File #: A 18-485    Name: Lakemary Center Amend. No. 3
Type: BoS Agreement Status: Passed - Health Department
File created: 12/11/2018 In control: Board of Supervisors
On agenda: 1/8/2019 Final action: 1/8/2019
Title: Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment No. 3 to Mental Health Services Agreement A-13251 with Lakemary Center to extend the term for one (1) additional fiscal year for a revised term of February 1, 2016 through June 30, 2020, and reallocate $50,760 of unused contract spending authority from prior fiscal year to be used in fiscal years 2018-19 and 2019-20 towards additional units of service, for a revised total Agreement amount of $1,396,435.
Indexes: Health Department
Attachments: 1. Board Report, 2. Pending - Lakemary Center Amend No. 3, 3. LakemaryCtrAmend No. 2, 4. LakemaryCtrAmend No. 1, 5. LakemaryCtr Agreement, 6. 18. Completed Board Order, 7. Fully Executed Agreement Between Monterey County and LakeMary Center

Title

Approve and authorize the Director of Health or Assistant Director of Health to execute Amendment No. 3 to Mental Health Services Agreement A-13251 with Lakemary Center to extend the term for one (1) additional fiscal year for a revised term of February 1, 2016 through June 30, 2020, and reallocate $50,760 of unused contract spending authority from prior fiscal year to be used in fiscal years 2018-19 and 2019-20 towards additional units of service, for a revised total Agreement amount of $1,396,435. 

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 Mental Health Services Agreement A-13251 with Lakemary Center to extend the term for one (1) additional fiscal year for a revised term of February 1, 2016 through June 30, 2020, and reallocate $50,760 of unused contract spending authority from prior fiscal year to be used in fiscal years 2018-19 and 2019-20 towards additional units of service, for a revised total Agreement amount of $1,396,435. 

 

SUMMARY/DISCUSSION:

Lakemary Center, located in Paola, Kansas, is a 65-bed Psychiatric Residential Treatment Facility (PRTF) licensed by the State of Kansas to provide educational and psychiatric treatment for children aged 6-21 years with dual diagnoses of intellectual and /or developmental disabilities and psychiatric disorders, including Autistic Spectrum Disorder.  Lakemary Center provides tailored services for children with deficits in a variety of adaptive functioning areas, including communication, self-care, functional academics, social skills, leisure skills, and community use skills.  Behavioral presentations addressed include high levels of aggression, self-injury, elopement, property destruction, and other high-risk behaviors.

 

This Amendment No. 3 adds an additional placement retroactive to October 26, 2018 due to an emergency placement of a Monterey County youth in accordance to the youth’s individual treatment plan (IEP), and extends the term of the Agreement for one additional fiscal year to provide extensive psychiatric and residential service treatment service that aligns with the anticipated service need of the client placed at this facility. 

 

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 2018-2022 Strategic Plan Pnitiative: 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 Auditor-Controller have reviewed and approved this Amendment No. 3 as to legal form and fiscal provisions, respectively.

 

FINANCING:

This Agreement is 100% funded by Special Education Local Plan Area (SELPA) funds that pay for children who are placed through the Individual Education Plan (IEP).  Funds for Agreement are included in FY 2018-19 Health Department’s Behavioral Health Bureau (HEA012, Unit 8410) 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: Charise Walters, Management Analyst II, 4703

Approved by: Elsa M. Jimenez, Director of Health, 4526

 

Attachment:

Amendment No. 3 to Agreement A-13251 is on file with Clerk of the Board

Amendment No. 2 to Agreement A-13251 is on file with Clerk of the Board

Amendment No. 1 to Agreement A-13251 is on file with Clerk of the Board

Agreement A-13251 is on file with Clerk of the Board