第1号提案首家行为健康设施在 San Rafael 开业：6,948张床位与27,868个治疗名额已超承诺交付

加利福尼亚州马林县 San Rafael 市——加州州长办公室10月30日发布新闻稿宣布，选民批准的第1号提案（Proposition 1）资助的第一家行为健康设施 Ritter Center 已在 San Rafael 开业，进度比原计划提前。州长 Gavin Newsom 当天上午在当地举行记者会，公布了这一里程碑。

新闻稿说，第1号提案通过两年以来，加州已交付 6,948 张住宿治疗床位与 27,868 个门诊治疗名额，分别达到对选民承诺目标的 102% 与 104%。Ritter Center 是第1号提案行为健康连续照护基础设施计划（BHCIP）债券第一轮第一个开始服务民众的项目，设有社区心理健康诊所、诊室型阿片类药物治疗与门诊物质使用障碍服务，预计提供 1,412 个门诊治疗名额、每年服务超过 7,000 人。

据州长办公室介绍，Prop 1 的 BHCIP 债券至今已资助 176 个项目、涵盖 334 家设施；自 2021 年以来，BHCIP 累计投入 61 亿美元，支持 436 个项目、543 家设施，将新增 9,570 张床位与 44,863 个门诊名额，预计每年服务超过 540 万人。州政府预计到 2026 年底再开业 13 家 BHCIP 资助设施，全部建设将于 2028 年完工。

同日，州长办公室还宣布一项问责调整：把超过 1.46 亿美元的 BHCIP 债券资金改投三个行为健康项目。Shasta 县的 Signature Healthcare Services 项目将新增 107 张床位，为一个 10 县地区提供精神科护理、危机稳定、社会康复与住宿治疗服务；洛杉矶县的 Cangress 项目将在 Skid Row 社区新建一座 50 张床位的设施，提供同伴主导的行为健康支持与稳定服务；洛杉矶县的 Compatior, Inc. 项目将新增 30 张住宿戒瘾治疗床位与 120 个门诊治疗名额。

纽森在新闻稿中说：「当我上任时，我承诺制定一项全州战略，帮助人们离开街头、进入住房与治疗。在本届政府任内，我们建起了这套框架，也正在交付成果，包括十多年来最大幅度的两年无家可归人数下降。」他说：「2024 年，选民以通过第 1 号提案要求行动、成果与问责。今天的宣布，是扭转这场数十年危机进程中的又一重要步骤，而我们才刚刚开始。我们如今已交付超过 100% 承诺给选民的床位与治疗名额，进度提前。」

加州卫生与公众服务厅长 Kim Johnson 说：「这就是有意义的进展的样子：新设施打开大门，治疗选择越来越多，更多加州人获得他们需要的照护。」加州医疗保健服务厅（DHCS）厅长 Michelle Baass 说：「每一个 BHCIP 项目都体现了当地社区与伙伴加强加州行为健康系统的承诺。我们在扩大照护可及性的同时，确保公共资金得到负责任、有效的使用。」

第1号提案由加州选民于 2024 年通过，发行 64 亿美元行为健康债券，用于扩建社区治疗设施与附带服务的住房。州长办公室本周公布的初步数据显示，加州无庇护无家可归人数连续第二年下降，自 2024 年以来降幅近 13%。民众可在加州问责追踪网站查看各社区在心理健康、无家可归与住房方面的进展。

关联：直播回放：纽森在马林县宣布第1号提案新里程碑：行为健康转型推进，无家可归人数创纪录下降

关联：加州无家可归人数连续第二年下降：2026年初步数据无庇护者较2024年降近13%，已略低于2019年水平

First Prop 1-Funded Behavioral Health Facility Opens in San Rafael: 6,948 Beds and 27,868 Treatment Slots Delivered Beyond the Promise

San Rafael, Marin County, California — The Office of the Governor announced in an October 30 release that the first behavioral health facility funded by voter-approved Proposition 1, the Ritter Center in San Rafael, is now open, ahead of schedule. Governor Gavin Newsom announced the milestone at a news conference in the city that morning.

According to the release, in the two years since voters approved the measure, California has delivered 6,948 residential treatment beds and 27,868 outpatient treatment slots — 102% of the beds and 104% of the treatment slots promised. The Ritter Center is the first Bond BHCIP Round 1 project to begin serving Californians, with a community mental health clinic, office-based opioid treatment and outpatient substance use disorder services; its 1,412 outpatient treatment slots are projected to serve more than 7,000 individuals annually.

The Governor's office said the Prop 1 Behavioral Health Continuum Infrastructure Program (BHCIP) Bond has already funded 176 projects across 334 facilities. Since 2021, BHCIP has awarded a total of $6.1 billion across 436 projects and 543 facilities, which will create 9,570 new beds and 44,863 new outpatient slots projected to serve more than 5.4 million individuals annually. The state expects 13 more BHCIP-funded facilities to open by the end of 2026, with all construction complete by 2028.

The Governor also announced new accountability actions the same day, reinvesting more than $146 million in Bond BHCIP funding into three behavioral health projects. The Signature Healthcare Services project in Shasta County will create 107 beds supporting psychiatric care, crisis stabilization, social rehabilitation and residential treatment across a 10-county region. The Cangress Project in Los Angeles County will build a 50-bed facility in the Skid Row community offering peer-led behavioral health support and stabilization services. The Compatior, Inc. Project in Los Angeles County will create 30 residential substance use disorder treatment beds and 120 outpatient treatment slots.

"When I took office, I committed to creating a statewide strategy to help move people off our streets and into housing and treatment. Over the course of this administration, we've built that framework — and we're delivering results, including the largest two-year drop in homelessness in over a decade," Newsom said. "In 2024, voters demanded action, results, and accountability with the passage of Prop 1. Today's announcement is another major step in reversing a crisis decades in the making, and we're just getting started. We now have more than 100% of the beds and treatment slots we promised to voters, ahead of schedule."

"This is what meaningful progress looks like: new facilities opening their doors, more treatment options becoming available, and more Californians getting connected to the care they need," said California Health and Human Services Agency Secretary Kim Johnson. "Every BHCIP project reflects the commitment of local communities and partners to strengthen California's behavioral health system," said Department of Health Care Services (DHCS) Director Michelle Baass. "We are expanding access to care while ensuring public dollars are used responsibly and effectively."

Proposition 1, approved by California voters in 2024, issued $6.4 billion in behavioral health bonds to expand community treatment facilities and services-linked housing. Preliminary figures released by the Governor's office this week show unsheltered homelessness in California declining for a second consecutive year, down nearly 13% since 2024. Californians can track their community's progress on mental health, homelessness and housing at the state accountability website.

Related: 直播回放：纽森在马林县宣布第1号提案新里程碑：行为健康转型推进，无家可归人数创纪录下降

Related: 加州无家可归人数连续第二年下降：2026年初步数据无庇护者较2024年降近13%，已略低于2019年水平

来源：GSM·美国（原文链接）

图片来源：图：San Rafael 市中心 Fourth Street 与 C Street 路口（资料图），首家第1号提案资助设施 Ritter Center 位于该市。Sarah Stierch 摄，Wikimedia Commons，CC0。 / Photo: Downtown San Rafael at Fourth Street and C Street (file photo); the city is home to the Ritter Center, the first Prop 1-funded facility. Photo by Sarah Stierch, Wikimedia Commons, CC0.

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