Under advisement from August 30, 2022 (Item No. 10): Receive quarterly report from Administration relating to mental health and substance use as a public health crisis.
This document is a quarterly report from the County Executive's Office regarding mental health and substance use as a public health crisis. It is addressed to the Board of Supervisors and includes recommended actions based on a previous advisement. The report includes attachments related to key priorities and initiatives, as well as specific reports on services.
Key points
The report is from the County of Santa Clara Office of the County Executive.
It is addressed to the Board of Supervisors.
The subject of the report is the quarterly update on mental health and substance use as a public health crisis.
The recommended action is to receive the quarterly report from Administration.
The document includes attachments: Updates on Key Priorities and Initiatives Presentation, August 18, 2026 FGOC Report, and BHSD CYF Services.
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County of Santa Clara Office of the County Executive 127166 DATE: August 11, 2026 TO: Board of Supervisors FROM: Greta S. Hansen, Chief Operating Officer SUBJECT: Quarterly Report on Mental Health and Substance Use as a Public Health Crisis RECOMMENDED ACTION Under advisement from August 30, 2022 (Item No. 10): Receive quarterly report from Administration relating to mental health and substance use as a public health crisis. ATTACHMENTS: • Updates on Key Priorities and Initiatives Presentation (PDF) • Attachment A - August 18, 2026 FGOC Report (PDF) • Attachment B - BHSD CYF Services (PDF) Board of Supervisors: Sylvia Arenas, Betty Duong, Otto Lee, Susan Ellenberg, Margaret Abe-Koga County Executive: James R. Williams Page 1 of 1
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Updates on Key Priorities and Initiatives Presentation
The source text indicates this attachment appears to be a draft document.
The document titled 'Updates on Key Priorities & Initiatives for Behavioral Health Services' presents an overview of various updates related to behavioral health services, including treatment beds, workforce development, and services for children and youth. It outlines progress towards increasing behavioral health treatment beds, updates on workforce development strategies, and highlights services provided to children and youth in Santa Clara County. The document also includes additional updates in appendices and references recent reports related to behavioral health.
Key points
Focus areas include updates on behavioral health treatment beds, workforce development, children and youth services, and older adult mental health strategies.
The goal is to increase behavioral health treatment beds by 50% by 2030, adding approximately 530 beds.
As of the report, 273 beds have been added, serving a total of 2,860 clients annually.
18 out of 22 workforce recommendations from UCSF are being implemented.
In FY 2026, BHSD served 14,451 unduplicated youth, approximately 43% of total clients served.
The older adult suicide rate in Santa Clara County decreased by about 18% from 2024 to 2025.
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Specific dates, votes, dollar amounts, and outcomes are not provided in the text.
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Updates to Key Priorities & Initiatives for Behavioral Health Services August 11, 2026, Board of Supervisors Meeting Focus Areas for Today’s Report 1) Behavioral Health Treatment Beds & Facilities Update 2) Behavioral Health Workforce Development Strategic Plan Recommendation Updates 3) Behavioral Health Children & Youth Continuum Highlights 4) Older Adult Mental Health Strategies Update Additional Updates Included in Appendices/Attachments: • Appendix A – Suicide Prevention Transition to Public Health Update • Appendix B – Workforce Recommendations Statuses • Appendix C – 988 and Mobile Crisis Updates and Data • Attachment A – August 18, 2026 FGOC Report • Attachment B – BHSD Children, Youth, and Families Services 2 Recent Reports related to Behavioral Health 1. BHSD Facilities/Bed Expansion Update (May 1, 2026, FGOC) 2. BHSD Revenue Opportunities Update (May 8, 2026, OAR) 3. Behavioral Health Services Department Budget Proposal (May 11, 2026, Budget Workshop) 4. County Clinic Consolidation (May 11, 2026, OAR) 5. FY 2026-2027 Board Request for Information No. 6 – Additional Information on School Linked Services (May 11, 2026, OAR) 6. Agreement with Valley Health Foundation (May...
This document is a status report on the expansion of behavioral health facilities in Santa Clara County, dated August 18, 2026. It outlines ongoing efforts to increase access to psychiatric treatment and substance use disorder residential treatment facilities, with a focus on serving Medi-Cal beneficiaries and uninsured individuals. The report details various projects, including the addition of acute, subacute, mental health community residential, and substance use residential beds, along with their current statuses and projected completion dates. The report indicates that the recommended action will have no impact on children, seniors, or sustainability.
Key points
The report is addressed to the Finance and Government Operations Committee.
The report highlights the ongoing expansion of behavioral health facilities to serve individuals with serious mental illness and substance use disorders.
The Barbara Arons Pavilion is being explored for interim use as a Mental Health Rehabilitation Center.
A total of 53 additional acute care beds have been added since July 1, 2022, with a goal of 130 beds.
The Behavioral Health Pavilion is a $620M project expected to serve 2,310 clients annually upon completion.
The report includes various projects with details on beds added, project status, funding sources, and estimated completion dates.
Limitations
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Specific dates, votes, dollar amounts, and outcomes are not provided.
Unresolved placeholders and blank fields affect the completeness of the summary.
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ATTACHMENT A County of Santa Clara Santa Clara Valley Health & Hospital System Behavioral Health Services Department 129957 DATE: August 18, 2026 TO: Finance and Government Operations Committee FROM: Sherri Terao, Director, Behavioral Health Services Jeffrey D Draper, Director, Facilities and Fleet SUBJECT: Status Report on the Expansion of Behavioral Health Facilities RECOMMENDED ACTION Receive report from the Facilities and Fleet Department and Behavioral Health Services Department relating to behavioral health facility expansion efforts and progress. REASONS FOR RECOMMENDATION As part of efforts to expand care for individuals with a serious mental illness and/or substance use disorder – with a focus on the County’s core mission and mandate to provide care to Medi-Cal beneficiaries and indigent persons who are uninsured – the Administration has been working to increase access to psychiatric treatment facilities and substance use disorder residential treatment facilities. Ongoing efforts to expand behavioral health facilities are outlined in Attachment A, which includes the following: • Highlighted text indicates updates or changes from the previous report. • Footnotes indicate...
Attachment B outlines the services provided by the Behavioral Health Services Department (BHSD) for children, youth, and families in Santa Clara County. It details the various programs and services available, including outpatient behavioral health services, school-based wellness centers, early childhood mental health services, and transitional age youth services. BHSD serves as the state-designated specialty behavioral health plan for Medi-Cal eligible individuals and collaborates with managed care plans to provide comprehensive care. The attachment emphasizes the importance of culturally sensitive and trauma-informed approaches in delivering these services.
Key points
BHSD serves as the specialty behavioral health plan for children, youth, and families with Medi-Cal insurance.
Services include mental health and substance use treatment for moderate to severe behavioral health needs.
Outpatient services are available in various settings, including schools and community locations.
School Based Wellness Centers are supported by County grant funding and provide mental health services to students.
Early Childhood Mental Health services promote healthy development for children from birth to five.
Transitional Age Youth services cater to individuals aged 18 to 25, offering a range of mental health support.
Crisis support services are available through the County Crisis & Suicide Prevention Lifeline.
Limitations
The text does not specify certain details such as specific dollar amounts for funding or the exact nature of partnerships.
There are unresolved placeholders and blank fields that may affect the completeness of the summary.
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Attachment B Behavioral Health Services Department (BHSD) Children, Youth, and Family System of Care Programs and Services BHSD Specialty Services Promoting healing, hope, wellbeing, and improved life outcomes for children, youth, and families. Children, Youth, and Family System of Care The County of Santa Clara’s Behavioral Health Services Department (BHSD) serves as the state designated specialty behavioral health plan for children, youth, and families with Medi-Cal insurance, including those who are unserved or underserved in the community. In this safety net role, BHSD offers a wide range of mental health and substance use treatment services to children and youth with moderate to severe behavioral health needs. Services are delivered across a variety of settings, including clinics, homes, schools, and community locations, dependent on the needs of youth and families. We are here to help! Access to Care Managed Care Plans for Children and Youth with Mild to Moderate Needs While BHSD is the Medi-Cal behavioral health plan for those with moderate to severe needs, Managed Care Plans (e.g., Kaiser, Anthem, and Santa Clara To meet the diverse needs of children, youth, and Family...