HomeMy WebLinkAbout10.09.2024 Board Correspondence - FW_ Civil Action Petition - Ian A. Leipper - 10_09_2024From:Clerk of the Board
To:Jessee, Meegan
Cc:Lee, Lewis
Subject:Board Correspondence - FW: Civil Action Petition - Ian A. Leipper - 10/09/2024
Date:Wednesday, October 9, 2024 4:38:02 PM
Attachments:20220603102659242 (1).pdf
Lifestyle Prescription.pdf
Lifestyle Prescription Prima Medical Group.pdf
final_bhrs_description_of_services_20-21_9.14.2020.pdf
Please see Board Correspondence -
From: Ian Leipper <ianleipper@gmail.com>
Sent: Wednesday, October 9, 2024 4:26 PM
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Subject: Civil Action Petition - Ian A. Leipper - 10/09/2024
Dear Civil Counsel,
I petition for your agency to fully profile all within your jurisdiction against my person human rights
abuse, and take in accordance with legal due process action.
I am taking civil action to restore my livelihood and sustain my right to life, liberty and security, in
accordance with Article 3 of the Universal Declaration of Human Rights, through the streaming ten
year subpoena process to uphold equal and humane service, care and justice before the public
courts to address all human rights abuse (e.g. war; health status; climate change; public corruption;
debt; white and blue collar crime; the trafficking, possession, and use of illicit narcotics; racial
discrimination and illegal immigration; prostitution and pornography; domestic abuse; and
indigency).
I petition for your agency to restore my the Marin County BHRS IMPACT Team North office service
access. I have signed no contract, and made no other agreement, to work with the Marin County
BHRS IMPACT Team's San Rafael office.
I petition for your agency to order to restore my ALLPOWERS power stations' normal function.
I petition for your agency to fully profile the Marin County BHRS Administrators and Medical staff,
BHRS IMPACT Team's North and South offices, and all homelessness treatment organization with
which they are in contact regarding my treatment for denying my right to privacy to their families
and communities and in redress of grievances, socially, and psychokinetically aggressing I with the
intent to my person maim/murder, in against my before the public courts to equal and humane
service, care and justice civil action retaliation, and take in accordance with legal due process action.
I petition for your agency to fully profile Downtown Streets Team for claiming to psychokinetically
aggress I with their redress of grievances to obstruct my daily complaint to make I more indigent and
easier to work with, and take in accordance with legal due process action.
I petition for no warrant to for my arrest, or notice of relocation, to be taken by the City of Mill
Valley, or County of Marin, regarding my Hauke Park, Mill Valley, CA 94941 adjacent campsite.
I petition for your agency to order Janet Farhie, M.D. with the County of Marin, Behavioral Health
and Recovery Services division to order Honorable Judge Andrew E. Sweet with the Superior Court of
California, County of Marin to immediately fulfill her on my behalf to immediately reappropriate
my circa $4.7 million trust medical letter and Janet Farhie, M.D. to call and order public law
enforcement to appear before Honorable Judge Andrew E. Sweet to enforce her medical letter. I
petition for your agency to order Honorable Judge Andrew E. Sweet to fulfill my before his chambers
with medical prescription petitions.
I petition for your agency to order the State Bar of California to with interest, and without a trustee,
or medication, upon my person immediately reappropriate my trust.
I petition for your agency to order the State Bar of California to with interest immediately
reappropriate my trust from Bradshaw & Associates, P.C.; including funds allocated from the trust to
Brian Getz, John Passaglia and their referrals.
I petition for your agency to order Janet Farhie, M.D. to order the State Bar of California to
immediately reappropriate my trust. I petition for your agency to order public law enforcement, in
accordance with Janet Farhie, M.D.'s medical letter due to my homeless status to order the State Bar
of California to immediately upon my person reappropriate my trust. I petition for your agency to
order the State Bar of California, in accordance with my before their party with medical prescription
petitions to immediately reappropriate my trust. I petition for your agency to order the County of
Marin, Behavioral Health and Recovery Services division to reserve another hotel room for I until the
State Bar of California upon my person reappropriates my trust. To live in public endangers my
person. I petition for, in accordance with Article 3 of the Universal Declaration of Human Rights
greater security of person and access to utilities.
I petition for your agency to order, in accordance with my before the courts with medical
prescription petitions respectively to be dismissed are the before the Fourth Judicial District Court,
County of Elko, NV and Superior Court of California, County of Alameda held against my person
criminal charges; redacted are the held against my person restraining order; and with interest upon
my person reimbursed are the court and jail fines and restitution. I petition for your agency to order
Janet Farhie, M.D. to order respectively to be dismissed are the before the Fourth Judicial District
Court, County of Elko, NV and Superior Court of California, County of Alameda held against my
person criminal charges; redacted are the held against my person restraining order; and with
interest upon my person reimbursed are the court and jail fines and restitution.
I petition for your agency to order, in accordance with my before the court with medical prescription
petition to be immediately vacated is the by Honorable Judge Stephen P. Frecerro with the Superior
Court of California, County of Marin regarding suppressed Case No.: CIV 2201627, Sunhill
Enterprises, L.P. vs. Ian Alexander Leipper, in violation of The Geneva Conventions of August 12,
1949 -- Geneva Convention I - Article 12 (i.e. "Only urgent medical reasons will authorize priority in
the order of treatment to be administered."); United Nations Convention Against Corruption - Article
25; Universal Declaration of Human Rights - Articles 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11(1)(2), 12, 15(1)(2),
18, 19, 21(1)(2)(3), 22, 23(1)(2)(3), 24, 25(1), 27(1)(2), 28, 29(1)(2)(3), and 30; Constitution of the
United States - Amendments 8, 13, and 14; War Crimes Act of 1996 -- 18 U.S. Code 2401 -- 18 U.S.
Code 2441 - War Crimes. (a)(c)(1)(3)(d)(1)(A)(B)(D)(E)(F)(I)(2)(A)(B)(D)(i)(ii)(iv)(E); 18 U.S.C § 241; 18
U.S.C § 401; 18 U.S.C § 1001; 18 U.S.C. §§ 1111, 1112, and 1114; 18 U.S.C. §§ 1621-1623; and, "Right
to Civic Engagement" and, "Medical Care" clauses of the associated Curtis F. Robinson, M.D. and
Amanda Kelly, N.P. lifestyle prescriptions verdict to evict I from my at 4 Circle Drive #F, Tiburon, CA
94920 apartment. I have been unlawfully made homeless.
I petition for your agency to order Janet Farhie, M.D. to order public law enforcement to order
Sunhill Corporation to fulfill her on my behalf to obtain access to housing accommodation medical
letter at, and, in accordance with my lifestyle prescriptions to return my belongings to, the at 4 Circle
Drive #F, Tiburon, CA 94920 apartment. I petition for your agency to order public law enforcement
to immediately dispatch an officer to appear before Sunhill Corporation to order their party to
provide I with access to the at 4 Circle Drive #F, Tiburon, CA 94920 apartment (i.e. still legally my
apartment, in accordance with Geneva Convention 1 - Article 12 and the War Crimes Act of 1996). I
petition for free-of-charge access to the apartment until Janet Farhie, M.D. orders public law
enforcement to immediately reappropriate my trust and reappropriated upon my person is my trust,
at which time I will pay the amount I owe for the time spent at 4 Circle Drive #F, Tiburon, CA 94920
from my readmittance to the apartment to the time reappropriated is my trust. I petition for Janet
Farhie, M.D. and public law enforcement to order without henceforth inflation to be reduced to its
original $2,300.00 per month is the apartment rent. I petition for my belongings to be charge-free
produced from storage.
I petition for your agency to order Janet Farhie, M.D. and the Housing Authority of the County of
Marin to order to be immediately produced and applied is an in my name Section 8 voucher for
which to return I to my apartment at 4 Circle Drive #F, Tiburon, CA 94920; or 139 Barbaree Way,
Tiburon, CA 94920. Janet Farhie, M.D. agreed to pay for my first month on Section 8. Janet Farhie
M.D. has failed to fulfill her verbal contract to issue the necessary medical orders for I to return to
either of my Tiburon apartments. The rainy season has begun.
I petition for your agency to fully profile Sunhill Enterprises, L.P.; Sunhill Corporation; and the County
of Marin, Behavioral Health and Recovery Services IMPACT Team for against my person human
rights abuse in their at 4 Circle Drive #F, Tiburon, CA 94920 my access to Section 8 voucher
apartment rental denial and take in accordance with legal due process action. Sunhill Corporation
has for $2,350.00 per month on Craigslist posted for rent what is still legally my apartment, in
accordance with Geneva Conventions 1 - Article 12 and my associated medical prescriptions and
despite our before the Superior Court of California, County of Marin appeal.
I petition for your agency to fully profile The Cove at Tiburon and the County of Marin, Behavioral
Health Recovery Services IMPACT Team for against my person human rights abuse in their at The
Cove at Tiburon my access to $2,931.00 Section 8 voucher apartment rental denial and take in
accordance with legal due process action. I was unlawfully evicted from my circa $2,650.00 per
month at 139 Barbaree Way, Tiburon, CA 94920 apartment, in Geneva Convention 1 - Article 12 and
my medical cannabis prescription violation. Janet Farhie, M.D. during our March, 2023 psychiatry
appointment assured I that she would successfully order for I to with Section 8 return to my at The
Cove at Tiburon apartment. I petition for if since the prior tenant moved in The Cove at Tiburon has
raised rent for the at 139 Barbaree Way, Tiburon, CA 94920 apartment to whichever comparable
available at The Cove at Tiburon apartment to be fully applied is my Section 8 voucher.
I petition for to be restored is my overnight Hauke Park, Mill Valley, CA 94941 restrooms access. I
use the facilities to use the restroom, groom, and brush my teeth. The janitor(s) now close the
Hauke Park, Mill Valley, CA 94941 restrooms between 07:30 and 09:00 P.M.. The restrooms
remained open until the new janitor began his employment. His my overnight access to the Hauke
Park, Mill. Valley, CA 94941 restrooms is in Geneva Convention 1 - Article 12; War Crimes Act of
1996; and, "Medical Care" and, "Other Lifestyle Accommodations - housing" clauses of the
associated Curtis F. Robinson, M.D. and Amanda Kelly, N.P. lifestyle prescriptions violation.
I petition for by the County of Marin, Behavioral Health and Recovery Services IMPACT Team and
Housing Authority of the County of Marin to be provided for the 11/2024 month is a my Section 8
voucher extension.
I petition for to be denied is any by Sunhill Enterprises, L.P.; or Sunhill Corporation; motion to
remove I from the property, or against my person take a restraining order.
I petition for to be denied is any motion to deny I access to all public library and transportation
services and without Section 8 housing and/or for arraignment remove I from my adjacent to Hauke
Park, Mill Valley, CA 94920 campsite.
I petition for your agency to fully profile the Mill Valley Recreation management for against my
person human rights abuse in their my right to privacy violation to their conspiracy to my person
maim/murder conspiracy and psychokinetically attacking I in against my before the public courts to
equal and humane service, care and justice civil action retaliation and community hate crime
conspiracy, and take in accordance with legal due process action.
I petition for your agency to fully profile the Olympic teams for against my person human rights
abuse, and take in accordance with legal due process action.
I petition for to be terminated is the Hauke Park, Mill Valley, CA 94941 EAH housing construction
project.
I petition for your agency to order for my Tracfone Wireless, Inc. service to allow I to change my
telephone number, every time to be provided with a standard ten digit telephone number, and for
their service to process my ten digit telephone number change within their companies 5 minute
policy.
I petition for your party to order for the Superior Court of California, County of San Francisco to
same-day file and log in the register of actions all by my person upon their party documents.
I petition for I to be provided with a full-body X-Ray screening by Marin Outpatient Imaging.
I petition for your agency to keep the campsite robber from trespassing upon, and stealing from, my
prescription campsite and take civil action to recover my belongings.
I petition for your agency to order for Google, Inc. to allow for I to use my single telephone number
to verify all in my name Gmail accounts, not restrict my Gmail account access, and correct all other
against my person service errors.
I petition for your agency to order for Google, Inc. to allow I to send 2000 E-Mails per E-Mail
account. I am allowed to send 1,000, or 1,500 (i.e. on one account), E-Mails per E-Mail account.
I petition for to be restored is my access to Nugget Market, Inc.; Rustic Bakery, Inc.; Good Earth
Natural Foods, LLC; Anthem, Inc.; USAA; Trek Bicycles Corporation; Iliana Cafe; and The Bay Club
Company's public service and employment.
I petition for your agency to take all within your jurisdiction civil action to keep Moro calm while I
use Mill Valley Recreation's pool and other facilities.
I petition for your agency to order for Mill Valley Recreation to keep at least one of the bathrooms
by the athletic fields open overnight, in case of emergency.
I petition for your agency to order for Mill Valley Recreation to provided I with a key to the Hauke
Park, Mill Valley, CA 94941 restrooms so that I can wash my nightly dishes and brush my teeth in
shelter during the rainy season, and otherwise have emergency access to the toilet.
I petition for your agency to fully profile Mill Valley Middle school for against my person human
rights abuse in their my Public Shore from the Mill Valley Middle School parking lot to Mill Valley
Recreation access denial, and take in accordance with legal due process action.
I petition for your agency to order for the Mill Valley Postal Service to immediately upon my person
produce all held by their party in my name from 4 Circle Drive #F, Tiburon, CA 94941 forwarded mail
upon my 751 East Blithedale Avenue, #553, Mill Valley, CA 94941 P.O. box mail.
I petition for your agency to take all within your jurisdiction civil action to order for I to be provided
with PrEP from Marin City Health & Wellness Center's Leena Chaudhury, M.D.; or Colin Spake, N.P..
I petition for the County of Marin, Behavioral Health and Recovery Services IMPACT Team to without
restriction accept my daily E-Mails.
I petition for your agency to order for the San Francisco Division of the Federal Bureau of
Investigation, U.S. Department of Justice's legal department to accept, and respond to, all via E-Mail
by my person upon their party Touhy letter related communications and PDF Touhy letters.
I petition for your agency to fully profile all upon your party against my person complaint filing
citizens for against my person human rights abuse, and take in accordance with legal due process
action.
I petition for your agency to fully profile all within your jurisdiction against my person complaint
filing citizens, by my person for high-risk behaviour upon public law enforcement reported citizens,
their social support groups, and jurisdictional public and private officers for regarding their high-risk
behaviour human rights abuse, and take in accordance with legal due process action.
I petition for your agency to take all within your jurisdiction civil action to keep The Bay Club
Company, its associates, members, and their communities with a one, or more, year(s) upon any
interdimensional, intergalactic, international, federal, state, local, or private agency complaint from
using this complaint to consciously spiritually regulate, or otherwise use personal psychokinesis
against, my person, immediately, permanently.
I petition for your agency to take all within your jurisdiction civil action to keep any citizen, or entity,
with a daily upon any interdimensional, intergalactic, international, federal, state, local or private
agency complaint from using this complaint to consciously spiritually regulate, or otherwise use
personal psychokinesis against, my person, immediately, permanently.
I petition for in my person without medication to be induced is no telepathic mental function (i.e.
medically appropriate closed system mental facility - by other than my primary care practitioner and
attending stately physicians no perceptible external transmission).
I petition for your agency to order for the Behavioral Health and Recovery Services Division, County
of Marin to cease and desist treating I on a telepathic basis and to keep all against my person
complaint filing entities from psychokinetically attacking I via their upon the IMPACT Team against
my person complaints.
I petition for your agency to fully profile all within your jurisdiction citizens/entities who/which have
blocked one, or more, of my E-Mail addresses for against my person human rights abuse, and take in
accordance with legal due process action.
I petition for your agency to order for each United Nations member states' embassies and consulates
to fully profile all within their jurisdiction against my person human rights abuse, and take in
accordance with legal due process action.
I petition for your agency to order for to be upon my person induced is my as indicated by my birth
certificate citizenship status.
I petition for your agency to order for to be induced is my 9 year San Francisco Division of the
Federal Bureau of Investigation, U.S. Department of Justice civil indictment.
The against my person complaint filing citizens: via the Palace of Nations; U.S. Department of Health
and Human Services; U.S. Department of Justice; California Health and Human Services Agency;
California Department of Justice; Marin County Board of Supervisors; Amit Rajparia, M.D.; Janet
Farhie, M.D.; District Attorney Lori Frugoli and her employees; EHA Housing; Marin County Sheriff's
Office and Mill Valley Public Safety's officers; Marin County Human Resources; Marin County Civil
Grand Jury; and Mill Valley Recreation management use/solicit involuntary servitude psychokinesis
to disable my mental, physical, and electronic function; including my Wi-Fi hotspot, ALLPOWERS
solar power station, and 13-inch 2022 MacBook Pro due to my Hauke Park, Mill Valley, CA 94941 and
Mill Valley Public Safety adjacent prescription campsite and before the public courts to equal and
humane service, care and justice civil action.
I petition for your agency to order for Mill Valley Recreation to allow I to keep my small gym bag on
the gym floor with I, out of the way, to allow I to charge my electronics, due to my limited electricity
access and keep my potassium, sodium, and other supplements with I so that I do not endanger
myself by being denied access to vital nutrition during my exercise regimen, in accordance with the,
"Medical Care" clause of my Curtis F. Robinson, M.D. and Amanda Kelly, N.P. lifestyle prescriptions.
I petition for to be denied is any by Mill Valley Recreation motion to after hours remove I from the
premises and that I be undisturbed while on the premises, in accordance with Article 3 of the
Universal Declaration of Human Rights and the, "Right to Civic Engagement," "Medical Care," and,
"Other Lifestyle Accommodations" clauses of the attached Curtis F. Robinson, M.D. and Amanda
Kelly, N.P. lifestyle prescriptions. I charge my electronics (i.e. for security my smartphone and
laptop), and do legal work to restore my livelihood. To be dysfunctional are the Hauke Park
restrooms' electrical outlets.
I petition for to be denied is any by Mill Valley Recreation motion to remove I, from the premises, or
terminate my membership, in accordance with The Geneva Conventions of August 12, 1949 --
Geneva Convention I - Article 12 (i.e. "Only urgent medical reasons will authorize priority in the order
of treatment to be administered."); United Nations Convention Against Corruption - Article 25;
Universal Declaration of Human Rights - Article 3; Constitution of the United States - Amendments 8,
13, and 14; War Crimes Act of 1996 -- 18 U.S. Code 2401 -- 18 U.S. Code 2441 - War Crimes. (a)(c)(1)
(3)(d)(1)(A)(B)(D)(E)(F)(I)(2)(A)(B)(D)(i)(ii)(iv)(E); 18 U.S.C § 241; 18 U.S.C § 401; 18 U.S.C § 1001; 18
U.S.C. §§ 1111, 1112, and 1114; 18 U.S.C. §§ 1621-1623; and, "Places to be," "Right to Civic
Engagement," "Medical Care," and, "Other Lifestyle Accommodations" clauses of the associated
Curtis F. Robinson, M.D. and Amanda Kelly, N.P. lifestyle prescriptions. I use Mill Valley Recreation's
Fitness & Aquatic Center to shower which keeps my body, clothes, and sleeping bag clean while I am
homeless.
I petition for by the County of Marin, Behavioral Health and Recovery Services division access and
the right to use the Safeway, Inc. gift cards to purchase non-food, beverage, and toiletry items at
Safeway, Inc. and to purchase Safeway, Inc. gift cards to purchase other necessities (e.g. from
Amazon.com, Inc.). The County of Marin, Behavioral Health and Recovery Services IMPACT Team
claims that I can only buy groceries and toiletries with the Safeway, Inc. gift cards and that I must be
accompanied by a staff member to use Target Corporation gift cards.
I petition for the County of Marin, Behavioral Health and Recovery Services IMPACT Team to provide
with the monthly Marin Local 31-Day Senior Pass bus passes for which I have signed a bus pass
voucher for local rides, errand running, and to get to court and to provide I with a taxi to, and from,
my psychiatry appointments due to the against my person Marin Transit harassment and equal
access to public service denial, in Geneva Convention 1 - Article 12 (i.e. "Only urgent medical reasons
will authorize priority in the order of treatment to be administered."), violation.
I petition for your agency to order the County of Marin, Behavioral Health and Recovery Services
division to immediately pay my bills and fulfill their promise to the in my court cases medical letters
which they assured I that they would provide to recover my livelihood. The County of Marin,
Behavioral Health and Recovery Services IMPACT Team claims to have denied to pay my bills on a
personal hate crime with intent to maim/manslaughter/murder regarding my before the public
courts to equal and humane service, care and justice civil action basis; claiming that I threatened to
kill they and that they now cannot do anything for I unless I do it for myself. I petition for my
CalFresh benefits monthly transfer amount to provide I with sufficient funds to everyday purchase
and consume 5 servings of fruits and vegetables, as taught to I in grade school. I petition for to
purchase organic food to reduce my contaminant exposure and the consequent health risk. The San
Francisco-Marin Food Bank provides primarily conventionally produced food items, and in my
experience in Mill Valley, CA only conventionally produced food. I am unable to travel to San Rafael
to obtain the Kerner Pantry's occasionally available organic food items, and they are unable to
accommodate my petition to be provided with only organic food.
USDA Food Groups: https://www.usda.gov/media/blog/2017/09/26/back-basics-all-about-myplate-
food-
groups#:~:text=As%20the%20MyPlate%20icon%20shows,%2C%20Protein%20Foods%2C%20and%20
Dairy.
- https://www.health.harvard.edu/nutrition/how-many-fruits-and-vegetables-do-we-really-need
- https://www.cdc.gov/nutrition/healthy-food-environments/improving-access-to-healthier-
food.html
Contaminant Health Risks: https://www.epa.gov/pesticide-science-and-assessing-pesticide-
risks/human-health-issues-related-pesticides
- https://www.fda.gov/media/80258/download
- https://www.atsdr.cdc.gov/sites/lejeune/tce_pce.html
I petition for your agency to order the County of Marin, Department of Health and Human Services
to immediately restore my monthly CalFresh benefits from circa $22.00 per month to $250.00 per
month and distribute the difference between my November, 2024 benefits and the normal $250.00
monthly benefits onto my EBT card. I petition more than $250.00 per month (i.e. as much as
possible), to purchase organic food. Organic food is more expensive than conventional food.
I petition for my in the year 2015 via E-Mail upon the Federal Bureau of Investigation, U.S.
Department of Justice ten year subpoena petition to be as a streaming ten year subpoena fulfilled
either at ten year subpoena, or upon the necessity, or for your agency to produce my upon the
Superior Court of California, County of San Francisco for the most recent via the United Nations 10
year subpoena, as a streaming ten year subpoena, upon necessity to mediate equal and humane
service, care and justice.
I petition for the Federal Bureau of Investigation, U.S. Department of Justice to send to I a list of
their headquarters, field, and satellite office investigative agency E-Mail addresses.
I hereby sustain my upon the San Francisco Division of the Federal Bureau of Investigation, U.S.
Department of Justice to these petitions amendment petition.
I petition for your agency to order for the Supreme Court of the United States; Supreme Court of
California; and Superior Court of California, County of Marin to send their courtroom E-Mail list to I.
I petition for your agency to order for the governors, lieutenant governors, and first ladies and
gentlemen to send their receptive Governor's, Lieutenant Governor's, and First Lady's and
Gentlemen's Office E-Mail address(es) to I.
I petition for your agency to order for the California State Senate and Assembly to send their
legislature E-Mail list to I.
I petition for your agency to order for I to be provided with a list of all United Nations Embassy and
Consulate E-Mail addresses.
I petition for your agency to order for I to be provided with a current E-Mail list for all Permanent
Missions to the United Nations.
I petition for your agency to order for I to be provided with all United States Congress, city council,
and police department E-Mail addresses.
I petition for your agency to order to I to be provided with a list of all public agency E-Mail addresses.
This petition is in accordance with Section 3, Declaration of Rights - Article 1, California Constitution.
Respectfully,
-Ian A. Leipper
Department of Health and Human Services
Division of Behavioral Health and Recovery Services
Description of Services ● 2020 – 2021
20
BHRS Description of Services
2020 - 2021
Updated August 20, 2020 Page 2 of 46
Table of Contents
TABLE OF CONTENTS 2
BHRS VISION, MISSION, AND VALUES 5
BHRS PROGRAMS AND SERVICES 6
Access Team 7
Children’s System of Care 8
Early Periodic Screening, Diagnostic, and Treatment 8
Youth and Family Services 8
Youth Empowerment Services 9
Pathways to Well-Being and Continuous Care Reform 9
Children and Youth Medication Clinic 10
Children’s System of Care Contracted Services: 10
Adult System of Care 13
Behavioral, Recovery, Integrated, and Dedicated to Growth and Excellence Program 13
Integrated Multi-Service Partnership Assertive Community Treatment Program 13
Helping Older People Excel Program 14
Adult Outpatient Therapy 14
Adult Continuing Care – Contract Providers 15
Residential Services Unit 16
BHRS Homeless Services 18
Access to Care Program 19
Family Support Meetings 19
BHRS and CAL-WORKs Partnership 19
Work Independence Network, An Employment Cooperative 20
Crisis Continuum of Care 21
Crisis Stabilization Unit 21
Mobile Crisis Response Team 21
Transitions and Outreach Team 21
Casa Rene (Crisis Residential Unit) 22
Substance Use Services 23
Drug Medi-Cal Organized Delivery System 23
Adult Outpatient Substance Use Treatment 23
Road to Recovery 23
Recovery Coach / Care Manager 23
Contracted Substance Use Services 24
Marin County 24-Hour Alcoholics Anonymous Hotline 25
BHRS Description of Services
2020 - 2021
Updated August 20, 2020 Page 3 of 46
Forensic Mental Health Services 26
Support & Treatment After Release Program 26
Marin County Jail Mental Health Team 26
Proposition 47 Improving Lives Via Opportunity and Treatment (PIVOT) 26
Assisted Outpatient Treatment (AOT) 26
Behavioral Health Diversion 27
Marin County Jail Substance Use Services 27
Adult Drug Court Program 27
West Marin Service Center 29
Prevention and Early Intervention 30
Early Childhood Mental Health Consultation 30
School Age Prevention and Early Intervention 30
Suicide Prevention 31
Transition Age Youth Prevention and Early Intervention 31
Older Adult Prevention and Early Intervention 32
Latino Community Connection 32
Vietnamese Community Connection 32
Veteran’s Community Connection 33
Newcomers Support and Coordination 33
Storytelling Program 33
Community and Provider Prevention and Early Intervention Training 34
Statewide Prevention and Early Intervention 34
Behavioral Health Clinical Internship Program 35
BHRS Community Events 36
Patient’s Rights Advocate 37
BHRS ADVISORY BOARDS AND COMMITTEES 39
Mental Health Board 39
Alcohol and Drug Advisory Board 39
Cultural Competency Advisory Board 39
Mental Health Services Act Advisory Committee 39
The Marin County Suicide Prevention Collaborative 39
BHRS QUALITY MANAGEMENT 41
Quality Management 41
BHRS Information Technology Team 41
BHRS ADMINISTRATIVE SERVICES 42
FISCAL 43
BHRS Description of Services
2020 - 2021
Updated August 20, 2020 Page 4 of 46
DISASTER TEAM 44
GLOSSARY 45
BHRS Description of Services
2020 - 2021
Updated August 20, 2020 Page 5 of 46
BHRS Vision, Mission, and Values
Behavioral Health and Recovery Services (BHRS) is a Division of the Marin County Department of Health
and Human Services (HHS). BHRS offers prevention and early intervention, suicide prevention, and crisis
services to all residents of Marin County. BHRS also provides outpatient, residential, and hospital care
addressing specialty mental health and substance use service needs of Marin Medi-Cal beneficiaries and
uninsured residents. The priorities and goals of BHRS strive to establish a comprehensive, integrated and
recovery-oriented continuum of evidence-based services that are responsive to community needs,
engage multiple systems and stakeholders, encourage community participation, promote system
integration, and embrace a comprehensive approach to service delivery.
The Vision:
BHRS envisions a safer community for all where individuals may realize a meaningful life and the
challenges of mental health and/or substance use are addressed in a respectful, compassionate, holistic,
and effective manner. Inclusion and equity are valued and central to our work. Our diverse communities
are honored and strengthened because of our differences.
The Mission:
BHRS provides prevention, treatment, and recovery services to inspire hope, resiliency, and connection
with others to enhance the lives of those affected by mental health and/or substance use challenges.
We are dedicated to advancing the health and social equity for all people in Marin County and for all
communities. We are committed to be an organization that values inclusion and equity for all.
Our Values:
• We promote culturally responsive person-and-family centered recovery.
• We are inspired by the individuals and families we serve, their achievements, and potential for
wellness and recovery
• The people, families, the communities we serve, and the members of our workforce guide the
care we provide and shape policies and practices.
• We can achieve our mission and progress towards our vision only through mutual and respectful
partnerships that enhance our capabilities and build our capacity.
• We use proven practices, opportunities, and technologies to prevent and/or reduce the impacts
of mental illness and/or substance use, and to promote the health of the individuals, families,
and communities we serve.
BHRS Description of Services
2020 - 2021
Updated August 20, 2020 Page 6 of 46
BHRS Programs and Services
BHRS provides assessment, outpatient, residential, crisis services, peer support, and hospital care
addressing specialty mental health and substance use service needs of Marin Medi-Cal beneficiaries and
low-income uninsured individuals. Services are provided in multiple settings including residential
facilities, clinics, schools, hospitals, juvenile halls, mental health and substance use courts, board and
care homes, in the field, and in the clients’ homes.
With the passage of the Mental Health Services Act (MHSA), BHRS has been pushed to work to create a
more integrated, culturally competent, client and family-empowered system of care that emphasizes
community-wide participation, prevention, wellness, recovery, and resiliency. Within the MHSA, Marin
County has implemented Full Service Partnership (FSP) programs, which are provide a more intensive
case management for our most vulnerable clients. FSPS are designed for individuals with SMI or SED and
would benefit from an intensive service program. The foundation of FSP programs are to incorporate a
“whatever it takes” approach to help individuals on their path to recovery and wellness. FSPs embrace
client driven services and supports with each client choosing services based on individual’s needs.
Unique to FSP programs are a low staff to client ratio, a 24/7 crisis availability, and a team approach that
is a partnership between BHRS staff and clients.
Population served:
BHRS is mandated to serve Marin County residents with Medi-Cal and individuals who are low-income
uninsured with moderate to severe Serious Mental Illness (SMI), Serious Emotional Disturbance (SED),
and / or Co-Occurring Conditions. This includes clients with both Medi-Cal and Medicare (often referred
to as Medi-Medi) or those enrolled in Medi-Cal through a private insurance carrier, such as Kaiser
Permanente. Substance use services, such as outpatient treatment, intensive outpatient treatment,
residential treatment, medication assisted treatment, and withdrawal management (detoxification), are
available to people who meet medical necessity criteria and have Medi-Cal or who are uninsured. All
substance use services are available on a sliding fee scale, based on ability to pay.
BHRS welcomes all children, adolescents, adults, older adults, and their families who are seeking
guidance for behavioral health and / or co-occurring conditions, issues, or concerns. BHRS helps
individuals and families navigate services and access treatments that will most appropriately address
their unique needs. It is understood that co-occurring conditions are the norm rather than the
exception. While the BHRS Access Team is the primary entry for BHRS services, staff in all programs and
at every level of care will be able to identify, assess, re-assess, treat, and / or refer individuals with co-
occurring conditions.
More information on BHRS programs and services is provided in this document. Additional information,
including community events can be found on the BHRS webpage:
https://www.marinhhs.org/behavioral-health-recovery-services
BHRS Description of Services
2020 - 2021
Updated August 20, 2020 Page 7 of 46
Access Team
The BHRS Access Team is a multidisciplinary team that provides information, screenings, and clinical
assessments to provide referrals for mental health and substance use services for Medi-Cal beneficiaries
and low-income uninsured residents of Marin County. The Access line is operated 24/7 and screenings
and assessments are provided during business hours in-person, by phone, and via telehealth (video).
The Access Team provides referrals and authorizations for Specialty Mental Health Services including for
psychiatry, case management, and psychotherapy that may be provided by BHRS programs and/or a
network of organizational and individual providers. The Access Team also reviews and authorizes
substance use residential treatment services pursuant to the Drug Medi-Cal Waiver. Pre-consumers
requesting mental health and/or substance use treatment services may be referred to seek services
from other entities if the nature and severity of the mental health and/or substance use impairment of
the individuals does not require specialty services.
Access Team Contact Information:
Address: 250 Bon Air Road, Greenbrae, CA 94904
Phone: 1-888-818-1115 (24 hours/7 days a week)
Webpage: https://www.marinhhs.org/access-team
BHRS Description of Services
2020 - 2021
Updated August 20, 2020 Page 8 of 46
Children’s System of Care
Children’s System of Care (CSOC) provide mental health services to children and adolescents ages 0-21
years and their families. CSOC consists of 3 primary programs:
• Youth and Family Services
• Youth Empowerment Services
• Child Medication Clinic
We also have contracted services for family partners and mentors, wraparound services, therapeutic
behavioral services, and Marin’s transition age youth (TAY) and First Episode Psychosis (FEP) programs.
CSOC is located on the Marin Health and Wellness campus and provides mental health services to the
safety net population of Marin County.
The guiding philosophy is that children and youth with mental health and substance use issues should
have access to an integrated and comprehensive array of services that address their physical, emotional,
social, and educational needs in a coordinated and therapeutic manner. Mental health services are
provided to children and youth at Kerner offices, in local schools, or in the community as appropriate.
Psychiatric emergency mental health services are available at the Crisis Stabilization Unit (CSU) adjacent
to Marin General Hospital.
Children’s System of Care Contact Information:
Address: 3230 Kerner Blvd. San Rafael, CA 94901
Mailing: P. O. Box 2728, San Rafael, CA 94903
Telephone: 415-473-6724 or Marin Access 888-818-1115
Hours: 8:30 a.m. - 5:00 p.m.
Early Periodic Screening, Diagnostic, and Treatment
This Early Periodic Screening, Diagnostic, and Treatment (EPSDT) team provides assessments and
referrals for children and adolescents who are full-scope Medi-Cal eligible and are in need of mental
health services. Children and youth with Medi-Cal are assessed by the Access Team staff and are then
referred to Beacon Strategies, Medi-Cal providers in the community or BHRS programs and services
depending on medical necessity. Those children and youth with more serious functional impairment
who need specialty mental health services are seen by the Youth & Family Services team.
The network of Marin Mental Health Plan (MMHP) providers offers an array of necessary services.
Psychiatric medication services are provided at our clinic at Kerner Boulevard.
For more information on our Access Team and assessments and referrals, see the section in this
document on the BHRS Access Team.
Youth and Family Services
The Youth and Family Services program (YFS) serves children and families who are eligible for Medi-Cal
(i.e., fall below the 200% Federal Poverty Line) and experience significant impairments in daily
functioning secondary to mental health conditions.
YFS staff provide mental health services at school district sites (San Rafael, Novato, and Marin City), in
client homes as well as in our offices on the Kerner campus. Services include individual and family
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2020 - 2021
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therapy, intensive case management, medication services, groups, peer counseling, wraparound
support, parent coaching and parenting classes.
YFS also provides intensive care coordination and intensive home-based services for all eligible youth
with mental health needs.
Youth and Family Services Contact Information:
Address: 3230 Kerner Blvd. San Rafael, CA 94901
Mailing: P. O. Box 2728, San Rafael, CA 94903
Telephone: 415-473-6724
Webpage: https://www.marinhhs.org/youth-family-services-team
Youth Empowerment Services
Marin County’s Youth Empowerment Services (YES) is one of our Mental Health Services Act (MHSA) Full
Service Partnership (FSP) Programs and serves higher risk youth that are unserved or underserved, as
well as youth on probation or youth with significant educational, social and behavioral challenges.
• YES serves approximately 60 clients per year
• YES provides intensive outpatient and family services, case management, medication
support, vocational support, mentoring and wraparound support to youth and their families
• 70% of clients are Latinx currently and over half speak Spanish as the primary language at
home
• A county child psychiatrist provides dedicated hours weekly at Juvenile Hall for medication
evaluation and management
• YES staff work intensively with probation officers, school staff and other providers to
address school challenges, substance use, behavioral or other high-risk behaviors and to
encourage family involvement.
Youth Empowerment Services Contact Information:
Telephone: 415-473-6724
Webpage: https://www.marinhhs.org/youth-empowerment-services-yes-full-service-
partnership-fsp
Pathways to Well-Being and Continuous Care Reform
Foster care reform under AB403 continues to change how foster youth access needed support services.
Goals of reform include decreasing barriers to mental health services when foster youth move from one
county to another, as well as increasing the level of coordinated care available to all youth. Some
important aspects of CCR implemented in Marin include:
• Integrated Core Practice Model (ICPM). The goal is to establish a system where children,
youth and families, child welfare and mental health staff work within a team environment to
build a culturally relevant and trauma-informed system of supports and services that is
responsive to the strengths and underlying needs of families being served jointly by child
welfare and mental health.
• Child and Family Teams (CFT) are one component of this model, along with intensive care
coordination (ICC) and intensive home-based services (IHBS).
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• Presumptive transfer (AB1299) refers to changes in how foster youth access mental health
services. Responsibility for mental health services now transfers to the county mental health
plan where the youth resides unless a transfer is waived by the county of jurisdiction. Marin
has accepted approximately 20 youth placed in Marin annually since 2018.
• Introduction of short-term residential treatment programs (STRTPs) that are intended to be
intensive, short term placements for youth.
• Therapeutic foster care homes to decrease the need for youth to be placed in STRTPs and
support youth to remain in the community.
Children and Youth Medication Clinic
Under direction of the BHRS Medical Director, two part time psychiatrists provide assessment and
medication support services to children and youth. These services are typically provided on site but now
include telemedicine appointments during COVID-19.
Children’s System of Care Contracted Services:
First Episode Psychosis (FEP)
Launched in May 2020, BHRS’ First Episode Psychosis Program (FEP), provided through our contract with
Felton Institute, provides specialized services to increase treatment engagement of BHRS clients who
are experiencing current or recent onset of psychosis symptoms. The goal is to reduce the long-term
negative consequences of untreated psychosis by using the evidence-based approach of short (two
years or less), intensive, engaging, and recovery-oriented interventions. These services include:
• Creation of internal processes for better identifying and referring the FEP population
through the most common points of entry (e.g., CSU and Access team), including training
staff on use of a validated early psychosis screening measure
• Rapid response and comprehensive differential assessment for any individual who is
suspected of experiencing the onset of a first psychotic episode, both in the clinic and
community as needed
• Extended outreach, assessment, and education period of 6 to 8 weeks to promote
understanding of their schizophrenia spectrum diagnosis, collaborative goal setting,
engagement and retention in services, and determination of additional treatment/case
management needs
• Ongoing monitoring of treatment efficacy for service engaged clients and maintaining a
centralized access point for linkage to additional services
• Development of outreach and psychoeducation groups for clients and their families in
partnership with the TAY program to directly engage them in treatment options, problem-
solving, and shared decision-making approaches as well as instill hope, reduce stigma, and
promote recovery-oriented messages
• System-wide education and consultation on early psychosis cases to better serve the
specialized needs of these individuals
• Supervision of team and continued program evaluation to ensure fidelity to FEP treatment
model
First Episode Psychosis Contact Information:
Contractor: Felton Institute (re)Mind Marin
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Address: 361 Third St, Suite B, San Rafael, CA 94901
Contact: Brannon La Force 415-747-8178
Webpage: http://feltonearlypsychosis.org/find-a-prep-near-you/
Transition Age Youth Partnership
Marin County’s Transition Age Youth (TAY) Partnership, provided by Side by Side, is a FSP providing up to
24 young people (ages 16-25) at any given time, with independent living skills, employment services,
housing supports, and comprehensive, culturally appropriate, and integrated mental health and
substance use services.
• Staffing includes team leader, case manager, outreach coordinator, independent living skills
coordinator, substance use counselor
• Bilingual capacity for youth and new parent group for Spanish speaking parents of youth
with SMI
Transition Age Youth Partnership Contact Information:
Contractor: Side by Side
Address: 615 B Street, Suite 1A, San Rafael 94901
Telephone: 415-473-2167
Family Partnership Program
A component of both the YES and the YFS mental health services is the Family Partnership Program,
contracted through Community Action Marin (CAM). This program employs parents as Family Partners
whose children or close family members received mental health services and therefore know how to
navigate the system as well as provide a parent’s perspective and enhance communication between the
family and the mental health professionals. This program also has mentors that provide mentoring
services for youth to develop skills and capacities to function better at home and school. The Director of
the Family Partnership Program directly participates in developing policies, programs and services.
Family Partners provide the following direct services:
• Parent coaching in English and Spanish
• Parenting support and instruction in positive parenting program (PPP)
• Individualized support and case management
• Support navigating the mental health, educational, and county systems
Family Partnership Program Contact Information:
Contractor: Community Action Marin
Webpage: https://www.marinhhs.org/family-partnership-program
Therapeutic Behavioral Services
Therapeutic Behavioral Services (TBS) are supplemental mental health services under the Early &
Periodic Screening, Diagnosis & Treatment (EPSDT) benefit. They are short-term, individualized
behavioral interventions for children who are receiving other mental health services, but who are at risk
of hospitalization or out of home placement. The risk must be due to behaviors related to the child’s
mental health condition. Services can also be used to transition children to lower levels of care (i.e.,
transition back to the community from residential placement).
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TBS staff meets with clients in the home, school, and/or community using interventions based on the
client’s abilities, interests, and strengths to address and manage challenging behaviors. TBS coaches
teach skills and replacement behaviors to develop alternative behaviors that are more adaptive and
appropriate to support progress and long-term success for the client.
Referrals for TBS come from clinicians, Child and Family Service, YFS, and community providers, although
anyone can make a referral. Referrals may also come directly from TBS providers. Our contract provider
is Sunny Hills.
Seneca Family of Agencies-Marin
Seneca Family of Agencies is a contracted provider in Marin to provide wraparound services and mental
health support to youth placed in intensive foster care homes.
• Seneca’s wraparound program primarily serves youth from probation and child welfare who
are at risk of being placed outside their home. This program serves up to 30 families with
intensive care coordination, meeting facilitation, support counseling for youth, crisis
intervention and family finding.
• Seneca also supports youth in intensive foster care homes with counselors who can assist
young adults with independent living skills, vocational/educational support and other skill
development.
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Adult System of Care
The BHRS Adult System of Care (ASOC) programs provide services and supports for adults 18 years and
older with moderate to severe mental illness with an integrated and multicultural lens. Services include
case management, psychotherapy, psychiatric services, peer support, and residential. ASOC also
collaborates with key partners both within and external to BHRS, including collaborations with the
criminal justice system, substance use services, social services, and the Marin County Whole Person Care
initiative.
Behavioral, Recovery, Integrated, and Dedicated to Growth and Excellence Program
The Behavioral, Recovery, Integrated, and Dedicated to Growth and Excellence (BRIDGE) Program offers
recovery oriented and strengths-based services to Marin County residents 18 years of age or older, who
are diagnosed with SMI, as well as possible co-occurring disorders and require the services of a multi-
disciplinary team to promote their path to recovery and well-being. BRIDGE teams offer support to BHRS
clients with case management, in a variety of settings ranging from licensed board and cares to
independent living. The BRIDGE team also provides the full range of psychiatric and medication support
services.
The BRIDGE programs are dedicated to support individuals to excel and grow, using evidence-based,
trauma-informed, and culturally inclusive practices.
BRIDGE Contact Information
BRIDGE provides services at two locations:
Address: Bon Air, 250 Bon Air Rd, Greenbrae, CA 94904
Kerner, 3270 Kerner Blvd. Second Floor, Ste. B, San Rafael, CA 94901
Telephone: 1-888-818-1115
Integrated Multi-Service Partnership Assertive Community Treatment Program
The Integrated Multi-Service Partnership Assertive Community Treatment Program (IMPACT) FSP
provides culturally competent intensive, integrated services to thirty to 40 priority population at-risk
adults. The program is guided by the Assertive Community Treatment (ACT) model and uses a strengths-
based approach, focused on recovery and relapse prevention, seeking out participants and serving them
wherever they may be. As stated above, the goals of the program are to promote recovery and self-
sufficiency, improve the ability to function independently in the community, reduce homelessness,
reduce incarceration, and reduce hospitalization.
Following the ACT model, a diverse multi-disciplinary team provides comprehensive “wrap-around”
services for individuals in need of the highest level of outpatient services. Staffing will be comprised of
mental health clinicians, Peer Specialists, Family Partners, paraprofessionals, psychiatry, and Nurse
Practitioners. Services include comprehensive assessment, individualized client-centered service
planning, crisis management, therapy services, peer counseling and support, medication support,
psychoeducation, employment services, independent living skills training, assistance with money
management, and linkages to/provision of all needed services and supports. Treatment for co-occurring
substance abuse disorders is essential to successful recovery and will be provided on a case-by-case
basis. In addition, the team has a pool of flexible funding to purchase needed goods and services
(including emergency and transitional housing, medications, and transportation) that cannot be
otherwise obtained.
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Impact Contact Information:
Address: 1682 Novato Blvd, Suite 105, Novato, CA 94947
Telephone: 1-888-818-1115
Webpage: https://www.marinhhs.org/impact-full-service-partnership
Helping Older People Excel Program
The Helping Older People Excel (HOPE) FSP Program is a MHSA funded program that provides intensive
case management to 50 people ages 60 years and older who are suffering from severe and chronic
mental illness. The HOPE Program team is guided by the Assertive Community Treatment (ACT) model
and uses a multi-disciplinary approach that is comprised of mental health practitioners, nurse
practitioners, a public guardian, and a psychiatrist. Services include:
• Information and Referral
• Professional Consultation
• In-home psychosocial assessment
• Senior Peer Counseling
• Psychotherapy
• Psychiatric Medication Management
• Intensive Case Management
Senior Peer Counseling serves individuals over the age of 60 who are experiencing emotional distress
and can benefit from a little extra support in their lives. Support is provided where the clients reside by
trained volunteers who receive weekly supervision from a licensed MFT and/or Registered Nurse.
Decreasing isolation, issues of aging, grief (bereavement), and depression are common issues addressed
in Senior Peer Counseling.
HOPE Contact Information:
Address: 10 N. San Pedro Road, Ste.1020, San Rafael, CA 94903
Telephone: 415-473-4306
Webpage: https://www.marinhhs.org/helping-older-people-excel-hope-full-service-
partnership-program-senior-peer-counseling
Adult Outpatient Therapy
Time-limited intern services are provided for clients with Medi-Cal or no insurance. Fees for the
uninsured are based on the client’s ability to pay. Graduate level psychology and social work interns,
working under supervision of BHRS clinicians, provide evidence-based, and culturally responsive
individual therapy, group therapy, and case management services with an emphasis on skill building,
fostering strengths, and meaningful recovery. Doctoral-level interns can also provide structured
psychological testing to better clarify needs and inform the overall treatment plan. Interns are trained to
work collaboratively with other multidisciplinary team members, family members, and community
partners to promote achievement of recovery and wellness goals.
Adult Outpatient Therapy Contact Information:
Telephone: 415-473-6835
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Adult Continuing Care – Contract Providers
Buckelew Programs
• Marin Assisted Independent Living (MAIL) – Houses individuals 18 years and older,
providing them with mental health and social rehabilitation support, either individually or in
a group household. Supported housing clients benefit from while person daily, intensive
services including treatment planning, case management, and living skills that enable them
to live semi-independently. Housing is limited and by referral from BHRS and coordinated
entry only.
• Residential Support Services (RSS) (Avanti RSS, D Street RSS, Novato RSS, Draper House RSS)
– RSS provides individualized care, meals, medication management, support with
independent living skills, intensive case management, social rehabilitation groups,
therapeutic activities, creative arts, and support with co-occurring issues. Currently, there
are 41 beds in 4 locations providing quality board and care. The emphasis is on providing 24-
hour, 7 day per week services in a home like setting with activities designed for enrichment.
• Buckelew Employment Services – Provides comprehensive vocational services including
pre-employment counseling, vocational training, job development, placement, job coaching,
a computer lab, and classes for support and skill development to assist clients not enrolled
in the State Department of Rehabilitation to secure and maintain employment. Serves up to
30 clients at any given time.
Buckelew Programs Contact Information:
Telephone: 415-457-6966
Community Action Marin
• Community Action Marin (CAM) provides a client run drop-in center, warm phone line, peer
companion program, trains and supervises peer providers, and provides outreach and
engagement services. CAM staffs and operates the CARE Team providing outreach and pre-
crisis support homeless adults who have mental illness. Places trained peer case managers
on several service teams through the ASOC, including Adult Case Management, and the
Odyssey and STAR Programs. Also provides family support and education services through
Adult Family Partners who works with families throughout the adult and older adult system.
Community Action Marin Contact Information:
Telephone: 415-526-7500
Homeward Bound
Homeward Bound of Marin provides homeless shelters and services for individuals and families who are
currently homeless.
• Carmel Hotel - Offers 26 rooms in a local hotel for semi-independent living adults with
mental illness formerly homeless/at-risk of homelessness. Located in San Rafael, provides
permanent, affordable supported housing.
• Voyager - An eight-bed temporary housing program for adults with mental illness who are
homeless or at-risk of homelessness allowing a length of stay up to 4 months.
Homeward Bound of Marin Contact Information:
Telephone: 415-382-3363
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Integrated Community Services
• Provides comprehensive vocational services including pre-employment counseling,
vocational training, job development and placement. Offers job coaching and independent
living skills training to clients of the adult and older adult system.
Integrated Community Services Contact Information:
Telephone: 415-455-8481
Marin Housing Authority
• Support for Shelter Plus Care program provides rental subsidy and case management
support for up to 110 adults with mental illness who are homeless, many of whom are also
enrolled in the Odyssey Program.
Marin Housing Authority Contact Information:
Telephone: 415-491-2525
Residential Services Unit
This BHRS Residential Services Unit serves Marin County residents, 18 years and older, who have been
admitted to a contracted treatment facility following an inpatient hospitalization and Temporary
Conservatorship, or Lanterman-Petris Short (LPS) conservatorship, due to grave disability. Services
include:
• comprehensive assessment;
• individualized planning;
• crisis management;
• medication support;
• psychoeducation;
• teaching proper hygiene; and
• interpersonal issues;
The goal of the program is to step people down to the lowest level of care possible to meet their needs
with the ultimate goal of moving them back into their community.
Contracted Facilities in Marin County
• All Saints – A facility located in downtown San Rafael with a 15-bed capacity and Marin
County contracts for up to 8 beds. All Saints serves individuals who have a SMI who are
stabilized and require licensed board and care. Staff provide 24-hour supervision,
medication support, meals, and prompting to complete ADLs. Accepts adults ages 18 to 59.
Does accept private pay clients.
• Saint Michael’s Extended Care – A facility located in downtown San Rafael that has a 42-bed
capacity and Marin County has 32 contracted beds. Program specializes in individuals with a
SMI with complex medical needs. Staff provide 24-hour supervision, medication support,
incontinent care and assistance with activities of daily living (ADLs). Accepts ambulatory and
non-ambulatory individuals. Accepts Adults and Older Adults, 18 years and older. Clients
referred by Marin County BHRS must be on conservatorship.
• Golden Home Extended Care – 28-bed capacity licensed board and care home; also licensed
as a Residential Care Facility for Elderly (RCFE). Marin County’s current capacity is 9 clients.
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Golden Home specializes in frail older adults. Facility provides 24- hour supervision,
medication management, nurse on staff and on-call physician. Offers Mental Wellness
program and accepts older Adults ages 60+. Serves adults with mental illness, those with co-
occurring physical illness, persons with dementia, and provides hospice services. Clients
referred by Marin County BHRS must be on conservatorship.
• Canyon Manor – An 89-bed locked Mental Health Rehabilitation Center located in Novato.
Provides Rehabilitation treatment programing and nursing care in addition to structured
groups and unstructured time. All clients must be on conservatorship.
Out of County Contracted Facilities
Institution for Mental Disease / Mental Health Rehabilitation Centers (IMD/MHRCs) - All clients
referred to this level of care from Marin County must be on conservatorship.
• Creekside Mental Health Rehabilitation Program, Nadhan, Inc. – A 57-bed secured Special
Treatment Program. Marin County has 20 designated beds. The program is based on
psychosocial rehabilitation model utilizing a recovery approach to treatment. Provides daily
groups and activities. Referrals primarily from acute psychiatric hospitals, mainly
MarinHealth (formally known as Marin General), Unit A. Must be LPS conserved. Ages 18 to
64.
• Crestwood Manor – Offers beds in Skilled Nursing Facilities/Specialty Treatment Programs
(SNF/STP) and MHRC throughout California. Marin County mostly utilizes facilities in
Modesto, Stockton, San Francisco, and Vallejo. Also provided services at Enhanced Board
and Care facilities at American River and Our House in Vallejo.
• California Psychiatric Transitions (CPT) – This is a 98-bed MHRC and is also a step down
from State Hospital. CPT has 4 programs – Disruptive Behavior Unit, Main Floor, Forensic
Unit, and Reentry (22 beds). CPT Accepts clients with assaultive behaviors and
hypersexuality and is also an alternative to State Hospital System with more rehabilitative
component. CPT accepts client determined Incompetent to Stand Trial (IST) and client on a
Murphy’s LPS conservatorship.
• Idylwood – This is a 106-bed skilled nursing facility. Program provides services for
individuals with a combination of medical and behavioral needs. Services focus on skilled
nursing, along with specific clinical programming addressing behavioral needs. This facility
has both a locked side of the facility and an unlocked side of the facility.
• Telecare Morton Bakar – A 97-bed facility accepting clients aged 65 and older. Does accept
clients with increased medical issues and difficult behavioral issues. Located in the East Bay.
• Garfield – A facility whose focus is on clients with neurobehavioral issues. Located in the
East Bay.
• Medical Hill Rehabilitation Center – Supplies beds in an IMD/skilled nursing facility for
mentally ill adults; located in Oakland.
• Country Villa Merced Behavioral Health Center – A 96-bed STP/SNF facility which accepts
clients ages 18 to 65 and is located in Merced.
• Willow Glenn Care Center Sequoia Treatment and Cedar Grove – Provides many levels of
care from IMD to Enhanced Board and Care for adults with SMI; located in Yuba City.
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Enhanced Board and Cares:
• Davis Guest Home (DGH) – DGH has several homes in Modesto County. DGH is family
owned and operated and provides a homelike environment for residents. Facility provides
24-hour constant care and supervision. DGH contracts with a local psychiatrist, provides
medication support, offers structured activities and educational opportunities, provides
transportation to professional appointments. Serves adults and older adults who are on
conservatorship. Recently opened an RCFE site.
• Ruby’s Valley Care Home – This is a 50-bed facility located in Fresno. Ruby’s offers full range
of activities each day and accepts ambulatory and non-ambulatory clients. Accepts
registered sex offenders and ex-offenders. Provides a secured environment with supervised
outings. Ruby’s has a part-time Psychiatrist with 24 hour on-call availability. At least 4 staff,
a supervisor, and a security guard at the facility 24 hours a day. Employs a certified activities
coordinator, a nurse and nutritionist. Clients must be on conservatorship. Accepts clients
ages 18 to 50 and will need an age waiver for clients over the age of 60.
• Psynergy Programs – Psynergy has 4 locations in Morgan Hill, Sacramento, Greenfield, and
Rancho Cordova. Psynergy is also going to be opening an RCFE in Sacramento. Psynergy
utilizes Wellness and Recovery principles, Medication Management, Integrated Dual
Diagnosis Treatment, and Modified Therapeutic Community modalities. Program provides
24-hour supervision, Independent Living Skills training, recreation activities, health and
fitness, educational classes, and vocational readiness. The only program we contract with
that provides Intensive Outpatient Mental Health Services. Accepts client ages 18 to 59,
needing a waiver for clients over age 60. All client must be on conservatorship.
• EverWell Programs – Has both RCF and RCFE facilities in the Stockton area and Dinuba.
Provide 24-hour care, medication management, support around ADLs and independent
living skills (ILS), and encourages enhancing skills around each clients’ interests and hobbies.
Accepts client ages 18-59 and the RCFE accepts client over the age of 60. Clients must be on
conservatorship.
• Willow Glen and Rosewood - 2 levels of residential care - For both facilities all clients must
be on conservatorship:
o Intensive Residential Care (IRC) - 40-bed capacity. Specializing in residential care for
older adults with chronic mental illness who are unable to maintain traditional
residential placement because of persistent behavioral problems. Provides mental
health stabilization in an intermediate placement before returning to a board and care,
or those who are transitioning from an acute psychiatric inpatient program, IMD, or
state hospital to a lower level of supervised care.
o Rosewood - 40-bed Adult Residential Program within Willow Glen Care Center
specializing in serving adults with mental health conditions. Provides interventions and
skill building for residents to maintain placement in less restrictive levels of care. Able to
go out on own or with another peer. All programs provide medication support. Accepts
ambulatory and non-ambulatory clients.
BHRS Homeless Services
BHRS partners with the Marin County Whole Person Care (WPC) team, as well as community
organizations, such as Homeward Bound of Marin, Ritter Center, St Vincent de Paul of Marin, to provide
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2020 - 2021
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services and supports to individuals who are currently homeless or at risk of becoming homeless and
have a serious mental health and / or substance use disorder.
Odyssey - Homeless Outreach Program
The Odyssey – Homeless Outreach Program is an FSP program funded through the MHSA. The team
provides a comprehensive, integrated continuum of services to individuals who are seriously and
persistently mentally ill, and who are currently experiencing homelessness or at risk of homelessness.
All services are guided by the principles of recovery and consumer empowerment and the Assertive
Community Treatment (ACT) model. Odyssey currently has a target to serve 90 clients. Odyssey’s
multidisciplinary staff works within a strength-based model, confident that program participants are
most successful when they set their own goals and actively engage in their mental health recovery.
Services including outreach, a personal service coordinator, psychiatric and medical treatment,
psychotherapy, employment support services, and some supportive housing services are designed to
reduce symptoms that impair clients' ability to live independently, work, maintain community supports,
care for their children, remain healthy, and avoid psychiatric hospitalizations and crime. The program’s
goal is to help consumers achieve their highest level of wellness and independence within their recovery
and their community.
Odyssey Contact Information:
Address: 1682 Novato Blvd., Suite 105, Novato, CA 94947
Telephone: 1-888-818-1115
Contracted Homelessness Services
Ritter Center – Provides Intensive Outpatient Services for the Safety Net Population (individuals who are
currently homeless or at risk of homelessness). Shelter and transitional housing are available at Mill
Street and New Beginnings Center, respectively, while individuals are actively participating in treatment
services.
Telephone: 415-457-0728
Access to Care Program
The Adult Medication Clinic provides psychiatric medications to clients who are uninsured and in need
of medication in support of their treatment program. BHRS works with the pharmaceutical companies to
obtain medications at no cost to the client when possible. Each company has its own criteria for
admission to their program. BHRS works with over 20 pharmaceutical companies. The program can only
provide this service to BHRS clients. BHRS currently provides this service to approximately 175 clients.
Family Support Meetings
These no-fee drop-in meetings are open to families and friends of adults living with a SMI. Staffed by
BHRS mental health staff, the meetings offer on-going support, education, coping/problem-solving
strategies, and information about local resources. More information can be found on our BHRS
Community Events Page: https://www.marinhhs.org/bhrs-community-events
BHRS and CAL-WORKs Partnership
The BHRS Adult and Older Adult System of Care has a partnership with the Marin County Division of
Social Services CalWORKs Employment and Training Branch to provide a Licensed Mental Health
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Practitioner (LMHP) to work in the Employment and Training Branch. This multidisciplinary team works
with clients and families with mild-to-moderate conditions that receive CalWORKs cash assistance – a
requirement to receive this benefit is participation in the Welfare to Work (WTW) program. Staff who
work in this program are Employment Development Counselors, Support Service Worker, Senior
Program Coordinator, Psychologist, and Social Service Workers. The goal of the WTW program is to
assist and support clients into employment or education leading to employment and eventual self-
sufficiency from CalWORKs. The MHP/MHPL has a key role as the lead clinician to provide assessment,
short-term individual and group therapy services to an average of 18 individuals, including linking
individuals to community resources or ongoing care services when appropriate and other duties as
assigned.
Work Independence Network, An Employment Cooperative
Work Independence Network (WIN) is an employment program that offers support services, including
job development and job coaching services to adults with severe and chronic mental illness to assist
them in overcoming challenges to employment. Up to 40 eligible enrollees can be enrolled into WIN at
any given time. Based on a wellness and recovery focus, WIN integrates services provided by a Mental
Health Liaison from BHRS, Employment Specialists from Buckelew Employment Services, and a California
Department of Rehabilitation Counselor. Funding is provided by a collaborative contract between the
California Department of Rehabilitation and Marin County Health & Human Services.
WIN's multidisciplinary team recognizes that employment success happens when an enrollee is actively
engaged in mental health recovery. WIN’s goal is to support enrollees through the employment process
– identifying ways clients can achieve levels of wellness and independence that help them reach their
employment goals.
WIN Contact Information:
Telephone: 415-473-3304 (Mental Health Liaison)
Telephone: 415-456-9350 (Buckelew Social Enterprises)
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Crisis Continuum of Care
Crisis Stabilization Unit
Marin County Crisis Stabilization Unit (CSU) serves children, teenagers, young adults, adults, and older
adults, regardless of financial status, whether or not they are insured. CSU services are available 24
hours a day, 7 days per week. Length of stay is limited to less than 24 hours.
The CSU provides psychiatric assessments, referrals, recommendations, and consultation on behalf of
individuals who arrive on an involuntary basis (Pursuant: California Welfare and Institutions Code 5150),
and for those who come to CSU voluntarily. Typically, clients are experiencing a mental or emotional
crisis; in that they may be deemed a danger to themselves or to others, or they may appear incapable of
caring for their basic needs.
• Provides crisis stabilization; i.e., individualized interventions directed toward resolution of
the presenting, psychiatric episode.
• Provides evaluations of clients for whom inpatient psychiatric hospitalization appears
indicated. Admissions for inpatient, psychiatric hospitalization are arranged as necessary.
• Provides referrals to other county and community-based agencies and services.
Referrals to CSU are received from families and individuals, from all County of Marin departments, our
thirteen, local law enforcement agencies, community health providers and agencies, and from facilities
and agencies throughout Northern California.
CSU Contact Information:
Address: 250 Bon Air Road, Greenbrae, CA 94904
Telephone: 415-473-6666 (crisis)
Webpage: https://www.marinhhs.org/crisis-stabilization-unit-csu
Mobile Crisis Response Team
The Mobile Crisis Response Team (MCRT) operates 6 days a week (Mon-Sat) from 1-9 p.m. This team is
comprised of two licensed and/or licensed eligible Crisis Specialists and a peer provider. The team will
be able to respond to individuals in the community who present in a crisis; schools; police departments;
and family members who are concerned about loved ones. This team will have the capacity to initiate a
5150 if warranted or to offer crisis intervention, stabilization, and linkage to appropriate community-
based services.
MCRT Contact Information:
Address: 250 Bon Air Road, Greenbrae, CA 94904
Telephone: 415-473-6392
Webpage: https://www.marinhhs.org/mobile-crisis-team
Transitions and Outreach Team
The Transitions and Outreach Team (TOT) is a field-based outreach program with services provided
Monday through Friday 10am-6pm. This team provides time limited crisis-oriented case management
and crisis intervention to individuals presenting in crisis that do not meet the criteria for a 5150 and are
willing to and wanting to engage in the help offered.
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Transitions and Outreach Team Contact Information
Address: 250 Bon Air Road, Greenbrae, CA 94904
Telephone: 888-818-1115
Webpage: https://www.marinhhs.org/transition-team
Casa Rene (Crisis Residential Unit)
Casa Rene is a 10 bed Crisis Residential Unit located in Marin County. This unit serves to divert
individuals 18 years and older from locked psychiatric units to a lower level of care in the community
with a recovery and wellness focus. This program is operated by Buckelew and referrals all come
through Marin County’s CSU Unit Supervisor or through BHRS Hospital Liaison for step down referrals
for clients in inpatient units. Clients must have Marin Medi-cal.
Casa Rene Contact Information:
Telephone: 415-473-6666 (CSU is point of access for Casa Rene referrals)
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Substance Use Services
The BHRS Substance Use Services (SUS) team provides services and supports, including outpatient
treatment, intensive outpatient treatment, residential treatment, medication assisted treatment, and
withdrawal management (detoxification). These services are available to people who meet medical
necessity criteria and have Medi-Cal or who are uninsured. All substance services are available on a
sliding fee scale, based on the individual’s ability to pay.
Drug Medi-Cal Organized Delivery System
The Centers for Medicare and Medicaid Services (CMS) approved California’s Drug Medi-Cal Organized
Delivery System (DMC-ODS) Waiver amendment, which provides a continuum of care modeled after the
American Society of Addiction Medicine (ASAM) criteria for substance use services. The DMC-ODS is a
waiver that aims to demonstrate how organized substance use disorder care increases successful
outcomes for Medi-Cal beneficiaries while decreasing overall health care costs. Marin County BHRS
implemented the DMC-ODS in April 2017 and improves access to and quality of care by:
1. Expanding the continuum of substance use services available in Marin through the DMC
program from four to eleven modalities services, including adding case management, residential
treatment, withdrawal management, recovery services, partial hospitalization, physician
consultation and additional Medication Assisted Treatment;
2. Ensuring coordination of care with Managed Care Health Plans and Mental Health Plans;
3. Expanding workforce capacity to allow licensed practitioners of the healing arts (LPHAs) to
determine medical necessity for services;
4. Requiring use of evidence-based practices for determining the appropriate level of care and
delivering substance use treatment services; and
5. Enhancing County oversight, monitoring and reporting capabilities.
Adult Outpatient Substance Use Treatment
Provided by the County and contracted community-based agencies, adult outpatient substance use
services are designed to address the treatment needs of individuals, and typically include individualized
treatment planning, education and counseling groups, individual counseling sessions, and linkage with
ancillary and recovery support services.
Road to Recovery
Road to Recovery provides Outpatient and Intensive Outpatient Treatment Program for individuals with
co-occurring Substance Use Disorders and SMI. The program utilizes Recovery Coaches that help support
individuals in their recovery process.
Recovery Coach / Care Manager
BHRS contracts with four Recovery Coaches. The purpose of the Recovery Oriented Coach / Care
Manager is to:
1. Help individuals gain access to needed resources, services, or supports that will help them
achieve recovery from their substance use disorder and other co-occurring issues;
2. Identify, evaluate, inventory, and collaborate with public and private community agencies to
assist clients with referrals and linkages to these services; and
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3. Ensure that clients are supported through the criminal justice process, as applicable, to: Increase
the likelihood of retention in co-occurring treatment and long-term success.
Contracted Substance Use Services
• Center Point, Inc. - Center Point offers residential treatment programs for Men, Women,
and Women with Children up to five years of age or younger. Center Point uses a
Therapeutic Community model which seeks to restore the dignity, values, and self-esteem
of each client, helping them to realize their own potential. The focus of treatment is to
provide services that help reintegrate the individuals into the community life with the
necessary coping mechanism to sustain recovery. The first phase of residential program
utilizes an intensive, psycho-educational treatment approach, followed by a second phase
focused on the development of vocational and community reintegration skills. Telephone:
415-456-6655.
• Bay Area Community Resources - Gender Specific Outpatient and Intensive Outpatient
Treatment Program for Women and Women with Children: This program provides gender-
specific services to women and women with children. Telephone: 415-328-6269.
• Marin Outpatient Recovery Services - Spanish Speaking Outpatient and Intensive
Outpatient Treatment Program for Spanish speaking Men and Women. This program
provides services to Spanish-speaking men and women. Telephone: 415-485-6736; 1466
Lincoln Avenue, San Rafael
• Marin Treatment Center - Outpatient and Intensive Outpatient Treatment Program with
Access to Medication Assisted Treatment. This program provides services, including access
to Medication Assisted Treatment, for individuals with opiate-related substance use
disorders (additional information below). Group Counseling: Marin Treatment Center
provides individual and group counseling services to participants with co-occurring
substance use and mental health disorders in the STAR and ODYSSEY Programs. Contact
Marin Treatment Center for an evaluation and consultation for other medication assisted
treatments, such as buprenorphine (suboxone) and disulfiram. Telephone: 415-457-3755.
• Buckelew Programs – Helen Vine Recovery Center - The Helen Vine Recovery Center is a
non-medical detoxification program where adults under the influence of drugs and/or
alcohol can safely withdraw from the ill effects of intoxication. The Helen Vine Recovery
Center is staffed by trained personnel specializing in alcohol and drug detoxification, relapse
prevention, assessment and referral, and teaching skills of daily living. The typical length of
stay is 3-5 days. Telephone: 415-492-0818; Address: 291 Smith Ranch Rd., San Rafael
• HealthRight 360 - HealthRight 360 is a highly qualified provider of residential SUD treatment
services, with decades of experience successfully engaging, treating, and transitioning adult
populations, including people with co-occurring SMI. Services are based upon evidence-
based practices, so that the therapeutic environment and the clinical interventions are
appropriate and effective for the needs of the people in each program. Telephone: 415-292-
9111; Address: 815 Buena Vista West, San Francisco.
• Adult Medication Assisted Treatment (Narcotic Replacement Treatment) - Methadone
Maintenance: Narcotic replacement treatment services are a long-term treatment for opiate
addiction, and include methadone, treatment planning, individual counseling, and random
monthly urinalysis.
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• Housing and Support Services for Persons with Chronic Alcoholism and related-Justice
Involvement - Center Point - “Transitions” is a new program designed to provide housing
and support services to 10 individuals annually. Individuals are identified by the Office of the
District Attorney and Public Defender as having 4 or more arrests related to alcohol use, as
well as multiple usage of emergency room visits, hospitalizations, and detoxification
admissions, and for which traditional treatment programs have not been successful.
Individuals are deemed eligible for the program by the justice system and eligible following
screening and assessment by Center Point staff. Telephone: 415-456-6655
• Sober Living – BHRS contracts with a variety of Sober Living Environments (SLEs) for eligible
clients in the community including AB 109 affiliates, probationers, drug court and private
pay referrals. SLE’s are safe, clean, sober, residential environments that promote individual
recovery through positive peer group interactions among house members and staff. Call
415.473.4074 for additional information.
Marin County 24-Hour Alcoholics Anonymous Hotline
Marin Teleservice is a telephone service which is available 24 hours a day to help alcoholics in need.
Specifically, we refer callers to Alcoholics Anonymous meetings and provide current AA meeting
directory information. In addition, we see that 12th-step workers are called to talk with and/or visit
suffering alcoholics when needed. We are sober alcoholics doing what we can to stay sober and to help
other alcoholics to achieve sobriety.
Telephone: 415-499-0400 (24 hrs / 7 days/wk)
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Forensic Mental Health Services
Support & Treatment After Release Program
The Support & Treatment After Release (STAR) Program is an FSP program funded by MHSA. This multi-
agency, multi-disciplinary team provides culturally competent, community-based services to 50 adults
who have SMI and involvement with the criminal justice system. BHRS STAR operated in conjunction
with the STAR Court within the Marin County Superior Court of California, a court-supervised program
aimed to decrease the frequency of client’s contacts with the criminal justice system by improving social
functioning skills and linking them to appropriate services. The team provides comprehensive
assessment, individualized client-centered service planning, psychiatric care, intensive case
management, therapy and linkages to all needed services and supports. The goals of the program are to
promote recovery and self-sufficiency, improve the ability to function independently in the community,
reduce incarceration, and reduce hospitalization.
STAR Contact Information:
Address: 3270 Kerner Blvd, Suite A, San Rafael, CA 94901
Telephone: 1-888-818-1115 (Access Line)
Webpage: https://www.marinhhs.org/support-treatment-after-release-star-full-service-
partnership-program
Marin County Jail Mental Health Team
The Jail Mental Health Team provides consultation, evaluation, treatment discharge planning, and
placement services for mentally disordered offenders at the County Jail. The goal of the jail mental
health service is to provide seamless psychiatric care for clients who are involved with Behavioral Health
and Recovery Services and private providers during a jail stay. In addition, the Team provides referrals,
evaluations, and other consultations to the jail staff, as well as to the courts, District Attorney and Public
Defender’s Office. BHRS staff participates in pre-trial conferences and provide clinical input to the court
as requested.
Jail Mental Health Contact Information:
Telephone: 415-473-6648
Webpage: https://www.marinhhs.org/marin-county-jail-mental-health-team
Proposition 47 Improving Lives Via Opportunity and Treatment (PIVOT)
The PIVOT team provides justice care coordination, recovery supports, and case management to
individuals with behavioral health disorders in the criminal justice system. This team works closely with
the Superior Court, Public Defender, District Attorney, Jail, and community agencies to assist individuals
avoid a cycle of re-arrest and re-incarceration by engagement and referral to appropriate services.
PIVOT Contact Information
Telephone: 415-473-3326
Assisted Outpatient Treatment (AOT)
AOT, also known as AB 1421 or Laura’s Law, provides services for individuals who are experiencing a
severe and persistent mental illness, who can benefit from treatment but decline voluntary
participation. Once an individual is referred, the AOT team will attempt to engage them in services on a
voluntary basis. If the individual is still declining the recommended treatment, the AOT team may
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petition the Court with a plan and recommendation seeking court-ordered, involuntary outpatient
treatment (not medications). Participants will be offered community-based behavioral health services
delivered by a highly trained, professional, multidisciplinary team.
AOT Contact Information
Address: 3270 Kerner Blvd., Suite a, San Rafael, CA 94901
Telephone: 415-473-4321
Email: AssistedOutpatientTreatment@marincounty.org
Webpage: https://www.marinhhs.org/assisted-outpatient-treatment
Behavioral Health Diversion
Individuals arrested and charged with Felony charges who are Incompetent to Stand Trial (IST) are
eligible for pre-trial Diversion. This includes screening, evaluation, treatment planning, and wrap around
services provided by the STAR team. Following successful completion of the program, clients will have
charges reduced or dropped by the Court.
Behavioral Health Diversion Contact Information
Telephone: 415-473-2127
Marin County Jail Substance Use Services
Bay Area Community Resources (BACR) provides screening, engagement, and group counseling services
to inmates in the Marin County Jail. Thinking for a Change, is offered in Pods A, B, C, and F on a
continuous basis, and has the capacity to serve up to approximately 150 individuals annually. Thinking
for a Change is a cognitive behavioral therapeutic curriculum designed to facilitate behavior change
through addressing the underlying thought processes that precede behavior. In addition, an evidence-
based program titled Seeking Safety is also offered in the female Pod and several male Pods.
BACR Contact Information:
Telephone: 415-507-4137
Webpage: https://www.marinhhs.org/marin-county-jail-substance-use-services
Adult Drug Court Program
The Marin County Adult Drug Court Program, which was established in 2002, is a collaborative between
the Division of Behavioral Health and Recovery Services, Marin County Superior Court, the District
Attorney, the Public Defender, Marin County Probation, and community agencies.
Adult Drug Courts utilize a specialized, therapeutic focused legal approach with over twenty years of
research demonstrating their effectiveness in working with criminal defendants who have a substance
use disorder. Under the model of the Ten Key Components of Adult Drug Courts, eligible participants
may be sent to Drug Court in lieu of traditional justice system case processing.
The mission of the Marin County Adult Drug Court is to improve lives that have been impacted by
substance use, and to increase public safety by reducing the amount and frequency of drug related
crime. The Court aims to reduce criminal recidivism by facilitating treatment and rehabilitation. The
Court provides increased supervision to individuals with a substance use disorder involved in the
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criminal justice system, thereby returning individuals to the community better equipped to maintain
their recovery and not engage in further criminal behavior.
Adult Drug Court Program
Telephone: 415-473-7433
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West Marin Service Center
Marin County West Marin Service Center provides assessment, referral, crisis intervention, medication
management, and individual and family counseling for youth and adults. West Marin HHS also manages
and supervises the PEI funded Promotores Program in conjunction with Canal Alliance.
West Marin Service Center
Address: 1 6th Street
Point Reyes Station, California 94956
Mailing – P.O. Box 331, Point Reyes Station, California 94956
Telephone: 415-473-3800 or 888-818-1115 (Access Line)
Hours: 9:00 am - 4:30 pm
Webpage: https://www.marinhhs.org/west-marin-health-human-services-integrated-
center
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Prevention and Early Intervention
BHRS Prevention and Early Intervention (PEI) focuses on prevention and early intervention services,
education, support, and outreach to help inform and identify individuals and their families who may be
affected by some level of a mental health and / or substance use issue. Providing mental health
education, outreach, and early identification (prior to diagnosis) can mitigate costly negative long-term
outcomes for mental health consumers and their families.
PEI seeks to reduce the risk factors and build protective factors which increase a person’s resiliency,
interpersonal connections, and raise the general level of health and well-being for individuals, families,
and the community. The role of PEI is applicable throughout the lifespan – from young childhood to
older adulthood.
Early Childhood Mental Health Consultation
Early Childhood Mental Health (ECMH) Consultation is offered by Jewish Family and Children’s Services
and provides training and consultation to approximately 20 child-care centers in the county to increase
their ability to identify and respond to the children’s behavioral and emotional difficulties. Consultants
meet with parents, teacher, or both regarding children identified as needing brief or more extensive
services. They also provide assessment, action planning and referrals for families as needed.
ECMH Consultation Contact Information:
Provider: Jewish Family and Children’s Services
Address: 600 Fifth Ave, San Rafael CA 94901
Telephone: 415-491-7960
School Age Prevention and Early Intervention
School Age Prevention and Early Intervention is offered at the below school districts through provider
agencies who work with the districts to provide services such as staff training, identification and referral
of students, and prevention and early intervention services.
Shoreline School District
Provider: Petaluma Health Center (formerly Coastal Health Alliance)
Address: 65 Third St., Suite 21, Pt. Reyes Station, CA 94956
Telephone: 415-663-8781
Sausalito Marin City School District
Provider: Performing Stars
Address: 271 Drake Ave. Sausalito, CA 94965
Telephone: 510-777-5300
Provider: Seneca Family of Agencies
Address: 8945 Golf Links Road
Oakland, CA 94605
Telephone: 510-654-4004
Novato Unified School District
Provider: North Marin Community Services
Address: 680 Wilson Ave
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Novato CA 94947
Telephone: 415-892-1643
Suicide Prevention
Suicide prevention is addressed at the individual, community, and institutional level addressing
prevention, intervention, and postvention approaches across the lifespan. A comprehensive strategy
integrates, training and education, state policies, media, community and school partnerships, lethal
means reduction, coordinated care, data and surveillance, and advocacy. It also relies on active
community engagement in the Marin County Suicide Prevention Collaborative supported by the recently
released county strategic plan for suicide prevention.
More information on Marin County’s Suicide Prevention efforts and the Suicide Prevention Strategic
Plan can be found here: https://www.marinhhs.org/suicide-prevention
Buckelew’s North Bay Suicide Prevention provides a 24/7 Hotline for Marin, Sonoma, Mendocino, and
Lake Counties, and received over 14,000 calls annually.
Suicide Prevention Contact Information:
Provider: Buckelew Programs
Address: 201 Alameda Del Prado, Suite 201
Novato, CA 94949
Telephone: 415-457-6964
Transition Age Youth Prevention and Early Intervention
Transition Age Youth Prevention and Early Intervention (TAY PEI) provides screening and brief
intervention for behavioral health concerns in teen clinics; psycho-education for TAY and community
members, including parents and providers of TAY; and individual and group services in high schools for
at-risk TAY, such as students who have recently immigrated to the US or at risk for dropping out of
traditional school settings. Targeted supports for LBGTQ+ students provided, as well as trainings for
educators on supporting LGBTQ+ students.
Transition Age Youth Prevention and Early Intervention Contact Information:
Provider: Huckleberry Youth Programs
Address: 361 Third St, Suite G
San Rafael, CA 94901
Telephone: 415-258-494
Provider: North Marin Community Services
Address: 680 Wilson Ave
Novato CA 94947
Telephone: 415-892-1643
Provider: The Spahr Center
Address: 150 Nellen Ave
Corte Madera, CA 94925
Telephone: 415- 457-2487
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Older Adult Prevention and Early Intervention
Older Adult Prevention and Early Intervention (PEI) provides screening and brief intervention for
individuals ages 60 years and older who are experiencing symptoms of depression, anxiety, and/or
trauma. Interventions include evidence-based methods, such as CBT and Healthy Ideas, are home or
office based, and provide linkages to additional services as needed. Education is also provided to
community providers and members regarding identifying and responding to behavioral health
symptoms in older adults.
Older Adult Prevention and Early Intervention Contact Information:
Provider: Jewish Family and Children’s Services
Address: 600 Fifth Ave, San Rafael CA 94901
Telephone: 415-491-7960
Latino Community Connection
Latino Community Connection trains and supports Promotores to provide outreach, education, support
,and linkages to services in Central, North and West Marin. Provides mental health education, screening,
and assistance in a community-based organization in the Canal District and Novato. Bilingual behavioral
health providers provide brief interventions for individuals, couples, and families, including
psychoeducation, and coping skills. These services help to bridge the cultural and language barriers that
contribute to the Latino community being underserved for mental health needs.
“Cuerpo, Corazon, Comunidad”
“Cuerpo, Corazon, Comunidad” is a weekly radio show on a Spanish language station addressing health
issues, including mental health and substance use. A BHRS clinician hosts the show. The show can be
listened to on KBBF 89.1 FM or at CuerpoCorazonComunidad.org.
Latino Community Connection Contact Information:
Provider: Canal Alliance
Address: 91 Larkspur St, San Rafael, CA 94901
Telephone: 415-454-2640
Provider: North Marin Community Services
Address: 680 Wilson Ave, Novato CA 94947
Telephone: 415-892-1643
Provider: Multicultural Center of Marin
Address: 30 N San Pedro Road, #250, San Rafael, CA 94903
Telephone: 415-526-2486
Vietnamese Community Connection
Vietnamese Community Connection provides mental health outreach, engagement, and prevention
services for the Vietnamese community. Outreach is provided through trained Community Health
Advocates. The Outreach Coordinator provides individual and family support, problem solving, and
linkages to additional services as needed. Community activities are organized to reduce isolation and
increase support.
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Vietnamese Community Connection Contact Information:
Provider: MarinLink– Marin Asian Advocacy Program
Address: 30 N San Pedro Road, Suite 290, San Rafael, CA 94903
Telephone: 415-491-9677
Veteran’s Community Connection
Veteran’s Community Connection provides outreach and supportive services for veterans with
behavioral health concerns who are homeless and/or involved in the criminal justice system to stabilize
their mental health.
Veteran’s Community Connection Contact Information:
Provider: Marin County Veterans Service Office
Address: 10 N San Pedro Road, San Rafael, CA 94903
Telephone: 415-473-6193
Newcomers Support and Coordination
The program supports newly arrived immigrant youth primarily in San Rafael, Novato and West Marin.
Interventions are intended to build on their strengths and resilience in order to help them succeed in
school and beyond. A coordinator provides assessment, linkage to resources, and short-term case
management for students and their families in San Rafael secondary schools. The program also provides
newcomer groups that focus on issues such as grief and loss, acculturation, and building resources and
supports.
Newcomers Support and Coordination Contact Information:
Provider: Bay Area Community Resources (BACR)
Address: 171 Carlos Drive, San Rafael, CA 94903
Telephone: 415-444-5580
Provider: North Marin Community Services
Address: 680 Wilson Ave, Novato CA 94947
Telephone: 415-892-1643
Provider: Huckleberry Youth Programs
Address: 361 Third St, Suite G, San Rafael, CA 94901
Telephone: 415-258-4944
Storytelling Program
BHRS’s Storytelling Program is designed to raise awareness of mental health, suicide and substance use,
create safe and healthy environments for sharing and increase knowledge of community resources.
Storytelling Program Contact Information:
Provider: National Alliance on Mental Illness (NAMI)
Address: 555 Northgate Drive, Ste 101, San Rafael, CA 94904
Telephone: 415-444-0480
Provider: Opening the World
Address: 636 Lindaro Street, Ste 1, San Rafael, CA 94901
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Telephone: 415-419-9695
Community and Provider Prevention and Early Intervention Training
A variety of training opportunities are provided for providers, consumers, family members and other
community members, including Mental Health First Aid, evidence-based practices, stigma and
discrimination reduction, suicide prevention, cultural competence and others.
Statewide Prevention and Early Intervention
Support for statewide efforts regarding Student Mental Health, Suicide Prevention and Stigma
Reduction. Youth and Adult focused Mental Health First Aid Trainings offered in English, Spanish and
Vietnamese.
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Behavioral Health Clinical Internship Program
BHRS offers an American Psychological Association (APA) accredited clinical internship program for
graduate students in psychology, as well as training programs for students in social work, counseling,
and marriage and family therapy. The purpose of the training program is to provide carefully supervised,
in depth, clinical experience in a multi-service community-based behavioral health system of care.
BHRS provides both emergency and continuing care to a diverse client population with a wide range of
challenging behavioral health needs. Under the direction of a licensed clinical psychologist, the interns
are assigned throughout the BHRS system located at Bon Air and Kerner clinics, in addition to specialty
opportunities with the Crisis Stabilization Unit and Access team. BHRS currently provides small stipends
for both full and part-time interns.
The BHRS Clinical Internship Program is designed to provide the following:
1. Direct experience in clinical work with clients who have acute and chronic behavioral health
disorders, specifically those in the safety net population.
2. Supervision and training to develop interns’ repertoire of clinical intervention skills to meet
case specific needs.
3. Training and practice in assessment, treatment planning, case disposition and collaborative
work with affiliated providers in the field.
Multiple opportunities to formulate cases, discuss treatment perspectives and integrate theory and
practice.
More information about the internship program can be found here: https://www.marinhhs.org/mental-
health-graduate-clinical-training-program
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BHRS Community Events
BHRS facilitates and partners with community organizations to provide events throughout the county to
provide additional support to both BHRS clients, their families, and other community members. These
events are held year-round and can include:
• Education and training opportunities
• Townhalls
• Awareness events
• Support Groups
More information about BHRS community events can be found here: https://www.marinhhs.org/bhrs-
community-events
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Patient’s Rights Advocate
BHRS contracts with the Mental Health Association of Alameda County to provide Patients’ Rights
Advocacy to clients receiving behavioral health services in Marin County. It is the goal of our program to
assure that persons with mental illness receive quality treatment in a safe environment. We act to make
certain that mental health clients are provided treatment in a manner that safeguards the rights
afforded to them in the law, including rights guaranteed by the constitution of the United States and the
codes and regulations of the State of California.
We do this through five main activities:
1. Investigate complaints of abuse and neglect and work with facilities to find solutions in those
cases where complaints are substantiated.
a. We respond to questions and complaints from patients in psychiatric hospitals/facilities,
and residents of adult residential homes who feel one or more of their rights have been
denied. (Calls are also received from concerned family members or friends on behalf of
a relative or friend.)
2. We monitor psychiatric facilities for compliance with codes and regulations and assist facilities
in the development of policies and procedures that support their compliance with legal
requirements.
3. We represent patients in hearings regarding involuntary treatment to assure when treatment
is provided on an involuntary basis, the due process rights of the individuals are respected in
accordance with basic principles of the constitution.
a. Representation is provided at Certification Review Hearings, when patients are
detained beyond the 72 hours of a 5150 and are placed on an additional involuntary
hold for up to 14 days. These clients will automatically be provided a hearing in which a
judicial officer will determine if there is probable cause for continued involuntary
detention.
b. Representation is provided at Capacity Hearings when a patient is refusing medication
prescribed by a psychiatrist and that physician believes the patient lacks the legal
capacity to utilize a rational thought process to make a decision about accepting
treatment with psychotropic medications.
4. Provide education - We provide training and education to providers, consumers, family
members and interested members of the community.
a. We give in-services to treatment providers to help them understand the rights of their
clients and least restrictive approaches to treatment;
b. We offer presentations for consumers to assist the understanding of their rights as
clients of mental health treatment and provide suggestions to help empower them to
advocate effectively on their own behalf;
c. We outreach to family members to help them understand the rights of their loved ones
and dispel misunderstandings surrounding the process of involuntary hospitalization
(e.g., 5150), and other members of the community to provide education about our
services as well offer to provide presentations regarding the laws governing mental
health treatment, to offer trainings on patients’ rights and mental health law to
consumers, providers and other interested parties.
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5. Provide consultation to treatment staff and administrators to help them appropriately apply
the law to treatment decisions.
a. Doctors, Social Workers, Administrators, and others call our office in cases where there
is concern for what is clinically in the best interests of their patients and they wish to
assure they are complying with laws protecting the rights of their patients. Our
familiarity with the law and the legislative intent of the law allows us to provide creative
solutions to what may appear to be a clash between the law and clients’ clinical needs.
We assist the facility personnel in finding least restrictive approaches to treatment,
maintaining compliance with laws and regulations, and minimizing potential liabilities in
their clinical decisions.
The Patients’ Rights Advocate can be reached at: (415) 473-2960 phone or by email at
Marinpra@mhaac.org.
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BHRS Advisory Boards and Committees
Mental Health Board
The Mental Health Board (MHB) is a state-mandated advisory group that makes recommendations to
the Board of Supervisors and to the Mental Health Director about the local mental health services. The
MHB meets the second Tuesday evening each month at 6:00 p.m.
Alcohol and Drug Advisory Board
The Alcohol and Drug Advisory Board (ADAB) makes recommendations to the Board of Supervisors and
Substance Use Services Division Director on substance use related issues, The ADAB meets the first
Monday evening of each month at 6:00 p.m.
Cultural Competency Advisory Board
The purpose of the Cultural Competence Advisory Board (CCAB) is to serve as advisors to Behavioral
Health and Recovery Services (BHRS) administrators, managers, and direct service staff. The charge of
the Board is to examine, analyze, and make recommendations about promising and current behavioral
health services and practices that are culturally sensitive, appropriate, and responsive to our diverse
consumer community. Additionally, the Board identifies barriers and challenges within BHRS’ system
that prevents consumers from adequately accessing needed mental health and substance use services.
Barriers may include, but are not limited to, stigma and discrimination, language, and/or lack of cultural
awareness. Lastly, the board shall advocate for the rights of consumers and/or family members, when
needed and appropriate, to ensure that consumers’ civil rights are respected and protected.
Mental Health Services Act Advisory Committee
The Mental Health Services Act (MHSA) Advisory Committee helps oversee the use of MHSA funding in
Marin County and serves as advisors to the MHSA Coordinator, Behavioral Health and Recovery Services
(BHRS) Director, and other BHRS leaders. This advisory committee is comprised of individuals with lived
experience, family members, representatives from education, law enforcement, social services,
veterans’ services, as well as geographic diversity including West Marin, Marin City, and the Canal
Neighborhood of San Rafael. There is a focus on including voices of people with lived experience as well
as those representing underserved populations. The committee helps define goals, assists with
developing the road map for the MHSA Community Program Planning Process, reviews outcomes and
metrics for MHSA programs and assist with monitoring and improvement of evaluation strategies, as
well as helps shape the vision for the future of Behavioral Health Services in Marin County with how to
best utilize the MHSA funding. The committee meets every other month on the third Wednesday
from 1:30-3pm.
The Marin County Suicide Prevention Collaborative
The Marin County Suicide Prevention Collaborative launched in August 2020 in response to the recent
release of the Marin County Suicide Prevention Strategic Plan. The Collaborative is comprised of public
and private agencies and individuals, including community members, behavioral specialists, senior
advocates, health care leaders, crisis interventionists, educators, and many more. The focus of the
Collaborative is to implement this seven-strategy strategic plan, including:
• Establish infrastructure to provide leadership, oversight, and accountability to the Strategic Plan
• Develop a coordinated system of care to promote suicide prevention and wellness
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2020 - 2021
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• Implement public campaigns to raise awareness about warning signs, promote available
resources, and increase help-seeking
• Provide evidence-based training and education to Marin County residents
• Provide outreach, engagement, and support to all residents with targeted efforts to groups
disproportionately affected by suicide
• Foster safe and healthy environments on all school campuses
• Reduce access to lethal means for those at risk of suicide
The Collaborative pursues a comprehensive public health framework addressing prevention,
intervention, and postvention approaches at the individual, community, and institutional levels.
Members of the Collaborative serve on Community Teams focusing on: Training and Education,
Postvention, Data, Schools, and Communication. The Collaborative meets the first Wednesday each
month. To learn more about the Collaborative, please contact: kconnors@marincounty.org
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2020 - 2021
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BHRS Quality Management
Quality Management
The BHRS Quality Management (QM) team under the Division Director of Quality Management, who
reports to the BHRS Director, is responsible for ensuring that BHRS fulfills all state and federal
requirements regarding quality of care, including but not limited to:
• DHCS contract compliance, provider credentialing, site certifications, utilization review and
management, initiating performance improvement projects and monitoring and maintaining the
accessibility and timeliness and quality of clinical care.
• Promoting and supporting the use of quality management principles to improve the quality,
accessibility, and delivery of care provided by BHRS to ensure program compliance with all
Federal, State and Local regulations.
• Monitoring the Mental Health Plan effectiveness by providing oversight and review of clinics,
organizations, and clinicians providing services to BHRS clients.
• Assisting BHRS by providing training and support to users regarding BHRS’ Electronic Health
Record (EHR) systems, ShareCare and Clinician’s Gateway to ensure the accuracy and integrity of
data is maintained and in line with industry standards of care.
• Encouraging continuous monitoring, modification, and enhancement of beneficiary services to
improve the delivery of effective, culturally diverse, timely, appropriate, safe, and accessible
healthcare services throughout BHRS.
The Division Director of QM chairs the Quality Improvement Committee. The Quality Improvement
Coordinator and the QM Unit Supervisor reports to the Division Director of QM and is responsible for
the day to day implementation of the Quality Improvement Plan.
BHRS Information Technology Team
The BHRS Information Technology (IT) Team is responsible for overseeing, enhancing, and assisting in all
efforts related to the BHRS electronic health records (EHR) systems: Clinicians Gateway and ShareCare.
IT staff also assist staff with any technical issues related to the EHRs and data requests.
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2020 - 2021
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BHRS Administrative Services
Centralized administrative and fiscal services are provided by the HHS Division of Administration.
However, some services are specific to the BHRS Division and provided under the leadership of the
Assistant Chief Fiscal Officers, the Division’s Administrative Services Manager, and the Program Division
Directors.
Administrative Services
The Division’s administrative services are provided by the BHRS Administrative Services Manager and
Substance Use Services Division Director. These include supervision of administrative staff in multiple
Division locations; oversight of Division compliance efforts; contract management of community-based
behavioral health prevention, intervention, treatment and recovery support services; training, technical
assistance and program development support for contracted providers; management of all Division-
specific facilities issues including Capital Improvement projects; oversight of BHRS Medical records,
medication clinic locations, and administrative and fiscal management of all County-operated services,
as well as other administrative management functions in the Division.
Substance use related administrative services also include responsibility for ensuring Contractor’s
compliance in accordance with applicable Federal, State and local laws, statutes, rules, regulations,
guidelines and ordinances. Both informal and formal monitoring of contract objectives and use of funds
are performed as well as technical assistance in program planning and implementation and evaluation.
Administrative Services - Contract Providers
All other contracts listed in the following sections are under the joint oversight and responsibility of the
BHRS Division Director(s) and the Behavioral Health and Recovery Services Director.
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2020 - 2021
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Fiscal
BHRS Financial Services are under the direction of the BHRS Assistant Chief Fiscal Officer (Assistant CFO)
in Marin County Health and Human Services (HHS) – who provides overall direction for all fiscal and
related administrative services. The Assistant CFO reports to the Chief Fiscal Officer of HHS.
Fiscal services include:
• Fiscal services, including budget management, negotiation, and analysis to ensure compliance
with State and Federal funding sources;
• Maintenance of systems and procedures to comply with reporting requirements of multiple
funding sources;
• Contract management;
• System-wide data collection management; and
• Accounting operations.
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2020 - 2021
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Disaster Team
One of the mandates of the state of California for each county mental health system is to provide
community mental health services as appropriate to people affected by disasters. The County of Marin
Behavioral Health and Recovery Services has an emergency response capacity with the Disaster
Response Team. The Disaster Assistance Coordinator develops and regularly updates the Disaster
Response Plan in collaboration with other emergency staff from the county and is directly responsible
for the direction and management of the disaster mental health response capability. The Disaster
Assistance Coordinator reports to the BHRS Division Director.
The Disaster Team Coordinator is responsible for ensuring clinicians from both adult and children's
services have been trained to respond to the psychological needs of disaster victims and first
responders. They provide counseling and debriefing to those involved with traumatic and highly
stressful events. The local community often calls on these trained staff to provide counseling for small
groups in the community when a traumatic event or accident has occurred. The team also provides
mutual aid to other counties struggling to respond to large disasters of all kinds.
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2020 - 2021
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Glossary
ACT – Assertive Community Treatment
ADLs – Activities of daily living
AOD – Alcohol and other drug
ASAM – American Society of Addiction Medicine
ASOC – Adult System of Care
BHRS – Behavioral Health and Recovery Services
BRIDGE - Behavioral, Recovery, Integrated, and Dedicated to Growth and Excellence
CAM – Community Action Marin
CCR – Continuous Care Reform
CFT – Child and Family Teams
CPT – California Psychiatric Transitions
CSOC – Children’s System of Care
CSU – Crisis Stabilization Unit
DGH – Davis Guest Home
DMC-ODS – Drug-Medi-Cal
EPSTD – Early & Periodic Screening, Diagnosis & Treatment
FEP – First Episode Psychosis
FSP – Full Service Partnership
ICC – Intensive Care Coordination
IMD – Institution for Mental Disease
IST – Incompetent to Stand Trial
ILS – Independent living skills
IMPACT - Integrated Multi-Service Partnership Assertive Community Treatment Program
LMHP – Licensed Mental Health Professional
LPS - Lanterman-Petris Short
MAIL - Marin Assisted Independent Living
MCRT – Mobile Crisis Response Team
MHRC – Mental Health Rehabilitation Center
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2020 - 2021
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MHSA – Mental Health Services Act
MMHP – Marin Mental Health Plan
PEI – Prevention and Early Intervention
PPP – Positive Parenting Program
QM – Quality Management
RCFE – Residential Care Facility for Elderly
RSS – Residential Support Services
SED – Serious Emotional Disturbance
SMI – Serious Mental Illness
SNF – Skilled Nursing Facility
STAR - Support & Treatment After Release
STP – Specialty Treatment Programs
SUD – Substance use disorders
SUS – Substance use services
TAY – Transition age youth
TBS – Therapeutic Behavioral Services
TOT – Transition Outreach Team
YES – Youth Empowerment Services
YFS – Youth and Family Services
WPC – Whole Person Care