Title
a. Ratify the submission of a grant application by the Monterey County Health Department to the Investment in Mental Health Wellness Grant Program for Children and Youth (“Children and Youth Program”) of the California Health Facilities Financing Authority (“CHFFA”) in the amount of $1,851,546.21, for funding to develop a Crisis Stabilization and Crisis Residential Treatment program; and
b. Authorize the Director of Health or Assistant Director of Health to execute the Grant Agreement Number CY MONT-02, accepting a CHFFA Children and Youth Program award for a total grant amount of $1,851,546.21 to develop a Crisis Stabilization and Crisis Residential Treatment program for the grant period retroactive to February 24, 2022 through June 30, 2024; and
c. Approve the delegation of authority to the Director of Health or Assistant Director of Health to act on the County’s behalf to carry out and consummate all transactions contemplated during the grant period.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Ratify the submission of a grant application by the Monterey County Health Department to the Investment in Mental Health Wellness Grant Program for Children and Youth (“Children and Youth Program”) of the California Health Facilities Financing Authority (“CHFFA”) in the amount of $1,851,546.21, for funding to develop a Crisis Stabilization and Crisis Residential Treatment program; and
b. Authorize the Director of Health or Assistant Director of Health to execute the Grant Agreement Number CY MONT-02, accepting a CHFFA Children and Youth Program award for a total grant amount of $1,851,546.21 to develop a Crisis Stabilization and Crisis Residential Treatment program for the grant period retroactive to February 24, 2022 through June 30, 2024; and
c. Approve the delegation of authority to the Director of Health or Assistant Director of Health to act on the County’s behalf to carry out and consummate all transactions contemplated during the grant period.
SUMMARY/DISCUSSION:
CHFFA has awarded to the Monterey County Health Department, Behavioral Health Bureau (MCBHB) an Investment in Mental Health Wellness Grant Program for Children and Youth in the amount of $1,851,546.21. The grant will fund the development a 4-bed Crisis Stabilization (CS) co-located with a 4-bed Crisis Residential Treatment (CRT) program for children and youth under 18 years of age suffering from severe mental illness. Development of a CS and CRT in Monterey County would provide timely access to community-based intensive residential treatment that connects children and youth to crisis services.
A CS program provides immediate time-limited services (23-hour, 59-minute) to stabilize children and youth with urgent mental health needs and behaviors that may put them at risk of danger either to themselves or others, to be able to return to the community. Individuals who are not able to be stabilized in a CS program are medically and clinically assessed for the need of continued Crisis Residential Treatment for a period of up to 15 days. A CRT program provides intensive, individualized assessment and diagnostic treatment services to stabilize their high-risk behaviors before they are able to step down into home-based care. A CS and CRT program supports a seamless transition and intake for youth who require short and longer-term stabilization, individual care, and attention to the emerging acute mental and behavioral health needs of vulnerable young people, thereby diverting instances of hospitalization and engagement with law enforcement, and helping youth and families achieve stability and wellness.
This work supports the following Monterey County Health Department 2018-2022 Strategic Plan Goal: 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 Auditor-Controller have reviewed and approved this Grant Agreement as to legal form and fiscal provisions respectively.
FINANCING:
The Grant provides $1,851,546.21 for the grant period of February 24, 2022 through June 30, 2024. There are enough appropriations in the MCBHB Fiscal Year (FY) FY 2021-22 Adopted Budget (HEA012, Unit 8410) for these services, and future services will be included in the MCBHB (HEA012, Unit 8410) FY 2022-23 through FY 2023-24 Requested Budget.
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: Charise Walters, Management Analyst II, 755-4703
Approved by:
______________________________Date:_____________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment:
Resolution
Agreement