Mental Health

SF Mental Health Clients’ Rights Advocates (SFMHCRA) is the state-mandated Patients Rights Advocacy office for the City and County of SF. 415-552-8100 or 800-729-7727. https://sfmhcra.org/

Access Institute 415-861-5449 https://www.accessinst.org/ offers low and no-fee psychological services to those who want and need psychological support, but aren’t able to access it for any number of reasons including: income, cultural barriers, stigma around mental health, and lack of mobility.

Access Institute Elder Mental Health Program https://www.accessinst.org/elder-program.html

partnerships with Bayview Hunters Point Adult Day Health Center and Dr. George W. Davis Senior Center.

ANAD Helpline (Anorexia Nervosa and Associated Disorders): 1-888-375-7767

https://anad.org/get-help/eating-disorders-helpline/

Bayview Hunters Point Foundation Outpatient Mental Health, 5815 Third St. 94124, 415-822-7500. https://bayviewci.org/mental-health-services/

CalHOPE Connect https://calhopeconnect.org/

CalHOPE Warm Line: (833) 317-HOPE (4673) connects callers to other people who have persevered through struggles with stress, anxiety, depression—emotions triggered by circumstances and events in everyday life. The peer counselors listen with compassion, provide non-judgmental support and guide you to additional resources that can give hope and help them cope.

https://www.calhope.org/pages/current-services.aspx

Crisis & Trauma Resource Institute https://ctrinstitute.com/resources/

*Disaster Distress Helpline (DDH)(National) 1-800-985-5990

https://www.samhsa.gov/find-help/disaster-distress-helpline

*Dore Urgent Care Clinic, 52 Dore St. 94103, 415-553-3100 https://www.progressfoundation.org/programs/

*Drug Line 415-362-3400 & Relapse Line 415-834-1144 provide referrals to specialized treatment programs, crisis intervention, information on addictions and recovery, and emotional support along the recovery journey. https://www.sfsuicide.org/hotlines/

Filipino Mental Health Initiative - SF Resource Guides https://www.fmhi-sf.org/resource-guides.html

*Friendship Line 888-670-1360 https://www.ioaging.org/services/friendship-line

Golden Gate Integral Counseling Center 507 Polk St #450, 94102. 415-561-0230.

https://www.ciis.edu/ciis-in-the-world/counseling-clinics/golden-gate-integral-counseling-center

Healing Clinic Collective Resources

https://www.healingcliniccollective.net/practitioner--volunteer-resources.html

HealthRight 360 Mental Health Adult Outpatient at Walden House 415-738-7305; 90-day treatment plans for people who struggle with substance use disorders, mental health issues or co-occurring disorders. https://www.healthright360.org/program/adult-outpatient-services/

Integrated Care Center (incl. geriatric health care), 1563 Mission St. 2nd & 5th Flr, 94103, 800-200-7181 https://www.healthright360.org/program/integrated-care-center-2/

*HIV Nightline Crisis Line 415-434-2437 or Nationwide 800-628-9240 https://www.sfsuicide.org/hotlines/

Hyde Street Community Services - Tenderloin Clinic, 815 Hyde St. 94109, 415-673-5700 https://www.hscssf.org/

LGBT National Hotline 1-888-843-4564 https://lgbthotline.org/national-hotline/

LGBTQ+ Digital Mental Health Program provides no-cost, technology training and short-term online individual and group counseling with professional and compassionate mental health providers. Pilot program eligibility: member of LGBTQ+ community, age 60+ or 18+ living with a disability, mild-moderate mental health diagnoses and/or symptoms (low acuity, non-crisis), not currently engaged in ongoing psychotherapy (unless desire for group counseling only), able to engage fully in telehealth services and communicate via email and phone during enrollment process. Max. 24 weeks (12 wks individual counseling + 12 wks group counseling, or 24 wks group). Contact Erik, lgbtqprogram@curryseniorcenter.org,

https://curryseniorcenter.org/lgbtq-digital-mental-health-program/

Mental Health Association for Chinese Communities (MHA-CC) Warm Line 800-881-8502 https://www.mhacc-usa.org/

*Mental Health Association SF Triage Warm Line (Peer-run, non-emergency) 855-845-7415 https://www.mentalhealthsf.org/peer-run-warmline/

NAMI Help Line 1-800-950-NAMI (6264) https://www.nami.org/help

NAMI SF 415-905-6264 https://www.namisf.org/resources

Finding a missing person | NAMISF

Navigating-A-Mental-Health-Crisis (nami.org)

*Never Use Alone Hotline 877-696-1996 https://neverusealone.com/resources/

Openhouse Mental Health Program is a no-cost, short-term program provided to low-income clients by LCSW or pre-licensed providers that can be effectively addressed in 10 weeks of therapy and is not best suited for individuals experiencing an acute state of crisis. Clinicians use person-centered, trauma-informed care and relational frameworks. Approach varies by clinician and the individual needs of LGBTQ+ elders.

Contact Aiden Goodwin, LCSW, 415-728-0193. agoodwin@openhousesf.org

https://www.openhousesf.org/support-services

Progress Foundation Senior Programs https://www.progressfoundation.org/programs/

Rypins House (6-bed transitional residential treatment, Mission District)

Carroll House (6-bed residential treatment in Bernal Heights)

Rypins House Day Treatment

https://www.sfpublicpress.org/after-the-crisis-unique-program-helps-older-adults-grappling-with-both-addiction-and-mental-illness/

RAMS Older Adult Outpatient Clinic 415-668-5955, Ext. 327

https://ramsinc.org/programs/clinical-counseling-services/adult-outpatient-services/

*SAMHSA National Helpline 1-800-662-HELP (4357) aka Treatment Referral Routing Service

https://www.samhsa.gov/find-help/national-helpline

*SFDPH Behavioral Health Access Line 415-255-3737 or 888-246-3333

SFDPH Behavioral Health Access Center (BHAC) & Treatment Access Program (TAP), 1380 Howard St. 94103, 415-503-4761

https://www.sfdph.org/dph/comupg/oservices/mentalHlth/CBHS/default.asp

https://www.dhcs.ca.gov/Documents/DHCS-8765-A.pdf

SFDPH Chinatown North Beach Mental Health, 729 Filbert St., 94133, 415-352-2000

SFDPH Mission Mental Health, 2712 Mission St., 94110, 415-401-2700

SFDPH Southeast Mission Geriatric, 3905 Mission St. 94112, 415-337-2400

SFDPH South of Market Mental Health, 760 Harrison St., 94107, 415-836-1700

SFDPH Sunset Mental Health, 1990-41st Ave., 94116, 415-753-7400

SFDPH Sunset Mental Health Team II, 1351-24th St., 94122, 415-255-3400

SFDPH Central City Older Adults (CCOA), 1563 Mission St. 94103, 628-217-5200. Serve age 60+ in Tenderloin and South of Market neighborhood districts. CCOA staff provide crisis intervention, psychosocial assessment, psychiatric evaluation including medication support, individual and group therapy, collateral, and case management services, using a recovery and strength-based approach to improve mental and overall health. Closed 2024.

*SFDPH Comprehensive Crisis Services (formerly Mobile Crisis) for outreach and home visits during mental crisis for adults age 18+. Call 415-970-3800. https://www.sf.gov/information/mental-health-and-substance-use-resources

*SFGH Psychiatric Emergency Services (PES), 1001 Potrero Ave. 94110, 628-206-8125 https://zuckerbergsanfranciscogeneral.org/location/psychiatric-emergency-services-pes/

*Suicide & Crisis Lifeline 988 (National) https://988lifeline.org/

July 2022 changed from 1-800-273-TALK (8255)

Social media posts warn not to call 988. What you need to know : Shots - Health News : NPR

How The 5 Steps Can Help Someone Who is Suicidal - #BeThe1To

6 Questions Help Save a Life https://cssrs.columbia.edu/wp-content/uploads/Community-Card-2women-2018c.pdf

mysafetyplan.org

Know the Signs Suicide kts_adaptation_chinese_report_final.pdf (weebly.com)

Help Articles | Befrienders Worldwide Support

Older Adults and Suicide: What You Can Do to Help | Psychology Today

Suicide Prevention Month: A Resource Guide « Mental Health First Aid

Suicide is Preventable: How to Help with Mental Health First Aid

*Suicide Prevention Hotline (peer support, suicide assessment) 415-781-0500; Text 415-200-2920 https://www.sfsuicide.org/

UCSF Alliance Health Project, 1930 Market St. 94102, 415-476-3902 https://alliancehealthproject.ucsf.edu/behavioral-health-services

UCSF Trauma Recovery Center (TRC), 2727 Mariposa St., Ste 100, 94110, 415-437-3000

https://traumarecoverycenter.org

USF Center for Community Counseling and Wellness

https://www.usfca.edu/education/research-impact/center-community-counseling-wellness

provides free to low-cost mental health services to clients age 18+ who live or work in San Francisco. As part of Marriage and Family Counseling Psychology Masters clinical program, clients will be matched with a trained and supervised student clinician for short-term (12 week) mental health services, in-person or virtual only. Student therapist will reach out directly to client to set up intake and services. Eligibility: age 18+, SF resident, English language. No proof of income or insurance required. Refer to: usfcommunityclinic@usfca.edu Provide: Client’s name, phone, email address, reason for seeking therapy; Referral source’s name, phone, email address.

Veterans Crisis Line 988 #1 https://www.veteranscrisisline.net/

Westside Community Crisis, 245 – 11th St., 94103 (drop-in), 415-355-0311

https://westside-health.org/programs/crisis-clinic

Psych evaluation

Sutter Health Behavioral Health Outpatient 415-600-5959

https://www.sutterhealth.org/city/san-francisco/services/behavioral-health/behavioral-health-outpatient

UCSF Psychiatry Clinic 415-476-7000 https://www.ucsfhealth.org/clinics/psychiatry-clinic

https://sf.gov/information/mental-health-and-substance-use-resources

https://www.sfdph.org/dph/comupg/oservices/mentalHlth/CBHS/

SF DPH Behavioral Health Services

Mental Health SF https://www.sf.gov/information/mental-health-sf

Medical necessity determines if can access specialty services & if Medi-Cal will pay for service

For specialty MH services if 1) covered dx, 2) at least one specified impairment, 3) focus of proposed intervention is to address identified impairment(s)
For substance use services if 1) at least one DSM for substance-related & addictive disorders (except for tobacco-related), 2) meet ASAM criteria definition of medical necessity for services

Prevention, Early Intervention & Outreach

MH: early psychosis programs https://felton.org/early-psychosis/san-francisco/, stigma campaigns, assessments, I&R (hotlines & warm lines) -> MH Access (BHAC)
SU: Prevention HIV/OD; integrated buprenorphine intervention, opioid tx; MAT, alcohol tx meds; w/drawal mgmt (residential programs, new inpatient benefit) -> Treatment Access Program (BHAC)

Outpatient/ICM

MH: individual tx, groups therapy, medication support, FSP, AOT, social rehab, vocational services, dual dx, respite, peer-to-peer
SU: counseling & groups

Residential https://www.sf.gov/residential-care-and-treatment; find bed https://www.findtreatment-sf.org/

MH: acute diversion units, crisis residential tx, transitional residential programs, assisted independent living programs
SU: residential step-down (temp living environ for people who completed residential tx); recovery services

Crisis Programs: mobile crisis, crisis stabilization units (<24 hrs), inpatient hospitalization, urgent care

Hospitalization & Involuntary Treatment

Locked Facilities/long-term care: Institutes of Mental Disease (Langley Porter Psychiatric Institute https://psych.ucsf.edu/lpph; SF Healing Center MHRC https://crestwoodbehavioralhealth.com/location/san-francisco/; SF MHRC/Hummingbird Peer Respite), state hospitals

SUD low threshold services

Medical Respite & Sobering Center (intoxicated by alcohol)

SoMa RISE (intoxicated from stimulants/opiods)

Dore St Urgent Care Clinic (clinical interventions for escalating psychiatric crisis)

Hummingbird Place (short-term overnight model for stabilization, provides linkages)

SUD withdrawal mgmt - inpatient/residential programs

Friendship House (American Indian)

Ferguson Place (HIV/AIDS, MH/SUD)

Harbor Light STARR (Salvation Army) (6-to-12 mo. social model residential tx)

HealthRight360

Minna Project (justice-involved adults hx MH/SUD)

Father Alfred (free, year-long, residential recovery program for men, no income/resources; abstinence-based, work-structured)

Delancy St Foundation (no charge drug & alcohol-free abstinence-based program run by residents; emphasis develop vocational skills; min. stay 2 yrs, avg stay 4 yrs)

Positive Direction TRP Academy (justice-involved adult men, peer-led, abstinence-based, transitional housing)

Adult & Teen Challenges (faith-based)

Assisted Outpatient Treatment (AOT) for individuals with known mental illness, who are not engaged in care, and are on a downward spiral. Call (415) 255-3936, or (844) 255-4097. AOT-SF@sfdph.org https://www.sfdph.org/dph/comupg/oservices/mentalHlth/AOT/default.asp

Community Assistance, Recovery, and Empowerment (CARE) Court (SB 1338) to help people who have schizophrenia spectrum or other psychotic disorder diagnosis receive care through county behavioral health services. Contact DPH CARE Court Team 628-217-5171. carecourtconsultation@sfdph.org

https://www.sf.gov/information/care-court

CARE Court | San Francisco (sf.gov)

filing petitions start 10/02/2023 https://www.sf.gov/care-court

CARE Act Court | Superior Court of California | County of San Francisco

Self-Help CARE | Superior Court of California | County of San Francisco

https://www.dhcs.ca.gov/Pages/CARE-ACT.aspx

Microsoft PowerPoint - ALRP Conservatorship

https://justiceinaging.org/understanding-the-basics-of-conservatorship-law-in-california/

**Alternatives to Conservatorship for Decision Making in California**

https://justiceinaging.org/using-advance-planning-to-avoid-unnecessary-conservatorships/

Health care decision: Advance Health Care Directive / POA - see EOL

Financial decisions: Direct deposit; Automatic payment for bills

Representative Payee (Social Security) - see Money Management
Financial POA
Appointing Trustee in Living Trust

Supported Decision-Making Agreements (SDM) https://codes.findlaw.com/ca/welfare-and-institutions-code/wic-sect-21001/

LPS Conservatorship expansion under SB 43 (effective 1/01/2024) for purposes of placing a person on involuntary psychiatric hold or conservatorship, expand definition of “gravely disabled” to include individuals with a severe SUD (or co-occurring MH disorder + SUD) and individuals who, due to MH/SUD, are unable to provide for their personal safety or necessary medical care.

https://sf.courts.ca.gov/divisions/probate-court/mental-health-conservatorship

if MD/psychologist: Contact Public Conservator at 415-355-3555 or SFPC@sfgov.org
if partner agency or public: Contact DAS Hub intake at 415-355-6700

https://www.sf.gov/reports/october-2023/executive-directive-23-02-lps-conservatorships

https://www.sfhsa.org/sites/default/files/media/document/2024-06/flyer_sb43_6.3.24.pdf

client info: name, DOB, language, where to locate, SF resident, referent contact w/clt in last 60 days

referent info: name, contact info.

LPS grave disability criteria: due to MHD &/or severe SUD, clt unable to provide for their basic personal needs for food/clothing/shelter, &/or personal safety, &/or necessary medical care *describe observed bx

Involuntary psychiatric detention under Lanterman-Petris-Short (LPS) Act of 1967:

72-hr hold (5150) due to mental health disorder , dang er to self/others, gravely disabled (unable to provide for personal needs/food, clothing, shelter)

https://codes.findlaw.com/ca/welfare-and-institutions-code/wic-sect-5150/

https://codes.findlaw.com/ca/welfare-and-institutions-code/wic-sect-5008/

https://www.sfdph.org/dph/files/CBHSdocs/Involuntary_Detention_Manual_April2020.pdf

14-day hold (5250) extends 72-hour hold if patient still requires treatment https://codes.findlaw.com/ca/welfare-and-institutions-code/wic-sect-5250/
30-day Temporary Conservatorship (T-Con) for patients who remain gravely disabled + require additional tx after initiation of 5150 + 5250; placed by Psychiatry; not allow for involuntary administration of psychotropic medications, except in urgent situations; Riese hearings (judge determines if patient is able to provide informed consent to refuse psychiatric medications)
LPS Conservatorship: conservator is appointed, via court process, to make decisions in best interest of mentally ill adult--consent to MH tx, placement in facility, financial decisions (e.g. paying bills, collecting income).
- most common dx for LPS conservatorship: schizophrenia, bipolar disorder, schizoaffective disorder, clinical depression, and obsessive-compulsive disorder.
- LPS conservatorship not apply to patients with organic brain disorders, brain trauma, addiction, developmental delay, or dementia unless there is also a concurrent DSM psychiatric disorder.

9-1-1 is for police, fire, medical, and mental health emergencies including: Crime; Fire; Overdoses; Medical emergencies; Mental health/substance use crises.

3-1-1 is for non-emergencies, City services, and information including: Support for unhoused people; Mobility and access issues; Encampments; Street or sidewalk cleaning; Food security programs; Trash can overrun and debris pick-up; Syringes and hazardous waste.

Coordinated Street Response Program, specialized teams trained in trauma informed care, cultural competency, and de-escalation can be deployed as alternative to law enforcement.

Street Crisis Response Team (SCRT) 24/7 rapid, trauma-informed emergency care to people in acute crisis. https://sf.gov/street-crisis-response-team
Bridge and Engagement Services Team (BEST) Neighborhoods provide rapid, trauma-informed behavioral health assessment, engagement, and community-based therapeutic interventions.
Street Overdose Response Team/Post Overdose Engagement Team (SORT/POET) connects with people in the critical moments after they have experienced an overdose. https://sf.gov/street-overdose-response-team
Homeless Engagement Assistance Response Team (HEART) provides rapid, compassionate, and structured responses to non-medical, non-emergency involving people experiencing homelessness.

https://sf.gov/news/san-francisco-launches-education-campaign-inform-public-how-help-people-crisis

www.sf.gov/okaytocall

Adult autism https://www.msn.com/en-us/health/other/the-character-traits-that-might-mean-you-are-autistic-and-how-to-get-a-diagnosis/ar-AA1zdLMi

Autism & ADHD diagnosis https://www.msn.com/en-us/health/other/we-need-to-stop-diagnosing-each-other-with-autism-and-adhd/ar-AA1BAVoJ

American Association for Geriatric Psychiatry https://www.aagponline.org/families-caregivers/

American Institute of Stress https://www.stress.org/

American Psychological Association https://www.apa.org/

American Psychiatric Association https://www.psychiatry.org/

CDC Mental health & aging https://www.cdc.gov/aging/olderadultsandhealthyaging/mental-health-and-aging.html

Center for Mental Health & Aging https://www.mentalhealthandaging.com/blog-podcast/

CMHA-clinician's guide to working with older adults-March 2023 (1).pdf (convertkitcdnn2.com)

DSM-5 https://archive.org/details/APA-DSM-5/page/437/mode/2up

Engage, Educate, and Empower for Equity: E4 Center of Excellence for Behavioral Health Disparities in Aging

https://e4center.org/resources/

National Coalition on Mental Health & Aging https://www.ncmha.org/

NIA Mental & emotional health https://www.nia.nih.gov/health/mental-and-emotional-health

NIH Older adults & mental health https://www.nimh.nih.gov/health/topics/older-adults-and-mental-health

SAMHSA resources for older adults https://e4center.org/resources/

WHO mental health of older adults https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults

Articles (brucelevine.net)

Fireweed Collective Crisis Toolkit https://fireweedcollective.org/crisis-toolkit/

Mad in America https://www.madinamerica.com/

Project LETS (Let's Erase The Stigma) resources https://projectlets.org/about

Steinberg Institute resources https://steinberginstitute.org/mental-health-resources/

California Nursing Homes Are Becoming ‘De Facto Mental Health Centers’ | LAist

Old Made in SF

Mental Health

California's mental health system, explained - CalMatters

Human-Centered Care Resources - Elizabeth Morrison Consulting (emorrisonconsulting.com)

Mental Health First Aid

National Council for Mental Well-Being Find Our Members in Your Area (thenationalcouncil.org)

Which Mental Health Professionals Work With Older Adults? - Center for Mental Health and Aging

Find a Geriatric Mental Health Care Provider in Your Area (mentalhealthandaging.com)

Want to start therapy? Here's how to find a therapist that's a good fit for you : Shots - Health News : NPR