Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a new one-year Mental Health Services Agreement with Davis Guest Home, Inc. for the provision of mental health services to Monterey County adult residents with severe psychiatric disabilities in a Board and Care facility, for a maximum County obligation of $974,218 for the term of July 1, 2020 through June 30, 2021; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($97,421) of the original Agreement amount and do not significantly alter the scope of services.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a new one-year Mental Health Services Agreement with Davis Guest Home, Inc. for the provision of mental health services to Monterey County adult residents with severe psychiatric disabilities in a Board and Care facility, for a maximum County obligation of $974,218 for the term of July 1, 2020 through June 30, 2021; and
b. Approve and authorize the Director of Health or Assistant Director of Health to approve up to three (3) future amendments that do not exceed ten percent (10%) ($97,421) of the original Agreement amount and do not significantly alter the scope of services.
SUMMARY/DISCUSSION:
The County currently maintains Agreement A-14359 with Davis Guest Home, Inc. which will expire on June 30, 2020. Davis Guest Home, Inc. operates several licensed Adult Residential Care Facilities. These facilities provide community-based activities that create a normalizing experience for adults with severe psychiatric disabilities and benefit persons determined to need the most help, particularly those recently discharged from psychiatric locked facilities.
The structured activities provided by Davis Guest Home, Inc. successfully assist the residents to
reintegrate into the community. This new Agreement with Davis Guest Home continues past contract care provisions, however, reduces funding for the standard board and care patch from 26 to 18 Monterey County residents, while providing for a full year of Acute Facility funding for more challenging patients. Approval of this Agreement meets the requirements of the State Welfare and Institutions Code 5600 (Bronzan-McCorquodale Act) and 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 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 Auditor-Controller have reviewed and approved this Agreement as to legal form and fiscal provisions, respectively.
FINANCING:
This Agreement is funded by 1991 Realignment funding (75%), and by SAMHSA Block Grant funding (25%). The funds for this Agreement ($974,218) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2020-21 Recommended 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, 755-1277
Approved by:
_________________________Date:_________
Elsa M. Jimenez, Director of Health, 755-4526
Attachment:
Agreement is on file with Clerk of the Board