Agenda

Return

C. 64

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	April 4, 2023

Contra

Costa

County

Subject:

Apply for Non-Competitive Allocation from the Department of State Hospitals for residential treatment homes and facilities

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 04/04/2023

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

ABSENT:

Ken Carlson, District IV Supervisor
Federal D. Glover, District V Supervisor

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: April 4, 2023
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to apply for a non-competitive funding allocation from the California Department of State Hospitals (DSH), in an amount not to exceed $8,718,750, to participate in the California Department of State Hospitals Incompetent to Stand Trial Diversion and Community Based Restoration Infrastructure Project and commit to entering into a service contract with DSH, in an amount not to exceed $9,675,000 annually to provide ongoing services to program participants and maintain any capital facilities funded by this allocation.

FISCAL IMPACT:

Upon final acceptance, the County will receive allocated funds from DSH through their administrator, Advocates for Human Potential, to develop residential treatment and housing facilities. The County will receive an allocation of up to $8,718,750 at a rate of $93,750 per bed annually for up to 93 beds. As part of the terms of this grant, the County will be required to enter into a separate service contract to provide an operating budget for the program which is inclusive of wraparound services for program participants, County overhead, justice partner funding, violence risk assessment support, and court liaisons. Costs in excess of the operating budget would be the responsibility of the County. There is no required County match.

BACKGROUND:

The State of California has made $468.8 million in one-time funds available to develop residential housing settings to support individuals who are participating in either DSH-funded diversion or community-based restoration (CBR) programs to address a housing capacity deficit of nearly 5,000 beds to service this population statewide. Contra Costa is projected to receive up to $8,718,750 to develop a proposed 93 beds. The proposed funding will provide $93,750 per bed for start-up costs such as down payments, renovation, necessary retrofitting and furnishings for staff and patients. By participating in this funding opportunity the County will agree to a restrictive covenant on property for 20-30 years from the date of the award.

As conditioned by accepting this funding allocation the County will also agree to enter into a separate service contract with DSH to fund the ongoing operation of the developed beds. The County will receive $125,000 per felony IST client treated in either CBR or diversion program. This rate is intended to fund an intensive community treatment model with increased frequency of clinical contacts and access to psychiatry services, as well as all wraparound services and housing costs for an average 18-month length of stay. Contra Costa is allocated up $9,675,000 for annual costs of operating this program including any debt service to the property, future maintenance, County overhead, and court related costs.

Applications for this program will be accepted through June 30, 2024 with benchmark periods closing on May 1, 2023, November 1, 2023 and May 1, 2024. Award letters will be issued approximately 30 days following the closing of a benchmark period where a completed application is received. Funds for capital development must be expended by June 30, 2028.

If awarded, the Department will return to the Board for approval of final award acceptance and contract approval upon receipt of the of the contract from Advocates for Human Potential.

CONSEQUENCE OF NEGATIVE ACTION:

If not approved, the County would not receive funds for the development of residential treatment options and programing for individuals participating in felony diversion programs leading to backlogs and extended incarceration periods for individuals who may be eligible for the program.