DATE: November 17, 2026
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Agreement with Mental Health Systems, Inc. for Assisted Outpatient
Treatment and Community Assistance, Recovery, and
Empowerment Act Services
RECOMMENDED ACTION(S):
TITLE
Under Administrative Policy No. 34 for competitive bids or requests for proposals (AP 34), determine that an exception to the competitive bidding requirement under AP 34 is satisfied and a suspension of competition is warranted due to unusual or extraordinary circumstances, and that the best interests of the County would be served by entering into an agreement with Mental Health Systems, Inc. as no other agency exists that could immediately contract with the County to provide the required level of services to persons petitioned to Assisted Outpatient Treatment & Community Assistance, Recovery, and Empowerment Act programs; and
Approve and authorize the Chairman to execute an Agreement with Mental Health Systems, Inc. for the provision of Assisted Outpatient Treatment & Community Assistance, Recovery, and Empowerment Act services, effective upon execution through June 30, 2030, which includes two optional one-year extensions, total not to exceed $6,484,000; and
Approve and authorize the Chairman to execute Amendment No. 2 to Agreement A-25-380 with Mental Health Systems, Inc. to remove Exhibit A1 and A2 and revise Exhibit C to remove Assisted Outpatient Treatment and Community Assistance, Recovery, and Empowerment Act services, effective upon execution, with no change to the term of July 1, 2025, through June 30, 2030, and decreasing the maximum compensation by $1,336,000 to a total of $30,795,247.
REPORT
There is no additional Net County Cost associated with the recommended actions. The recommended actions will separate the Assisted Outpatient Treatment (AOT) and Community Assistance, Recovery, and Empowerment (CARE) Act services from the exiting Agreement o...
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