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Health and Human Services Agency recommending the Board:
1) Approve and authorize the Chair to sign Agreement for Services 5298 with California Psychiatric Transitions, Inc. for the provision of long term residential treatment for mentally ill adults, with a maximum contractual obligation of $1,500,000, for the term April 1, 2021 through March 31, 2024;
2) Make findings in accordance with County Ordinance 3.13.030 (B) Specialty skills and qualifications not expressly identified in County classifications are involved in the performance of the work as the County has neither the staff nor facilities to perform said services; and
3) Authorize the Purchasing Agent or designee to execute further documents relating to Agreement for Services 5298 including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management.
FUNDING: 100% Traditional 2011 and 1991 Realignment.
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DISCUSSION / BACKGROUND:
Health and Human Services Agency (HHSA) recommending the Board approve and authorize the Chair to sign Agreement for Services #5298 with California Psychiatric Transitions, Inc. (CPT) for the provision of long-term residential treatment for mentally ill adults as HHSA needs to provide and maintain capacity for residential treatment services at the higher level of acuity, available through CPT.
Additionally, HHSA has determined that services provided pursuant to this Agreement #5298 satisfy the criteria defined in Chapter 3.13, Section 3.13.030 of the County Ordinance in that the work performed under this Agreement requires specialty skills and qualifications not expressly identified in County classifications to be involved in the performance of the work and the County has neither the staff nor facilities to provide long-term residential treatment for mentally ill adults.
CPT is a 24/7 Mental Health Rehabilitation Center (MHRC), licensed by the Department of Health Care Services (DHCS), located in Merced County, that has been providing long-term residential psychiatric treatment for County adults since March 7, 2008. CPT provides treatment services for multiple acuity levels and provides an alternative to State hospital placements for individuals who meet the eligibility criteria established by CPT. CPT also operates a facility that addresses the needs and concerns for individuals who have been court-ordered to a diversion program or have committed felonies/misdemeanors and are currently unable to stand trial (i.e., incompetent to stand trial as per California Penal Code). Services are provided on an “as requested” basis.
In accordance with Board of Supervisors Policy C-17, Section 7.11, “Contracts over $100,000,” prior to finalizing this Agreement #5298 with California Psychiatric Transitions, Inc., HHSA sought and received a review of the scope of services and the contractor’s professional qualifications by a group of individuals qualified to judge the contractor’s ability to perform the services, including one representative from outside the department requesting the services.
ALTERNATIVES:
Disapproval of Agreement for Services #5298 will result in the inability of HHSA to comply with court orders related to diversion programs, diminish the ability for HHSA to meet the service demands of the community, and disrupt the service plans of clients who may already be receiving residential services from this vendor.
PRIOR BOARD ACTION:
1) 03/13/18, File ID 17-1272 HHSA California Psychiatric Transitions 593
2) 03/08/16, File ID 16-0059 California Psychiatric Transitions #348-S1610
3) 06/26/12, File ID 12-0689 CA Psychiatric Transitions (and versions 2 and 3)
OTHER DEPARTMENT / AGENCY INVOLVEMENT:
County Counsel, Risk Management, Procurement and Contracts, and Human Resources
CAO RECOMMENDATION:
Approve as recommended.
FINANCIAL IMPACT:
There is no net county cost impact associated with this Agenda item. Sufficient appropriations were included in the Fiscal Year 20210-22 Budget, and will be included in future budgets for the term of the Agreement.
This Agreement for Services is a renewal of a prior year agreement and continues to be funded with Traditional 2011 and 1991 Realignment.
CLERK OF THE BOARD FOLLOW UP ACTIONS
1) Clerk of the Board to obtain signature of Chair on two (2) original Agreements for Services 5298.
2) Clerk of the Board to return one (1) fully executed Agreement to HHSA Contracts Division.
STRATEGIC PLAN COMPONENT:
County of El Dorado Strategic Plan Goal: Healthy Communities - Improved health, well-being and self-sufficiency of El Dorado County communities, residents, and visitors; and/or: Public Safety - Support for the mentally ill, homeless, and those with substance use disorders where Public Safety issues are present.
CONTACT
Don Semon, Director