Updated
San Diego, CA
El Cajon crisis unit opens, bringing county’s total to eight
San Diego County opened its eighth crisis stabilization unit in El Cajon on Monday, providing the same short-term resource for East County residents that has helped relieve pressure on hospital emergency departments in communities to the north and south.
The newest facility replaces a former county assessor’s satellite office at South Magnolia and West Douglas avenues, near the city’s community center and library.
The El Cajon $28 million crisis unit has 12 recliners and a freshly renovated space for private consultation, accommodating residents in need of immediate mental health services for up to 24 hours.
Pioneered in a handful of local hospitals, the county began opening stand-alone crisis units in Vista and Oceanside in 2021 and 2022. The pair of locations were a direct response to Tri-City Medical Center closing its behavioral health unit and crisis center in 2018, citing the need for prohibitively expensive repairs and difficulties with staffing.
Another unit attached in Chula Vista, attached to Bayview Hospital, a behavioral health facility, opened in 2023 with an additional unit attached to the emergency department at Sharp Chula Vista Medical Center in March.
Nadia Privara-Brahms, the county’s behavioral health director, said during a ribbon-cutting ceremony Monday morning that the heavy investment in crisis centers has drastically reduced mental health care visits to local emergency departments. County data for the 2024-25 budget year estimates that 11,000 adults treated at crisis stabilization units were diverted from inpatient care and 14%, approximately 1,800, were connected to inpatient care.
“Countywide, we have seen that this model of care is working,” Privara-Brahms said. “Across the CSUs locally, we saw 85% of admissions diverted from inpatient care.”
County Supervisor Joel Anderson, whose district includes most of East County, kept the pressure on for a center to the east capable of delivering the same kind of results.
“Right now, many of these folks end up in our emergency rooms, and they’re getting great service at the highest cost,” Anderson said.
Emergency departments, he added, can only do so much to focus on providing mental health care when they must also treat the full range of other medical needs from heart attacks and strokes to broken bones and chronic disease.
“Here, we’re laser-focused on that mental health, and we’ll be able to turn people around, stabilize them, and send them home,” Anderson said.
A key innovation with stand-alone crisis units has been the ability of law enforcement officers and crisis response team members to deliver residents picked up on 5150 holds for evaluation, skipping emergency departments when a patient needs mental health care, but not other services. A 5150 hold occurs when a first responder suspects that a person may be a danger to themselves or others or gravely disabled.
Because all emergency departments must operate on a triage basis, continuously moving the most-critical cases to the front of the line regardless of how long those with less-immediate medical problems have been waiting, 5150 holds are notorious for their ability to take first responders off their beats for hours per incident.
The county’s data tracking system indicates that drop-offs at crisis units take 20 to 25 minutes, contributing significantly to getting law enforcement officers and crisis team members back in service much more quickly than was previously the case.
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San Diego, CA
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San Diego, CA
Where to watch San Diego Padres vs Seattle Mariners: TV channel, start time, streaming for May 16
What to know about MLB’s ABS robot umpire strike zone system
MLB launches ABS challenge system as players test robot umpire calls in a groundbreaking season.
Baseball is back and finding what channel your favorite team is playing on has become a little bit more confusing since MLB announced plans to produce and distribute broadcasts for nearly a third of the league.
We’re here to help. Here’s everything you need to know Saturday as the San Diego Padres visit the Seattle Mariners.
See USA TODAY’s sortable MLB schedule to filter by team or division.
What time is San Diego Padres vs Seattle Mariners?
First pitch between the Seattle Mariners and San Diego Padres is scheduled for 7:15 p.m. (ET) on Saturday, May 16.
How to watch San Diego Padres vs Seattle Mariners on Saturday
All times Eastern and accurate as of Saturday, May 16, 2026, at 6:32 a.m.
- Matchup: SD at SEA
- Date: Saturday, May 16
- Time: 7:15 p.m. (ET)
- Venue: T-Mobile Park
- Location: Seattle, Washington
- TV: FOX
- Streaming: MLB.TV on Fubo
Watch MLB all season long with Fubo
MLB regional blackout restrictions apply
MLB scores, results
MLB scores for May 16 games are available on usatoday.com . Here’s how to access today’s results:
See scores, results for all of today’s games.
San Diego, CA
Middle East operations could strain Navy, Marine Corps budget and training plans
Top military leaders are warning members of Congress that the cost of ongoing military operations in the Middle East, along with other recent efforts, including in counternarcotics, could soon force difficult decisions on training and overall readiness.
During a congressional subcommittee budget hearing this week, lawmakers questioned how long the Navy and Marine Corps can sustain its current level of operations with a historic amount of warships in the Middle East.
Subcommittee Chairman Rep. Ken Calvert asked Chief of Naval Operations Adm. Daryl Caudle how long the Navy could continue operating at its current pace before funding runs short.
“Sir, I will have to start making decisions to change training, operations, certifications events, those types of things we do to generate our force, in the July time frame in the current expenditure,” Caudle said.
The warning comes as Calvert outlined that the Navy is making a $377.5 billion budget request, a 23% increase over the previous fiscal year.
Calvert noted the financial impact the war against Iran has had and said, “Our munitions stockpiles are depleted, our fleet has deferred maintenance — critical maintenance — and our service members have been operating on an extended deployment schedule.”
Rep. Betty McCollum also warned that rising fuel costs tied to the conflict could further strain military operations.
“In addition to the threats our sailors and Marines face, I’m concerned about the broader costs of the war,” McCollum said. “The skyrocketing costs of fuel will limit the Navy and the Marine Corps ability to conduct exercises for the rest of the year.”
Potential reductions in training and certification efforts could have a significant impact in San Diego, home to more than 136,000 active-duty service members, including roughly a fourth of all Marines and a sixth of all Navy sailors, according to the San Diego Military Advisory Council.
Lawmakers also raised concerns about the growing size of China’s naval fleet compared with the United States’.
“Despite our focus on the Middle East and elsewhere across the globe, China still remains our pacing threat,” Calvert added.
Defense Secretary Pete Hegseth recently testified that the war effort in Iran has carried a nearly $30 billion price tag. The Defense Department is now facing pressure to replenish munitions stockpiles, improve shipbuilding capabilities and maintain readiness for future threats while continuing current operations.
The Department of Defense’s proposed budget for the upcoming year totals $1.5 trillion, the largest defense proposal in U.S. history.
This story was originally reported for broadcast by NBC San Diego. AI tools helped convert the story to a digital article, and an NBC San Diego journalist edited the article for publication.
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