Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a three-year Mental Health Services Agreement with Front St., Inc. in Santa Cruz, California for the provision of residential services to older adults with serious and persistent mental illness in the amount of $1,470,107 for Fiscal Year (FY) 2021-22, $1,506,736 for FY 2022-23, and $1,545,343 for FY 2023-24, for a maximum County obligation of $4,522,185 for the term of July 1, 2021 through June 30, 2024; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($452,218) of the original Agreement amount and do not significantly alter the scope of services.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a three-year Mental Health Services Agreement with Front St., Inc. in Santa Cruz, California for the provision of residential services to older adults with serious and persistent mental illness in the amount of $1,470,107 for Fiscal Year (FY) 2021-22, $1,506,736 for FY 2022-23, and $1,545,343 for FY 2023-24, for a maximum County obligation of $4,522,185 for the term of July 1, 2021 through June 30, 2024; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($452,218) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
The County currently maintains Agreement A-14003 with Front St., Inc. which will expire on June 30, 2021. Front St., Inc. - Drake House is a licensed Residential Care Facility for the Elderly that provides community-based activities for older adults age sixty (60) and over with serious and persistent mental illness with a co-occurring condition. Front St. provides these services at the Drake House facility located in the City of Monterey. The facility is designed to enable seniors to live in an unlocked setting that is designed to provide a maximum level of care and supervision. This forty-nine (49) bed facility was the first of its kind to operate in Monterey County and allows clients previously placed in facilities outside the county to live closer to their families. This ongoing project is a collaborative effort between Monterey and Santa Cruz counties and Front St. This facility addresses one of the unmet service needs of older adults with mental illness as identified in Monterey County’s Proposition 63/Mental Health Services Act (MHSA) community planning process. This Agreement makes twenty-four (24) beds available to Monterey County residents.
This Agreement contains the County’s standard 30-day “no cause” provision (Section IV, B) and an additional defunding provision (Section IV, D), which provides the County the ability to amend or terminate the Agreement in the event of a reduction and/or termination of funding.
This work supports the following Monterey County Health Department 2018-2022 strategic plan initiative: 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:
County Counsel-Risk Management and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by MHSA and Medi-Cal revenues. The funds for this Agreement ($1,470,107) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2021-22 Requested Budget. The funds for this Agreement for FY 2022-23 ($1,506,736) and FY 2023-24 ($1,545,343) will be included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2022-23 and Fiscal Year 2023-24 Requested Budgets.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related 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: Norm Morris, Management Analyst II, 796-1277
Approved by:
_____________________________Date:___________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment:
Agreement