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Services: Mental Health & Substance Use


Mental Health and Substance Use

COVID-19 Resources

24/7 Support is Available – You Are Not Alone

If you or someone you know is experiencing challenges with anxiety, panic, depression, alcohol and drug use or other emotional distress, you are not alone.  Below are some resources that provide free, confidential and immediate emotional support via phone, text or chat to anyone in emotional distress or a suicidal crisis  -  24 hours a day, 7 days a week.  If you are experiencing a mental health emergency, call 9-1-1 or see our crisis services page. 

Crisis/Suicide Hotline & Text

  • 1 (800) 273-TALK (8255)  or (650) 579-0350
  • 1 (888) 628-9454 Spanish speakers
  • 1 (800) 273-8255 Veterans Crisis Line or chat online
  • 1 (800) 985-5990 Disaster Distress Helpline or text TALKSWITHUS to 66746
  • Chat online

National Suicide Prevention Lifeline - more info on the above services or to access their the Lifeline Chat. 

Crisis Text Line - Crisis Text Line serves anyone, in any type of crisis, providing access to free, 24/7 support. Text BAY to 741741 to reach a crisis counselor. Learn how it works

Peer-Run Warm Line - a 24/7 non-emergency resource for anyone in California seeking emotional support. Call 1 (855) 845-7415 or chat online

Domestic Violence Hotline – 1 (800) 799-7233 (SAFE) or chat, 24/7.

CORA (Communities Overcoming Relationship Abuse) 24/7- 1 (800) 300-1080 |

Kara  – Grief support for children, teens, families and adults (650) 321-5272 |

Download this handy card with quick mental health tips and emotional support/crisis resources.  [Spanish][Chinese][Tagalog][Russian]



This information is subject to change at any time, please call before visiting.  

Behavioral Health and Recovery Services Access Call Center:  1-(800) 686-0101, TTY: dial 711.  They provide information, resources, assessment and referrals to mental health and substance use services for San Mateo County residents with Medi-Cal or no insurance. Learn more about how to request services[Spanish][Chinese][Tagalog][Russian]

If you are experiencing a psychiatric emergency, call or text 9-1-1 (see Guidelines for calling 911 in a mental health emergency at or go to your nearest hospital emergency room if you can safely get there.  Learn more about crisis services and resources

Outpatient Mental Health Clinics:  

All new clients seeking services, please call the BHRS Access Call Center at 1-(800) 686-0101, TTY: dial 711, for an assessment and referral. Learn more about how to request services[Spanish][Chinese][Tagalog][Russian]

Regional outpatient mental health clinic staff continue to provide essential services to all existing clients and new clients referred by the Access Call Center. Most clinic services will be provided by phone or telehealth video conference. Only urgent services that cannot be performed by phone will be provided on site, by pre-arrangement only. No walk-ins are permitted. 

If you are a current client, call your clinic directly to inquire about your mental health services. 

  • North County Youth & Adult Clinic: (650) 301-8650 
  • Central County Youth & Adult Clinic: (650) 573-3571 
  • South County Adult: (650) 363-4111 
  • Shasta Youth & Transition Age Young: (650) 599-1033 
  • Coastside Youth & Adult: (650) 726-6369 
  • East Palo Alto Youth & Adult: (650) 363-4030 

Specialty Mental Health Services - for youth, transition age youth, adult and older adults remain open with limited/modified services. Services are provided by phone or telehealth video conference.  Some programs may continue to serve current clients only and may not be accepting new referrals.   Face-to-face appointments may be provided for urgent appointments or on a case by case basis. Call the program directly for an appointment or the contact the BHRS Access Call Center 1-(800) 686-0101, TTY: dial 711, to inquire about services. Learn more about how to request services[Spanish][Chinese][Tagalog][Russian]

Residential Mental Health Treatment Facilities – visitors to residential treatment facilities are restricted.  Please call before visiting.   

Alcohol & Other Drug Services – contact the BHRS Access Call Center: 1-(800) 686-0101, TTY: dial 711, for information, resources, assessment and referral to substance use treatment services provided through our contracted network of providers.  To inquire about Medication Assisted Treatment, call (650) 573-2735 or visit

For general information, you may call the main Alcohol and Other Drug Services Information line at 650-802-6400 Monday-Friday during business hours.   No on-site walk-ins are currently permitted. Learn more about how to request services. [Spanish][Chinese][Tagalog][Russian]

As the designated mental health and substance use plan for Medi-Cal beneficiaries residing in San Mateo County, Behavioral Health and Recovery Services offers a broad range of services to assist with preventing, identifying, treating and supporting individuals of all ages and stages, and their family members, who may be affected by mental health and/or substance use conditions.

To contact one of our programs, see the BHRS contact list

About Behavioral Health & Recovery Services Services

Services are provided by mental health clinicians, psychiatrists, psychologists, alcohol and drug counselors, peers, and others, through seven regional county behavioral health clinics and a network of contracted community and private providers located throughout the county.

Specialty programs for specific populations, such as infants and their mothers, youth transitioning to adults, foster youth, older adults, and for various levels of care are also available. 

At Behavioral Health and Recovery Services, we care for the whole person with compassion and respect for your cultural values. Our goal is to help you achieve and maintain long term health, wellness and recovery, and to foster healthy families and communities.

For more information, see the BHRS brochure.


Mental Health Services

Behavioral Health and Recovery Services provides mental health services to individuals who are eligible for Medi-Cal and/or members of the Health Plan of San Mateo through outpatient clinics in Daly City, San Mateo, the Coastside, Redwood City and East Palo Alto, in school-based locations, and through a network of community agencies and independent providers who offer outpatient services, residential treatment, rehabilitation and other services for adults and children.


Substance Use Treatment Services

If you or a loved one is dealing with drug addiction, alcoholism, prescription drugs or chemical dependency, seeking help is the first step in recovery.  As the mental health and substance use plan for Medi-Cal beneficiaries residing in San Mateo County, Behavioral Health and Recovery Services (BHRS) offers free consultation, assessment, linkages, and referrals to a network of contracted community-based substance use treatment providers throughout the County.  Call our Access Call Center for assistance at (800) 686-0101, TDD (800) 943-2833.


Crisis Services

We all want to protect the people we love, but sometimes we cannot do it on our own. If a family member or friend is in a mental health crisis and at risk of harming themselves or others, call the police – even though you or your family member may be upset or afraid – to help ensure everyone’s safety.

Find resources below that can help you and the people around you in and after a mental health emergency or crisis event.

*** See COVID-19 behavioral health information and resources here.***

If you are Experiencing a Mental Health Emergency

Call or Text 9-1-1

Call or text 9-1-1 (ask for a Crisis Intervention Trained [CIT] officer) or go to your nearest hospital emergency room if you can safely get there. See Guidelines for calling 911 in a mental health emergency to help prepare yourself.  Watch a brief video about texting 9-1-1.

Psychiatric Emergency Services

Psychiatric Emergency Services are available at:
San Mateo Medical Center
(650) 573-2662
222 West 39th Avenue, San Mateo, CA 94403

Mills-Peninsula Medical Center
(650) 696-5915
1501 Trousdale Drive, Burlingame, CA 94010


Client & Family Welcome Information

Welcome to San Mateo County’s Behavioral Health and Recovery Services

In order to give you an initial orientation about the services available to you, we have carefully assembled this Welcome Packet that includes all the information you need to start accessing our network of care. 

This information is available in paper form without charge upon request, you will receive a copy within 5 business days. Please contact your provider or the BHRS ACCESS Call Center at Toll Free: (800) 686-0101 or TDD for hearing impaired: (800) 943-2833

*Providers: Items with an asterisk* must be placed in the lobby of all BHRS County and Contractor Clinics.


Client & Family Welcome Information: Chinese

歡迎來到San Mateo縣行為健康和康復服務部 (Behavioral Health and Recovery Services, BHRS)


*服務提供者: 請務必將標示星號*的物品放置在所有BHRS縣與承包商診所大廳內。


*我要如何確認臨床醫師的執照? English | Spanish



Client & Family Welcome Information: Filipino/Tagalog

Welcome sa Mga Serbisyo sa Kalusugang Nauugnay sa Pag-uugali at Pagpapagaling (Behavioral Health and Recovery Services) ng San Mateo County

Upang mabigyan ka ng panimulang oryentasyon tungkol sa mga serbisyong available sa iyo, maingat naming binuo ang Welcome Packet na ito na nagsasaad sa lahat ng impormasyong kailangan mo upang ma-access ang aming network ng pangangalaga.

*Mga Provider: Ang mga item na may asterisk* ay dapat ilagay sa lobby ng lahat ng Klinika ng County at Contractor ng BHRS.



Support for Clients and Family

The Office of Consumer and Family Affairs (OCFA) is here to help clients and family members of Behavioral Health & Recovery Services become more empowered and aware of services and community resources available to support your treatment and recovery.


Community Education & Programs

Learn about and get certified in Mental Health First Aid, which helps you identify and respond to mental health crises; take a Parent Project course to learn parenting skills and get information about resources and support available in your communities; become a Health Ambassador and help other members of your community who may be experiencing symptoms of a mental illness or a substance use problem; or become a graduate of the Lived Experience Academy to empower others in furthering their healing process.


Mental Health Services Act (Prop 63)