TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Agreement No. 230316B with A&A Health Services, LLC.
RECOMMENDATION
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Director of Health and Human Services Agency (HHSA) requests approval of and authorization for the Chair to sign Agreement No. 230316B with A&A Health Services, LLC, in the amount of $250,000 for Fiscal Year 2022-2023, and each subsequent renewal, for the provision of residential care for adult mental health clients.
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EXECUTIVE SUMMARY
Approval of today’s action will allow the County to enter into an agreement with A&A Health Services, LLC, in order to allow HHSA Mental Health clients to be placed in a facility that is both appropriate for their needs and in closer proximity than other out of county facilities-allowing greater opportunity for clients and families to connect in-person and enhancing service outcomes.
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 & Human Services Mental Health |
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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 2022-2023 budget and future fiscal years will be budgeted accordingly. |
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Consequences if not approved: |
Services provided under this Agreement are deemed a mandated service category by the Department of Health Care Services (DHCS). If Napa County does not enter into an agreement with this contractor, HHSA Mental Health clients will lose the opportunity to be placed at a facility that is both appropriate for their needs and closer in proximity to Napa County than other facilities, which allows greater opportunity for clients and their families to connect in-person, enhancing service outcomes. |
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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
A&A Health Services operates transitional facilities with the goal of preparing clients to step-down to the lowest level of care appropriate to their unique needs. Residential care facilities provide long-term stable housing for individuals who are unable to stay in traditional board and care community placements because their acute mental health symptoms and/or behaviors resulting from their mental illness prevent them from functioning at the level of independence required in other programs. A&A Health Services also specializes in serving co-occurring clients, those who experience both mental illness and substance use disorders. These programs serve as a less costly, community-based alternative to long-term locked settings, and are often utilized as a step down for individuals coming out of long-term locked settings to better prepare the individual for a successful reentry into the community.
A&A Health Services’ facilities are located in the city of San Pablo (Contra Costa County), which is closer to Napa County than other facilities that HHSA’s Mental Health Division utilizes for placements of this type. Utilizing enhanced board and care facilities has proven successful in providing services to clients who would otherwise be institutionalized.