REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 18, 2025
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Amendment to Non-Financial Affiliation Agreement with Kaiser Foundation Hospitals, Southern California Permanente Medical Group for Clinical and Instructional Training
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 1 to non-financial Affiliation Agreement No. 24-555 with Kaiser Foundation Hospitals, Southern California Permanente Medical Group, for the provision of clinical and instructional training to psychiatry residents and/or fellows, updating contract language, with no change to the contract period of July 1, 2024, through June 30, 2029.
(Presenter: Georgina Yoshioka, Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote the Countywide Vision.
Create, Maintain and Grow Jobs and Economic Value in the County.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
The recommended affiliation agreement is non-financial in nature and, as such, does not impact Discretionary General Funding (Net County Cost).
BACKGROUND INFORMATION
The Department of Behavioral Health (DBH) is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County (County) residents experiencing severe mental illness and/or SUD. As the Mental Health Plan for the County, DBH is required to maintain a qualified network of psychiatric care providers to ensure timely access to mental health services.
DBH has experienced the effects of the nationwide shortage of psychiatrists and qualified individuals who provide services in the County’s public mental health workforce. For over seventeen years, the DBH’s Workforce Education and Training component of the Mental Health Services Act (MHSA) Three-Year Program and Expenditure Plan has included increasing the number of psychiatrists in the public mental health field as a goal.
To address this shortage, DBH proposed an Affiliation Agreement with Kaiser Permanente, Southern California Permanente Medical Group, (Kaiser Permanente) to allow psychiatry residents and/or fellows (Residents) to do rotations at DBH-operated mental health facilities. The objective of recruiting these Residents into DBH’s system of care is to offer a beneficial educational opportunity for the Residents due to the volume and variety of patients at DBH.
DBH has been providing clinical and instructional training to Kaiser Permanente Residents through a non-financial Affiliation Agreement since 2016. This affiliation agreement has proven to be successful, allowing Residents from Kaiser Permanente to gain a richness of diversity in training settings and see a broad cross-section of child, adolescent, adult, and older adult DBH clients from many different ethnic, cultural, and socio-economic backgrounds. Kaiser Permanente Residents provided services to 331 unduplicated clients during 2022-23 and an estimated 331 unduplicated clients during 2023-24.
On June 25, 2024 (Item No. 38), the Board of Supervisors (Board) approved non-financial Affiliation Agreement No. 24-555 with Kaiser Foundation Hospitals, Southern California Permanente Medical Group, including a non-standard term, to provide clinical and instructional training to psychiatry residents and/or fellows, for the period of July 1, 2024, through June 30, 2029.
Approval of the Recommendation updates the affiliation agreement to include training at additional DBH facilities located in Colton, Ontario, Rialto, and Fontana which allows DBH to enhance its partnership with Kaiser Permanente to provide clinical and instructional training to Residents through June 30, 2029.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Michael Shin, Administrative Manager, 388-0899) on May 12, 2025; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on May 16, 2025; Finance (Paul Garcia, Administrative Analyst, 386-8392) on May 30, 2025; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0332) on June 2, 2025.