Title
a. Approve and authorize the Director of Health to sign a three fiscal year term (July 1, 2014 to June 30, 2017) Mental Health Services Agreement with Crestwood Behavioral Health, Inc. for the provision of mental health services to adults with severe psychiatric disabilities in the amount of $932,747 for Fiscal Year 2014-15, $932,747 for Fiscal Year 2015-16, and $932,747 for Fiscal Year 2016-17 for a total maximum agreement amount of $2,798,241; and
b. Authorize the Director of Health to sign the Mental Health Services Agreement with Addendum #1; and
c. Authorize the Director of Health to approve up to three future amendments to this Agreement where the amendments do not exceed ten percent (10%) of the original contract amount and do not significantly change the scope of work.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health to sign a three fiscal year term (July 1, 2014 to June 30, 2017) Mental Health Services Agreement with Crestwood Behavioral Health, Inc. for the provision of mental health services to adults with severe psychiatric disabilities in the amount of $932,747 for Fiscal Year 2014-15, $932,747 for Fiscal Year 2015-16, and $932,747 for Fiscal Year 2016-17 for a total maximum agreement amount of $2,798,241; and
b. Authorize the Director of Health to sign the Mental Health Services Agreement with Addendum #1; and
c. Authorize the Director of Health to approve up to three future amendments to this Agreement where the amendments do not exceed ten percent (10%) of the original contract amount and do not significantly change the scope of work.
SUMMARY/DISCUSSION:
Crestwood Behavioral Health (BH), Inc. has provided mental health services for over a decade and for thirty (30) years prior, under the previous corporate umbrella of Crestwood Hospitals. Crestwood BH has eighteen (18) California facilities ranging in size from 12 to 194 beds. Crestwood's programs provide recovery oriented psychiatric services to adults, older adults, and transition aged youth with severe and persistent mental health illnesses. Crestwood BH provides intensive treatment programs with a high level of security and education to assist clients to live independently. Treatment services include an individualized program to meet the specific needs of each client and a structured regimen with services to assist clients in their development of new skills.
This Crestwood BH Agreement continues past mental health services providing for a continuum of existing services, serving current Monterey County clients. Crestwood BH continues to provide services at a lower cost for those clients who may otherwise be referred to a State Hospital at a higher rate.
Approval of this Agreement is mission critical to maintain the continuity of critical care as required by the State Welfare and Institutions Code 5600 (Bronzan-McCorquodale Act), the California Code of Regulations Titles 9 and 22, and to sustain the continuity of core services to seriously mentally ill clients of Monterey County.
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 Monterey County Health Department 2011-2015 strategic plan initiative: 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services. It also supports two of the ten essential public health services, specifically: 6) Enforce laws and regulations that protect health and ensure safety, and 7) Link people to needed personal health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
The Agreement has been approved by County Counsel as to legal form and Auditor-Controller as to fiscal provisions. Counsel has reviewed and concurs with Addendum #1 modification to Section XIV. Preparation of Annual Report(s) and Contractor's Year-End Cost Report Settlement as the strikeout language does not pertain to the services at Crestwood BH.
Risk Management has reviewed and does not concur with Addendum #1 addition of a 'mutual' indemnification, as provided, as it is a deviation from the County's risk standard. The Director of Health recommends Board approval of the non-standard language of Section XI. Indemnification to add a 'mutual' indemnification to this Agreement with Crestwood BH as listed in Addendum #1. Agreement and Addendum #1 are on file with the Clerk of the Board.
FINANCING:
This Agreement is funded by Realignment (100%) revenues. The funds for this Agreement ($932,747) are included in the Health Department's Behavioral Health (HEA012, Unit 8410) Fiscal Year 2014-15 Requested Budget.
Prepared By: Gloria Rodriguez, Management Analyst, 8986
Approved By: Ray Bullick, Director of Health, 4526
Attachment:
Agreement is on file with the Clerk of the Board
Addendum #1 is on file with the Clerk of the Board