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Santa Cruz County Health Services Agency
Mental Health and
Substance Abuse Services

-- Coordinated Care Teams and Specialized Services --


Coordinated Care Treatment Teams

Coordinated Care Services are provided by Santa Cruz County Mental Health to individuals with a serious and persistent major mental illness (such as schizophrenia and bipolar disorder) at the direction of an Access Team Care Coordinator. The staff is organized into teams in order to better coordinate care and meet the complex needs of persons receiving services.

All teams have an on-duty, on-call officer, 24-hours a day, 7 days a week. Access to the North County teams occurs via referrals from the Access Team but may also be upon referral from the Dominican Hospital Behavioral Health Unit or Partial Hospital.

The teams provide 24-hour, on-call services, 7 days per week in addition to regular weekday services of medication, rehabilitation, therapy, and case management.

Specialized County Mental Health Services

  • Jail Mental Health Services are provided only at the Jail on Water Street, which is a maximum-security facility. Services are available 8 hours a day, seven days a week. An assigned psychiatrist is available Monday-Friday for medication services. There is a 24-hour, on-call capacity for psychiatric coverage. Santa Cruz County is one of the few counties in the State to have on staff a Probation Officer who works for the Department of Mental Health. This person works in conjunction with the other mental health staff to monitor post-adjudicated clients in the community. For more information contact?
  • Maintaining Ongoing Stability through Treatment (MOST) is a pilot project specialty team funded by a grant from the California Bureau of Corrections. The participants all have major mental illnesses and have had at least two arrests for crimes, other than traffic violations, in the last three years. This is an experimental/test project and clients are randomly selected and cannot request to be on this team. The MOST team will be available to serve clients seven days, 24-hours a day by pager. 
    For more information about the MOST team call 454-5150.
  • The Downtown Outreach Program provides outreach, evaluation, and linkage to health agencies and other organizations for homeless individuals who gather in downtown Santa Cruz. The goal is to improve the quality of life and reduce the potential need for inpatient psychiatric treatment or involvement in the criminal justice system. The Outreach Worker identifies the service needs of at-risk individuals by direct client contact and interfacing with law enforcement and the business community. The population served includes the following high-risk categories: individuals who are mentally disabled, suffering from chronic alcohol and other substance abuse, older adults, families with children and adolescent youth. When appropriate, the Outreach Worker may consult with the Access Team for a referral to a multi-disciplinary care coordinated team.
  • The Public Guardian is under the direction of the County's Human Resource Agency and works collaboratively with mental health to act as LPS Conservator for Santa Cruz County residents. This office may also act as Representative Payee for an individual whose physician or psychiatrist determines he/she is unable to manage their Social Security, SSI and/or Veteran's Administration income. The Public Guardian may be appointed Probate Conservator by the court for individuals who do not meet the criteria for LPS conservator ship when there is no one else qualified to act as conservator.

Services Provided by County Staff and Contract Partnerships

  • Community Support Services provides a special emphasis on the dual diagnosed population and clients living in supported housing. They provide crisis, rehabilitation, case management services, and are also on-call after hours, weekends and holidays. The program is located at 290 Pioneer Street in Santa Cruz and can be reached at (831) 459-0444.
  • County Mental Health Crisis Team and the Dominican Psychiatric Emergency Services Team (PES) provide crisis services in a partnership based at the hospitals Behavioral Health Unit. Together they provide services 24-hours per day, 7 days per week. The Mental Health Crisis Team in coordination with the PES staff provides evaluation and emergency interventions for individuals presenting at Dominican Hospital. Medical consultation and crisis stabilization services are also available for both voluntary and involuntary clients. Administrative staff and County psychiatrists are on-call after hours, weekends, and can be reached via Dominican Behavioral Health Unit crisis staff.

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     Phone: 831 454 4000 Fax: 831 454 4770 Hearing Impaired TDD: 831 454 2123
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