Mental health & substance use
Counseling, crisis response, addiction treatment and prevention for all ages.
Residents consistently ask for accessible, culturally responsive mental health support, youth-focused care and substance use prevention, and recovery services in their own neighborhoods, many as alternatives to policing.
Theme grouped and summary written with AI from this theme's resident ideas.
159 ideas across three cycles
| Cycle | Ideas | Share of all ideas | Rank |
|---|---|---|---|
| 2024–25 | 64 | 5.3% | 8 of 20 |
| 2025–26 | 60 | 5.0% | 7 of 20 |
| 2026–27 | 35 | 2.6% | 16 of 20 |
Needs that keep coming back
Youth mental health support
Residents want free, accessible mental health programs, counseling and resources for children, teens and young adults, in schools, youth programs and neighborhoods.
Raised in 2024–25, 2025–26, 2026–27
Youth substance use prevention
Residents want free education and prevention programs that keep young people away from drugs and vaping, and help for youth already struggling with addiction.
Raised in 2024–25, 2025–26, 2026–27
Treatment and recovery programs
Residents ask for more rehab, halfway housing, recovery centers and recovery-centered social spaces that support long-term recovery and reintegration.
Raised in 2024–25, 2025–26, 2026–27
Free, culturally and linguistically responsive counseling
Residents want free or low-cost counseling, support groups and education delivered in their own languages and communities, to overcome cost, stigma and trust barriers.
Raised in 2024–25, 2025–26, 2026–27
Non-police crisis response
Residents ask for a community-based mental health crisis response or helpline, staffed by trained responders rather than police.
Raised in 2024–25, 2025–26
2024–25
Most ideas focused on youth mental health grants and non-police crisis response, with additional asks for drug treatment, harm reduction, safe consumption sites and services for people returning from incarceration.
2025–26
Chinatown dominated, with many ideas for Cantonese and Mandarin counseling, stigma-reduction talks, peer groups and elder outreach, alongside youth drug prevention and rehab asks.
2026–27
Fewer ideas overall, centered on free multilingual counseling and resource centers, recovery and halfway housing (including Mass and Cass), and continued funding for Torchlight Recovery Cafe.
New in 2026–27
New or growing asks include halfway housing and recovery programs tied to Mass and Cass, funding for Torchlight Recovery Cafe, social events for people in recovery, support groups for widows and new fathers, and peer specialists for immigrants affected by enforcement.
Funding so far
No winning projects related to this theme were funded by resident vote, so every recurring ask, including youth mental health, prevention, recovery programs, multilingual counseling and non-police crisis response, remains unaddressed through the vote.
Projects are linked to themes by matching each project's description to the themes; this is not an official City classification.
No winning project has addressed this theme yet.
Departments that often lead this work
- Boston Public Health Commission
- BCYF
Suggested with AI; not an official assignment of responsibility.
Ideas in Mental health & substance use
1 ideas
2024–25: 0 · 2025–26: 0 · 2026–27: 1 (of 159 in this theme)