People experiencing homelessness, mental illness and substance abuse disorders are among the most vulnerable residents in our region. Older adults and children often need care they are unable to provide themselves. The County works hard to help make a difference in their lives.

This past year, the County and the Tri-City Healthcare District agreed to build a 16-bed psychiatric health facility in Oceanside. The County will invest up to $17.4 million for construction. Tri-City will repay half of the County’s investment by providing the land and critical behavioral health services. The new psychiatric health facility is planned to open in fiscal year 2022-23, expanding services for the North County.

A new behavioral health hub is planned for County-owned property in Hillcrest. The County will partner with University of California San Diego Health to operate the hub and provide interim services at San Diego County Psychiatric Hospital. Once operational, the hub will provide crisis stabilization, inpatient, residential, rehabilitation, intensive outpatient, care coordination and other services.

These two facilities are expected to reduce the number of emergency department visits and inpatient bed stays attributed to psychiatric crises, and reduce jail stays and homelessness.


Homelessness in the unincorporated areas is rising. Recent encampments at Lamar Park, Spring Valley Park and other outlying areas are reminders that homelessness is a regional crisis. 

The County expanded its hotel/motel voucher program to serve an additional 100 people. The County will also be looking for properties to lease, license or purchase for safe and temporary emergency relocation options or a shelter where health services could also be provided.

The Health and Human Services Agency also received nearly $10 million in Homeless Housing, Assistance and Prevention (HHAP) State grant funds to address homelessness in the region. The County uses an integrated approach to improve the health and housing options of people experiencing homelessness and who have severe physical or behavioral health issues.


The County also unveiled an Aging Roadmap to ensure older adults can age safely in our communities. By 2025, there will be more than 1 million San Diegans over the age of 55. The roadmap focuses on 10 areas including caregiver support, prevention of elder abuse, work and volunteer opportunities, the needs of older adults during emergencies, and the medical and social services system.


The County is improving the response to those who call the Child Abuse and Neglect Hotline. Social workers who staff the hotline determine if a report warrants an investigation by Child Welfare Services (CWS). Annual historical data shows about half of the nearly 48,000 hotline calls do not meet the threshold.

CWS developed teams to conduct a secondary review of those calls. Teams that still did not find grounds for a CWS investigation often found other issues affecting families. Referrals to the 2-1-1 San Diego Connect program allowed staff there to connect families to community services for such needs as child care, food, income and housing assistance.

"Exceptional! This young man was extremely polite, was able to assist me individually. I have a disability and cannot see well. Thank you for assisting me as if I were family.” 

- Southeast Family Resource Center Customer   



Calls to the Child Abuse Hotline were received 


Children Receiving In-Home and Out-Of-Home Family Care from Child Welfare Services

$187.7 Million 

Collected in Child Support Payments

7 Libraries

Offer Vet Connnect, Teleconferencing for Veterans Needing Benefits



Children, Youth and Adults
Received Mental Health and
Substance Use Disorder Services

1.2 million+

Meals Provided to 36
Senior Nutrition Sites and
Homebound Seniors


Veterans Assisted with
Service-Related Benefits