Agenda

Return

C. 41

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	November 8, 2022

Contra

Costa

County

Subject:

Amendment #24-086-145(20) with Crestwood Behavioral Health, Inc.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 11/08/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Suzanne Tavano, Ph.D., 925-957-5201
cc:	L Walker M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: November 8, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract Amendment #24-086-145(20) with Crestwood Behavioral Health, Inc., a corporation, to amend Contract #24-086-145(19), effective October 1, 2022, to increase the payment limit by $45,000, from $95,000 to a new payment limit not to exceed $140,000, for additional adult residential care and mental health services with no change in the term of January 1, 2022 through December 31, 2022.

FISCAL IMPACT:

Approval of this amendment will result in additional expenditures of up to $45,000 and will be funded 100% by Mental Health Realignment funds.

BACKGROUND:

The Health Services Department has been contracting with Crestwood Behavioral Health, Inc., since September 2006 to provide residential care and mental health services to adults. This contract meets the social needs of the County’s population by providing a multi-disciplinary treatment program to adults who need active psychiatric treatment, including medication support and individual and group therapy services, as an alternative to hospitalization at a State Hospital.

On January 18, 2022, the Board of Supervisors approved Contract #24-086-145(19) with Crestwood Behavioral Health, Inc., in an amount not to exceed $95,000, to provide adult residential care and mental health services for the period from January 1, 2022 through December 31, 2022.

Approval of Contract Amendment #24-086-145(20) will allow the contractor to provide additional services through December 31, 2022. This amendment request to the Board was delayed due to an unanticipated increase in the demand for beds and placement of clients. In late September 2022 it became apparent that there would not be sufficient funds to accommodate the number of beds needed during the term of the contract.

CONSEQUENCE OF NEGATIVE ACTION:

If this amendment is not approved, additional mental health clients will not receive the inpatient psychiatric treatment they need from this contractor and may require hospitalization at a State Hospital.