To: Board of Supervisors
From: Behavioral Health
Meeting Date: March 28, 2023
Department Contact: |
Jenine Miller |
Phone: |
707-472-2341 |
Item Type: Consent Agenda |
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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
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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.
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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 |
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CEO Review: Yes |
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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 |
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