Agenda Item   



                                                                                                                        ASR Control  19-001141




legal entity taking action:

Board of Supervisors

board of supervisors district(s):


SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Annette Mugrditchian (714) 834-5026 



Jeff Nagel (714) 834 7024



Subject:  Approve Designation of College Hospital Crisis Stabilization Unit


      ceo CONCUR

County Counsel Review

Clerk of the Board


No Legal Objection

Consent Calendar



3 Votes Board Majority




    Budgeted: N/A

Current Year Cost: N/A

Annual Cost: N/A




    Staffing Impact:


# of Positions:

Sole Source: N/A

    Current Fiscal Year Revenue: N/A

  Funding Source: N/A

County Audit in last 3 years: No



    Prior Board Action: 03/26/2019 #27






Approve designation of CSU, LLC, dba College Hospital Crisis Stabilization Unit, located at 301 Victoria Street, Costa Mesa, as a facility for involuntary detention, evaluation and treatment for up to 12 beds for mentally disordered persons.



Direct the Health Care Agency to submit the designation of CSU, LLC, dba College Hospital Crisis Stabilization Unit  to the Department of Health Care Services for approval.






Approval of the designation of CSU, LLC, dba College Hospital Crisis Stabilization Unit will further the County's goal of developing resources for residents who are experiencing behavioral health crises and divert residents from potential unnecessary inpatient psychiatric hospitalization and emergency department visits.




On March 26, 2019, your Honorable Board of Supervisors (Board) approved the selection of an agreement with CSU, LLC, dba College Hospital Crisis Stabilization Unit (College Hospital CSU) to provide Crisis Stabilization Services for the period of July 1, 2019, through June 30, 2022.


Welfare and Institution Code Section 5150, et. seq. authorizes that individuals who are a danger to themselves, a danger to others or gravely disabled due to a mental health disorder may be placed in a facility designated by the County and approved by the Board and Department of Health Care Services (DHCS). A Lanterman-Petris-Short (LPS) designated facility is able to provide mental health evaluation and treatment to individuals who are involuntarily detained.


College Hospital CSU is a locked facility that relies upon designation in order to accept individuals on involuntary holds. This facility will see clients who are admitted involuntarily or voluntarily. The walkthrough for College Hospital's CSU initial certification visit and designation was held on January 22, 2020, with the final designation visit occurring after the certification recommendations are made to the state. Currently, Orange County has one County CSU with 15 recliners for adults with a projected average daily census of 23 individuals. The College Hospital CSU will add 12 recliners for adults with an average daily census of 18 individuals for Crisis Stabilization services. In FY 2018-19, the County CSU treated approximately 2,700 individuals with 83 percent involuntary and 17 percent voluntary individuals. Similar ratios are expected at the College Hospital CSU, making it crucial that designation occurs shortly after Medi-Cal certification for this new CSU to treat the involuntary population.


College Hospital CSU is scheduled for final review and Medi-Cal certification on January 28, 2020, subsequent to the modular facility being ready to receive clients. Once Medi-Cal certification is complete, the County will review the facility for the requirements for designation, which will include a site visit scheduled after January 28, 2020.


Providing mental health evaluation and treatment to individuals who are involuntarily detained pursuant to the LPS Act is one of the highest levels of psychiatric treatment and having designated CSUs available across the County provides assistance to individuals who are in mental health crises to quickly access the appropriate level of care. College Hospital CSU will meet all LPS-designated facility criteria applicable to LPS outpatient units and must demonstrate compliance with all policies and procedures per review and onsite inspection by the County.


The Health Care Agency requests that the Board approve the designation of College Hospital CSU as referenced in the Recommended Actions. This is mandatory in order for College Hospital CSU to treat involuntary clients in a locked setting.

















Attachment A - WIC Section 5150