Strategic Initiatives
Learn more about the great work our department is doing, and learn about some of the critical initiatives on our horizon.
Behavioral Health Legislative Policy Updates
Alameda County WIC 5270 Implementation Overview & Training Materials (August 2025)
Strategic Planning
We invite you to learn more about the many critical initiatives and agreements that are impacting Alameda County’s Behavioral Health Department’s strategic planning and systemwide change efforts.
- Full Service Partnership (FSP) Assessment MEMO (July 11, 2025)
- Full Service Partnership (FSP) Assessment Report (July 11, 2025)
- Epic Electronic Health Record (EHR) System Transformation Update (February 6, 2025)
- Mobile Crisis Assessment MEMO (January 31, 2025)
- Mobile Crisis Assessment Report (January 31, 2025)
- Alameda County Behavioral Health Departmental Initiatives Overview – August 2024
- ACBHD Strategic Plan – Final Report (Memo) – June 2024 – Community Stakeholders
- Strategic Plan Overview (ACBHD Strategic Plan Overview (May 13, 2024) – BOS Health Committee
- ACBHD Strategic Plan Video Overview Summary (English)
- ACBHD Strategic Plan – English
- ACBHD Strategic Plan – Arabic
- ACBHD Strategic Plan – Spanish
- ACBHD Strategic Plan – Farsi
- ACBHD Strategic Plan – Korean
- ACBHD Strategic Plan – Tagalog
- ACBHD Strategic Plan – Vietnamese
- ACBHD Strategic Plan – Chinese Simplified
- ACBHD Strategic Plan – Chinese Traditional
- County of Alameda & ACBHD Settlement Agreement – Disability Rights California & United States Department of Justice (Filed January 31, 2024)
- ACBHD Settlement Agreement Initial Report (January 31, 2024 – July 31, 2024) – August 2024
- ACBHD Settlement Agreement Second Report (August 1, 2024 – March 31, 2025) – May 2025
- ACBHD Settlement Agreement Third Report (Final) (April 1, 2025 – August 31, 2025) – October 2025
- ACBHD Settlement Agreement Fourth Report (Final) (October 1, 2025 – March 31, 2026) – April 2026
- Combined Managed Care Plan (MCP) and Mental Health Plan (MHP) And Drug Medi-Cal Organized Delivery System (DMC-ODS) Memorandum Of Understanding Between Alameda Alliance For Health And Alameda County Behavioral Health Department – AAH Meeting Dates: Wednesdays, 1/2/26, 3/25/26, 5/27/26, 7/22/26, 9/23/26, 11/25/26 from 1:30pm to 3pm
- Memorandum of Understanding Kaiser Foundation Health Plan, Inc. and Alameda County Behavioral Health Department – KP meeting Dates: Wednesdays 1/28/26, 4/22/26, 7/22/26,10/28/26 from 12:30pm to 1:30pm
Expanded Designation of Professionals for LPS Holds
Alameda County has expanded its designation of professionals for the placement and lifting of Lanterman-Petris-Short (LPS) holds (5150/5585). In the face of an infectious disease pandemic, it became essential that we reduce the time that clients facing mental health emergencies spent in community emergency departments. Therefore, we expanded our training and designation (using an emergency delegation granted by our Board of Supervisors) to include trained professional staff in these emergency departments (Alta Bates Summit Medical Center, Eden Medical Center, Stanford Valley Care Medical Center) with the goal of speeding transit to an appropriate receiving facility. As 2020 has brought an increased focus on the role of law enforcement in response to behavioral health crises, this expanded designation served a dual purpose in that it also reduced the frequency with which police would be called solely for the placement of LPS holds.
Forensic Services Redesign Effort
There have been significant changes to the way in which department delivers services to forensically involved individuals.
These changes are driven primarily by an intentional focus on health equity, quality, outcome driven metrics, and on how we support individuals and families who interact with the legal or forensic system across the life span. In order to address these needs, a new system of care was developed by the department: Forensic, Diversion, and Re-entry System of Care.
This system of care includes all of ACBHD’s forensic programs across the age spectrum, and serves individuals who are living in the community, who are currently navigating the legal system, or those who are currently incarcerated as an adult or youth. ACBHD believes that having a single consolidated system of care will prompt better care coordination, help to interrupt the cycle of repeated forensic involvement, and help to focus our supports on prevention and early intervention.
To better understand our efforts, please review the original ACBHD/ HCSA Plan entitled, “A Systems Approach & Plan to Reduce Forensic involvement with Behavioral Health Clients” and the most recent departmental update: Alameda County Behavioral Health Services & Forensic System Redesign Plan Update.
For more information about our newest system of care, please visit our Forensic Services page.