Agenda Item   

AGENDA STAFF REPORT

 

                                                                                                                        ASR Control  23-000386

 

MEETING DATE:

08/22/23

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):

Annette Mugrditchian (714) 834-5026 

 

 

Veronica Kelley (714) 834-7024

 

 

Subject:  Ratify Standard Agreement with Department of State Hospitals

 

     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: $2,493,421

   Funding Source:    State: 100% (Department of State Hospitals)

County Audit in last 3 years: No

   Levine Act Review Completed: N/A

 

    Prior Board Action:         6/22/2021 #48, 7/14/2020 #16, 1/29/2019 #25, 5/23/2017 #40

 

RECOMMENDED ACTION(S):

 

 

1.

Ratify and approve the Standard Agreement for the Forensic Conditional Release Program with the California Department of State Hospitals for the term of July 1, 2023, to June 30, 2026, in the amount of $2,493,421 annually, for a cumulative total amount of $7,480,263.

 

2.

Authorize the Health Care Agency Director or designee to execute the Standard Agreement Amendment and sign the following documents:

a. Contractor Certification Clauses

b. Civil Rights Certification

c. Dafur Contracting Act Certification

d. Iran Certification

e. Government Tax ID Number Certification

 

 

 

 

 

 

 

SUMMARY:

 

Ratification of the Standard Agreement with the California Department of State Hospitals will continue the funding for the Forensic Conditional Release Program, which provides court mandated risk assessment evaluations and recommendations regarding various legal issues and provides treatment and supervision in a manner that ensures greater public protection in the community.

 

 

 

BACKGROUND INFORMATION:

 

Below are the prior Board of Supervisors (Board) Actions:

 

Board Dates

Contract/Amendment

Action

Term

May 23, 2017

Standard Agreement

Approved

July 1, 2016 - June 30, 2018

January 29, 2019

Standard Agreement

Approved

July 1, 2018 - June 30, 2020

July 14, 2020

Amendment to the Standard Agreement

Approved

July 1, 2020 - June 30, 2021

June 22, 2021

Standard Agreement

Approved

July 1, 2021 - June 30, 2023

 

Scope of Services:

The Forensic Conditional Release Program (CONREP) is the Department of Mental Health’s statewide system of community-based services for specified forensic patients.  Mandated as a state responsibility by the Governor’s Mental Health Initiative of 1984, the program began operations on January 1, 1986. The goal of CONREP is to ensure greater public protection in California communities via an effective and standardized community outpatient treatment system.

 

Since 1986, the California Department of State Hospitals (previously the Department of Mental Health) (DSH) has provided funding for the Conditional Release Program (CONREP). The purpose of this program is to provide court mandated treatment and supervision and to evaluate and submit recommendations to the court for judicially committed persons. Currently, Orange County CONREP evaluates biannually approximately 200 patients in the Forensic State Hospital system not yet released, and supervises and provides treatment for 50 individuals in the community. Additionally, CONREP completes court-ordered Incompetency to Stand Trial evaluations.

 

CONREP is a program for person found by courts to be Not Guilty by Reason of Insanity [Penal Code (PC) Section 1026 for Welfare and Institutions Code (WIC) 702.3; Incompetent to Stand Trial (PC 1370); Mentally Disordered Sex Offenders (WIC 6316) or Civilly Committed Offenders with a Mental Disorder (OMD; PC 2972) - former parolees of the Department of Corrections. Some parolees may have a special condition of their parole established by the Board of Prison Terms requiring CONREP treatment (PC 2962). Services and Supervision include group treatment, random and weekly substance abuse and medication screening, home visits, individual therapy, collateral contacts, psychiatry and agreement to terms and conditions.

 

On June 29, 2023, HCA received Standard Agreement Number 23-78009-000 in the amount of $7,480,263 for the period of July 1, 2023, through June 30, 2026. This item cannot go before the Board until the Standard Agreement is received from DSH.

 

The agreement contains an indemnification provision that differs from the County's standard of sole indemnification that requires the County to indemnify and hold harmless DSH against general claims for injury and damages by a third party. County Executive Office/Office of Risk Management has reviewed and found the sole indemnification to be acceptable since the County is the service provider.

 

The Health Care Agency requests the Board approve the ratification of the Standard Agreement for CONREP with the DSH as referenced in the Recommended Actions.

 

 

 

FINANCIAL IMPACT:

 

Revenue for this Agreement is included in Budget Control 042 in FY 2023-24 Budget and will be included in the budgeting process for future year.

 

 

 

STAFFING IMPACT:

 

N/A

 

 

ATTACHMENT(S):

 

Attachment A - Standard Agreement with Department of State Hospitals No. 23-78009-000
Attachment B - Risk Assessment Form
Attachment C - Penal Code Section 1026
Attachment D - WIC 702.3
Attachment E - Penal Code 1370
Attachment F - WIC 6316
Attachment G - Penal Code 2972
Attachment H - Penal Code 2962