HomeMy WebLinkAboutMINUTES - 12152015 - D.5RECOMMENDATION(S):
ACCEPT an report from the Behavioral Health Services Director that updates the progress on implementing the
Assisted Outpatient Treatment Program (Laura’s Law) in Contra Costa County.
DIRECT the Behavioral Health Services Director to proceed with the implementation of Assisted Outpatient
Treatment in Contra Costa County.
FISCAL IMPACT:
Adoption of the progress report would incur the funding obligations specified in Board Resolution No. 2015/9, dated
February 3 2015; namely:
Health Services Mental Health:
No County General Fund impact; $2.25 million per year in Mental Health Services Act funding is contained within
the Health Services Department for the next three years without reducing existing voluntary mental health program
services.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 12/15/2015 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Cynthia Belon,
957-5501
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: December 15, 2015
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
D.5
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:December 15, 2015
Contra
Costa
County
Subject:Update on Implementation of Assisted Outpatient Treatment (Laura’s Law) in Contra Costa County
FISCAL IMPACT: (CONT'D)
Public Defender:
$133,500 in County General Funds is estimated for one part-time Public Defender III position and a part-time Legal
Assistant position. The Department would need to monitor the workload and make adjustments either up or down
after the first year.
County Counsel:
$157,000 in County General Funds is estimated for one half-time Senior Deputy Counsel and one half-time Senior
Clerk position. The Department would need to monitor the workload and make adjustments either up or down after
the first year.
Superior Court
$128,000 in County General Funds is estimated for 1.5 full-time equivalent staff positions required to support the
estimated workload associated with 37 cases as an extension of the current Lanterman Petris Short (LPS) court
calendar. The Board of Supervisors has authorized the budget to support this staffing level for one year only in order
to more accurately determine workload
BACKGROUND:
On February 3d 2015 Contra Costa Board of Supervisors adopted resolution No. 2015/9 to direct the implementation
of Assisted Outpatient Treatment (Laura’s Law) for a three year period and directed the Health Services Department
to develop a program design with stakeholder participation, and comply with MHSA statutory requirements for a
community program planning process.
On June 16 2015 Contra Costa Board of Supervisors accepted the recommended Assisted Outpatient Treatment
Program Design of the Behavioral Health Services Director for implementation of Assisted Outpatient Treatment
(Laura’s Law) in Contra Costa County and authorized and directed the Behavioral Health Services Director to
proceed with implementation. The recommended program design adheres to the Board's program and funding
parameters that were provided in the February 3d Board resolution, and calls for up to $2.25 million annually in
MHSA funds for outreach and engagement, assessment and Assertive Community Treatment, or ACT, for up to 75
individuals. The program design follows statutory procedures as specified in Welfare and Institutions Code (WIC)
Sections 5345-9.
In July, August and September 2015 county positions were requested and filled to provide AOT assessment and
eligibility, proposals were solicited from prospective contractors to provide outreach and engagement and ACT
program services, and planning meetings were conducted with the Health Services Communications Office, and
leadership from County Counsel, Sheriff’s Office, Public Defender and Superior Court.
Mental Health Systems, Inc. was selected has the provider for outreach, engagement and ACT treatment services, and
started on contract in October 2015. Via competitive bid process Resource Development Associates was selected as
the evaluator for the AOT program, and started on contract November 2015.
Contra Costa Behavioral Health Services is proceeding with fidelity to the approved AOT Program Design, and is
meeting regularly with all participating entities in order to develop day-to-day working relationships and work flow
protocols. Currently Mental Health Systems, Inc. is in the process of hiring and training their multi-disciplinary team
and the Health Services’ Communications Office is finalizing web designs and brochures.
An Assisted Outpatient Treatment (AOT) Workgroup consisting of community stakeholder representatives has met
throughout 2015 to assist in providing input in both the construction of the program design, and to weigh in on key
decision points. The AOT Workgroup last met in November 2015 to receive an update on implementation progress,
provide input on program communication materials, and to consider various factors that influence program initiation.
The Contra Costa Behavioral Health Services Director now estimates that the AOT program will start accepting
referrals and provide care by early 2016.
CONSEQUENCE OF NEGATIVE ACTION:
The Board of Supervisors and the public will not receive an update on the progress being made toward implementing
Laura's Law.
CHILDREN'S IMPACT STATEMENT:
Not applicable.