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Regular-Health & Human Services # 36.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Receive presentation on Phase I results of the feasibility study for a Regional Mental Health Correctional Facility and the resulting recommendation not to move forward with the project. (No general fund impact) (Larsen) |
| Recommended Action |
| Receive presentation on Phase I results of the feasibility study for a Regional Mental Health Correctional Facility and the resulting recommendation not to move forward with the project. |
| Strategic Plan Goal(s) |
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Thriving Residents |
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Safe Communities |
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| Reason for Recommended Action/Background |
The County of Sacramento, along with leaders from ten Northern California counties, has been going through a process to explore the feasibility of establishing a Regional Mental Health Adult Correctional Facility to address the mental health treatment needs of incarcerated individuals in county jail facilities.
A significant proportion of jail inmates have mental health conditions and/or co-morbid chronic health conditions. These inmates require psychiatric assessment and ongoing services while incarcerated. County jails are facing increased demands due to the volume of inmates with serious mental health conditions needing services, the types of services needed, and legal pressures to substantially modify current practices. Jails require psychiatric expertise and personnel to best assess and treat inmates. Effective treatment and discharge planning for individuals in custody help with appropriate discharge to alternative treatment in the community, facilitates successful transition for those being released from jail, and reduces recidivism for those who are released.
In response, leaders from ten Northern California Counties (Amador, Contra Costa, El Dorado, Nevada, Placer, Sacramento, Solano, Sutter, Yolo and Yuba) have discussed identifying more cost-effective approaches for addressing mental health treatment needs in county jail facilities. On behalf of these counties, Sacramento County released an RFP for a consultant to evaluate the feasibility of establishing and operating a Regional Mental Health Correctional Facility to meet assessment, treatment, custodial, and all other needs for inmates with moderate to serious mental health conditions who may be in a pre- and/or post-disposition phase of the criminal court process. The proposal from CGL Companies, LLC was selected for the feasibility study among the two proposals received after a collaborative scoring and review process with the counties.
Feasibility Study
As detailed in their proposal, CGL conducted the first phase of the feasibility study for the Regional Mental Health Correctional Facility. The first phase involved four tasks:
- Assess current services & treatment populations;
- Develop a treatment model for centralized delivery of mental health services;
- Conduct a cost/benefit analysis of the regional service delivery model; and
- Document findings in a Final Report.
The Phase I Final Report (attached) outlines the results of the assessment, treatment model development concept, and cost/benefit analysis broken down by County. |
| Collaborations (including Board advisory groups and external partner agencies) |
| The County Administrator’s Office, Sheriff’s Office, and Health and Human Services Agency recommended partnering on the feasibility study project, reviewed the Phase I report and agree with the recommendation of today’s presentation. Additionally, the members of the Community Corrections Partnership (CCP) have reviewed the presentation. |
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