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DATE: |
May 20, 2010 | ||||||||
BOARD MEETING DATE: |
May 25, 2010 | ||||||||
SPECIAL NOTICE/HEARING: |
None | ||||||||
VOTE REQUIRED: |
Majority | ||||||||
TO: |
Honorable Board of Supervisors | ||||||||
FROM: |
Jean S. Fraser, Chief, Health System | ||||||||
Louise Rogers, Director, Behavioral Health & Recovery Services | |||||||||
Lisa Mancini, Director of Aging and Adult Services | |||||||||
SUBJECT: |
Agreement with the Crestwood Behavioral Health, Inc. | ||||||||
RECOMMENDATION: | |||||||||
Adopt a Resolution: | |||||||||
1) Authorizing the President of the Board to execute an Agreement with Crestwood Behavioral Health, Inc. for residential rehabilitation and long-term care services for the term July 1, 2010 through June 30, 2011, for a maximum obligation of $1,782,000; and | |||||||||
2) Authorizing the Chief of the Health System or designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000 (in aggregate), and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions. | |||||||||
BACKGROUND: | |||||||||
Crestwood Behavioral Health, Inc. is a convalescent care provider of mental health services. The company provides neurobehavioral, psychosocial rehabilitation, adult residential, community, wellness recovery action planning, and health and wellness programs. Services include behavior modification, skilled nursing, life skills training, recreation and rehabilitation, neurobehavioral support, dementia and Alzheimer’s care, behavior intervention, vocational and pre-vocational training, and self-advocacy. Behavioral Health and Recovery Services (BHRS) has contracted with Crestwood Behavioral Health, Inc. since 1988 to provide long-term care for County residents. Some of these individuals are Lanterman, Petris and Short (LPS) conservatees, and some are conserved under the probate dementia laws. Prior agreements with Crestwood have included services at their Idylwood – Sunnyvale facility, which is now owned by Helios Healthcare. | |||||||||
Services provided through this Agreement offer an alternative to the use of more costly emergency services (i.e. Psychiatric Emergency Services, inpatient administrative days, and Corrections). | |||||||||
DISCUSSION: | |||||||||
To accommodate specialized treatment care needs and to distinguish between the LPS conserved mentally ill clients and the probate dementia conservatees, this contract has a Mental Health Services component and an Aging and Adult Services (AAS) component. The Mental Health component provides services for up to 50 clients who are seriously mentally ill and in need of mental health rehabilitation, treatment and long-term care. The AAS component provides services for up to eight clients who are probate dementia conservatees and who require a locked long-term treatment setting. Under the B-1 Administrative Memorandum, the selection of providers for these long-term locked facility services is exempt from the Request for Proposals requirement. County Counsel has reviewed and approved this Agreement and Resolution, and Risk Management has approved the insurance coverage for this provider. The contractor has assured compliance with the County’s Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by county ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits. This Agreement contributes to the Shared Vision 2025 outcome of a Healthy Community by providing residential rehabilitation and long-term care for the vulnerable population of adults suffering from serious mental illness. It is estimated that the number of clients maintained at current or lower level of care will be kept at 68%. | |||||||||
Performance Measure: |
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Measure |
FY 2009-10 Estimate |
FY 2010-11 Projected | |||||||
Percentage of clients maintained at current or lower level of care |
68% |
68% | |||||||
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FISCAL IMPACT: | |||||||||
The term of this Agreement is July 1, 2010 through June 30, 2011. The maximum obligation under this Agreement is $1,782,000. Of this amount $1,625,000 is for BHRS, which is funded as follows: 51% (or $825,000) is from sales tax provided through realignment, and 49% (or $800,000) is Net County Cost. These funds will be included in the BHRS FY 2010-11 Recommended Budget. For AAS $157,000 is included, which will be funded through client reimbursements. These funds will be included in the AAS FY 2010-11 Recommended Budget. There is no Net County Cost associated with the AAS component of this Agreement. | |||||||||
