To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: February 11, 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 Agreement (Amendment to Agreement No. PA 25-30) with Maple Healthcare in the Amount of $54,000, for a New Agreement Total of $104,000, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 01, 2024, through June 30, 2025
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Recommended Action/Motion:
recommendation
Approve Agreement (amendment to Agreement No. PA 25-30) with Maple Healthcare in the amount of $54,000, for a new Agreement total of $104,000, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 01, 2024, through June 30, 2025; authorize the Health Services Director 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:
August 28, 2024, Purchasing Agent Approval of Agreement MH 24-035 (PA 25-30)
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.
Maple Healthcare provides services classified as psychiatric/psychological rehabilitation in a mental health rehabilitation center located in Los Angeles, California. Maple Healthcare provides long term care for adults with serious mental illness by operating an Intensive Day Treatment while operating as a 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 August 28, 2024, the Mendocino County Purchasing Agent approved Agreement No. PA 25-30 with Maple Healthcare for mental health residential treatment services. The original amount of the Agreement was estimated based on the number of clients at Maple Healthcare 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-25-30 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, 2024 through June 30, 2025.
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: $104,000 |
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budget clarification: Budgeted at $50,000, increased costs mitigated by reduction in other utilization. |
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annual recurring cost: varies by utilization |
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budgeted in current f/y (if no, please describe): Yes |
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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
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Executed By: Atlas Pearson, Senior Deputy Clerk |
Final Status: Approved |
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Date: February 11, 2025 |
Executed Item Type: Agreement |
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Number: 25-011 |
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