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File #: 22-0024    Version:
Type: Agenda Item Status: Approved
File created: 12/16/2021 In control: Board of Supervisors
On agenda: 1/25/2022 Final action: 1/25/2022
Title: Health and Human Services Agency recommending the Board: 1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to enter into tri-party Memorandum of Understanding (County MOU 6216) with California Mental Health Services Authority (CalMHSA) and the California Department of State Hospitals (DSH) for State hospital beds because (B) “Specialty skills, qualifications, and equipment not expressly identified in County classifications involved in the performance of the work;” 2) Approve and authorize the Chair to sign MOU 6216 with CalMHSA and DSH, for the provision of State hospital beds on an “as requested” basis, for a retroactive term of July 1, 2021 through June 30, 2022, with a variable maximum obligation dependent on usage of State hospital beds; and 3) Authorize the Purchasing Agent to sign future amendments to this MOU issued by CalMHSA and DSH, and contingent upon approval by County Counsel and Risk Management. (Cont. 1/11/2022, Item 8) FUNDING: 199...
Attachments: 1. A - Approved CRS, 01-11-2022, 2. B - Memorandum of Understanding 6216, 01-11-2022, 3. C - Agreement 4282, 01-11-2022, 4. D - Agreement 4282, A1, 01-11-2022, 5. E - Agreement 4282, A2, 01-11-2022, 6. F - CFO Memo on CalMHSA Audit, 7. Executed State Hospital Beds MOU
Related files: 15-1386, 19-1297, 20-0831, 20-1650, 21-0597, 23-1852, 22-0275
Title
Health and Human Services Agency recommending the Board:
1) Make findings in accordance with County Ordinance 3.13.030 that it is appropriate to enter into tri-party Memorandum of Understanding (County MOU 6216) with California Mental Health Services Authority (CalMHSA) and the California Department of State Hospitals (DSH) for State hospital beds because (B) “Specialty skills, qualifications, and equipment not expressly identified in County classifications involved in the performance of the work;”
2) Approve and authorize the Chair to sign MOU 6216 with CalMHSA and DSH, for the provision of State hospital beds on an “as requested” basis, for a retroactive term of July 1, 2021 through June 30, 2022, with a variable maximum obligation dependent on usage of State hospital beds; and
3) Authorize the Purchasing Agent to sign future amendments to this MOU issued by CalMHSA and DSH, and contingent upon approval by County Counsel and Risk Management. (Cont. 1/11/2022, Item 8)

FUNDING: 1991 Mental Health Realignment.
Body
DISCUSSION / BACKGROUND:
In accordance with Welfare and Institutions Code Section 4100 et seq., the California Department of State Hospitals (DSH) has jurisdiction over State hospitals for the provision of services to persons with severe mental disorders that have not responded to treatment at lower levels of mental health care. These services include inpatient psychiatric health care, treatment, and support services. County residents who have mental, emotional, or behavioral disorders that cannot be treated at a lower level, are referred to the State hospitals for treatment.

Welfare and Institutions Code Section 4331 requires counties, either acting alone or in combination with other counties, to annually contract with the State to reserve the number and types of State hospital beds the county anticipates utilizing in the coming fiscal year. Prior to the development of Memorandum of Understanding 265-M1610 (MOU), counties were required to...

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