To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: February 11, 2025
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Department Contact: |
Jenine Miller, Psy.D. |
Phone: |
707-472-2341 |
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Item Type: Consent Agenda |
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Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Amendment to Agreement No. BOS 24-052 with California Psychiatric Transitions, Inc., in the Amount of $360,000, for a New Agreement Total of $670,000, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2024, through June 30, 2025
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Recommended Action/Motion:
recommendation
Approve amendment to Agreement No. BOS 24-052 with California Psychiatric Transitions, Inc., in the amount of $360,000, for a new Agreement total of $670,000.00, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2024, through June 30, 2025; authorize the Health Services Director to sign any future amendments that do not increase the annual maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
April 23, 2024, Item 3o) Board of Supervisors approval of Agreement No. 24-052.
Summary of Request:
The Lanterman-Petris-Short (LPS) Act is the California law governing the involuntary civil commitment of individuals who, due to mental illness, pose a danger to themselves, a danger to others, or who are gravely disabled and require inpatient psychiatric care. The intent of the LPS Act was to end inappropriate lifetime commitment of people with mental illness and firmly establish their right to due process while significantly reducing state institutional expense.
Pursuant to the requirements of the LPS Act, Mendocino County is responsible for providing residential care services to LPS clients who are court-mandated to receive a specific level of care requiring a structured environment due to mental health challenges. Currently, there are no local facilities in Mendocino County that are able to provide all levels of care as mandated by the courts. In addition, there is a shortage of residential care facilities statewide, which creates competition for these placements. As a result, Behavioral Health and Recovery Services (BHRS) contracts with multiple residential care facilities in order to help manage the shortage, and to maintain current client placements ensuring the most appropriate care within the largest possible placement options.
California Psychiatric Transitions, INC provides services classified as psychiatric/psychological rehabilitation in a mental health rehabilitation center located in Delhi, California. California Psychiatric Transitions, INC provides long term care for adults with serious mental illness by operating an Intensive Day Treatment while operating as a mental health rehabilitation center. Intensive Day Treatment is appropriate for seriously mentally ill clients who may have a concurrent medical problem(s) because of the severity of their mental illness. These clients require additional services, and at times, more intensive supervision and specialized treatment plans. Intensive Day treatment is an alternative to, and diversion from, State hospital placements.
An amendment is being requested, as the placement was utilized at a higher rate than was anticipated during this fiscal year. The placement has been able to accommodate clients with more complex presentations than some of our other levels of care requiring an increased utilization an increased cost of care for clients of Mendocino County.
Alternative Action/Motion:
Return to staff for alternative handling.
Strategic Plan Priority Designation: A Safe and Healthy County
Supervisorial District: All
Vote Requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: 4050 |
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current f/y cost: $670,000 |
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annual recurring cost: Varies by utilization |
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budgeted in current f/y: Yes |
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if no, please describe: Budgeted at 310,000, increased costs mitigated by reduction in other utilization |
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revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Tony Rakes, Acting Deputy CEO
CEO Review: Choose an item.
CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved |
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Date: February 11, 2025 |
Executed Item Type: Agreement |
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Number: 24-052-A1 |
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