Title
Approve and authorize the Director of Health Services or designee to execute Amendment No. 2 to the non-standard Participation Agreement 4625-SHB-2023-MONT-AM2 between the County of Monterey and California Mental Health Services Authority (CalMHSA), for the provision of State Hospital Program coordination services in the amount of $16,824 for Fiscal Year (FY) 2026-27 for a total Agreement not to exceed $42,060 for the term July 1, 2023 through June 30, 2027.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
Approve and authorize the Director of Health Services or designee to execute Amendment No. 2 to the non-standard Participation Agreement 4625-SHB-2023-MONT-AM2 between the County of Monterey and California Mental Health Services Authority (CalMHSA), for the provision of State Hospital Program coordination services in the amount of $16,824 for Fiscal Year (FY) 2026-27 for a total Agreement not to exceed $42,060 for the term July 1, 2023 through June 30, 2027.
SUMMARY:
This Amendment No. 2 to Participation Agreement 4625-SHB-2023-MONT-AM2 is seeking Board approval due to its non-standard template. This Amendment shall enable the continuation of California Mental Health Services Authority (CalMHSA) to provide State Hospital Program coordination services for the County of Monterey Behavioral Health Bureau through June 30, 2027. Additionally, this Amendment No. 2 increases the number of allotted psychiatric inpatient beds at State Hospitals from six (6) to twelve (12).
DISCUSSION:
The Lanterman-Petris-Short (LPS) bed allocations are for individuals who are gravely disabled, and California’s Department of State Hospital system provides beds and services need to care for these individuals. CalMHSA provides administrative and technical expertise to coordinate behavioral health services for counties, like the County of Monterey. Coordination through CalMHSA will help provide alternative placement opportunities, which will help clients who an ongoing waitlist for State Hospital placement beds.
Board action on February 10, 2009, approved and authorized County of Monterey Department of Health to participate as a member of the CalMHSA Joint Power Authority to jointly develop and fund mental health services and education programs. Any services performed by CalMHSA on behalf of its members are entered into upon execution of a specific Participation Agreement. Amendment No. 2 to Participation Agreement 4625-SHB-2023-MONT-AM2, consistent with the County Use of State Hospital Beds Memorandum of Understanding 12898-Monterey County-SHP-25_27 (and prior version thereof titled 4870-MOU-2023-MONT) will enable the CalMHSA to extend coordination services for the County of Monterey Behavioral Health Bureau through June 30, 2027, which the Participation Agreement previously ends on June 30, 2026.
OTHER AGENCY INVOLVEMENT/COMMITTEE ACTIONS:
The Office of the County Counsel and Auditor-Controller have reviewed and approved as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by Realignment. The funds for this Agreement are included in the Health Department Behavioral Health Bureau (Fund 1310, Department 400005) Fiscal Year (FY) 2026-27 Adopted Budget.
BOARD OF SUPERVISORS STRATEGIC PLAN GOALS:
The recommended action supports the Board of Supervisors' Strategic Plan Goals of Well-Being and Quality of Life by taking action to help residents secure appropriate housing and services through the Department of State Hospitals system. This Participation Agreement with CalMHSA will allow more timely and cost-effective delivery of mental health and substance use disorder services to Monterey County LPS residents.
Mark a check next to the related Board of Supervisors Strategic Plan Goals:
X Well-Being and Quality of Life
____ Sustainable Infrastructure for the Present and Future
____ Safe and Resilient Communities
____ Diverse and Thriving Economy
____ Dynamic Organization and Employer of Choice
Prepared by: Wesley Schweikhard, Management Analyst II, 755-4865
Approved by: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Participation Agreement 4625-SHB-2023-MONT-AM2 Amendment No. 2
State Hospital Beds MOU: 12898-Monterey County-SHP-25_27
Participation Agreement 4625-SHB-2023-MONT-AM2 Amendment No. 1
Participation Agreement 4625-SHB-2023-MONT-AM2
State Hospital Beds MOU: 4870-MOU-2023-MONT