To: Board of Supervisors
From: Behavioral Health
Meeting Date: July 11, 2023
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Department Contact: |
Jenine Miller, Psy.D. |
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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 Retroactive Second Amendment to BOS Agreement No. 22-125 with Crestwood Behavioral Health, Inc., in the Amount of $70,000, for a New Agreement Total of $720,000, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2022 through June 30, 2023
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Recommended Action/Motion:
recommendation
Approve retroactive second amendment to BOS Agreement No. 22-125 with Crestwood Behavioral Health, Inc., in the amount of $70,000, for a new Agreement total of $720,000, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2022 through June 30, 2023; authorize the Behavioral Health and Recovery Services Director or designee to sign any future amendments that do not increase the annual maximum amount; and authorize Chair to sign same.
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Previous Board/Board Committee Actions:
June 7, 2022, Item No. 3(o), BOS approval of Agreement No. BOS-22-125.
February 7, 2023, Item No. 3(i), BOS approval of first Amendment No. BOS-22-125-A1.
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.
Crestwood Behavioral Health, Inc., is one of a few residential care facilities able to provide a broad range of services to Mendocino County LPS clients. Crestwood Behavioral Health, Inc., located throughout the State of California, provides secure residential treatment programs that provide services for adults requiring a structured environment due to mental health challenges. Levels of care include the provision of groups, trainings, and programs to promote the recovery of clients for independent living in the community. The County’s goal is to transfer clients to less restrictive residential settings as soon as they are able.
On June 7, 2022, the Mendocino County Board of Supervisors (BOS) approved Agreement No. BOS-22-125 with Crestwood Behavioral Health, Inc., for residential care services to Mendocino County LPS conserved clients for Fiscal Year 2022-23. On February 7, 2023, the BOS approved the first Amendment to BOS Agreement No. BOS-22-125 to increase the Agreement total to $650,000.
The proposed second Amendment to BOS Agreement No. BOS-22-125 increases the total amount to $720,000 to continue court mandated mental health services to Mendocino County LPS conserved clients. The original and first amended amounts of Agreement No. BOS-22-125, were estimated based on the number of clients at Crestwood Behavioral Health, Inc., in the beginning of the fiscal year, with the anticipation of some clients moving to a lower level of care before the end of the contract period. This estimate did not go as anticipated, due to clients continuously needing a higher level of care throughout the term of the Agreement. Once the proposed second Amendment is executed, it will be effective for the full term of the Agreement, from July 1, 2022 through June 30, 2023.
Due to the unpredictable nature of necessary services, this second Amendment was not anticipated, therefore is retroactive.
Alternative Action/Motion:
Return to staff for alternative handling.
Does This Item Support the General Plan? Yes
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 |
budgeted in current f/y: No |
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current f/y cost: $720,000 |
if no, please describe: Additional funds will come from underutilized agreements with other residential treatment contractors for fiscal year 22-23. |
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annual recurring cost: $720,000 |
revenue agreement: No |
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budget clarification: Due to the diversity of clients, some specialized placement agreements with other contractors have been underutilized. Funding for this Amendment with Crestwood Behavioral Health, Inc. comes from the distribution of those unused LPS placements funds, which are immediately available for use. |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, CEO |
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CEO Review: Yes |
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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: July 11, 2023 |
Executed Item Type: Agreement Number: 22-125-A2 |
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