To: Board of Supervisors
From: DHHS: Mental Health
Agenda Section: Consent
SUBJECT:
title
Professional Services Agreement with Willow Glen Care Center Regarding the Provision of Long-Term Residential 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 Willow Glen Care Center regarding the provision of long-term residential mental health treatment services to adults with severe mental illnesses for the period of July 1, 2019 through June 30, 2022;
2. Authorize the Department of Health and Human Services - Mental Health Director, or a designee thereof, to execute any and all subsequent amendments to the attached professional services agreement with Willow Glen Care Center after review and approval by County Counsel, Risk Management and the County Administrative Office; and
3. Direct the Clerk of the Board to return a fully executed original copy of the attached professional services agreement with Willow Glen Care center to the Department of Health and Human Services - Contract Unit for further processing.
Body
SOURCE OF FUNDING:
Mental Health Fund
DISCUSSION:
The Humboldt County Department of Health and Human Services - Mental Health (DHHS - Mental Health), in coordination 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 a secure setting. It is important for the placement team to have a variety of treatment options because vacancies and client needs fluctuate.
Willow Glen Care Center (Willow Glen) operates a variety of mental health treatment facilities that are designed to serve diverse client needs, including, without limitation, several adult residential treatment facilities and a secure mental health rehabilitation center, all of which are located in Yuba City, California.
Willow Glen’s adult residential treatment facilities serve as sub-acute psychiatric residential facilities, offering rehabilitative mental health services for severely and persistently mentally ill individuals. All mental health services provided by Willow Glen’s adult residential treatment facilities focus on transitioning clients to independent living within their communities as soon as may be appropriate.
Willow Glen’s mental health rehabilitation center (MHRC) serves clients who require 24-hour monitoring in a locked and secure environment due to the severity of their mental illness. DHHS - Mental Health clients placed at Willow Glen’s MHRC are monitored by the county’s multi-disciplinary Strategic Assistance for Adult Recovery Interventions (SAFARI) committee. The SAFARI committee authorizes services, determines the appropriate level of care, and monitors clients’ needs in the community upon discharge. When an initial placement at Willow Glen’s MHRC occurs, transitional plans for a less restrictive placement are put into place, and reviewed monthly, in order to transition the client to community living as soon as may be appropriate. All mental health treatment services provided at Willow Glen’s MHRC are delivered with a wellness focus which includes, without limitation, concepts of recovery and resilience.
On June 28, 2016 (item C-16), the Humboldt County Board of Supervisors approved the current professional services agreement with Willow Glen regarding the provision of long-term residential mental health treatment services to adults with severe mental illnesses for the period of July 1, 2016 through June 30, 2019. The Board subsequently approved four amendments to the current professional services agreement with Willow Glen which expanded the scope of services provided thereunder, increased the maximum amount payable thereunder and adjusted the rates of compensation set forth therein. The attached professional services agreement will allow eligible DHHS - Mental Health clients to receive long-term residential mental health treatment services at Willow Glen’s adult residential treatment facility and mental health rehabilitation center for the period of July 1, 2019 through June 30, 2022.
Accordingly, DHHS - Mental Health recommends that the Board approve, and authorize the Chair of the Board to execute, the attached professional services agreement Willow Glen regarding the provision of long-term residential mental health treatment services to adults with severe mental illnesses for the period of July 1, 2019 through June 30, 2022. It is also recommended that the Board authorize the DHHS - Mental Health Director, or a designee thereof, to execute any and all future amendments to the attached professional services agreement with Willow Glen, after review and approval by County Counsel, Risk Management and the County Administrative Office, in order to avoid delays in the provision of needed residential mental health treatment services.
FINANCIAL IMPACT:
The attached professional services agreement with Willow Glen has a maximum amount payable of $750,000 for the period of July 1, 2019 through June 30, 2022. In no event shall the maximum amount paid under the attached professional services agreement with Willow Glen exceed $250,000 per fiscal year for fiscal years 2019-20 through 2021-22. 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 Willow Glen in its entirety.
Expenditure appropriations related to the attached professional services agreement with Willow Glen have been included in the proposed fiscal year 2019-2020 budget for DHHS - Mental Health Adult Services budget unit 1170-496. Funding for the attached professional services agreement with Willow Glen is available through state realignment and Mental Health Services Act revenues received by DHHS - Mental Health. As a result, approval of the attached professional services agreement with Willow Glen will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by protecting vulnerable populations, supporting self-reliance of citizens and improving the safety and health of our communities.
OTHER AGENCY INVOLVEMENT:
None
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board could choose not to approve the attached professional services agreement with Willow Glen regarding the provision of long-term residential mental health treatment services to adults with severe 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:
Professional Services Agreement with Willow Glen Care Center Regarding the Provision of Long-Term Residential Mental Health Treatment Services for Fiscal Years 2019-2020 through 2021-2022
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-19, C-7, C-16, C-12, C-11, C-26
Meeting of: 6/22/10, 6/26/12, 7/1/14, 6/28/16, 8/2/17, 6/12/18, 7/31/18
File No.: 19-864