To: Board of Supervisors
From: Behavioral Health
Meeting Date: June 21, 2022
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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 Retroactive Amendment to BOS Agreement 22-020, with A&A Health Services, LLC. in the Amount of $59,000, for a New Agreement Total of $159,000, to Provide Residential Care Services to Mendocino County Lanterman-Petris-Short Clients, Effective November 24, 2021 through June 30, 2022
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Recommended Action/Motion:
recommendation
Approve Retroactive Amendment to BOS Agreement 22-020 with A&A Health Services, LLC. in the amount of $59,000, for a new Agreement total of $159,000, to provide residential care services to Mendocino County Lanterman-Petris-Short clients, effective November 24, 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:
January 25, 2022, Item 3(l), Approval of Agreement No. BOS-22-020.
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.
A&A Health Services LLC. is one of the few residential care facilities able to provide services to Mendocino County LPS clients. A&A Health Services LLC. is a residential care facility in San Pablo, CA providing 24-hour residential care in a clean, comfortable, and home-like environment. A&A Health Services provides medication management, educational opportunities, socialization and group interactions, entertainment/recreation, and transportation to the residents with an overall goal for clients to achieve independence with a lower level of care requirement.
The proposed Amendment to Agreement No. BOS 22-020 increases the total amount, enabling A&A Health Services to continue court-mandated mental health services to Mendocino County LPS conserved clients.
Due to the urgency of need for services, Mendocino County BHRS negotiated with A&A Health Services to place two additional clients with very high needs, one beginning in January 2022 and another beginning in March 2022.
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: $159,000 |
if no, please describe: Additional funds will come from underutilized agreements with other residential treatment contractors for fiscal year 21-22. |
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annual recurring cost: $159,000 |
revenue agreement: No |
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budget clarification: Due to the diversity of clients, some specialized placement agreements with other contractors have been underutilized. Funding for this Amendment with A&A Health Services, LLC. 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: Executive Office |
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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: June 21, 2022 |
Executed Item Type: Agreement Number: 22-020-A1 |
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