File #: A 25-094    Name: BH Alsana An Eating Recovery
Type: BoS Agreement Status: Health Department - Consent
File created: 1/31/2025 In control: Board of Supervisors
On agenda: 3/11/2025 Final action:
Title: Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to Mental Health Service Agreement A-16989 with Castlewood Holding Company, dba Alsana An Eating Recovery, for the provision of youth residential services, day treatment services, and intensive outpatient mental health services adding $49,900 for FY 2024-25, $311,400 for FY 2025-2026 and $320,400 for FY 2026-27 for a new total Agreement amount not to exceed $5,135,795 for the retroactive term of February 1, 2025 through June 30, 2027.
Attachments: 1. Board Report, 2. Agreement A-16989, 3. Amendment No.1 to Mental Health Service Agreement A-16989
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Title
Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to Mental Health Service Agreement A-16989 with Castlewood Holding Company, dba Alsana An Eating Recovery, for the provision of youth residential services, day treatment services, and intensive outpatient mental health services adding $49,900 for FY 2024-25, $311,400 for FY 2025-2026 and $320,400 for FY 2026-27 for a new total Agreement amount not to exceed $5,135,795 for the retroactive term of February 1, 2025 through June 30, 2027.

Report
RECOMMENDATION
It is recommended that the County of Monterey Board of Supervisors:
Approve and authorize the Director of Health Services or designee to execute Amendment No. 1 to Mental Health Service Agreement A-16989 with Castlewood Holding Company, dba Alsana An Eating Recovery, for the provision of youth residential services, day treatment services, and intensive outpatient mental health services adding $49,900 for FY 2024-25, $311,400 for FY 2025-2026 and $320,400 for FY 2026-27 for a new total Agreement amount not to exceed $5,135,795 for the retroactive term of February 1, 2025 through June 30, 2027

SUMMARY/DISCUSSION
The County of Monterey Health Department, Behavioral Health Bureau, currently has Agreement A-16989 for a current dollar amount of $4,454,095 with Alsana to provide mental health services to residents with an eating disorder diagnosis. Alsana provides specialized and personalized residential services, day treatment services, and intensive outpatient services for both female and male adults with eating disorders as a primary diagnosis. This Amendment No. 1 adds $681,700 to provide clinically needed Day Treatment services and Intensive Outpatient services to youth ages 12 to 17 years effective February 1, 2025.

This Agreement contains the County’s standard 30-day “no cause” and termination for “cause”
provisions (Section 5) and a defunding provision (Section 6), which provides the County the ability to am...

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