San Mateo County Health, Behavioral Health and Recovery Services (BHRS) is seeking proposals from qualified firms to provide Sobering Center Services. The Sobering Center will provide a safe, voluntary, low-barrier, trauma-informed, harm-reduction-oriented, less-than-24-hour setting where adults experiencing acute alcohol and/or drug intoxication can recover safely, be monitored for emergent medical or behavioral health needs, and be connected to substance use, mental health, medical, housing, and other stabilizing services. The selected Proposer will be expected to operate the County-owned facility, employ and supervise staff, establish and maintain referral pathways, develop partnerships with law enforcement, emergency departments (ED), Emergency Medical Services (EMS), outreach teams, shelters, County programs, and Medi-Cal Managed Care Plan (MCP(s)), and independently pursue and maintain third-party funding agreements.
• The Sobering Center will provide 24/7 access and admissions, triage, screening, and intake, observation and monitoring, short-term stabilization and support, basic comfort and hygiene supports, brief engagement and harm reduction, overdose prevention and response, referral and linkage to care, discharge planning and warm handoffs, transportation support, and care coordination and follow-up.
• The Proposer must demonstrate experience operating low-barrier sobering, crisis, SUD, behavioral health, or public safety diversion services for adults with acute intoxication and complex behavioral health, medical, housing, and justice-system needs.
• The Proposer must provide a staffing model that ensures safe, consistent, high-quality services during all hours of operation, including evening, overnight, weekend, and holiday shifts.
• The Proposer must maintain an electronic health record (EHR) system and comply with County data requirements and any applicable MCP, EMS, DHCS, or accreditation reporting requirements.