Title
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 3 to Behavioral Health Mobile Crisis Services and Non-Crisis Services (“Mobile Crisis”) Subcontract Agreement No. 21-10349, issued by Advocates for Human Potential, Inc., Board Order Agreement: A-15753 to add Direct Services Mental Health Block Grant funding in the amount of $500,000 increasing the Agreement amount from $999,117 to a new total Agreement not to exceed amount of $1,499,117 for a term of September 1, 2021, through June 30, 2025, which remains unchanged; and
b. Approve and authorize the Director of Health Services or designee to approve up to three (3) future amendments that do not exceed 10% ($149,911) of the amended Subcontract Agreement amount for a total in the aggregate not to exceed $1,649,028 and do not significantly change the scope of services.
Report
RECOMMENDATION
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute Amendment No. 3 to Behavioral Health Mobile Crisis Services and Non-Crisis Services (“Mobile Crisis”) Subcontract Agreement No. 21-10349, issued by Advocates for Human Potential, Inc., Board Order Agreement: A-15753 to add Direct Services Mental Health Block Grant funding in the amount of $500,000 increasing the Agreement amount from $999,117 to a new total Agreement not to exceed amount of $1,499,117 for a term of September 1, 2021, through June 30, 2025, which remains unchanged; and
b. Approve and authorize the Director of Health Services or designee to approve up to three (3) future amendments that do not exceed 10% ($149,911) of the amended Subcontract Agreement amount for a total in the aggregate not to exceed $1,649,028 and do not significantly change the scope of services.
SUMMARY/DISCUSSION
The California Department of Health Care Services (DHCS) has awarded to the County of Monterey a Behavioral Health Mobile Crisis Services and non-Crisis Services (“Mobile Crisis”) grant to develop a Crisis Care Mobile Units (CCMU). The DHCS has contracted with Advocates for Human Potential, Inc. to be the CCMU Administrative Entity and has issued the subcontract grant agreement. The Health Department’s Behavioral Health Bureau will use CCMU grant funds to expand access to mental health services through the development of a centralized 24 hours, 7 days a week Mobile Crisis Call Center to triage calls, refer to clinical behavioral health services, and/or dispatch mobile crisis response teams as needed to individuals in the community experiencing a mental health crisis. Additionally, the grant will expand Mobile Crisis Field Operation infrastructure through the acquisition of vehicles and vital equipment, and training. The County CCMU program will serve individuals experiencing behavioral health crisis, including mental health crisis, substance use crisis, or co-occurring mental health and substance use crises in the community.
This work supports the County of Monterey Health Department 2018-2024 Strategic Plan Goal(s): 3. Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports one of the ten essential public health services, specifically: 7. Link people to needed personal health services and assure the provisions of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT
The Office of the County Counsel, Risk Management, and the Auditor-Controller have reviewed and approved this Amendment as to legal form and fiscal provisions, respectively.
FINANCING
This Agreement and subsequent Amendments are funded by DHCS Grant funds. The FY2023-24 funds for this Agreement are included in the Health Department Behavioral Health Bureau (HEA012, Unit 8410) FY 2023-24 Adopted Budget. The funds for FY 2024-25 are included in the Health Department Behavioral Health Bureau (HEA012, Unit 8410) FY 2024-25 Requested Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
☐ Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐ Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability, and transparency.
☒ Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services, promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐ Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐ Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses, and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared By: Sandra Cortez, Management Analyst II, 755-4694
Approved By:
_______________________________Date_______________
Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment(s):
Board Report
Amendment No. 3
Amendment No. 2
Amendment No. 1
Agreement