Title
a. Ratify the submittal of a grant application by the Monterey County Health Department to the Investment in Mental Health Wellness Grant Program for Children and Youth (“Grant Program”) of the California Health Facilities Financing Authority (“CHFFA”) in the amount of $485,275.90 for funding Mobile Crisis Support Team services; and
b. Authorize the Director of Health or Assistant Director of Health to execute the Grant Agreement No. CY MONT-01 with CHFFA, accepting a CHFFA Grant Program award for a total grant amount of $485,275.90, for the capital costs ($257,182.90) and personnel costs ($228,093.00) in developing and implementing a Mobile Crisis Support Team program for the grant period retroactive to May 30, 2019 through June 30, 2021; 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 submittal of a grant application by the Monterey County Health Department to the Investment in Mental Health Wellness Grant Program for Children and Youth (“Grant Program”) of the California Health Facilities Financing Authority (“CHFFA”) in the amount of $485,275.90 for funding Mobile Crisis Support Team services; and
b. Authorize the Director of Health or Assistant Director of Health to execute the Grant Agreement No. CY MONT-01 with CHFFA, accepting a CHFFA Grant Program award for a total grant amount of $485,275.90, for the capital costs ($257,182.90) and personnel costs ($228,093.00) in developing and implementing a Mobile Crisis Support Team program for the grant period May 30, 2019 through June 30, 2021; 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 (Behavioral Health) an “Investment in Mental Health Wellness Grant Program for Children and Youth” in the amount of $485,275.90. The Grant will fund the development and implementation of a Mobile Crisis Support Team (MCST) program. The MCST program will be available to respond to children and youth with psychiatric emergencies via phone and in-person and provide appropriate crisis support and intervention to address and divert psychiatric crises before major impacts on their safety and stability occur.
The goal of the MCST program is to increase access to a continuum of mental health services and supports, specifically access to youth-specific crisis support that will effectively address the behavioral health needs of youth and families in their communities, and reduce the volume and frequency of other more restrictive and less appropriate services, including inpatient hospitalizations or law enforcement involvement. While Behavioral Health’s current Mobile Crisis Response Team partners with law enforcement to respond to adult individuals experiencing severe behavioral health crises, there is a gap in mobile crisis support services available for individuals under age 18 with acute psychiatric needs. Through this Grant funded project the County anticipates responding to 200 calls for children and youth in crisis per year.
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 the Auditor-Controller have reviewed and approved this Grant Agreement as to legal form and fiscal provisions respectively.
FINANCING:
The Grant provides $485,275.90 for May 30, 2019 - June 30, 2021. Additionally, the MCST program will be funded by Federal Participation (FFP) and Mental Health Services Act (MHSA) funds to assist with the launch and sustainability of the program. Due to the timing of the grant award there is no provision for the related program activities in the Department’s FY 2019-20 Adopted Budget. The Department will monitor expenditures and will evaluate the need to increase appropriations at mid-year. For FY 2020-21, provision for grant activities will be included in the Health Department, Behavioral Health Bureau (HEA012, Unit 8410) FY 2020-21 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: Charise Walters, Management Analyst II, x4703
Approved By: Elsa M. Jimenez, Director of Health, x4526
Attachments:
Grant Agreement No. CY MONT-01 is on file with the Clerk of the Board
Resolution is on file with the Clerk of the Board