To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: May 6, 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 First Amendment to Agreement No. BOS-24-053 with Crestwood Behavioral Health, Inc. in the Amount of $80,000 for a New Agreement Total of $680,000, 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 first amendment to Agreement No. BOS-24-053 with Crestwood Behavioral Health, Inc. in the amount of $80,000 for a new Agreement total of $680,000, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2024, through June 30, 2025; authorize the Health 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:
April 23, 2024, Item 3p) Approval of Agreement No. BOS 24-053.
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.
An amendment is being requested, as the placement was utilized at a higher rate than was anticipated during this fiscal year. Crestwood Behavioral Health, Inc. has been able to accommodate clients with more complex presentations than some of our other levels of care requiring increased utilization and 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: $680,000 |
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budget clarification: Yes |
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annual recurring cost: Varies by utilization. Budgeted at $600,000, increased costs mitigated by reduction in other utilization. |
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budgeted in current f/y (if no, please describe): No |
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revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Tony Rakes, Deputy CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
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Executed By: Deputy Clerk |
Final Status: Item Status |
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Date: Date Executed |
Executed Item Type: item |
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Number: |
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