Applicant: San Mateo, County of Grant: HRSA FY2024 Behavioral Health Service Expansion (HRSA-24-078) Address: 222 W. 39th Ave, San Mateo, CA 94493- 4364 Website: www.smcgov.org Health Center Program Grant Number: H80CS00051 Project Title: Expanding Behavioral Health Access and Treatment (Project EBHAAT) Project Director: Jim Beaumont Phone: 650-573-2459 Email: jbeaumont@smcgov.org Congressional District: CA-014 The Health Care for Homeless/Farmworker Health (HCH/FH) Program has delivered comprehensive health services to homeless people residing in San Mateo County since 1990 and to farmworkers and their dependents since 2010. Housed within San Mateo Medical Center (SMMC), the public hospital and clinic system for San Mateo County, HCH/FH leverages the primary care, dental care, behavioral health, and enabling services provided by SMMC and San Mateo County Health (SMCH) in 18 fixed delivery sites, 2 mobile sites, and 1 administrative site. HCH/FH has a target population of an estimated 6,688 people who are experiencing homelessness and the 1,500 migratory and seasonal farmworkers employed in farming operations and their families in San Mateo County. The HCH/FH service area includes all of San Mateo County (31 ZCTAs located between San Francisco and Santa Clara counties) and is widely known as one of the most expensive places to live in the world, leaving farmworkers and the homeless as outlier groups at a significant financial disadvantage. In calendar year 2023, HCH/FH served 4,679 unique patients. Sixty percent of HCH/FH patients are of Hispanic/Latino ethnicity, with 49% of HCH/FH’s patient population preferring to receive healthcare services in a language other than English, primarily Spanish. HCH/FH seeks BHSE project funding to increase access to essential behavior health services and to provide comprehensive care that expands both mental health and substance use disorder (SUD) services with treatment and recovery support designed to ad
dress the complex behavioral health needs of San Mateo County. Goal: By August 31, 2026, the Project EHBAAT will increase the number of unduplicated patients receiving mental health services and SUD services by 50% through four key focus areas objectives a) increasing access to affordable health care with innovative and collaborative community partnerships, b) quality, patient care, safety, and integrated work services, c) expanding the behavioral health workforce in San Mateo County, and d) enhancing the patient experience to offer culturally responsive, patient centered care that supports equitable access in HCH/FH focus populations of migrant farmworkers and those residents experiencing homelessness. Objectives: a) Increasing Access to Care: Establish collaborative community partnerships with local organizations and healthcare providers to offer a collaborative care model that addresses the unique cultural and linguistic needs of the populations of focus. b) Quality, Patient Care, Safety, and Integrated Work Services: Integrating evidence-based practices into collaborative services that utilize CLAS standards with accompanying evaluation metrics and patient feedback mechanisms. c) Workforce Recruitment, Retention, Development, and Engagement: Recruiting 3.5 FTEs (LMFT, SUDPs and/or other Licensed Professionals, Promotoras, Peer Support Specialists, etc.) with a priority placed on hiring bilingual//bicultural staff and those with lived experience. d) Enhancing the patient experience: Develop cultural competence training that entrusts project staff to develop integral relationships that educate and empower patients to navigate the healthcare system, breaking down cultural stigmas associated with the population focus groups.