Behavioral Health
GOAL: Improve Mental Health and Decrease Substance Misuse in San Bernardino County (SBC)
Strategies (6)
- Increase both the number of school-based Health Centers (mobile and physical sites) and Student Wellness Centers and increase utilization as an access point for mental health services, substance-use screening/treatment, and basic needs referral services.
- Expand efforts to address substance use disorders and opioid use disorders in the county by increasing access to medication assisted treatment and harm reduction tactics in the San Bernardino County.
- Increase coordination of behavioral health and primary care.
- Partner with institutions of higher learning, K-12 schools, and employers in San Bernardino County to develop a more equitable and responsive health workforce, including the behavioral health workforce, and support economic vitality in the region.
- Ensure a strong start for children through early childhood home visitation, high-quality childcare, and family engagement.
- Explore options for non-law enforcement, community-based responses to behavioral health crisis in San Bernardino County.
Why is behavioral health important to health?
Behavioral health, which includes mental health and substance use, plays a critical role in overall well-being. It ranges from wellness to illness and can fluctuate throughout a person’s life. Conditions such as anxiety, depression, Attention Deficit/Hyperactivity Disorder (ADHD), bipolar disorder, schizophrenia, and substance use disorders are common behavioral health issues that can significantly impact physical health and social stability.
There is strong evidence linking behavioral health to a variety of health and social outcomes. Individuals with behavioral health conditions are at a higher risk of developing chronic illnesses, such as heart disease and diabetes. They also face increased challenges related to employment stability, housing security, and interaction with the criminal justice system. Poor behavioral health is a major contributor to premature deaths, particularly due to preventable causes like drug overdoses.
How do the goals align with the San Bernardino Countywide Vision?
Improving access to behavioral health services directly supports the San Bernardino Countywide Vision by addressing underlying factors that contribute to poor health and social instability. A healthier population fosters a more resilient and stable workforce, decreases involvement with the criminal justice system, and strengthens families and communities. Advancing mental wellness and expanding access to behavioral health care are essential to achieving the County’s broader vision of well-being, equity, and opportunity for all residents.
What did the data show?
San Bernardino County is experiencing a behavioral health challenge. Drug overdose deaths have increased 220% from 9.4 deaths in 2013 to 24.7 deaths per 100,000 in 20221. Opioid-related deaths increased by 28% since 2020, with 472 opioid-related overdose deaths reported in 20212 (ODASH). The age-adjusted overdose mortality rate reached 17.3 per 100,000 residents in 2023, a 70% increase from 10.1 in 2020
Mental health concerns are also rising. In 2021, 14% of San Bernardino County adults reported frequent mental distress, up from 12% in 20173. Suicidal thoughts increased by 57% between 2018 and 20214 . Despite these trends, many residents struggle to access care. According to the Community Themes and Strength Survey, 21% of respondents had never seen a mental health professional, and 11% could not recall the last time they had. Access was identified as a key issue by 35% of all respondents and 52% of those who identify as people of color, who stated that access to mental health services is one of the most important components for improving their health and well-being.5
[1] Substance Abuse. (n.d). San Bernardino County Community Indicators.
[2] ODASH, San Bernardino County. (n.d). San Bernardino County Public Health.
[3] San Bernardino, California. (2025). County Health Rankings & Roadmaps.
[4] UCLA Center for Health Policy Research. (n.d).
[5] 2023 Community Health Assessment. (n.d). Community Vital Signs Initiative.