Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Colleen Chawla, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health and Recovery Services
Subject: Agreement with Aspire House for Clubhouse Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Aspire House to provide clubhouse services, for the term of July 1, 2026 through June 30, 2027, in an amount not to exceed $455,064.
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BACKGROUND:
In 2004, California voters passed Proposition 63, known as the Mental Health Services Act (MHSA), which made additional state funds available to expand and transform behavioral health services. Since 2006, this Board has approved MHSA resources and expenditures as part of the larger County Health budget.
In 2023, California voters passed Proposition 1, Behavioral Health Services Act (BHSA), which reformed MHSA, prioritizing evidence-based practices in behavioral health treatment and recovery supports. Consequently, the Centers of Medicare and Medicaid Services approved BH-CONNECT through a new Section 1115 demonstration and a series of new State Plan Amendments expanding Medi-Cal coverage of key evidence-based practices, including Clubhouse Services.
From April 2025 through November 2025, County Health's Behavioral Health and Recovery Services (BHRS) engaged in a comprehensive community planning process to prioritize strategies for the required BHSA Three-Year Integrated Plan for FY 2026-27; the plan includes the prioritization of evidence-based practices inclusive of Clubhouse Services.
DISCUSSION:
Aspire House (Clubhouse) has provided evidence-based practice clubhouse services to BHRS clients since 2015. In FY 2024-25, the program served 146 unduplicated transition-age youth and adults. Members spent a total of 16,313 hours inside the Clubhouse, averaging 112 hours per member. The high engagement level is crucial as increased time fosters stronge...
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