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Programs and Services

Behavioral Health & Recovery Services

San Mateo County Behavioral Health and Recovery Services (BHRS) provides services for residents who are on Medi-Cal or are uninsured, including children, youth, families, adults and older adults, for the prevention, early intervention, and treatment of mental illness and/or substance use conditions. We are committed to supporting treatment of the whole person to achieve wellness and recovery, and promoting the physical and behavioral health of individuals, families and communities we serve.

Overdose Prevention

How to get support for overdose prevention.

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Tobacco Prevention Program

Learn about tobacco prevention efforts, smoke-free housing, youth tobacco prevention and resources to help people quit tobacco.

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Administrative Services

BHRS offers comprehensive administrative support to ensure the effective delivery of mental health and substance abuse programs.

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Behavioral Health & Recovery Services Clinical Services

BHRS regional clinic locations provide a range of specialty mental health services.

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Psychiatry Residency Training Program

The San Mateo County Psychiatry Residency Training Program provides comprehensive training in public psychiatry with a focus on clinical care, advocacy and health equity.

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Crisis Services

BHRS provides a variety of services for community members experiencing a mental health crisis, including continued support for recovery.

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Support for Families and Clients

BHRS offers resources to help clients and families understand their rights, access services and participate in care.

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For Providers

Information and resources for behavioral health providers, contractors, and partners, including policies, forms, requirements and program updates.

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We strive to provide integrated and culturally sensitive services by mental health clinicians, psychiatrists, alcohol and drug counselors, peers, family partners and other professionals through county clinics, community agencies and a private provider network.

We offer outpatient, inpatient, residential, rehabilitation, detoxification, medication-assisted treatment, and other services for individuals who are eligible for Medi-Cal (we are the mental health and substance use plan for Medi-Cal beneficiaries residing in San Mateo County), Medicare, members of the Health Plan of San Mateo and in some instances, individuals with private insurance. >We also assist uninsured and undocumented residents of San Mateo County and people of any age in a major crisis.

Pregnant and parenting women receive priority admission to substance use services.

For consultation, assessment and referrals to mental health and substance use treatment services, call our Access Call Center at 800-686-0101, TDD: 800-943-2833.

Latest Updates

(Re)Introducing the San Mateo County Overdose Prevention Coalition

Overdose prevention is about more than responding to emergencies. It is about building trust and sharing reliable information. It is also about supporting families, reducing stigma and making sure people […]

What to Know About Illicit Fentanyl and Fake Pills

Fentanyl is a powerful synthetic opioid. According to provisional data from the CDC, the majority of drug overdoses in 2025 included synthetic opioids, including fentanyl. While medical professionals prescribe pharmaceutical […]

How to Recognize and Respond to a Suspected Opioid Overdose 

An overdose can happen to anyone. It may involve prescription medication, fentanyl, alcohol, or a combination of substances. Because fentanyl can be present in other drugs without a person knowing, […]

Youth Prevention Academy Builds Skills and Leadership

From June 9-11, San Mateo County students participated in the Youth Substance Use Prevention and Advocacy Academy, a project of the Overdose Prevention Coalition’s Youth and Schools Action Team. The […]