To: Board of Supervisors
From: Behavioral Health
Meeting Date: November 16, 2021
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Department Contact: |
Jenine Miller |
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 Amendment to Agreement No. BOS 21-080 with Nadham, Inc. DBA Creekside Convalescent Hospital-Behavioral Health in the Amount of $62,790 for a New Total of $314,640 to Provide Residential Care to Mendocino County Lanterman-Petris-Short Clients, Effective July 1, 2021 through June 30, 2022
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Recommended Action/Motion:
recommendation
Approve Amendment to Agreement No. BOS 21-080 with Nadham, Inc. DBA Creekside Convalescent Hospital-Behavioral Health in the amount of $62,790 for a new total of $314,640 to provide residential care to Mendocino County Lanterman-Petris-Short clients, effective July 1, 2021 through June 30, 2022; 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:
May 4, 2021, Item 4(z), BOS Agreement 21-080.
Summary of Request:
The Lanterman-Petris -Short (LPS) Conservatorship Act is the California law governing the involuntary civil commitment of individuals who are gravely disabled and require higher levels of 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.
Nadham, Inc. DBA Creekside Convalescent Hospital-Behavioral Health (Creekside) provides services classified as psychiatric/psychological rehabilitation in a mental health rehabilitation center located in Santa Rosa, California. Creekside provides long-term care for adults with serious mental illness by operating an Intensive Day Treatment program. 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.
Due to the urgency of the need for services, Mendocino County BHRS negotiated with Creekside to place an additional client with very high needs beginning October 1, 2021. Mendocino County BHRS currently contracts with Creekside for three dedicated beds for Mendocino County LPS clients. This Amendment increases dedicated beds by one, for a new total of four dedicated beds at Creekside, providing expanded services to Mendocino County LPS clients.
Alternative Action/Motion:
Return to staff for alternative handling.
How Does This Item Support the General Plan? Page 3-62 - Goal DE-29: A healthy population which has access to health care.
Supervisorial District: All
vote requirement: Majority
Supplemental Information Available Online At: N/A
Fiscal Details:
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source of funding: 4050 |
budgeted in current f/y: No |
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current f/y cost: $314,640 |
if no, please describe: Placement agreements are initially drafted as a best-guess of client needs for the term of the agreement. This agreement was under-estimated. Additional funds will come from underutilized agreements with other residential treatment contractors for fiscal year 21-22. |
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annual recurring cost: $314,640 |
revenue agreement: No |
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budget clarification: Due to the diversity of clients, some specialized placement agreements with other residential treatment contractors for fiscal year 21-22 have been underutilized. Funding for this Amendment with Creekside Behavioral Health comes from the distribution of those unused LPS placements funds, which are immediately available for use. |
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, Assistant CEO |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Atlas Pearson, Deputy Clerk II |
Final Status:Approved |
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Date: November 16, 2021 |
Executed Item Type: Agreement Number: 21-080-A1 |
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Note to Department Number of Original Agreements Returned to Dept: 0 Original Agreement Delivered to Auditor? No |
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