DATE: December 9, 2025
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Amendment No. 2 to Agreement with Turning Point of Central California, Inc. for Forensic Behavioral Health Continuum of Care & Whole Person Care Like Pilot
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute Amendment No. 2 to Agreement No. A-23-296 with Turning Point of Central California, Inc. to revise the Scope of Work and Budget of the Agreement to transition the Diversion Pilot Program to a permanent Diversion Program, with no change to the term of July 1, 2023 through June 30, 2027, and increasing the maximum compensation by $309,350, to a total of $27,601,753.
REPORT
There is no additional Net County Cost associated with the recommended action. The recommended action will allow Turning Point of Central California, Inc. (TPOCC) to continue providing behavioral health diversion treatment services for justice-involved adults with serious mental illness who are found or at risk of being found incompetent to stand trial (IST) on felony or misdemeanor charges by transitioning the Diversion Pilot Program to a permanent Diversion Program and designating TPOCC as the provider for this program, limited to referrals for felony incompetent to stand trial (FIST) persons served. This item is countywide.
ALTERNATIVE ACTION(S):
There is no viable alternative action. If the Board does not approve the recommended action, Fresno County would lose the Department of State Hospitals (DSH) diversion funding opportunity and not be able to provide needed community-based behavioral health services to justice-involved individuals who have significant mental health challenges and who would otherwise remain incarcerated. In accordance with Assembly Bill (AB) 133 (Chapter 143, Statues of 2021) and Senate Bill (SB) 184 (Chapter 47, Statues of 2022), DSH established a baseline number of felony IST determinations for each county a...
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