Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  16-000961

 

MEETING DATE:

08/23/16

legal entity taking action:

Board of Supervisors

board of supervisors district(s):

All Districts

SUBMITTING Agency/Department:

Health Care Agency   (Approved)

Department contact person(s):

Jeff Nagel (714) 834-7024 

 

 

Mary Hale (714) 834-6032

 

 

Subject:  Ratify Grant Agreement for Investment in Mental Health Wellness Program

 

      ceo CONCUR

County Counsel Review

Clerk of the Board

Concur

Approved Agreement to Form

Discussion

 

 

3 Votes Board Majority

 

 

 

    Budgeted: Yes

Current Year Cost: N/A

Annual Cost: N/A

 

 

 

    Staffing Impact:

No

# of Positions:

Sole Source: N/A

    Current Fiscal Year Revenue: $2,051,207

  Funding Source: State: 100% (Investment in Mental Health Wellness Act)

County Audit in last 3 years: No

 

 

    Prior Board Action: 3/1/2016 #18

 

RECOMMENDED ACTION(S):

 

 

1.

Accept Grant funding in the amount of $3,076,811 for the period of May 26, 2016, through December 31, 2017.

 

2.

Approve and ratify the Grant Agreement with the California Health Facilities Financing Authority for provision of Investment in Mental Health Wellness Program for the period of May 26, 2016, through December 31, 2017, in the amount of $3,076,811.

 

3.

Authorize the Health Care Agency Director, or designee, to execute the Agreement and to act on the County's behalf to carry out and consummate all transactions contemplated relative to the Agreement referenced in the Recommended Action above.

 

 

 

 

SUMMARY:

 

The Health Care Agency requests acceptance of Grant funding and approval of the Grant Agreement with the California Health Facilities Financing Authority for provision of Investment in Mental Health Wellness Program in order to receive funding to develop a new hospital-based or health facility affiliated Crisis Stabilization Program to provide timely crisis stabilization services and divert consumers from the emergency departments.

 

 

 

BACKGROUND INFORMATION:

 

Under the authority of SB 82, the Investment in Mental Health Wellness Act, the California Health Facilities Financing Authority (CHFFA) administered a competitive grant selection process to increase capacity for crisis stabilization services, crisis residential beds and/or mobile crisis support teams. The Board approved the Health Care Agency's (HCA) request to apply for the grant on March 1, 2016, and HCA's Behavioral Health Services (BHS) submitted an application on March 8, 2016. On May 26, 2016, CHFFA awarded the grant for provision of Investment in Mental Health Wellness Grant Program for the period of May 26, 2016, through December 31, 2017, in the amount of $3,076,811.

 

Anticipated use of these funds in Orange County includes the renovation of a building that will support accessible and cost-effective crisis stabilization services to individuals in psychiatric crisis. Crisis stabilization services includes psychiatric evaluation, medication services, counseling and education, referrals and assistance with linkage to continuing care resources for adults, with appropriate modification for children, as applicable, regardless of insurance status. A mixture of licensed and Peer Support staff will provide the services. Maximum stay will be 23 hours and 59 minutes and services will be available on a 24/7 basis. The facility will have the ability to screen for medical, as well as psychiatric emergency conditions.

 

The goals of this service include increase capacity for and provision of timely and comprehensive psychiatric crisis stabilization services, reduction of disposition time for persons presenting in psychiatric crisis to emergency rooms of local hospitals, and reduction of hospital emergency room and inpatient psychiatric hospitalization in situations when a lower level of care is appropriate.

 

This grant will provide funding for development, capital, equipment acquisition, and program start-up costs to be used for expanding crisis stabilization services. The County will contract out the architectural services and construction/renovation services.

 

The indemnification provisions in the Standard Agreement differs from the County's standard indemnification provision in that it requires the County to hold CHFFA and the State free of indemnification since HCA is the primary service provider. CEO/Risk Management has approved the indemnification and insurance provisions and determined the risk to be acceptable for these services.

 

The Health Care Agency requests that the Board accept the grant funding, approve and ratify the Grant Agreement Number ORNG-01 with CHFFA for provision of Investment in Mental Health Wellness Program, and authorize the HCA Director, or designee(s) to act on the County's behalf to carry out and consummate all transactions contemplated relative to the Agreement as referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

This Agreement is included in the Health Care Agency's FY 2016-17 Adopted Budget and will be included in the budgeting process for FY 2017-18.

 

 

 

STAFFING IMPACT:

 

N/A

 

 

ATTACHMENT(S):

 

Attachment A - Grant Agreement No. ORNG-01 with the California Health Facilities Financing Authority for provision of Investment in Mental Health Wellness Program
Attachment B - Title 4 of the California Code of Regulations Section 7113 through 7129
Attachment C - California Welfare and Institutions Code Section 5848.5
Attachment D - California Labor Code Section 1720
Attachment E - Risk Assessment Form