REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 14, 2022
FROM
GEORGINA YOSHIOKA, Interim Director, Department of Behavioral Health
SUBJECT
Title
Renewal Application for Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant 2022-24
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 $10,466,146, for the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant 2022-24 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, 2022 through June 30, 2024.
2. Authorize the Director of the Department of Behavioral Health, as the County Mental Health Director, to execute and submit the grant application documents and any non-substantive revisions, 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 2022-24 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 proposed allocation amount of $10,466,146, $5,233,073 annually, 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 local match.
BACKGROUND INFORMATION
The San Bernardino County Department of Behavioral Health (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 June 16, 2022.
DBH has been a direct recipient of MHBG funds since 1982. The $10,466,146 proposed allocation from the State for the two-year agreement period 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 of $5,233,073 as follows:
1. Children’s System of Care program (Juvenile Justice Community Reintegration) - 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.
• Fiscal Year 2022-23: $474,863 with the goal to serve an estimated 225 children diagnosed with a SED at an average cost of $2,111 per child.
• Fiscal Year 23-24: $480,508 with the goal to serve an estimated 225 SED children at an average cost of $2,136 per child.
2. 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 - 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.
• Fiscal Year 2022-23: $3,745,243 with the goal to serve an estimated 1,136 adult consumers at an average cost of $3,297 per adult consumer.
• Fiscal Year 2023-24: $3,726,942 with the goal to serve an estimated 1,136 adult consumers at an average cost of $3,281 per adult consumer.
3. 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 Services for Consumers Involved in the Criminal Justice System) 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.
• Fiscal Year 2022-23: $1,012,967 with the goal to serve an estimated 154 adults at an average cost of $6,577 per adult consumer.
• Fiscal year 2023-24: $1,025,623 with the goal to serve an estimated 154 adults at an average cost of $6,660 per adult consumer.
On May 2, 2022, the State notified DBH of the release of the State Fiscal Year 2022-24 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 May 19, 2022; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on May 24, 2022; Finance (Christopher Lange, Administrative Analyst, 386-8393) on May 23, 2022; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on May 31, 2022.