REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 23, 2026
FROM
JOSHUA DUGAS, Acting Director, Department of Behavioral Health
SUBJECT
Title
Amendments to Contracts for Military Service and Family Support Program Services
End
RECOMMENDATION(S)
Recommendation
Approve amendments to the following contracts, for the provision of Military Service and Family Support program services, updating standard contract language, increasing the combined amount by $1,087,496, from $2,787,500 to $3,874,996, and extending the contract period for an additional one year and six months, as follows:
1. Amendment No. 3 to Contract No. 22-575 with Pacific Clinics, increasing the total contract amount by $749,996, from $2,000,000 to $2,749,996, for a total contract period of July 1, 2022 through December 31, 2027.
2. Amendment No. 2 to Contract No. 22-1221 with Victor Community Support Services, Inc., increasing the total contract amount by $337,500, from $787,500 to $1,125,000, for a total contract period of January 1, 2023 through December 31, 2027.
(Presenter: Joshua Dugas, Acting Director, 252-5142)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Promote and Fulfill the Countywide Vision.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of this item will not result in the use of Discretionary General Funding (Net County Cost). The recommended increase totaling $1,087,496 for the Military Service and Family Support (MSFS) program services is funded by Behavioral Health Services Act (BHSA), Behavioral Health Services and Supports funds. Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2025-26 and 2026-27 budgets and will be included in the 2027-28 recommended budget.
BACKGROUND INFORMATION
DBH provides mental health and substance use disorder (SUD) services to county residents experiencing severe mental illness and/or SUD. An integral part of the County’s behavioral health service delivery system includes identifying and providing a variety of treatment and supportive services to unserved or underserved populations. The MSFS program addresses the impact of traumatic events and other unique challenges of military life by providing in-home and/or community-based prevention and early intervention behavioral health services. Services are provided to military personnel, including active-duty service members, members of the Reserves and National Guard, veterans, and their families.
The MSFS program is comprised of two primary service components: Prevention and Early Intervention. Prevention services include individual and family assessments to identify potential concerns, as well as support groups that promote wellness through social connection, emotional support, and access to community resources. Early Interventions include case management and referrals for individuals and their families identified needing longer-term, intensive mental health services. The program also provides individual, couples, and/or family counseling and therapy, along with short-term behavioral health services for participants experiencing the onset of a mental illness.
Since 2009, DBH has provided MSFS program services through contracted providers located throughout the county. Services are delivered in community settings or in participants’ homes, when preferred, increasing accessibility and reducing stigma associated with seeking behavioral health services among current and former personnel and their families.
On June 28, 2022 (Item No. 31), as a result of a formal procurement, the Board of Supervisors (Board) approved Contract No. 22-575 with Uplift Family Services dba Pacific Clinics, for the provision of MSFS program services, in the amount of $1,500,000, for the period of July 1, 2022 through June 30, 2025.
On December 6, 2022 (Item No. 13), as a result of formal procurement, the Board approved Contract No. 22-1221 with Victor Community Support Services, Inc. (VCSS), for the provision of MSFS program services, in the amount of $562,500 for the period of January 1, 2023 through June 30, 2025.
On November 14, 2023 (Item No. 23), the Board approved Amendment No. 1 to Contract No. 22-575 with Uplift Family Services dba Pacific Clinics, which reflected the legal name change to Pacific Clinics with no change to the contract amount of $1,500,000, or the contract period of July 1, 2022 through June 30, 2025.
On June 10, 2025 (Item No. 41), the Board approved Amendment No. 2 to Contract No. 22-575 with Pacific Clinics, increasing the contract amount by $500,000, from $1,500,000 to $2,000,000, and Amendment No. 1 to Contract No. 22-1221 with VCSS increasing the contract amount by $225,000, from $562,500 to $787,500, as well as updating standard contract language, and extending the contract terms by an additional year, for a total contract period of January 1, 2023 through June 30, 2026.
In 2024-25, MSFS services were provided to:
• 2,238 unduplicated clients
• At an average cost of $324 per client
Approval of the recommended amendments will ensure the continued provision of MSFS services for an additional one year and six months and anticipate to serve:
• Approximately 4,138 unduplicated clients
• At an estimated cost of $263 per client
Performance measures for the MSFS contracts focus on tracking service quality, timeliness, accessibility, and outcomes to ensure providers meet established standards. Contractors are required to submit regular reporting such as monthly service logs, outcome data, fiscal reports, and compliance documentation, which allows the department to monitor progress and identify trends or concerns. Accountability mechanisms, including performance audits, contract monitoring meetings, site visits, and corrective action plans, help ensure that services are delivered as intended and align with program goals. Together, these structures promote transparency, support continuous improvement, and ensure that community members receive high-quality, effective behavioral health services.
The recommended amendment to the contract for the provision of MSFS services updates contract language to ensure integrated compliance with BHSA requirements and to support the transition from Mental Health Services Act (MHSA) funding to BHSA funding. BHSA was approved through Proposition 1 in March of 2024, replacing and modernizing the former MHSA. Effective July 1, 2026, BHSA expands statewide access to behavioral health and SUD services, strengthens equity, accountability, and transparency, increases the behavioral health workforce, and expands housing and treatment resources. The recommended amendment additionally updates program requirements and increases funding for the extended contract term through December 31, 2027.
DBH will continue to regularly review 1) client service data and progress, conduct site visits and annual monitoring to ensure performance and compliance standards of the contract(s) are met; and 2) providers’ invoices administratively and programmatically to ensure client and/or bed counts are accurate prior to payment processing.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health (Marianna Martinez, Administrative Supervisor II, 383-3940) on May 27, 2026; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on May 28, 2026; and County Finance and Administration (Iliana Rodriguez, Administrative Analyst, 386-8392) on June 4, 2026.