To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: September 24, 2024
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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 Retroactive Agreement (Fourth Amendment to Agreement No. PA 23-85, MH-23-011) with California Psychiatric Transitions, Inc., in the Amount of $155,000, for a New Agreement Total of $815,000, to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2023, through June 30, 2024
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Recommended Action/Motion:
recommendation
Approve Retroactive Agreement (fourth amendment to Agreement No. PA 23-85, MH-23-011) with California Psychiatric Transitions, Inc., in the amount of $155,000, for a new Agreement total of $815,000, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2023, through June 30, 2024; authorize the Director of Health Services 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:
September 12, 2023, Item 3(h), Approval of first Amendment No. BOS-23-157
February 6, 2024, Item 3(k), Approval of second Amendment No. BOS-24-020
April 23, 2024, Item 3n), Approval of third Amendment No. BOS-24-051
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.
California Psychiatric Transitions, Inc. (CPT) is one of a few residential care facilities able to provide services to Mendocino County clients. CPT, located in Delhi, CA, provides secure residential treatment programs and offers a broad range of services for adults requiring a structured environment due to mental health challenges. The goal of CPT is to provide the intervention and support necessary for clients to move towards stabilization, recovery, and successful function in the least restrictive environment possible. Services include: psychological rehabilitation support, provision of residential and health care needs, activities designed to develop self-help skills, life skills, and interpersonal relationships, and programs that promote the recovery of clients for independent living in the community. Services provided by CPT are unique and are considered an alternative to State Hospitals for clients who need the most restrictive level of care.
On July 1, 2023, the Mendocino County Purchasing Agent (PA) approved Agreement No. PA 23-85, MH-23-011 with CPT for mental health residential treatment services. On September 12, 2023, the County of Mendocino Board of Supervisors (BOS) approved first Amendment No. BOS-23-157, to increase the Agreement amount to $230,000. On February 6, 2024, the BOS approved second Amendment No. BOS-24-020 to increase the amount to $410,000, and on April 23, 204 the BOS approved third Amendment No. BOS-24-051 to increase the total amount to $660,000. The proposed fourth Amendment increases the total amount to $815,000, to cover additional costs for mental health residential treatment services to Mendocino County LPS conserved clients for fiscal year 23-24. The previous amounts were estimated based on the number of clients at CPT in the beginning of the fiscal year, with the 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. Once the proposed fourth Amendment is executed, it will be effective for the full term of the Agreement, from July 1, 2023, through June 30, 2024. Due to the unpredictable nature of necessary services, this fourth Amendment was not anticipated, therefore, it is retroactive.
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: $815,000 for FY 23-24 |
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annual recurring cost: N/A |
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budgeted in current f/y: No |
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if no, please describe: Due to the diversity of clients, some specialized placement agreements with other contractors have been underutilized. Funding for this Amendment with California Psychiatric Transitions, Inc. comes from the distribution of those unused LPS placement funds, which are immediately available to use. |
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revenue agreement: No |
AGREEMENT/RESOLUTION/ORDINANCE APPROVED BY COUNTY COUNSEL: Yes
CEO Liaison: Darcie Antle, 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: September 24, 2024 |
Executed Item Type: Agreement |
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Number: 24-162 |
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