REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF THE COUNTY OF SAN BERNARDINO
AND RECORD OF ACTION
November 5, 2019
FROM
VERONICA KELLEY, Director, Department of Behavioral Health
SUBJECT
Title
Revised Grant Renewal Application for Substance Abuse and Mental Health Services Administration Community Mental Health Services Block Grant for 2019-20
End
RECOMMENDATION(S)
Recommendation
1. Approve and authorize the submission of the Revised Grant Renewal Application to the California Department of Health Care Services, Mental Health Services Division, in the amount of $5,491,712, 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, 2019 through June 30, 2020.
2. Designate the Director of the Department of Behavioral Health, as the County Mental Health Director, to execute and submit the grant application documents including any subsequent non-substantive revisions and/or amendments to the application, 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 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 $5,491,712 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 revised renewal application must be submitted to the State no later than November 8, 2019.
DBH has been a direct recipient of MHBG funds since 1982. The $5,491,712 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:
• $667,410 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 $5,339 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.
• $3,345,621 for the Adult System of Care - Residential Programs (Adult Continuing Care Program Long Term Care); Enhanced Board and Care; Supervised Treatment After Release; Housing Solutions Program; Lakeside Special Care; and Premier Program) with the goal to serve an estimated 326 adult consumers at an average cost of $10,263 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.
• $1,210,756 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 283 adults at an average cost of $4,278 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.
• $267,925 for the Triage, Engagement, & Support Teams (TEST) targeting reduction of arrests, recidivism, and acute psychiatric hospitalizations of those with unmet mental health needs, with a goal to serve an estimated 4,800 consumers, including children, Transitional Age Youth (TAY), adults and older adults, who experience a behavioral health crisis in San Bernardino County and have an encounter with one of the TEST co-location site agencies, at an average cost of $56 per consumer. This program integrates engagement, assessment and community-based intensive case management with crisis intervention and post-crisis discharge.
On August 20, 2019 (Item No. 19), the Board of Supervisors (Board) approved the submission of the grant renewal application to the State, in the amount of $5,491,712, for the period of July 1, 2019 through June 30, 2020, which was submitted to the State by the August 23, 2019 deadline. On October 7, 2019, the State notified DBH of needed revisions to the grant renewal application. As requested by the State, the grant renewal application was revised adding further details to program language throughout the application; the application amount remains unchanged. DBH will return to the Board to accept the grant award following the receipt of the approval letter.
In addition to the approval and submission of the revised grant renewal application, DBH is requesting approval for the DBH Director, as the County Mental Health Director, to execute and submit the grant application documents including any subsequent non-substantive revisions and/or amendments to the application, as required by the State, on behalf of the County, subject to review by County Counsel.
PROCUREMENT
Not Applicable.
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Natalie Kessee, Contracts Manager, 388-0869) on October 10, 2019; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on October 11, 2019; Finance (Christopher Lange, Administrative Analyst, 386-8393) on October 17, 2019; and County Finance and Administration (Tanya Bratton, Deputy Executive Officer, 388-0332) on October 17, 2019.