TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendments to Agreements with Progress Foundation, Inc.
RECOMMENDATION
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Approve and authorize Amendment No. 3 to Agreement No. 220003B for $920,190 and Amendment No. 3 to Agreement No. 220004B for $1,165,320 with Progress Foundation, Inc., for mental health services in Fiscal Year 2024-2025. (Fiscal Impact: $2,085,510 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory).
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BACKGROUND
Napa County’s Health and Human Services Agency (HHSA) has agreements with Progress Foundation, Inc., (Progress) for the provision of residential mental health services for adults experiencing mental illness. For many years, Progress has operated a crisis residential program (Progress Place) and a transitional mental health residential program (Bella House) under these agreements.
Progress Place is designed to provide short-term residential care and mental health services to individuals who could be at psychiatric risk to themselves or others, and who may otherwise require psychiatric hospitalization. The goal of Progress Place is to stabilize clients, using a therapeutic milieu where clients are restored and able to return to a pre-crisis level of functioning, thereby avoiding a higher or more extensive level of inpatient care or long term-placements in Institutions for Mental Disease (IMDs). Progress Place serves an average of 110 individuals per year.
Bella House provides housing and mental health services in a structured therapeutic environment to Napa County adults significantly impaired by a serious mental illness. Bella House is considered “transitional housing”, which means clients can stay up to 18 months. Often this is an alternative to more restrictive/locked mental health facilities. Bella House aims to transition clients from higher levels of mental health institutional care to more independent, lower levels of care, and stable housing in the community. Bella House serves an average of 27 individuals per year.
Both agreements were granted an increase in their contract maximums to support the implementation of staff cost of living adjustments. Additionally, these increases will support increasing programmatic and facility operational costs. Both programs are key to helping clients remain out of higher levels of care, which affords HHSA’s Behavioral Health Division cost savings for clients that require higher levels of treatment. Staff shortages, higher salary expectations, rising utility, food, and building maintenance costs affect the ability of residential contractors to maintain the standard of care Napa County clients need to step-down from these programs.
Requested Actions:
1. Approve and authorize Amendment No. 3 to Agreement No. 220003B with Progress Foundation, Inc., to increase the contract maximum by $35,393 for a new contract maximum of $920,190 for Fiscal Year 2024-2025, and each subsequent renewal; and
2. Approve and authorize Amendment No. 3 to Agreement No. 220004B with Progress Foundation, Inc., to increase the contract maximum by $44,824 for a new contract maximum of $1,165,320 for Fiscal Year 2024-2025, and each subsequent renewal.
FISCAL & STRATEGIC PLAN IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
Health and Human Services Agency, Behavioral Health Division |
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Is it Mandatory or Discretionary? |
Mandatory |
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Is the general fund affected? |
No |
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Future fiscal impact: |
These agreements contain provisions for automatic annual renewal. Appropriations have been included in the requested Fiscal Year 2024-2025 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If these agreements are not approved, these facilities for mentally ill clients would be unable to be used by the County to transition clients back into the community and would result in extended stays at hospitals and other mental health facilities that require a higher level of care. In addition, Napa County would be sending clients to out of county residential sites, creating increased difficulty to access local social and natural support systems of care. |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.