TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Agreement No. 270189B with Crestwood Behavioral Health, Inc. (Psychiatric Health Facility)
RECOMMENDATION
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Approve and authorize Agreement No. 270189B with Crestwood Behavioral Health, Inc., for a maximum of $875,000 for Fiscal Year 2026-2027, and each subsequent automatic renewal, for the provision of acute psychiatric inpatient services. (Fiscal Impact: $875,000 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)
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BACKGROUND
Crestwood Behavioral Health, Inc., operates Solano Psychiatric Health Facility (PHF), a secure 16-bed mental health stabilization facility that provides 24-hour observation, treatment, and stabilization services to individuals experiencing acute psychiatric crises. The PHF is staffed by qualified mental health professionals and serves adults 18 years of age and older who may be admitted on a voluntary or involuntary basis.
The beds and services purchased under this agreement are essential to meeting the behavioral health needs of Health and Human Services Agency (HHSA) clients and provides a critical alternative to traditional psychiatric hospitalization for Napa County residents experiencing psychiatric emergencies of such severity that they cannot be safely or effectively managed in a community setting.
Requested Actions:
1. Approve and authorize Agreement No. 270189B with Crestwood Behavioral Health, Inc., for a maximum of $875,000 for Fiscal Year 2026-2027, and each subsequent automatic renewal, for the provision of acute psychiatric inpatient services.
FISCAL 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 Fiscal Year 2026-2027 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If not approved, it would severely limit HHSA's capacity to provide mandated inpatient psychiatric hospitalization services at the appropriate level of care. |
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Additional Information |
Strategic Initiative: Compassion & Access |
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.