To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
Vote Requirement: Majority
SUBJECT:
title
Professional Services Agreement with Community Care on Palm, LLC Regarding the Provision of Long-Term Residential Skilled Nursing and Mental Health Treatment Services
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve, and authorize the Chair of the Board to execute, the attached Professional Services Agreement with Community Care on Palm, LLC regarding the provision of long-term residential skilled nursing and mental health treatment services to adults with chronic physical and mental illnesses for the period of January 1, 2023 through June 30, 2026; and
2. Authorize the Department of Health and Human Services - Behavioral Health Director, or a designee thereof, to execute any and all subsequent amendments to the attached Professional Services Agreement with Community Care on Palm, LLC, after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Direct the Clerk of the Board to return one (1) fully executed original copy of the attached Professional Services Agreement with Community Care on Palm, LLC to the Department of Health and Human Services - Contract Unit for further processing.
Body
SOURCE OF FUNDING:
Behavioral Health Fund (1170-424, 1170-496)
DISCUSSION:
The Humboldt County Department of Health and Human Services - Behavioral Health (“DHHS - Behavioral Health”), in conjunction with the Humboldt County Public Guardian’s Office, utilizes a variety of placement options to provide long-term mental health treatment services to mentally ill clients who require assistance in locked and unlocked facilities. It is important for the placement team to have a variety of treatment options because vacancies and client needs fluctuate.
Community Care on Palm, LLC operates a locked skilled nursing facility located in Riverside, California. Community Care on Palm, LLC’s skilled nursing facility provides medical and mental health treatment services to individuals over eighteen (18) years of age who require twenty-four (24) hour monitoring in a residential setting due to the severity of their physical and mental illnesses. All of the medical and mental health treatment services provided at Community Care on Palm, LLC’s skilled nursing facilities are designed to transition clients to independent living within their communities, and are delivered with a wellness focus, which includes, without limitation, concepts of recovery and resilience.
Clients placed at Community Care on Palm, LLC’s skilled nursing facilities are monitored by the County of Humboldt’s multi-disciplinary Strategic Assistance for Adult Recovery Interventions (“SAFARI”) committee. The SAFARI committee authorizes services, determines the appropriate level of care and monitors client needs in the community upon discharge. When an initial placement at either of Community Care on Palm, LLC’s skilled nursing facilities occurs, transitional plans for less restrictive placement are put in place, and reviewed monthly, in order to transition the client to community living as soon as may be appropriate.
Accordingly, DHHS - Behavioral Health recommends that the Board approve, and authorize the Chair of the Board to execute, the attached professional services agreement with Community Care on Palm, LLC regarding the provision of long-term skilled nursing and mental health treatment services to adults with chronic physical and mental illnesses. It is also recommended that the Board authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute any future amendments to the attached professional services agreement with Community Care on Palm, LLC, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to avoid any unnecessary delays in the provision of needed skilled nursing and mental health treatment services.
FINANCIAL IMPACT:
*Projected amounts are estimates and are subject to change.
|
Expenditures (1170496) |
FY22-23 Adopted |
FY23-24 Projected |
FY24-25 Projected |
|
Budgeted Expenses |
106,000 |
215,000 |
215,000 |
|
Total Expenditures |
106,000 |
215,000 |
215,000 |
|
Funding Sources (1170424) |
FY22-23 Adopted |
FY23-24 Projected* |
FY24-25 Projected* |
|
State/Federal Funds |
106,000 |
215,000 |
215,000 |
|
Total Funding Sources |
106,000 |
215,000 |
215,000 |
Narrative Explanation of Financial Impact:
The attached professional services agreement with Community Care on Palm, LLC has a maximum amount payable of Seven Hundred Fifty-One Thousand Dollars ($751,000.00) for the period of January 1, 2023, through June 30, 2026. In no event shall the maximum amount paid under the attached professional services agreement with Community Care on Palm, LLC exceed One Hundred Six Thousand Dollars ($106,000.00) for fiscal year 2022-2023 and Two Hundred Fifteen Thousand, Dollars ($215,000.00) per year for fiscal years 2023-2024 through 2025-2026. However, if local, state or federal funding is reduced or eliminated, the County of Humboldt may reduce the above-referenced maximum amount payable or terminate the attached professional services agreement with Community Care on Palm, LLC in its entirety.
Expenditure appropriations related to attached professional services agreement with Community Care on Palm, LLC have been included in the approved fiscal year 2022-2023 budget for DHHS - Behavioral Health Adult Services budget unit 1170-496. Funding for the attached professional services agreement with Community Care on Palm, LLC is available through state realignment and Mental Health Services Act revenues received by DHHS - Behavioral Health. As a result, approval of the attached professional services agreement with Community Care on Palm, LLC will not impact the Humboldt County General Fund.
STAFFING IMPACT:
Narrative Explanation of Staffing Impact:
This action has no impact to staffing.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework priority of protecting vulnerable populations supporting self-reliance of citizens, creating opportunities for improvement of the safety and health of our communities and providing community-appropriate levels of services .
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the attached professional services agreement with Community Care on Palm, LLC regarding the provision of long-term skilled nursing and mental health treatment services to adults with chronic physical and mental illnesses. However, this alternative is not recommended since it would require DHHS - Mental Health to place clients at inpatient facilities which will be more costly and may not provide the appropriate level of treatment for such clients.
ATTACHMENTS:
1. Professional services agreement with Community Care on Palm, LLC Regarding the Provision of Long-Term Residential Skilled Nursing and Mental Health Treatment Services
PREVIOUS ACTION/REFERRAL:
Board Order No.: N/A
Meeting of: N/A
File No.: 23-552