Patients lose mental-health continuity crossing the San Diego–Tijuana line
Summary
People who receive mental-health care on one side of the San Diego–Tijuana border cannot easily continue treatment on the other. State frameworks and provider licensing don't coordinate, so care effectively restarts on each crossing.
Patients moving between San Diego County and Tijuana for work, family, or cost reasons routinely lose continuity of mental-health treatment. Baja California's state mental-health law and California's system operate independently, with no shared record pathway and no cross-border provider licensing. A clinician on one side cannot follow the patient to the other.
Sources: Ley de Salud Mental del Estado de Baja California (reformed 2024-02-09), Congreso del Estado de Baja California; U.S.-Mexico Border Health Commission (HHS).
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