Providers. San Mateo County contracts with 12 different agencies to provide AOD recovery services to county residents. These services include a range of modalities - short-term non-medical and methadone detoxification, residential treatment, outpatient counseling, and methadone maintenance. These services are also provided within programs specifically designed to serve some special populations, including women, pregnant women and women with children, and Latinas. Other ethnic and special population groups are served in the provider agencies that serve the general population. These groups include seniors, gay & lesbian, dual diagnosis, and HIV positive/persons with AIDS.

Table 1 shows that some of the service providers contract with the County ADP for some of their clients, while others are entirely supported by the ADP. The degree of partial support of the County ADP is described as County beds or County slots.

The San Mateo County ADP has issued an RFP for a 6-bed Latino men's residential recovery program, and an RFP for a non-residential program. In addition, a contract has been let for a new non-residential program, Free At Last, in East Palo Alto, that will also be part of the Bay Area Services Network (for parolees). The intended populations and services of these programs are shown in Table 2, below.

(For details on each contractor's units of service and budget, see the San Mateo County Alcohol and Drug Services Annual Plan, 1993-94.)

Additional services. Some additional AOD services in the county are provided by agencies which are not county contractors and that do not provide treatment slots for county-funded (indigent) clients. These are private providers that bill their clients directly or provide these services as health insurance or health maintenance benefits. The primary service they provide is inpatient recovery in a hospital setting. Private providers are Belmont Hills Hospital, Kaiser Alcohol and Drug Treatment Program, Mills-Peninsula Hospital Chemical Dependency Center, Sequoia Hospital Alcohol and Drug Recovery Center, Stanford Alcohol and Drug Treatment Center, and VA Medical Center.

Self-help groups, which provide group support and a forum for discussing AOD problems and recovery, are available in San Mateo County. These groups include Alcoholics Anonymous, Cocaine Anonymous, and Narcotics Anonymous. These groups serve as aftercare referral resources for most County programs.

Populations Reached by San Mateo County ADP Recovery System

As shown on Table 5 (next page), according to the 1990 census, Latinos, Asian/Pacific Islanders, African-Americans, and Native Americans constitute 40% of the County population. Latinos comprise 18%, of San Mateo County's population. Asian/Pacific Islanders account for 17% of the county population, African Americans comprise 5% of the county population, and Native Americans comprise less than 1% (about .04%). Due to the methodology of the census, which has been debated, there may be some undercounting of people of color.

According to the California Alcohol and Drug Data System (CADDS) county level report for San Mateo County, the proportions of participants in county AOD programs by race/ethnicity for July 1992-June, 1993 were similar to their proportions in the county population for most ethnic groups (Table 6, next page). The proportions were similar for Whites (56.3% of males and 61 % of females), Latinos (17.4% of males and 13% of females). In terms of their proportion of the county population, African Americans were over-represented in the AOD programs (23.7% of males, 22.8% of females), and Asian/Pacific Islanders were very underrepresented (1.9% of males and 1.6% of females). Native Americans were very slightly over-represented (0.7% of males and 1.6% of females), but their proportion of the county population overall is so small (.04%) that this difference is probably not meaningful.