[{"_1":2,"_111":-5,"_112":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6622786,"mediaKeyId","2781328-6dd53e433505491f80b4fd07bec06f32","parentId",2781328,"title","County and clinics describe mobile street medicine; providers urge sustainable funding and partnerships","audioSeconds",3168,"startMs",8925000,"endMs",12093000,"viewUrl","/Search/View?dp=1&key=2781328-6dd53e433505491f80b4fd07bec06f32&start=8925&end=12093","thumbnailUrl","https://assets.pipeline.soar.com/2781328-6dd53e433505491f80b4fd07bec06f32/thumbnail_8925000.jpg","articleUrl","/articles/6622786/Sacramento-County/California/County-and-clinics-describe-mobile-street-medicine-providers-urge-sustainable-funding-and-partnerships","mediaUrl","https://secure.pipeline.soar.com/6622786-29f5222a0b6d21f5b66fa45b5bef07b9/orig.mp4?Expires=1771192036&Signature=K65GWKJVT9NP99Wvh4T8eVTlcNrTGv1NThiZcDuNBlrZavYq0UOFjD0t3fGMSFGc5p-w1TTbOUHZMgeyvwJW6GRoTF~EjwVS0IiWFhIV7p87bcLC2j1eRayYb3HwAFyd31UDrlbY8UBgrDnVKJpTAASc5903ZRUo1YYCpYzNgadAb5G52fdbxtR94Isdgi9Yl7abiFm7z5uxTPC80iPeMTBDSzVDHsmeZkNjPO35EMLUmtXOGMTlSeLJgbeQvus6~e2m3JvaYMxWyu-ngkyd3UusE~-TgouCg2Azrb9sKHXchoYs5VYJSjtPWMzSGdf6IAT78bbm7jxEzukPUB~mLQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Sacramento County","date","2025-03-26T21:47:36.233Z","article","County health staff and community clinics on March 25 described mobile street medicine efforts that bring urgent and primary care to people living unsheltered, and they urged sustained funding and better coordination with other county programs.

Noel Vargas, deputy director of Primary Health Services, said the county's mobile medical clinic is an extension of the county's federally qualified health center and that teams provide acute urgent care, longitudinal primary care visits, STI testing, immunizations, medication administration and referrals. Dr. Kate Ryslak, a family-medicine and addiction-medicine physician who works on the mobile unit, said the most common conditions seen include high blood pressure, diabetes, congestive heart failure and chronic lung disease, and that substance use disorder and mental-health conditions are also frequent.

\"I think the most common conditions that we see are the most common conditions I also see at our FQHC which is high blood pressure, diabetes and congestive heart failure, COPD,\" Dr. Ryslak said.

Searchable outputs and partner reporting:
- Ellica Health Centers told the board its street-medicine program logged more than 3,400 mobile visits in 2024 and provided school-based vaccine clinics (funded by a county COVID-vaccine grant) that vaccinated more than 1,000 children between August and January. Ellica said the vaccine grant funding runs through June and that continuation funding has not yet been identified.
- One Community Health, which launched street work in early 2025, reported early metrics including distribution of about 480 outreach kits, an active caseload of 96 patients, coordination of 38 prescription pickups and deliveries, and eight patients placed into transitional housing through multiagency collaboration.

Providers and county staff emphasized partnerships. The county's mobile unit is HRSA-funded as a satellite FQHC site; clinic leaders said they coordinate with Community Health Works (Cohiewo), UC Davis and behavioral-health outreach teams to reach encampments and shelter locations. Ellica and One Community have worked at recurring sites so people know when and where to find care.

Funding and sustainability: presenters urged the board to consider sustainability for mobile programs. Speakers said reimbursable clinical encounters do not fully cover the cost of mobile outreach, and that one-time funds such as ARPA or short-term grants are useful for start-up or capital costs but are not a long-term operational solution. One Community and clinic leaders said they are pursuing a mix of billing, grants and partnerships to sustain services.

Board members and city representatives praised the work and asked operational questions about referrals, specialty care access, and services for specific populations such as pregnant people. Presenters said they can initiate buprenorphine and other medications for addiction care on mobile units and can write prescriptions or arrange specialty referrals when patients are assigned to a primary-care panel.

No formal action was requested; staff and providers said they will continue to coordinate with county and city partners and pursue reimbursement and grant opportunities.

","mediaType","Video","parentTitle","Board of Supervisors - 3/25/2025","oneSentenceSummary","County Primary Health Services, Ellica Health Centers and One Community Health described mobile clinics and street medicine outreach, reporting thousands of mobile visits and expressing concern about one-time funding and long-term sustainability.","taxTitle","Sacramento County, California","taxId",2889,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6622791,"County reports outreach, shelter and behavioral-health figures in semiannual homelessness update",5038,3872000,8910000,"/Search/View?dp=1&key=2781328-6dd53e433505491f80b4fd07bec06f32&start=3872&end=8910","https://assets.pipeline.soar.com/2781328-6dd53e433505491f80b4fd07bec06f32/thumbnail_3872000.jpg","/articles/6622791/Sacramento-County/California/County-reports-outreach-shelter-and-behavioral-health-figures-in-semiannual-homelessness-update","https://secure.pipeline.soar.com/6622791-2e65180fa30ef2938eb7245be5b8b51b/orig.mp4?Expires=1771192036&Signature=oPW7CxGhvinRVWK79Rdv-ZLq~ajqj5PZTfX3H7RXPhccrtEmW~h4M3HRU1WwcW23yG8hEuzjAJvVsC3KRLH29vTriDanmfAuueYmd8Rm-WnEqD5L4OxT7~7qAY-Xli~YF1MIub6LUwPmbQjX3hxWLpw~CGfjFOCVKUW~0VA~-x~PIXh7r94BFytpl49a56Sgmgc3C9SIS2-IQRsLc9Ja0BO9pUmPsqdQmqMIu8DqCgojd-FLVqC-TVAsy66rg-0wbmhYYbn5loAirEOAFNYHnVAgaNDubG0r9ysFEXKgHVNdXreOGBAEouxtLNK~931Z-LNgRWtyZ5S-uWkB9KvmXA__&Key-Pair-Id=KUT5TJCACFTXG","Sacramento County officials on March 25 presented their semiannual update on county-led homelessness efforts, reporting outreach and shelter performance figures and flagging capacity and demographic trends officials said will affect near-term responses.

Emily Halken, director of the Department of Homeless Services and Housing, told supervisors the county-funded outreach teams enrolled 810 unduplicated individuals during the last six months of 2024 and provided more than 25,000 individual services during that period. \"These teams were able to support 184 people during those 6 months to move out of unsheltered homelessness,\" Halken said, adding that 67 of those moves were directly into permanent housing.

The presentation summarized performance at county-funded shelters for July through December 2024. Key figures reported by staff:
- Distinct shelter participants: 1,358 individuals (about 1,100 households) were served by the county-funded shelter programs in that period.
- Utilization: the county's shelter capacity reported in the packet averaged about 90% utilization over the reporting months.
- Exits and length of stay: staff reported 52% of exits were categorized as \"positive\" (not returning to the street) and about 32% of exits were into permanent housing. Average length of stay across county-funded shelters was reported as 167 days.
- Aging population: staff flagged that 30% of shelter guests in the period were age 55 or older, and that the county is assessing shelter readiness to address an aging unhoused population.

Behavioral-health engagement: Sherry Green, division manager for Behavioral Health Services, said county behavioral-health teams made contact with 1,360 unhoused residents who were referred for services and reported nearly 70% of those referrals resulted in a successful linkage to behavioral-health services. Green described the HEART teams (Homeless Engagement and Response Team) as a separate, encampment-focused effort: HEART made 1,603 contacts during the reporting window, of which 342 people accepted referrals and 171 of those actually attended appointments.

Staff and board members also discussed system-wide capacity and barriers to exits, including the scarcity of affordable housing (especially for very-low-income households), infrastructure constraints on infill and greenfield projects, and the time it takes to move master-plan areas from entitlement to finished lots.

Public comment: Mike Jasky, representing Sacramento Area Congregations Together, told the board the county remains behind in producing extremely-low and very-low income housing and urged the board to allocate more staff and resources to accelerate affordable housing production.

Board response: supervisors and department staff acknowledged the scale of the challenge and described a range of ongoing work to improve accessibility of shelters, increase outreach, expand behavioral-health partnerships and pursue housing production. Staff said they will continue to coordinate with the city of Sacramento and regional partners and will return with additional system-level proposals and data.

Action: the homelessness update was presented as an informational report; staff did not request a board vote on new county policy in this item.

","County staff told supervisors outreach teams provided more than 25,000 services to 810 people in the unincorporated county during the second half of 2024; shelters enrolled 1,358 people in the same reporting period and system-wide exits to permanent housing and length-of-stay trends were discussed.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6622796,"Supervisors approve Good Neighbor Policy for shelter and housing programs; policy to be included in contracts",626,3242000,3868000,"/Search/View?dp=1&key=2781328-6dd53e433505491f80b4fd07bec06f32&start=3242&end=3868","https://assets.pipeline.soar.com/2781328-6dd53e433505491f80b4fd07bec06f32/thumbnail_3242000.jpg","/articles/6622796/Sacramento-County/California/Supervisors-approve-Good-Neighbor-Policy-for-shelter-and-housing-programs-policy-to-be-included-in-contracts","https://secure.pipeline.soar.com/6622796-92f7d9b5ca761e4a7ac07ec9ced3c00f/orig.mp4?Expires=1771192036&Signature=eKxzqW3cwFJP74W0W0LFFHOghgEXZwOVMTQkA5tLyTd6yVJOMa1RcbEPHTqoSXTXZr7nhb8OCxqnCkT2mxBbVJGaSQoaui57tog2LQu-M9akWWnosSWbs1GPzdB7MoVNPs0UE8ltWulIgezzYRjglVx-MSnr64o-IAgTwr3RkAjuqpG1LChjWkzoumQUmbkgWwZJKOtDccMZLMjpy4kkCVJQ39-npD9bGFC4X8UJg0ZZvqlOHTfwwzwDZVo97FeyJb-5kitPUIDB3elIRIybSz4j~c1FFXSWuIDBXsH7QVdz4HXji2eSgXUKbb8paBJIfy8UHCL4HmHD-xcO2RZD3Q__&Key-Pair-Id=KUT5TJCACFTXG","The Sacramento County Board of Supervisors on March 25 adopted a countywide Good Neighbor Policy for shelters and housing programs serving people experiencing homelessness and authorized department directors to update contracts to ensure compliance.

\"The good neighbor policy addresses several key areas, setting minimum standard practices, including but not limited to sufficient parking, waiting areas, and restrooms so as to not disrupt the surrounding communities, maintenance and cleanliness standards, including debris removal, graffiti removal, and landscaping, managing crowds and anyone who's loitering in the area, surrounding these programs, and keeping good community relationships with neighboring residents and businesses,\" said Siobhan Katari, deputy county executive for social services, who presented the policy to the board.

Why this matters: the policy creates baseline expectations that county-funded shelter operators must meet, with the stated goals of minimizing disruption to surrounding neighborhoods and improving communication between program operators and nearby residents and businesses. Staff said the policy is a baseline: site-specific addenda can be added to contracts to reflect local conditions.

Key elements and discussion:
- Minimum standards: staff described baseline expectations for parking, restrooms, waiting areas, site maintenance (trash and graffiti removal) and crowd management.
- Contractual compliance and enforcement: Katari told the board the standards will be included in provider contracts and county-operated facilities. She also said enforcement options vary by location: where a site sits in a city, city code enforcement or police would have primary enforcement powers; in unincorporated county locations enforcement may include sheriff support and contractual remedies.
- Community engagement: the policy requires operators to establish community outreach and notification strategies; staff said the degree of engagement will be tailored to the neighborhood and could include a county point of contact for residents.

Supervisors raised questions about how the policy would be enforced in city jurisdictions and whether the county and cities can align expectations for consistency across the region. Brian Pedro, director of the City of Sacramento Department of Community Response, and county staff said they are coordinating with city partners to promote consistency.

Board action: The board moved, seconded and adopted the resolution approving the Sacramento County Good Neighbor Policy and authorized department directors to amend existing homeless-service contracts to ensure compliance. The clerk recorded the vote as unanimous.

Next steps: Staff will update county contracts with the minimum standards and work with providers and local jurisdictions to implement the policy at each site. The board packet states that site-specific addenda may be used where additional measures are required.

","The board adopted a countywide Good Neighbor Policy setting minimum standards for county-funded shelters and housing programs, directing contracting staff to update agreements and work with sites on community engagement and site-specific addenda.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6622799,"Board receives 2024 general plan annual report; staff directed to submit state filings and begin implementation",2131,1107000,3238000,"/Search/View?dp=1&key=2781328-6dd53e433505491f80b4fd07bec06f32&start=1107&end=3238","https://assets.pipeline.soar.com/2781328-6dd53e433505491f80b4fd07bec06f32/thumbnail_1107000.jpg","/articles/6622799/Sacramento-County/California/Board-receives-2024-general-plan-annual-report-staff-directed-to-submit-state-filings-and-begin-implementation","https://secure.pipeline.soar.com/6622799-fdae1f69fd5c454f0900d78d946d7080/orig.mp4?Expires=1771192036&Signature=dMfvx~7xI4e-gwsIAJOk1x2NQl3YyM-ugSwYLgT4WN32ArXDdyW2KdtxhTj1CKD3JgNL9JdSb-MWtdfzolL7XrQ6BqIbYb3tGsyg30xOt6hLtMUk0nEkLdU3vC0-xBUu8EGJK0bfHbNSu-VvxwofKonwQVuehd58iFL5dL7ru-i~VKyi7iw8zGqZ5on7Wm6B-N7Ak6fwZ4i4JESO5s5Mg6D9Zb-XBMYXqDjFnoHc3n-eQo2jutoQjIWvF5crsk3S1Mbksy22LcLkTjXtyUvlEAncb46oj-zZUp825ar3iMcpSNNmgnh-6DeIUg71kXM7iFIKqe8o8Uw3PSSEcxdgug__&Key-Pair-Id=KUT5TJCACFTXG","The Sacramento County Board of Supervisors on March 25 received the county's 2024 general plan annual report and directed staff to submit the report to the state and proceed with work described in the implementation program.

The annual report summarizes progress on the county's Climate Action Plan (CAP), housing element and other general plan programs and identifies near-term work for 2025. The report notes the CAP was adopted in November 2024 and that the county has begun a coordinated implementation effort this year.

Jacob Daw, senior planner with Planning and Environmental Review, presented the report and told the board, \"the cap was, after many years of hard work, was adopted in November 2024. And, with that, the kinda real work now begins here in 2025.\" The report highlights several items the county intends to pursue this year, including grant-funded studies and zoning updates to speed housing production.

Why this matters: the county says implementation of the CAP and several housing element programs will shape how much housing and infrastructure are permitted and built across unincorporated areas. Staff reported a mix of one-time and ongoing actions designed to unlock infill sites, support affordability, and remove regulatory barriers.

Key points from the presentation and the board's discussion:
- Grants and targeted implementation: Planning reported the county won a federal HUD program grant (Pathways to Removing Obstacles to Housing) of about $2.7 million to fund infill and housing efforts, including infrastructure studies and land-use updates for Stockton Boulevard and North Watt Avenue corridors, adaptive-reuse work and housing-streamlining efforts.
- Environmental justice and outreach: the county said it won a regional COG (Council of Governments) Engage, Empower, Implement (EEI) grant to fund deeper stakeholder engagement in the North Highlands environmental-justice community.
- Housing production and permits: staff said 2024 permit activity included issuance of just under 1,200 residential permits. Planning also reported receipt of five new affordable housing project submittals totaling about 265 units, roughly 235 of which are proposed as deed-restricted for low- to very-low-income households.
- Housing needs profile: board members discussed the Regional Housing Needs Allocation (RHNA) tallies. Planning staff said the highest remaining need in the current cycle remains in the \"above moderate\" category even as the county focuses on very-low and low-income housing production.
- Zoning and entitlements: Deputy County Executive Dave DeFonte told the board \"your board did rezone a whole host of properties this past year\" and said county rezoning and ongoing zoning-code updates are intended to create more buildable sites and accelerate production.

Board action: Supervisors moved, seconded and voted unanimously to receive and file the 2024 general plan annual report and to direct staff to submit the report to the Governor's Office of Planning and Research and the California Department of Housing and Community Development and to proceed with the implementation program outlined in the report.

The report also noted that a full general plan update will be required before the plan's 2030 horizon, and staff said additional funding will be needed to complete a comprehensive update.

Looking ahead: staff told the board they will return with workshops and specific proposals this year on topics identified in the work program, including targeted zoning updates, rescission or amendment of Special Planning Areas (SPAs) and Master Plans (MPAs), and additional CAP implementation measures.

","County planning staff told supervisors the Climate Action Plan is adopted and implementation work begins in 2025; the county secured federal and regional grants to accelerate infill, infrastructure studies and outreach tied to the housing element.","actionData","errors"]

Article not found

County and clinics describe mobile street medicine; providers urge sustainable funding and partnerships

County reports outreach, shelter and behavioral-health figures in semiannual homelessness update

Supervisors approve Good Neighbor Policy for shelter and housing programs; policy to be included in contracts

Board receives 2024 general plan annual report; staff directed to submit state filings and begin implementation