extra medication that cause side effects that are very annoying. In all my mental health programs I have experienced, they see you as your illness first. At California Clubhouse I am treated as an individual and not as my diagnosis. That makes the difference between whether I'm happy or not.” - The California Clubhouse mhsa logo
Voices of MHSA
“Despite participating in HAP-Y about 6 years ago, the experience and knowledge that I gained during my time with HAP-Y still continues to motivate me today. All that I learned still sticks with me in my memory and I often look back and remember that HAP-Y is the root of which I decided I wanted to pursue psychology.” - Health Ambassador Program for Youth (HAP-Y) mhsa logo
Voices of MHSA
“Thank you again, I finally got my first papers back from the courts and I really wouldn't have even gotten through that step without you guys and the workshop. You all having these resources available to the community is amazing. I am so grateful for all the counseling services I've received at the Pride Center. It has been an amazing resource for me! I look forward to achieving a better understanding of self to move forward in life. Thank you again for simply being here.” - The Pride Center mhsa logo
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What’s MHSA?

You may not recognize the name, but the impact is undeniable. Guided by the voices and needs of the communities it serves, the Mental Health Services Act (MHSA) has created culturally mindful services that go beyond the traditional medical model.

For nearly 20 years, the MHSA has transformed mental health and substance use services in San Mateo County into a complete spectrum of care that focuses as much on the power of prevention as it does on life-saving treatment. Click here to learn more about MHSA.


FSPs have a commitment to do “whatever it takes” to help individuals of all ages who are struggling with serious mental health challenges progress in their recovery, health, and well-being. FSP programs offer 24-hours-a-day, 7-days-a-week services; peer support; intensive mental health and substance use treatment; linkages to supported housing, education and employment; skills-based interventions, and other services to help individuals and families live successfully in their communities. Visit Site


Provides field-based outreach, assessment and treatment to unhoused individuals living with mental health and substance use challenges. HEAL clinicians partner with Homeless Outreach Teams (HOT) and provide short-term treatment including psychiatry in the field, meeting individuals where they are at, and connecting them to treatment.


Founded by ALAS (Ayudando Latinos a Soñar) in Half Moon Bay on the opportunity to create new models of mental health, substance use and wellness services for marginalized farmworker communities that are grounded in cultural arts frameworks of intervention and engagement. Services include crisis counseling, family counseling, and counseling at schools, local churches, community spaces and a home visiting model. ALAS’ Farmworker Equity Express Bus extends the cultural arts practices directly to farmworkers and their families. Visit Site


On-site housing supported services include tenant engagement, daily living skills coaching, housing retention and eviction prevention interventions, harm reduction, motivational interviewing, crisis intervention/de-escalation, service coordination, and property management liaison services for unhoused individuals or those at risk of homelessness, and their families, who are struggling with mental health and substance use challenges. Visit Site


A community-centered organization where adults (18 years and older) living with mental health and substance use challenges can go every day during business hours to work on overcoming obstacles they face. It offers support, training, education, employment, healthy social interactions and positive reinforcement through collegial relationships and work. Visit Site


A welcoming, safe, inclusive, and affirming space for all ages, sexual orientations, and gender identities, The Pride Center takes a holistic approach to improving the health and wellbeing of the LGBTQ+ community. Visit Site


This program provides the resources needed to make a difference in the lives of families, friends, and neighbors in your community. Health Ambassadors are committed to breaking down stigmas, opening doors, and improving the mental health of those around them. HAP for youth (HAP-Y) gives young adults the opportunity to act as mental health ambassadors in their schools and communities — promoting awareness of mental health, substance use, reducing the stigma, and increasing access to services for young people in San Mateo County. Visit Site


Pathways is an alternate path through the criminal justice system for individuals living with serious mental health and substance use challenges and significant impairments. The goal is to reduce incarceration and help individuals live more successfully in the community. Visit Site


HEIs represent ethnic and cultural communities that have been historically marginalized and include the African American Community Initiative, Chinese Health Initiative, Filipino Mental Health Initiative, Latino Collaborative, Native and Indigenous Peoples Initiative, Pacific Islander Initiative, PRIDE Initiative, Spirituality Initiative, and the Diversity and Equity Council. HEIs plan culturally mindful mental health awareness events throughout San Mateo County to decrease stigma, educate and empower, support wellness and recovery, and increase access to mental health and substance use services. Visit Site


During and after a mental health emergency or crisis event, the Hotline offers immediate support with services that include 24-hour access, mobile youth crisis response team — The Youth Stabilization, Opportunity and Support (S.O.S.) Team— and online and text teen crisis support. Contact the Crisis Hotline 24/7 at 650-579-0350. Visit Site

Your MHSA:
A Journey Through History and Social Justice
The most exciting thing about the impact MHSA funding has had on the San Mateo community is that it continues to break down the barriers that stand between diverse communities and the mental health and substance use services they need.

MHSA programs exist to boost the purpose, belonging, and health for all people in San Mateo County, with a commitment to the value of inclusion and equity for all.

Future & Past


Landmark MHSA legislation passed by California vote.


Peer support expansions begin – currently have 19 peer support workers and family partners positions hired to support BHRS programs and regional clinics supported by the Office of Consumer and Family Affairs, launch of the Lived Experience Academy and other peer support services.
Future & Past


First MHSA Innovation (INN) project, Total Wellness, approved. Over the following years, MHSA INN was critical for funding culturally responsive approaches including the Pride Center, the first comprehensive one-stop shop for behavioral health, social services and capacity development to improve access and quality of care for LGBTQ+ community.


Prevention & Early Intervention Taskforce prioritizes trauma-informed capacity development and non-law enforcement response to youth crisis, now the Youth S.O.S. program.
Future & Past


AB 2265 authorizes MHSA funds for substance use treatment recognizing that individuals living with serious mental health challenges often simultaneously experience substance use conditions.


MHSA Housing Initiative Taskforce allocates $12.5M to fill gaps in the housing continuum of care. $10M to DoH for supportive housing units increasing supportive housing units to 130 total across 13 supported housing developments.
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To be connected to mental health and substance use services, visit San Mateo County Health, Behavioral Health & Recovery Services.

Need help now?

For immediate assistance

Visit https://www.smchealth.org/bhrs-contacts.
For the 24/7 Crisis Hotline, call 650-579-0350
For 24/7 ACCESS Call Center, call 800-686-0101