Residential and Long-Term Services

Patient sitting on park bench

Residential and long-term services offer 24-hour support for people with mental health and substance use needs. An array of services are available to people who are Medi-Cal eligible and who need more help than a nursing home but less than a hospital. 

Services in this category include residential treatment, community-based care, and skilled nursing and care in a secured setting. 

To learn more about these services, call the Access and Crisis Line at (888) 724-7240 or explore the information below.

Residential Treatment

Residential treatment facilities provide community-based specialty licensed mental health or substance use services as an alternative to acute psychiatric hospitalization and institutional care. Services within this category include:

  • Mental Health Crisis Residential Services
  • Mental Health Transitional Residential Services
  • Substance Use Residential Services

Visit the Residential Treatment page for more information including a complete list of programs.

Community-Based Care

Community-based care is provided in facilities that offer 24/7 care and supervision for people with various levels of clinical and social needs to support recovery and rehabilitation within the community. Services within this category include:

  • Assisted Living and Board & Care Facilities
  • Recuperative Care

Visit the Community-Based Care page for more information including a complete list of programs.

Skilled Nursing and Care in a Secured Setting

Skilled nursing and secured care programs, also known as subacute services, provide care for people who are stepping down from psychiatric acute inpatient care or for people whose acuity may have intensified and need a higher level of care. Services within this category include:

  • Mental Health Rehabilitation Centers
  • Skilled Nursing Facilities

Visit the Skilled Nursing and Care in a Secured Setting page for more information including a complete list of programs.

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Not sure where to start?

Call the Access and Crisis Line (ACL) at 1-888-724-7240 to speak to an experienced counselor who can help find the right service for you or someone you care about. The ACL is operated 24 hours a day, 7 days a week with support available in over 200 languages. Live chat and other resources are available through the ACL website or up2sd.org.

If you are experincing an emergency, please call 911.