Pathways to Recovery


3132 Jefferson Street
San Diego, California  92110
619-682-4037 FAX

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About Pathways to Recovery ACT

At Pathways to Recovery, we believe in a whatever-it-takes approach to empower your recovery from within. To achieve this, our team provides psychosocial rehabilitative, recovery-oriented, intensive, community-based services to help you navigate the mental health system and take positive steps toward the things that matter in your life. 

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Services are designed using the Assertive Community Treatment (ACT) model and provided by a trans-disciplinary team of professional and paraprofessional staff such as: counselors, social workers, peer specialists, vocational specialists, housing specialists, nurses, nurse practitioners, physician's assistants, medical doctors, and alcohol and drug specialists. 

In-Reach is a sub-component of Pathways to Recovery and works in conjunction with San Diego County Institutional Case Managers (CICM) to provide case aid services specifically focusing on Discharge Planning and Benefit Coordination for CICM clients residing in long-term care. At the time of transition to the community, the In-Reach Team will link the member with Telecare Gateway to Recovery, Pathway to Recovery  or another San Diego County FSP setting that best meets the needs of the individual.

Just the Basics

Members: 150
Population Served: Adults and Transitional Aged Youth (TAY) who have a qualifying Title IX mental health diagnosis and have been recently discharged from county-identified long-term care facilities. 
Funded by: Pathways to Recovery is under contract with San Diego County Behavioral Health Services and is funded by the County of San Diego, Medi-Cal, and MHSA. 

Recovery Model

This program follows Telecare’s Recovery-Centered Clinical System (RCCS), an innovative recovery framework that incorporates the latest research and evidence-based practices. RCCS emphasizes doing no harm and supporting and enlivening recovery. The recovery model incorporates such approaches as motivational interviewing, cognitive behavioral therapy, dialectical behavioral therapy (DBT), harm reduction, and other consumer-centered therapeutic interventions.

Services and Supports

ACT services are evidence-based and include:

  • Mental health assessment and treatment

  • Case management – linkage/brokerage

  • Crisis intervention

  • Medication management, administration, and support

  • Dual diagnosis assessment and treatment

  • Whole Person Care

  • Housing support and independent living skills training

  • Vocational and prevocational training

  • Representative payee

  • Evidenced-based groups not limited to:

    • Shared decision making

    • Alcohol and other drugs

    • Vocational readiness

    • Illness Management and Recovery

    • Social skills building

    • Building natural supports

    • Wellness Recovery Action Plan (WRAP)

All ACT services are the fixed point of responsibility and provide a minimum
of weekly face-to-face sessions to accomplish goals which lead to medication independence, employment, independent living, increased natural supports,  and a decrease in hospitalizations and jail.

Office Hours

  • Monday-Friday: 8:00 a.m. to 5:00 p.m.

  • Decision Support Center: 9:30 a.m. to 4:00 p.m.

  • All services are provided 24 hours a day, 7 days a week.

Eligibility Criteria:

Client must meet two or more of the criteria:

  • Medical necessity must be established (face to face) to determine the presence of a severe psychiatric disability

  • Has current LPS Conservatorship (may be a designated County Conservator or family member (Private Conservator)

  • Minimum one hospitalization in the past year, OR multiple ER utilizations, PERT interventions, jail mental health service, and/or long-term care hospitalization

  • Have major impairments in life functioning

  • Person is not connected to outpatient treatment

  • Person is experiencing an acute psychiatric episode that might require SBCM level services

  • Is at high-risk of admission to an inpatient mental health facility;

  • Has a substantial need for supportive services (including care coordination and outreach mental health services) to maintain current level of functioning in the community, as evidenced by missed appointments, medication non-adherence, or inability to coordinate services from multiple agencies

  • Does not have a case manager from another program who is able to address mental health needs


  • Be an internal county referral for persons stepping down from a long-term care facility or a person on San Diego County’s high-utilizer list

  • Homelessness or at risk of homelessness

  • Level of acuity and need for intensive ACT services per LOCUS assessment (Level 4 – Medically Monitored Non-Residential Services)

Referral Process

Telecare Pathways to Recovery only accepts referrals from San Diego County and serves individuals currently discharging and transitioning from long term care facilities. A housing subsidy may be available based on client income and need. Questions about the program or the referral process can be made directly to the programs at 619-683-3100

Admission Criteria

  • Residents of San Diego County

  • Adults, ages 18-59

  • Must have a qualifying Title IX diagnosis and may also have co-occurring substance abuse diagnosis

What Makes Us Different

At Pathways to Recovery, we believe in a person’s right to full inclusion and to a meaningful life of their own choosing, free of stigma and discrimination from the moment you walk in the door. Central to our recovery paradigms are hope, self-determination, self-management, empowerment and advocacy. 

About Telecare

Telecare is a family- and employee-owned company that has been treating individuals with serious mental illness since 1965. We specialize in innovative, outcomes-driven services for high-risk individuals with complex needs. Our programs are recovery-focused and clinically effective and are designed in partnership with local, county, state and other behavioral health organizations.