DATE: November 8, 2022
TO: Board of Supervisors
SUBMITTED BY: Susan L. Holt, Director, Department of Behavioral Health
SUBJECT: Memorandum of Understanding with California Department of State Hospitals and CalMHSA and Participation Agreement with CalMHSA
RECOMMENDED ACTION(S):
TITLE
1. Approve and authorize the Chairman to execute a retroactive Memorandum of Understanding with the California Department of State Hospitals and the California Mental Health Services Authority for mandated state psychiatric hospital beds and services, effective July 1, 2022, through February 28, 2023, which includes one optional 60-day extension ($425,000); and
2. Approve and authorize the Chairman to execute a retroactive Participation Agreement (No. 1498-SHB-2022-FC) with the California Mental Health Services Authority for purchase of state psychiatric hospital beds on behalf of the County, effective July 1, 2022, through June 30, 2023 ($2,804).
REPORT
Approval of the first recommended action will allow for a six-month Memorandum of Understanding (MOU) with the California Department of State Hospitals (DSH). Pursuant to Welfare & Institutions Code (W&IC), section 5000 and following, the MOU will provide mandated beds and services for Lanterman-Petris Short (LPS) Conservatees, who are adults with severe mental illness and are gravely disabled, as ordered by the Fresno County Superior Court (Court). The agreement will be funded with Mental Health Realignment funds, with no additional Net County Cost. Approval of the second recommended action will allow for a one-year Participation Agreement with the California Mental Health Services Authority (CalMHSA) to contract for state hospital beds on the County's behalf, along with all other counties under the agreement. This item is countywide.
ALTERNATIVE ACTION(S):
There are no viable alternatives. Non-approval of the recommended actions will prevent the Department from authorizing state psychiatric hospital placement and services ...
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