Title
a. Approve and authorize the Director of Health or Assistant Director of Health to execute a two (2) year Mental Health Services Agreement (July 1, 2021 - June 30, 2023) with Interim, Inc. for residential and outpatient mental health services to adult residents of Monterey County in the amount of $16,571,316 for Fiscal Year (FY) 2021-22, and $16,195,194 for FY 2022-23, for a total Agreement amount not to exceed $32,766,509; 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%) ($3,276,651) of the original Agreement amount and do not significantly change 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 two (2) year Mental Health Services Agreement (July 1, 2021 - June 30, 2023) with Interim, Inc. for residential and outpatient mental health services to adult residents of Monterey County in the amount of $16,571,316 for Fiscal Year (FY) 2021-22, and $16,195,194 for FY 2022-23, for a total Agreement amount not to exceed $32,766,509; 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%) ($3,276,651) of the original Agreement amount and do not significantly change the scope of services.
SUMMARY/DISCUSSION:
Monterey County has contracted with Interim, Inc. for over four decades to provide residential and day treatment programs, supportive housing, homeless outreach, dual recovery, peer wellness navigation and community-based wellness and recovery activities that provide normalizing experiences for adults with serious mental illnesses, many of who also have co-occurring substance abuse disorders. The Health Department, Behavioral Health Bureau is requesting approval of this Agreement to continue to support these services for an additional two-year term; this coincides with the County’s approved Mental Health Services Act FY21-23 Three-Year Program & Expenditure Plan, which specifically includes funding for these services. For FY23, the total annual amount is reduced by $376,123 to reflect the term of the approval granted by the State Mental Health Services Oversight & Accountability Commission for the Transportation Coaching Project, which will be concluded during FY22.
This Agreement contains the County’s standard 30-day “no cause” provision (Section IV.B.) and a 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 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 or more 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:
Office of the 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 Mental Health Services Act Funds (57%), Federal Financial Participation (39%), Mental Health Realignment (3%) and federal grants (1%). The funds for this Agreement ($16,571,316) are included in the Health Department’s Behavioral Health (HEA012, Unit 8410) Fiscal Year 2021-22 Recommended Budget. The funds for this Agreement for FY 2022-23 ($16,571,316) will be included in the Health Department’s Behavioral Health (HEA012, Unit 8410) FY 2022-23 Requested 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: Alica Hendricks, Management Analyst, 796-1295
Approved by:
______________________________Date:___________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachment:
Agreement