Agenda

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C. 63

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	February 28, 2023

Contra

Costa

County

Subject:

Grant Application with California Health Facilities Financing Authority

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/28/2023

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

Contact:

Suzanne Tavano, 925-957-5201

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: February 28, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to apply for the California Health Facilities Financing Authority’s (CHFFA) Community Services Infrastructure Grant Program (CSI) for funding, in the amount of $3,000,000, to support the purchase, renovation, and furnishing of a facility for a residential dual-diagnosis program to serve individuals involved in the criminal justice system, for the period from July 1, 2023 through June 30, 2025.

FISCAL IMPACT:

If awarded, the County will receive funds from the State of California Health Facilities Financing Authority for the renovation and furnishing of a facility to house a residential dual-diagnosis program. Ongoing program costs would be offset by mental health realignment, federal financial participation, private insurance billing and other funding designated to support individuals involved in jail diversion programs.

BACKGROUND:

The Community Services Infrastructure (CSI) Grant Program seeks to expand access to jail and prison diversion programs by expanding opportunities for creating community alternatives to incarceration by funding the creation and/or expansion of mental health and substance use facilities. The Forensic Mental Health unit of Contra Costa Behavioral Health serves this population through a variety of programs. Forensic Mental Health has identified a dual-diagnosis residential program as a critical gap in their ability to serve clients referred by justice system partners. The CSI grant would be used to fund the purchase, renovation and furnishing of a residential facility to provide dual-diagnosis treatment services to justice involved individuals with 24/7 residential staffing and onsite mental health and substance use services. This application does not require site control prior to submission for consideration by the California Health Facilities Financing Authority (CHFFA). By seeking funding from CHFFA, the Behavioral Health Division hopes to better support the needs of the community and the long-term therapeutic outcomes of individuals referred from the justice system who are in need of residential therapeutic substance use and mental health support services.

This recommendation will provide the needed changes to support an increase of referrals for the Felony Incompetent to Stand Trial (FIST) population to receive services in the community that were formerly offered in state hospitals. If awarded staff will return to the Board for final acceptance and approval of the CHFFA award and program design.

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved, the County would not have funds to purchase, renovate, and furnish a facility to provide residential dual-diagnosis services to individuals involved in the criminal justice system.

CLERK'S ADDENDUM

RELISTED to a future date uncertain.