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File #: 23-0333    Version: 1 Name:
Type: Approval Status: Consent Agenda
File created: 3/7/2023 In control: Behavioral Health and Recovery Services
On agenda: 3/28/2023 Final action:
Title: Approval of Amendment to Agreement No. BOS 22-122 with Canyon Manor in the Amount of $70,000, for a New Agreement Total of $203,612, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2022, through June 30, 2023
Attachments: 1. Agreement 22-122-A1, 2. Original Agreement - Canyon Manor, $133,612, 22-23, BHRS MH, BOS 22-122

 

To:  Board of Supervisors

FromBehavioral Health 

Meeting DateMarch 28, 2023

 

Department Contact:  

Jenine Miller

Phone: 

707-472-2341

 

Item Type:   Consent Agenda

 

Time Allocated for Item: N/A

 

 

Agenda Title:

title

Approval of Amendment to Agreement No. BOS 22-122 with Canyon Manor in the Amount of $70,000, for a New Agreement Total of $203,612, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2022, through June 30, 2023

End

 

Recommended Action/Motion:

recommendation

Approve Amendment to Agreement No. BOS 22-122 with Canyon Manor in the amount of $70,000, for new Agreement total of $203,612, 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.

End

 

Previous Board/Board Committee Actions:

June 7, 2022, Item 3(l), Approval of Agreement No. BOS-22-122.                     

 

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, Mendocino County 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.

 

Canyon Manor provides services classified as psychiatric/psychological rehabilitation in a mental health rehabilitation center located in Novato, California. Canyon Manor provides long-term care for adults with serious mental illness by offering Intensive Day Treatment through its 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.

 

On June 7, 2022, the Mendocino County Board of Supervisors approved Agreement No. BOS-22-122 with Canyon Manor for mental health residential treatment services. The original amount of the Agreement was estimated based on the number of clients at Canyon Manor 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, with clients continuously needing a higher level of care throughout the term of the Agreement. The proposed Amendment to Agreement No. BOS-22-122 increases the total amount available for mental health residential treatment services, in order to continue court-mandated mental health services to Mendocino County LPS conserved clients. Once the proposed Amendment is executed, it will be effective for the full term of the Agreement, from July 1, 2022 through June 30, 2023

 

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:

source of funding: 4050

budgeted in current f/y: Yes

current f/y cost: $203,612

if no, please describe: Additional funds come  from underutilized agreements with other residential  treatment contractors for fiscal year 22-23.

annual recurring cost: N/A

revenue agreement: No

 budget clarification: Due to the diversity of clients, some specialized placement agreements with other            contractors have been underutilized. Funding for this Amendment with Canyon Manor comes            from the distribution of those unused LPS placements funds, which are immediately available for use.

Agreement/Resolution/Ordinance Approved by County Counsel: Yes

 

CEO Liaison: Darcie Antle, CEO

 

 

CEO Review: Yes 

 

 

CEO Comments:

 

FOR COB USE ONLY

Executed By: Atlas Pearson, Senior Deputy Clerk

Final Status: Approved

Date: March 28, 2023

Executed Item Type: Agreement   Number: 22-122-A1