Agenda

Return

C.104

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	July 26, 2022

Contra

Costa

County

Subject:

Contract #74-653 with Syracuse University

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 07/26/2022

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., 925-957-5212
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: July 26, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to execute Contract #74-653 with Syracuse University, an educational institution, in an amount not to exceed $1,211,136, to provide assistance with the development and implementation of the Psychiatric Advance Directives Project (PADS) in Contra Costa County, for the period from July 1, 2022 through June 30, 2025.

FISCAL IMPACT:

Approval of this contract will result in expenditures of up to $1,211,136 over a three-year period and will be funded by 100% Mental Health Services Act.

BACKGROUND:

In 2006, the Center for Medicare and Medicaid Services made it clear that a psychiatric advance directive (PAD)s should be part of psychiatric care. Approximately twenty-seven states have enacted laws and polices recognizing PADs. However, PADs are often written with a focus on physical health, with little to no room for psychiatric health, plans, arrangements, or instructions to assist in the event of a mental health crisis. Californians living with mental illness continue to face high rates of recidivism, inpatient non-voluntary hospitalization, homelessness, and incarceration.

The Psychiatric Advance Directive Project (PADS), is a multi-county collaborative mental health services act innovation project in the State of California, which will engage Syracuse University, whose Burton Blatt Institute has expertise in the field of evaluation, disability rights, technology, and legislative efforts and will assist in the development and implementation of the PADS Project. The PADS Project seeks to make PADS accessible to mental health consumers, first responders, emergency departments and inpatient psychiatric units. The platform will operate in real-time, allowing consumers to create, access, store and share their PAD with healthcare providers and first responders across the state, giving them mediate access to consumer’s PAD during a crisis. This Project is approved by the Mental Health Services and Accountability Commission.

This contract was submitted late to Contra Costa County, on May 31, 2022, due to Syracuse University collaborating on specifics of the project with multiple counties in the State of California.

Approval of this new contract #74-653 with Syracuse University will allow contractor to assist with the development and implementation services for the PADS in Contra Costa County including, but not limited to, project management, training, evaluation, media/marketing, technology and peer advocacy, through June 30, 2025.

CONSEQUENCE OF NEGATIVE ACTION:

If this contract is not approved, Contra Costa County will not be able to implement the PADS Program to assist with psychiatric advanced directives for improvement of patient care.