Title
a. Approve and authorize the Director of Health Services or designee to execute a Memorandum of Understanding (MOU) with the City of Salinas for in-person mobile crisis field response services to the City of Salinas, for an amount of $390,000 for FY 2025-26. The MOU is retroactive, and the term is July 1, 2025 through June 30, 2026; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not exceed 10% ($39,000) of the original Agreement amount, do not significantly alter the scope of services, and do not increase the total not to exceed the maximum amount over $429,000.
Report
RECOMMENDATION:
It is recommended that the County of Monterey Board of Supervisors:
a. Approve and authorize the Director of Health Services or designee to execute a Memorandum of Understanding (MOU) with the City of Salinas for in-person mobile crisis field response services to the City of Salinas, for an amount of $390,000 for FY 2025-26. The MOU is retroactive, and the term is July 1, 2025 through June 30, 2026; and
b. Approve and authorize the Director of Health Services or designee to execute up to three (3) future amendments that do not exceed 10% ($39,000) of the original Agreement amount, do not significantly alter the scope of services, and do not increase the total not to exceed the maximum amount over $429,000.
SUMMARY/DISCUSSION:
The County currently has an MOU with the City of Salinas for the purpose of providing mobile crises services. This MOU continues those services and will run from July 1, 2025 through June 30, 2026. The Mobile Crisis Services with the City of Salinas is to provide financing to the County for the provision of Mobile Crisis Services, as described below in this section:
The Mobile Crisis Field Response Team will provide in-person risk and safety assessments and crisis intervention; collaborate with existing treatment team members; provide linkage for those individuals in need of further behavioral health services, coordinate with emergency response, and provide follow-up services in the City of Salinas. The Mobile Crisis Field Response Team shall consist of a two-person team (as outlined in June 19, 2023 Department of Health Care Services (DHCS) Behavioral Health Information Notice (BHIN) 23-025) scheduled for 40 hours per week. COUNTY shall monitor and manage these services.
Mobile crisis field personnel will respond to acute situations as requested by first responders (fire/police) through established emergency communications procedures, and/or as part of non-emergency referral-based services as contracted by COUNTY. When requested to respond to acute situations, mobile crisis personnel will respond out and stage at a location nearby until the scene is deemed secure by first responders.
This MOU will assure continuation of these services for the 2025-26 fiscal year beginning July 1, 2025 through June 30, 2026.
This MOU is retroactive, and the term is July 1, 2025 through June 30, 2026. Due to ongoing discussions/negotiations with the City of Salinas, additional time was needed to allow for the City of Salinas Council to agendize and review.
The MOU has not yet been signed by the outside agency as the City of Salinas’ signing process requires that the BOS and the Director of Health or designee sign first as MCBH is the contractor.
This work supports the following County of Monterey Health Department 2025-2028 Strategic Plan Goal(s): 1) Build Community Power and Partners’ Capacity to Increase Equity and Improve Health. 2) Provide Exceptional Person-Centered Care through Accessible, Community-Focused Health Services.
OTHER AGENCY INVOLVEMENT:
The Office of the County Counsel, Risk Management and the Auditor-Controller have reviewed and approved this Amendment as to legal form and fiscal provisions, respectively.
FINANCING:
The City of Salinas is providing funding in the amount of $390,000 for Fiscal Year (FY) 2025-26. The funds for FY 2025-26 are included in the Health Department Behavioral Health Bureau (HEA012, Unit 8410) FY 2025-26 Adopted 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: Sandra Cortez, Management Analyst II, 755-4694
Approved By: Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachments:
Board Report
Memorandum of Understanding