Agenda

Return

C.23

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	December 6, 2022

Contra

Costa

County

Subject:

Grant Award #78-016 with the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA)

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/06/2022

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, 925-957-5212
cc:	Marcy 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: December 6, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to accept Grant Award #78-016 from the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), to pay the County an amount up to $1,016,548, for the Mobile Crisis Response Team Expansion Project, for the period from September 30, 2022 through September 29, 2023.

FISCAL IMPACT:

Acceptance of the grant award will result in payment to the County of up to $1,016,548 from SAMHSA. No County match is required.

BACKGROUND:

This award from SAMHSA will be utilized for the Mobile Crisis Response Team Expansion Project under The Anyone, Anywhere, Anytime (A3) Program. Staff will be hired in phases correlated to countywide community needs. This grant helps fund current staff and initial hiring as the program expands to countywide services. The estimated cost for staffing in the first year is $1,061,548, equivalent to the funding provided by this grant. The A3 Program will interface with Contra Costa’s Behavioral Health Services, Contra Costa Health Services, Contra Costa Medical Regional Center (CCRMC), Psychiatric Emergency Services, law enforcement, fire partners, and other first responders, as well as detention facilities and dispatch systems across the County. A3 will partner with external agencies to help triage patients and as a filler for temporary immediate response of behavioral health crisis services.

The A3 Program is a countywide behavioral health crisis response service needed to deescalate behavioral health issues, administer immediate behavioral health services, and refer to additional County resources for ongoing treatment. The A3 Program will alleviate the impact of 911 calls directed to law enforcement for behavioral health issues and help redirect calls to the program for immediate assistance and response. In addition, this program is anticipated to decrease the Psychiatric Emergency Services (PES) occupancy by providing responsive and timely behavioral health services while reducing service gaps. There is currently no timely, culturally, and clinically appropriate response. The A3 Program has applied for multiple grants to cover initial staffing costs and technological start-up fees.

The grant award letter was received by the Department in early October 2022. Processing was delayed due to Behavioral Health Staff responding to additional requests for information from the awarding agency. Further delays resulted from staff member’s unfamiliarity with receiving an award letter rather than a formal agreement and unaware that the awarded funds required the Board of Supervisor’s approval.

Approval of Grant Award #78-016 will allow county to receive funds for the Mobile Crisis Response Team Expansion Project through September 29, 2023.

CONSEQUENCE OF NEGATIVE ACTION:

If this grant award is not approved, the County will not receive up to $1,016,548 to suppor the staffing of the Mobile Crisis Response Team Expansion Project.