Adult mental health services

Adult mental health services are provided through Marin County Behavioral Health and Recovery Services and include multidisciplinary, community-based, and integrated care options designed to support adults with moderate to severe mental illness with who are on Medi-Cal or uninsured, including people with co-occurring substance use conditions.

These services include case management, psychotherapy, peer support, psychiatric services, and medication support. Specific programs are listed below.

If you are not sure whether you meet the criteria for services, contact the Access Line for help figuring it out - 888-818-1115.

This service is for:

• Adults age 18 and older with who are on Medi-Cal or are low-income with moderate to severe mental illness and/or co-occurring conditions such as substance use

About adult mental health services

Adult Mental Health Services includes seven clinical multidisciplinary teams comprised of behavioral health professionals, paraprofessionals, and peers who provide integrated care to meet the needs of clients. A network of contracted services is also available. Services are available in English, Spanish, and Vietnamese and other languages can be offered through translation and interpreting services. Services are located throughout Marin County at multiple locations.

Services can be accessed through the BHRS Access Line at 888-818-1115.

Adult programs

Adult Outpatient programs are organized into 3 distinct levels of care - BRIDGE Teams, Intensive Case Management (ICM) Teams, and Assertive Community Treatment/Forensic Community Treatment.

• BRIDGE — The Bridge (Behavioral, Recovery, Integrated, and Dedicated to Growth and Excellence Program) team provide the lowest level of care in the Adult System of Care, primarily in an outpatient clinic setting in two locations - the Marin Health and Wellness Campus (Kerner) and on the grounds of Marin Health (Bon Air). Services may be provided in the clinic setting and also field based.

Intensive Case Management (ICM) teams

ICM teams (formerly known as Full Service Partnership (FSP) teams) represent a higher level of care from Bridge and clients present with more intensive functional impairments that impact their daily lives. ICM teams employ a 'whatever it takes' wraparound approach to provide services to individuals with serious mental illness based on each individual's specific needs. The goals of ICM teams are to reduce hospitalizations, reduce homelessness, and reduce incarceration. Services are primarily field-based.

Each ICM team has a population or geographic area of focus described below.

• HOPE — The Helping Older People Excel (HOPE) Team works with individuals 60 and older with serious mental illness.
• Odyssey — The Odyssey Team works with individuals with serious mental illness who live in San Rafael, Terra Linda, Novato, and West Marin.
• STAR — The Support and Treatment and Recovery (STAR) team works with individuals with serious mental illness who live in Central San Rafael, Central Marin, San Geronimo Valley, and Southern Marin. In addition, STAR team works with individuals are referred by the District Attorney's Office for STAR Court. STAR Court clients are individuals with criminal justice system involvement related to mental health challenges.

Assertive Community Treatment/Forensic Community Treatment (ACT/FACT)

ACT/FACT is designed for BHRS' highest need clients who frequently experience mental health crises, inpatient hospitalization, jail and other high intensity services. ACT/FACT is an Evidence-Based Practice that BHRS has implemented as part of Behavioral Health Services Act Reform. Forensic Assertive Community Treatment is meant to serve clients who have criminal justice involvement as related to their mental health symptoms. This level of care is served by one team, and clients are jointly served by the team whether they are considered forensic or not. This multidisciplinary team is comprised of behavioral health professionals, paraprofessionals, peers and psychiatric nurse practitioners and psychiatrist to provide in person services multiple times per week. ACT/FACT serves clients with Severe Mental Illnesses and severe functional impairments throughout Marin County.

Residential Services Team

• Residential services team — Residential services works with individuals who are considered 'gravely disabled' under California’s Lanterman–Petris–Short (LPS) Act and are in conservatorship. Staff work with clients who are in residential placement such as Institute for Mental Disease (IMD), enhanced board and cares and other similar placements throughout California. One of the goals of this team is to transition clients to least restrictive environments, partnering with our ASOC teams to "step-down" to community settings to return to outpatient care. In addition, this team has a hospital liasion who works with hospitals and coordinates care for Medi-Cal clients in inpatient hospitals throughout the region.

Senior Peer Counseling

• Senior Peer Counseling — BHRS Adult Services also includes Senior Peer Counseling for individuals over the age of 60 who are experiencing emotional distress and can benefit from additional support in their lives. Individuals do not have to be a current BHRS client to access Senior Peer Counseling.

Behavioral health contact numbers

• 988 Suicide & Crisis Lifeline
• 888-818-1115 Access Line
• 415-473-6666 Crisis Stabilization Unit
• 415-473-6392 Mobile Crisis Response Team
• 855-845-7415 Peer Warmline