In June 2018, when Agreement No. 18-218 was entered into with BHC Heritage Oaks Hospital, the crisis navigation services provided under this agreement were designed to build out the crisis continuum in Yolo County, replacing Yolo County Health and Human Services Agency’s (HHSA) previous 24/7 clinician response to local hospital emergency rooms and law enforcement (previous Scopes A2 and A3). Since then the crisis continuum in Yolo County has continued to evolve, Now, local ER staff has taken over crisis assessments in their hospitals while HHSA/contractor staff, act as Crisis Navigators, providing service eligibility and medical necessity review, as well as, appropriate acute inpatient psychiatric placement arrangements for Yolo County beneficiaries. County staff manages the daytime Navigation response and Heritage Oaks Hospital Access Line staff manage the after-business hours’ Navigation response. Law enforcement crisis response is now subsumed within the Co-Responder Project.
As such, Agreement No. 18-218 now only has two service elements, as detailed below:
- Triage Access Line Services
Provide triage services to calls coming into the 24/7 Behavioral Health (mental health and substance use services) Access Line for HHSA and assess and appropriately disposition service calls, urgent support requests and crisis calls to support the community. These services are provided 24 hours a day, 7 days per week, 365 days per year.
- Crisis Navigation
Provide after-hours community-based crisis response services to anyone in Yolo County who comes into contact with law enforcement during a psychiatric crisis to reduce the cost of residential placement and psychiatric hospitalization, reduce emergency room visits and incarceration for residents experiencing a psychiatric crisis, facilitate recovery, and avoid future crises.
Approval of this amendment will prevent a gap in state-required 24/7 Access Line Services while the County incorporates the current MHSA Innovation Crisis NOW learning and redesign of the crisis care and response system.
Performance Measures are included in the Second Amendment and are not being modified by the Third Amendment.
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