TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 1 to Agreement No. 210314B with Crestwood Behavioral Health, Inc. (Crisis Stabilization Unit)
RECOMMENDATION
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Director of Health and Human Services Agency (HHSA) requests approval of and authorization for the Chair to sign Amendment No. 1 to Agreement No. 210314B with Crestwood Behavioral Health, Inc., to increase the annual contract maximum to $3,345,744 for the term July 1, 2022, through June 30, 2023, and each subsequent automatic renewal thereafter, to provide recovery based Crisis Stabilization Services (CSS).
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EXECUTIVE SUMMARY
Approval of today’s requested action allow for an increase of $345,744 for a new annual contract maximum of $3,345,744 for the provision of Crisis Stabilization Services (CSS) in person at the HHSA campus and on the phone 24 hours a day, seven days a week, with on-call, after hours coverage for the Napa County Juvenile Hall and Napa County Jail. The additional budget increase is due to staffing and security measures. An additional nurse, office assistant, and two recovery coaches have been added to the program, as well as the need for new operational costs such as client transportation and increased insurance fees.
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, Mental 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 are included in the requested FY 2022-2023 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
If this amendment is not approved, it would severely limit HHSA's capacity to provide mandated inpatient psychiatric hospitalization services to children, adolescents, adults, older adults and families in mental health crisis. |
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County Strategic Plan pillar addressed: |
Healthy, Safe, and Welcoming Place to Live, Work, and Visit |
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.
BACKGROUND AND DISCUSSION
Crestwood Behavioral Health, Inc., has operated the County’s Crisis Stabilization Unit for over a year. 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 and will address the emergency psychiatric needs of children, adolescents, adults, older adults and families in a mental health crisis. The recovery-oriented services offered in voluntary and involuntary treatment settings will promote the provision of mental health care and integrated triage for individuals who may be in a situational crisis, may have primary diagnoses of mental health disorders, and may also have co-occurring substance abuse disorders. Individuals will be given up to 23:59 hours of intensive crisis assistance onsite and offered many other services, as needed.
The current contract maximum for this agreement is $3,000,000 per fiscal year. This amendment would increase the contract maximum by $345,744 making it $3,345,744 annually. The additional budget increase is due to staffing and security measures. An additional nurse, office assistant, and two recovery coaches have been added to the program, as well as the need for new operational costs such as client transportation and increased insurance fees. Without the additional funds, the CSU would be understaffed and would not be equipped to provide the range of services required by this level of care facility.