To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: September 24, 2024
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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 Agreement (Retroactive First Amendment to MH Agreement 23-018) with Generation Health Care (GHC) of Auburn Doing Business as Siena Skilled Nursing and Rehabilitation Increasing the Amount to $60,000 to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients During the period of July 1, 2023, through June 30, 2024
End
Recommended Action/Motion:
recommendation
Approve Agreement (retroactive first amendment to MH Agreement 23-018) with Generation Health Care (GHC) of Auburn doing business as Siena Skilled Nursing and Rehabilitation increasing the amount to $60,000 to provide residential care to Mendocino County Lanterman-Petris-Short Clients during the period of July 1, 2023, through June 30, 2024; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
Approval of MH 23-018.
Summary of Request:
The Lanterman-Petris-Short 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 not 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 manager the shortage, and to maintain current client placements ensuring the most appropriate care within the largest possible placement options.
Generation Health Care of Auburn DBA Siena Skilled Nursing and Rehabilitation is one of the residential care facilities providing care to Mendocino County Clients. Generation Care located in Auburn California is a skilled Nursing Facility providing a broad range of services for adult clients including psychological rehabilitation support, activities and educational opportunities to improve life skills, treatment by a psychiatrist, and provision of health care needs.
A retroactive amendment is being requested, as the placement was utilized at a higher rate than was anticipated during this fiscal year. This placement has been able to accommodate clients with more complex presentations than some of our other levels of care requiring an increased utilization and increased in cost of care for clients of Mendocino County in the final months of the contract.
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: $60,000 |
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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 49,000, 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: Darcie Antle, CEO
CEO Review: Yes
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: September 24, 2024 |
Executed Item Type: Agreement |
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Number: 24-163 |
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