East Bay Insiders Newsletter

East Bay Insiders Newsletter

Prop. 1 has Alameda County scrambling to preserve mental health programs

County officials warn state-mandated funding changes could eliminate prevention programs and leave up to 15,000 individuals without early mental health support.

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Steve Tavares
Mar 10, 2026
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☕️MORNING BUZZ

Vol. VI, No. 1,216

—When California voters approved California Proposition 1 in 2024, the goal was clear: redirect the state’s behavioral-health system toward housing and treatment for people with severe mental illness and substance use disorders, particularly those living on the streets.

But the measure is also forcing counties to rethink how they fund mental-health programs — and in Alameda County, officials say the shift could come at a steep cost.

Alameda County leaders warned before the statewide vote two years ago that the initiative would reduce local flexibility, redirect funding away from prevention programs, and increase state control over how behavioral-health dollars are spent. The county formally opposed Prop. 1.

Now they say those concerns are becoming reality.

—About 15,000 people in Alameda County could lose access to services including wellness centers, suicide-prevention programs and culturally specific services for LGBTQ+ residents and immigrant communities, according to the Behavioral Health Collaborative of Alameda County.

“We’re turning the continuum of care into a crisis,” said Narges Dillon, the group’s past president. “A continuum of crisis.”

“The system is already overloaded,” Dillon told the Alameda County Board of Supervisors Health Committee on Monday. “We can’t be the only entry door remaining for thousands of people losing services”…

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—More inside:

  • COUNTY NEWS: Supervisor Miley says he’s frustrated by how Prop. 1 has impacted the county’s mental health services.

  • CITY NEWS: Fremont seeks to reinstate shelter crisis declaration to unlock homelessness funding.

  • Dublin teacher return to the picket lines for Day 2 of their strike.

  • San Leandro council appointment takes shape.

  • ELECTION 2026: In court filing, homeowner claims Swalwell lives at Livermore property.

  • Last week was rough for CA14 candidate, and it’s not getting any better.

  • Candidate switched allegiances in CA14 primary and also called for her to drop out.

  • Alameda County Fire backs a SD10 candidate.

  • CAMPAIGN FINANCE: Form 497 large campaign contributions filed on March 9.


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