REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
February 8, 2022
FROM
GEORGINA YOSHIOKA, Interim Director, Department of Behavioral Health
SUBJECT
Title
Grant Award from the California Department of Health Care Services, Community Mental Health Services Division for the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant Fiscal Year 2021-22
End
RECOMMENDATION(S)
Recommendation
1. Accept grant award, in the amount of $5,233,073 from the California Department of Health Care Services, Community Mental Health Services Division 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 period of July 1, 2021 through June 30, 2022.
2. Designate the Director of the Department of Behavioral Health as the County Mental Health Director, to execute and submit any subsequent non-substantive amendments to this grant award for the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant, 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 documents and amendments 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: Georgina Yoshioka, Interim 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 and Stakeholders.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant award in the amount of $5,233,073 is administered by the California Department of Health Care Services (DHCS) and funded through the federal Substance Abuse and Mental Health Services Administration (SAMHSA), Community Mental Health Services Block Grant (MHBG). The funds will be used to reimburse costs from July 1, 2021, and are anticipated to be fully expended by June 30, 2022. The SAMHSA MHBG does not require a match. Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2021-22 budget.
BACKGROUND INFORMATION
DBH has been a direct recipient of MHBG funds since 1982. The $5,233,073 allocation from the State, which will be used to reimburse costs from July 1, 2021, will allow DBH to continue providing behavioral health services to adults living with a chronic behavioral health condition and to children diagnosed with a serious emotional disturbance (SED) by utilizing the annual funding as follows:
• $495,777 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 $3,966 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.
• $3,675,065 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; Placement After Stabilization and Premier Program with the goal to serve an estimated 1,146 adult consumers at an average cost of $3,207 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.
• $1,062,231 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 284 adults at an average cost of $3,740 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 June 22, 2021 (Item No. 27), the Board of Supervisors (Board) approved the submission of the SAMHSA MHBG State Fiscal Year 2021-22 renewal application to DHCS in the amount of $5,233,073, for the period of July 1, 2021 through June 30, 2022.
On August 30, 2021 DBH received the grant award notice from DHCS approving DBH’s MHBG grant application, in the amount of $5,233,073 for the period of July 1, 2021 through June 30, 2022.
DBH is requesting approval for the DBH Director as the County Mental Health Director, to execute and submit any subsequent non-substantive amendments to the grant documents as required by the DHCS, on behalf of the County, subject to review by County Counsel.
This item is being presented at this time as this is the first Board date available following receipt of the notification letter and required DBH Administrative reviews. Due to the ongoing health pandemic, more time was needed by DBH to assess current needs of each of these programs for consumers, which was completed in November 2021, as well as the required program, fiscal and legal reviews. The item was further delayed as the department experienced a change of leadership in December 2021 and more time was necessary to obtain further review by the new DBH Administrative leadership team. Approval of the grant award by the Board at this time will have no impact on DBH’s grant related services and activities.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Natalie Kessee, Contracts Manager, 388-0869) on December 7, 2021; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on January 13, 2022; Finance (Christopher Lange, Administrative Analyst, 386-8393) on January 19, 2022; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on January 24, 2022.