To: Board of Supervisors
From: Health and Human Services Agency
Meeting Date: May 21, 2019
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Department Contact: |
Tammy Moss Chandler |
Phone: |
707-463-7774 |
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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 Second Amendment to BOS Agreement No. 18-088 with Crestwood Behavioral Health, Inc. in the Amount of $108,000, for a New Total of $599,449, to Provide Residential Mental Health Treatment Services for Health and Human Services Agency, Behavioral Health and Recovery Services, Effective When Agreement Becomes Fully Executed through June 30, 2019
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Recommended Action/Motion:
recommendation
Approve second amendment to BOS Agreement No. 18-088 with Crestwood Behavioral Health, Inc. in the amount of $108,000, for a new total of $599,449, to provide Residential Mental Health Treatment Services for Health and Human Services Agency, Behavioral Health and Recovery Services, effective when Agreement becomes fully executed through June 30, 2019; authorize the Health and Human Services Agency Director or designee to sign any future amendments to the Agreement that do not increase the annual maximum amount; and authorize Chair to sign same.
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Previous Board/Board Committee Actions:
Ongoing item, last action: January 8, 2019, Item 4(l), BOS Amendment No. 18-088-A1
Summary of Request:
Crestwood Behavioral Health Inc., provides secure residential treatment programs that deliver a broad range of 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. The County’s goal is to transfer clients to a less restrictive residential setting as soon as they are medically able. Basic daily rates vary depending on the level of care.
The Health and Human Services Agency, Behavioral Health and Recovery Services (BHRS) budgeted the $350,000 original contract with Crestwood Behavioral Health Inc. using an estimated rate breakdown for an estimated number of clients; the Board of Supervisors (BOS) approved the contract on June 19, 2018. BHRS calculated the first Amendment using a revised rate breakdown for a revised estimated number of clients; the BOS approved the first Amendment on January 8, 2019. Due to additional placements in the facility and a higher level of required care, the costs have again increased since initial budgeting for fiscal year 18-19. This second Amendment will allow an increase of $108,000 for a new total of $599,449 to continue providing mandated residential mental health treatment at the appropriate levels to Mendocino County BHRS Lanterman-Petris-Short Conservatorship (LPS) clients currently in placement and receiving treatment at this facility.
Alternative Action/Motion:
Return to staff for alternative handling.
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: $599,449 |
if no, please describe: BHRS estimates and budgets for placement costs at numerous residential care facilities each fiscal year. Estimates are intentionally rounded up to accommodate the unpredictable. While estimates for Crestwood were lower than the actual need due to more clients than expected, at higher levels of care, other facilities’ estimates were higher. The excess estimated funds from other facilities will be used to cover the additional funds needed for Crestwood. |
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annual recurring cost: $0 |
revenue agreement: No |
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budget clarification:
Agreement/Resolution/Ordinance Approved by County Counsel: Yes
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CEO Liaison: Darcie Antle, Deputy CEO |
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CEO Review: Yes |
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CEO Comments:
FOR COB USE ONLY
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Executed By: Lindsey Dunham, Deputy Clerk I |
Final Status:Approved |
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Date: May 22, 2019 |
Executed Item Number: Agreement Number: 18-088-A2 |
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Note to Department Number of Original Agreements Returned to Dept: 3 Original Agreement Delivered to Auditor? Yes |
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