To: BOARD OF SUPERVISORS
From: Behavioral Health and Recovery Services
Meeting Date: January 23, 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 First Amendment to BOS Agreement No. 23-075 with Crestwood Behavioral Health, Inc., in the Amount of $250,000, for a New Agreement Total of $800,000, 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 first Amendment to BOS Agreement No. 23-075 with Crestwood Behavioral Health, Inc., in the amount of $250,000, for a new Agreement total of $800,000, to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2023, through June 30, 2024; authorize the Behavioral Health and Recovery 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.
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 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 proposed Amendment to Agreement No. BOS-23-075 increases the total amount to $800,000, to continue mental health residential treatment services to Mendocino County LPS conserved clients. The original maximum amount for Agreement No. BOS-23-075 was estimated based on the number of clients at Crestwood Behavioral Health, Inc. 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 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: $800,000 for the term of the Agreement. |
|
budget clarification: Due to the diversity of clients, some specialized placement agreements with other contractors have been underutilized. Funding for this Amendment with Crestwood Behavioral Health, Inc. comes from the distribution of those unused LPS placements funds, which are immediately available for use. |
|
annual recurring cost: N/A |
|
budgeted in current f/y (if no, please describe): No. Additional funds come from underutilized agreements with other contractors have been underutilized. Funding for this Agreement with Crestwood Behavioral Health, Inc. comes from distribution of those unused LPS placement funds, which are immediately available for use. |
|
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: January 25, 2024 |
Executed Item Type: Agreement |
|
|
Number: 23-075-A1 |
|
|
|