TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 3 to Agreement No. 210314B with Crestwood Behavioral Health, Inc. (Crisis Stabilization Unit)
RECOMMENDATION
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Approve and authorize Amendment No. 3 to Agreement No. 210314B with Crestwood Behavioral Health, Inc., to increase the contract maximum by $170,480 for a new contract maximum of $3,652,855, for Fiscal Year 2024-2025, and each subsequent renewal, to support staff training and the implementation of staff cost of living adjustments. (Fiscal Impact: $3,652,855 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)
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BACKGROUND
Crestwood Behavioral Health currently operates the County’s Crisis Stabilization Unit. The unit provides immediate access to crisis intervention, emergency psychiatric evaluation and medication services for children, adults, and older adults in a mental health crisis, and other specialty mental health services. Contractor also offers community-based Crisis Stabilization Services (CSS) over the telephone or through face-to-face contact 24 hours a day, 7 days per week, to address the emergency psychiatric needs of children, adolescents, adults, older adults and families in a mental health crisis.
This amendment incorporates an increase to the contract maximum for the implementation of staff cost of living adjustments and for staff training efforts in Professional Assault Crisis Training (Pro-ACT), which focuses on crisis de-escalation without the use of restraints.
Requested Action:
1. Approve and authorize Amendment No. 3 to Agreement No. 210314B with Crestwood Behavioral Health, Inc., increasing the contract maximum by $170,480, for a new contract maximum of $3,652,855 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: |
This agreement contains a provision for automatic annual renewal. Appropriations have been included in the approved 2024-2025 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this amendment is not approved, the County will be unable to provide Crestwood with additional funds to support CSU services necessary to provide mandated inpatient psychiatric hospitalization services to children, adolescents, adults, older adults and families in mental health crisis. |
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.