REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
August 19, 2025
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Amendment to Contract with Pacific Clinics for Comprehensive Child and Family Support System
End
RECOMMENDATION(S)
Recommendation
Approve Amendment No. 3 to Contract No. 21-943 with Pacific Clinics, effective July 1, 2025, for the provision of Wraparound Mental Health Services, updating contract language to include the Children’s Crisis Continuum Pilot and increasing the total contract amount by $1,249,376, from $36,512,436 to $37,761,812, with no change to the total contract period of January 1, 2022, through December 31, 2026.
(Presenter: Georgina Yoshioka, Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The recommended contract increase, not to exceed $1,249,376, is funded through a Memorandum of Understanding (MOU) with Children and Family Services (CFS) and by Medi-Cal Federal Financial Participation funds. The MOU with CFS, which funds $953,274 of the contract increase, is in turn supported by state Children’s Crisis Continuum Pilot Program (CCCP) grant funds. Adequate appropriation and revenue will be included in the Department of Behavioral Health (DBH) 2025-26 recommended budget.
BACKGROUND INFORMATION
DBH is responsible for providing mental health and substance use disorder (SUD) services to San Bernardino County (County) residents who are experiencing severe mental illness and/or SUD. An integral part of the service delivery system consists of County-operated clinics and contracted service providers delivering a variety of mental health treatment services, including specialized services for children and youth that are at risk of being placed in a group home.
Comprehensive Child and Family Support System (CCFSS) is a contract for wraparound type services through two related programs: Success First/Early Wrap, a wrap-informed Full-Service Partnership and Senate Bill 163 Wraparound, a wraparound program co-funded with CFS that is compliant with the University of Washington’s Wraparound and Evaluation Research Team’s standards.
In 2021, Assembly Bill 153 mandated the creation of CCCP, which provides a framework for a highly integrated continuum of care for foster youth with high acuity needs. This framework includes the access and utilization of highly structured residential placement options (i.e., Intensive Services Foster Care, Enhanced - Intensive Services Foster Care, and Children’s Crisis Residential Program), an intensive community service/transition team, and utilization of crisis resources (e.g., Crisis Stabilization Units). On December 1, 2022, Riverside County, in coordination with the County, submitted a joint CCCP proposal to the California Department of Social Services, requesting funding for Enhanced-Intensive Services Foster Care Homes, Intensive Services Foster Care Homes, Intensive Community Services, and a Children’s Crisis Residential Program. This two-county effort to implement CCCP is known as the Inland Empire Collaborative. In the proposal, DBH agreed to provide Specialty Mental Health Services (SMHS) for the youth through an intensive home-based program (i.e., Success First/Early Wrap).
To meet the expectations of the CCCP program elements DBH identified a current CCFSS Success First/Early Wrap provider to provide Intensive Community Services and function as the Intensive Transition Planning team. Pacific Clinics has agreed to support the CCCP efforts, as it had the capacity to expand its current program to add these services at an additional estimated cost of $832,916 for 2025-26 and $416,459 for the remaining six months of the 2026-27 contract period for a total contract increase in the amount of $1,249,376.
On December 14, 2021 (Item No. 23), as a result of a formal procurement, the Board of Supervisors (Board) approved contracts with Lutheran Social Services of Southern California (Contract No. 21-939), Mental Health Systems, Inc. (Contract No. 21-940), Mountain Counseling & Training (Contract No. 21-941), South Coast Community Services (Contract No. 21-942), Uplift Family Services (Contract No. 21-943), and Victor Community Support Services (Contract No. 21-944), to provide Wraparound, in the total combined contract amount of $145,983,435 for the period of January 1, 2022, through December 31, 2026.
On November 14, 2023 (Item No. 23), the Board approved Amendment No. 1 to Contract No. 21-943, reflecting the legal name change from Uplift Family Services to Pacific Clinics and updating standard contract language, with no change to the contract amount or the contract period.
On March 26, 2024 (Item No. 33), the Board approved Amendment No. 2 to Contract No. 21-943 with Pacific Clinics, increasing the total contract amount by $8,762,436, from $27,750,000 to $36,512,436, with no change to the total contract period of January 1, 2022, through December 31, 2026. This increase helped cover the cost of the additional services related to the Family Urgent Response System (FURS) and new Aftercare requirements. This program is designated to respond to families that call the FURS hotline. Additionally, this meets the requirement that foster youth receive six months of aftercare services for youth exiting Qualified Residential Treatment Programs, known as Short-Term Residential Therapeutic Programs.
On April 29, 2025 (Item No. 23), the Board approved Memorandum of Agreement No. 25-258 between San Bernardino County CFS and the Riverside County Department of Public Social Services for the CCCP for a maximum reimbursement of $9,506,562. CFS and DBH are working on an MOU by which a portion of this funding will be provided to DBH for the facilitation of services within CCCP.
DBH anticipates that six youth will be served during the remaining one-year term at an approximate cost of $208,229 per youth. This is a very intensive program with a monthly cost expected at $17,352, similar to the service costs for youth in other residential placement for the provision of SMHS.
This item is being presented at this time as a retroactive request as delaying the approval or postponing this item for a future Board date will further delay implementation of CCCP services that were scheduled to start July 1, 2025. Approved budget schedules were not submitted by Pacific Clinics until July 10, 2025, and once submitted, the contract and Board item needed to go through the necessary review and approval process. This is the first Board date available to present this item following receipt of the approved contract budget schedules by DBH and with consideration to the time needed to complete the review process.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health (Michael Shin, Contracts Administrative Manager, 388-0940) on July 21, 2025; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on July 22, 2025; and County Finance and Administration (Allegra Pajot, Administrative Analyst, 388-0218) on August 4, 2025.