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Consent-Health & Human Services # 14.
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| Board of Supervisors Meeting |
Health Services |
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| Subject |
| Approve and authorize the Chair to sign First Amendment to Agreement with Willow Glen Care Center to increase contract amount by $110,000 for a new contract maximum amount of $976,304; and revise and add contract language where appropriate to clarify and refine the terms, conditions, and requirements of the Agreement accurately, to provide residential care to Seriously Mentally Ill adults for the period July 1, 2014 through June 30, 2017. (No general fund impact) (Cook) |
| Recommended Action |
| Approve and authorize the Chair to sign First Amendment to Agreement with Willow Glen Care Center to increase contract amount by $110,000 for a new contract maximum amount of $976,304; and revise and add contract language where appropriate to clarify and refine the terms, conditions, and requirements of the Agreement accurately, to provide residential care to Seriously Mentally Ill adults for the period July 1, 2014 through June 30, 2017. |
| Strategic Plan Goal(s) |
Collaborate to maximize success
Enhance and sustain the safety net
Preserve and ensure safe and crime free communities
Provide fiscally sound, dynamic and responsive services |
| Reason for Recommended Action/Background |
Willow Glen Care Center, an adult residential care facility, provides board and care and support services to consumers in their efforts to restore, maintain and apply interpersonal and independent living skills, as well as allowing consumers to access community support systems.
Yolo County relies on facilities like Willow Glen to keep the Seriously Mentally Ill (SMI) adults safe when all other treatment interventions have proven ineffective. Prior to seeking placement at such a residential care facility, these clients have undergone extensive interventions. Often these adults have experienced multiple acute care hospital stays. It should be noted that a decision to place clients at this level of care is a collaborative one. A case manager has been specifically assigned to work with this population. This case manager works closely with treatment staff and is well versed on client needs and placement options.
The Department of Health Services - Alcohol, Drug and Mental Health Division, has seen a steady increase in services needed for the stabilization of seriously mentally ill adults. The increase for this Amendment will bring the funding more in line with the actual expenditures from fiscal year 2013-14, as well as taking into account the projection for the remainder of fiscal year 2014-15.
Approval of this Amendment will maintain the medically necessary care provided to consumers currently receiving services at the facility and allow ADMH to continue to reduce the use of state hospitals, psychiatric hospitals, and Institutes for Mental Disease (IMD) by making this lower level of care available when consumers are ready to transition from higher levels of care. Approval will also ensure access to all services necessary for the consumers to live in the least restrictive setting possible.
Competitive Bid Process:
On July 31, 2007, the Board of Supervisors granted an approval to ADMH for certain exceptions to the contract procurement policy. According to this approval, Willow Glen Care Center is classified as “Any Willing Provider” and is exempt from the competitive bid process.
Contracting History:
On June 24, 2014, the Board of Supervisors approved original Agreement with Willow Glen Care Center in the amount of $866,304 for the period July 1, 2014 through June 30, 2017.
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| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel has approved this Amendment as to form.
Community Partners
Yolo National Alliance on Mental Illness (NAMI)
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
No county general funds are required by this action. The total increased amount for this Amendment is $110,000 for a new contract maximum amount of $976,304 for three fiscal years. The table below details the funding sources and annual amounts. The increase of $110,000 for fiscal year 2014-15 is included in the ADMH adopted budget for fiscal year 2014-15. ADMH will budget the funding necessary for fiscal years 2015-16 and 2016-17 accordingly in future budgets.
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Funding Source |
FY2014-15 |
FY2015-16 |
FY2016-17 |
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Mental Health Realignment |
$398,768 |
$288,768 |
$288,768 |
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