To: Board of Supervisors
From: DHHS: Behavioral Health
Agenda Section: Consent
SUBJECT:
title
Professional Services Agreement with Transitional Residential Treatment Facilities, Inc. Regarding the Provision of Long-Term Residential Behavioral 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 Transitional Residential Treatment Facilities, Inc. regarding the provision of long-term residential behavioral health treatment services to adults with severe mental illnesses for the period of July 1, 2020 through June 30, 2023;
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 Transitional Residential Treatment Facilities, Inc, 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 fully executed original copy of the attached professional services agreement with Transitional Residential Treatment Facilities, Inc to the Department of Health and Human Services - Contract Unit for further processing.
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SOURCE OF FUNDING:
Behavioral Health Fund - Fund 1170
DISCUSSION:
The Humboldt County Department of Health and Human Services - Behavioral Health (DHHS - Behavioral 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 residential setting. It is important for the placement team to have a variety of treatment options because vacancies and client needs fluctuate.
Transitional Residential Treatment Facilities, Inc. operates a variety of licensed, unlicensed and satellite residential behavioral health facilities which provide transitional living services to adults with severe mental illnesses. All behavioral health treatment services provided at Transitional Residential Treatment Facilities, Inc’s licensed, unlicensed and satellite facilities focus on transitioning clients to independent living within their communities as soon as possible.
On July 18, 2017 (Item C-8), the Humboldt County Board of Supervisors approved the previous professional services agreement with Transitional Residential Treatment Facilities, Inc regarding the provision of long-term residential behavioral health treatment services to adults with severe mental illnesses for the period of July 1, 2017 through June 30, 2020. The attached professional services agreement will allow eligible DHHS - Behavioral Health clients to continue receiving long-term residential behavioral health treatment services at Transitional Residential Treatment Facilities, Inc’s licensed, unlicensed and satellite facilities for the period of July 1, 2020 through June 30, 2023. It should be noted that the attached professional services agreement with Transitional Residential Treatment Facilities, Inc. comes to the Board after the start date thereof due to inadvertent delays that occurred during the contract development process.
Accordingly, DHHS - Behavioral Health recommends that the Board approve, and authorize the Chair of the Board to execute, the attached professional services agreement with Transitional Residential Treatment Facilities, Inc. regarding the provision of long-term residential behavioral health treatment services to adults with severe mental illnesses for the period of July 1, 2020 through June 30, 2023. It is also recommended that the Board authorize the DHHS - Behavioral Health Director, or a designee thereof, to execute any subsequent amendments to the attached professional services agreement with Transitional Residential Treatment Facilities, Inc. 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 residential behavioral health treatment services.
FINANCIAL IMPACT:
The attached professional services agreement with Transitional Residential Treatment Facilities, Inc. has a maximum amount payable of $2,291,391 for the period of July 1, 2020 through June 30, 2023. In no event shall the maximum amount paid under the attached professional services agreement with Transitional Residential Treatment Facilities, Inc. exceed $763,797 per fiscal year for fiscal years 2020-2021 through 2022-2023. However, in the event 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 Transitional Residential Treatment Facilities, Inc. in its entirety.
Expenditure appropriations related to attached professional services agreement with Transitional Residential Treatment Facilities, Inc. have been included in the approved fiscal year 2020-2021 budget for DHHS - Behavioral Health Adult Services budget unit 1170-496. Funding for the attached professional services agreement with Transitional Residential Treatment Facilities, Inc. is available through state realignment revenues received by DHHS - Behavioral Health. As a result, approval of the attached professional services agreement with Transitional Residential Treatment Facilities, Inc. will not impact the Humboldt County General Fund.
STRATEGIC FRAMEWORK:
The recommended actions support the Board of Supervisors’ Strategic Framework by protecting vulnerable populations, supporting self-reliance of citizens, improving 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 Transitional Residential Treatment Facilities, Inc. regarding the provision of long-term residential behavioral health treatment services to adults with severe mental illnesses. However, this alternative is not recommended since it would require DHHS - Behavioral 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 Transitional Residential Treatment Facilities, Inc. Regarding the Provision of Long-Term Residential Treatment Services for Fiscal Years 2020-2021 through 2022-2023
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-19; C-19; D-2; C-17; C-9; C-15; D-17; C-14; C-8
Meeting of: 02/15/05; 06/22/04; 06/09/09; 06/26/12; 07/16/13; 06/24/14; 07/19/16; 02/07/17; 07/18/17
File No.: 20-863