REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
July 28, 2020
FROM
VERONICA KELLEY, Director, Department of Behavioral Health
SUBJECT
Title
Renewal Application for Substance Abuse and Mental Health Services Administration Community Mental Health Services Block Grant SFY 2020-21
End
RECOMMENDATION(S)
Recommendation
1. Approve and authorize the submission of the grant renewal application to the California Department of Health Care Services, Mental Health Services Division, in the amount of $5,435,958, for the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant for the provision of behavioral health services to adults living with a chronic behavioral health condition and to children diagnosed with a serious emotional disturbance, for the agreement period of July 1, 2020 through June 30, 2021.
2. Designate the Director of the Department of Behavioral Health, as the County Mental Health Director, to sign and submit the grant application documents, as required by the California Department of Health Care Services, on behalf of the County, subject to review by County Counsel.
3. Direct the Director of the Department of Behavioral Health, as the County Mental Health Director, to transmit all grant renewal documents in relation to the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Veronica Kelley, Director, 388-0801)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The proposed allocation amount of $5,435,958 is administered by the California Department of Health Care Services (State) and funded through the federal Substance Abuse and Mental Health Services Administration (SAMHSA), Community Mental Health Services Block Grant (MHBG). The SAMHSA MHBG application does not require a match.
BACKGROUND INFORMATION
DBH will use this funding to continue to provide behavioral health services to adults living with a chronic behavioral health condition and to children diagnosed with a serious emotional disturbance (SED). The renewal application must be submitted to the State no later than July 31, 2020.
DBH has been a direct recipient of MHBG funds since 1982. The $5,435,958 proposed allocation from the State will allow DBH to continue providing behavioral health services to SED children and adults experiencing a severe behavioral health condition and/or co-occurring disorder by utilizing the annual funding as follows:
• $567,349 for the Children’s System of Care program (Juvenile Justice Community Reintegration) with the goal to serve an estimated 125 SED children at an average cost of $4,538 per child. DBH partners with Probation to assist detained minors and those re-entering the community by providing quality assessment and treatment interventions tailored to meet their behavioral health needs. Services include case management, home and school visits, counseling, and linkage to other needed academic and job related services.
• $3,728,811 for the Adult System of Care - Residential Programs (Adult Continuing Care Program Long Term Care); Enhanced Board and Care; Adult Criminal Justice; Housing Solutions Program; Lakeside Special Care; Triage, Engagement and Support Teams; and Premier Program) with the goal to serve an estimated 747 adult consumers at an average cost of $4,991 per adult consumer. DBH partners with other community agencies in San Bernardino County to assist adult consumers at-risk of long-term institutionalization or acute psychiatric hospitalization, adult consumers that have been discharged from locked facilities, or adult consumers involved in the criminal justice system. DBH provides appropriate placement and/or intensive behavioral health services, including case management and individual treatment services, with a focus on successful reintegration into the community, while assisting them in achieving their optimal level of self-sufficiency and independence in both residential placement and outpatient treatment settings.
• $1,139,798 for the Adult System of Care Programs targeting at-risk adult consumers with co-occurring disorders, which may include involvement in the criminal justice system (Cedar House Co-Occurring Residential Care; Transitional Alliance Program; and Co-Occurring Residential for Consumers Involved in the Criminal Justice System) with the goal to serve an estimated 154 adults at an average cost of $7,401 per adult consumer. These programs serve adult consumers with both behavioral health and/or co-occurring disorder treatment needs through consumer and family driven services addressing the disparity and gaps in behavioral health services with the goal of decreasing hospitalizations and incarcerations.
On April 10, 2020, the State released SAMHSA MHBG Letter No. 20-02 notifying DBH of the release of the State Fiscal Year 2020-21 Planning Estimate and Renewal Application Instructions for the non-competitive MHBG. DBH will return to the Board of Supervisors to accept the grant award following the receipt of the approval letter.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Natalie Kessee, Contracts Manager, 388-0869) on June 29, 2020; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on June 30, 2020; Finance (Christopher Lange, Administrative Analyst, 386-8393) on July 6, 2020; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on July 8, 2020.