Title
Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment No. 3 to MHS Agreement A-12682 with Psynergy Programs, Inc. for the provision of mental health services for adults with severe psychiatric disabilities, increasing the total amount of the Agreement based on a new vendor pricing model that includes expanded capacity for Monterey County residents, to cover services for additional patients beyond the terms of the existing Contract for the FY 2016-17 Fiscal Year, and to add a new facility to the Agreement, for a new maximum County obligation of $3,692,361 for the full term of July 1, 2014 through June 30, 2017.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment No. 3 to MHS Agreement A-12682 with Psynergy Programs, Inc. for the provision of mental health services for adults with severe psychiatric disabilities, increasing the total amount of the Agreement based on a new vendor pricing model that includes expanded capacity for Monterey County residents, to cover services for additional patients beyond the terms of the existing Contract for the FY 2016-17 Fiscal Year, and to add a new facility to the Agreement, for a new maximum County obligation of $3,692,361 for the full term of July 1, 2014 through June 30, 2017.
SUMMARY/DISCUSSION:
Psynergy Programs, Inc. operates two (2) main licensed residential care facilities: 1) Cielo Vista, located in the City of Greenfield, which provides the maximum levels of care to assist clients who are at risk of being admitted to a facility requiring a higher level of care, and 2) Nueva Vista, located in the City of Morgan Hill, which provides intensive levels of care for clients recently discharged from locked skilled facilities. The Psynergy Programs, Inc. residential care facilities provide normalizing experiences and supervision necessary for clients with serious and persistent mental illnesses.
Effective March 1, 2017, Psynergy has also added a third facility, Tres Vista in Morgan Hill, which provides 24-hour adult independent housing and an outpatient clinic. Under the provisions of this Amended Agreement, Psynergy has added additional beds for Monterey County residents at all three facilities.
This Agreement continues the past relationship with Psynergy Programs, Inc. providing for a continuum of existing services, serving current Monterey County clients. The approval of this Agreement will provide the necessary resources and increase the options for clients to be placed in a facility that best suits their needs and to live in the least restrictive community setting as possible. This Agreement meets the requirements of the State Welfare and Institutions Code 5600 (Bronzan-McCorquodale Act), the California Code of Regulations Titles 9 and 22, and sustains 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 following 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 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 and Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is 100% funded by 1991 Realignment funding. The funds for this Agreement ($1,773,606) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2016-17 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: Norm Morris, Management Analyst II, 1277
Approved By: Elsa M. Jimenez, Director of Health, 4526
Attachments:
Amendment No. 3 is on file with Clerk of the Board
Amendment No. 2 is on file with Clerk of the Board
Amendment No. 1 is on file with Clerk of the Board
Agreement A-12682 is on file with Clerk of the Board