To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: June 25, 2024
|
Department Contact: |
Jenine Miller, Psy. D. |
Phone: |
707-472-2341 |
|
Item Type: Consent Agenda |
|
Time Allocated for Item: N/A |
Agenda Title:
title
Approval of Second Amendment to Agreement No. BOS-23-075 with Crestwood Behavioral Health, Inc., in the Amount of $195,000, for a New Agreement Total of $995,000, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2023, through June 30, 2024
End
Recommended Action/Motion:
recommendation
Approve second amendment to Agreement No. BOS-23-075 with Crestwood Behavioral Health, Inc., in the amount of $195,000, for a new Agreement total of $995,000, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2023, through June 30, 2024; authorize the Health Services Director or designee to sign any future amendments that do not increase the maximum amount; and authorize Chair to sign same.
End
Previous Board/Board Committee Actions:
May 23, 2023, Item 3l), approval of Agreement No. BOS-23-075.
January 23, 2024, Item 3j), approval of first Amendment No. BOS-23-075-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 and 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. On May 23, 2023, the Mendocino County Board of Supervisors (BOS) executed Agreement No. BOS-23-075 with Crestwood Behavioral Health, Inc. to provide these services to qualifying clients of Mendocino County BHRS, with the County-goal to transfer clients to less restrictive residential settings as soon as they are able.
The original amount for Agreement No. BOS-23-075 was estimated based on the number of clients at Crestwood Behavioral Health, Inc., in the beginning of Fiscal Year 2023-24, with anticipation of some clients moving to a lower level of care. This estimate did not go as anticipated, with clients continuously needing a higher level of care. As a result, on January 23, 2024, the BOS executed a first Amendment to Agreement No. BOS-23-075, increasing funds available by $250,000 for a new total of $800,000, in order to continue mental health residential treatment services to Mendocino County LPS conserved clients.
Similarly, the $800,000 estimate for the first Amendment did not go as anticipated, with clients continuing to need a higher level of care. The proposed second Amendment to Agreement No. BOS-23-075 increases the total amount again, by $195,000 for a new total of $995,000, to continue appropriate levels of mental health residential treatment services to Mendocino County LPS conserved clients. Once the proposed second Amendment is executed, it will be effective for the full term of the Agreement, from July 1, 2023, through June 30, 2024.
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:
|
source of funding: 4050 |
|
|
current f/y cost: $995,000 for the term of the Agreement. |
|
|
annual recurring cost: N/A |
|
|
budgeted in current f/y: No |
|
if no, please describe: Funding Source for this amendment comes from distribution of unused LPS placement funds, which are available to use immediately, and realignment funds as needed. This will be reflected in Quarter 3 adjustment. |
|
revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Tony Rakes, Acting Deputy CEO
CEO Review: Yes
CEO Comments:
FOR COB USE ONLY
|
Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved |
|
Date: June 25, 2024 |
Executed Item Type: Agreement |
|
|
Number: 23-075-A2 |
|
|
|