HomeMy WebLinkAboutMINUTES - 02151994 - 2.3 � 3
To: BOARD OF SUPERVISORS
Contra
FROM:FROM: Mark Finucane, Health Services Director
By: Elizabeth A. Spooner, Contracts Administrator Costa
DATE: February 3, 1994 County
Approval of Intercounty Services Contract #24-6 with Alameda
SUBJECT: County for Provision of Psychiatric Treatment Services for Jail
Inmates and Subacute Mental Health Treatment Services at Telecare
Corporation Facilities
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
Approve and authorize the Chair, Board of Supervisors, to execute on
behalf of the County, Intercounty Services Contract #24-669-1 with
Alameda County, for the period from July 1, 1993 through June 30,
1994 , with a payment limit of $402 , 579, to obtain five beds (up to
1, 241 patient days) of psychiatric treatment services in the Criminal
Justice Inpatient Unit of Alameda County's North County Jail and six
beds (up to 1, 086 patient days) of subacute mental health treatment
services at Telecare Corporation facilities. This document includes
a six-month automatic contract extension from July 1, 1994 through
December 31, 1994 with an extension period payment limit of $282 , 381.
II. FINANCIAL IMPACT:
Funding for this Contract is included in the Health Services
Department's Fiscal Year 1993-94 Budget, and the source of funding is
County/Realignment 100%.
III. REASONS FOR RECOMMENDATIONSIBACKGROUND:
Alameda County has been providing psychiatric treatment services for
Contra Costa County jail inmates continuously since FY 1980-81 under
a Regional 302f Criminal Justice Mental Health Program. Under this
Regional Program, Alameda County received directly from the State
certain Short-Doyle Mental Health Funds which were designated to be
used for Contra Costa County jail inmates. Under Mental Health
Realignment, Regional 302f funds were transferred to, Contra Costa
County's Mental Health Realignment Trust Fund.
In June 1993, your Board authorized the Health Services Department to
enter into contract negotiations with Alameda County for the purchase
of psychiatric treatment services for Contra Costa County's jail
inmates at the Criminal Justice Inpatient Unit of Alameda County's
North County Jail. Approval of this Intercounty Services Contract
continues these services through Fiscal Year 1993-94 .
CONTINUED ON ATTACHMENT: X _YES SIGNATURE: Q �
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEND A ON OF BOARD COM ITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
7VOTE F SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
Contact: Lorna Bastian (313-6411)
CC: Health Services (Contracts ATTESTED
Auditor-Controller (Accounts Payable) Phil Batchelor, Cler of the Board of
Alameda County
M382/7-93 BY 4 DEPUTY
R .
Board Order
Intercounty Services Contract #24-669-1
Page 2
On November 9, 1993 , your Board approved Standard Contract #24-680
with Telecare Corporation for four beds to provide subacute care to
severely and persistently mentally ill (SPMI) adults, as an
alternative to utilization of Napa State Hospital. Approval of this
Intercounty Services Contract #24-669-1 will allow Contra Costa County
to contract with Alameda County, for temporary use of six additional
beds for which Alameda County contracts with Telecare Corporation, but
is not using at present. Alameda County is willing to lease their
unused Telecare beds at cost, and this County's ability to access
these additional Telecare beds will decrease Contra Costa's need for
State Hospital beds.
'213
RETURN- ATTACHED DOCUMENT TO:
CLERK, BOARD OF SUPERVISORS
I
COUNTY OF ALAMEDA
1.221, OAK ST. , ROOM 536 _
OAKLAND, CALIFORNIA 9461.2
I hereby certify under penalty of perjury that the President of the
Board of Supervisors was duly authorized to execute this document on ehalf of
the,County of Alameda by a majority vote of the- Board on JAN 4 (y9
and that a copy has been delivered to the President as provided by Governement
Code Section6 2 [V 5103. 4 �g94
Dated:
WILLIAM MEHRWEIN, CLERK, BOA OF SUPERVISORS
County of Alameda State of Ca ifornia
By .nlA �
Deputy
' Clerk's File Copy
INTERCOUNTY SERVICES CONTRACT �' 3
(Psychiatric Treatment for Jail Inmates and Subacute Mental Health Treatment Services) —�
Contra Costa County #24- 669-1
Alameda County # C Lf Z-5-7
1. PARTIES. The following named Counties, for their respective Agencies and Departments specified
below, mutually agree and promise as follows:
COUNTY PROVIDING SERVICES: Alameda County (for its Health Care Services
Agency/Mental Health Services)
COUNTY RECEIVING SERVICES: Contra Costa County (for its Health Services
Department/Mental Health Division)
2. TERM. The effective date of this Contract is July 1. 1993 and it terminates June 30. 1994, unless
terminated sooner as provided herein.
3. OBLIGATIONS OF COUNTY RECEIVING SERVICES AND PAYMENT LIMIT. Contra Costa
county shall pay Alameda County $402,579.00, as an all inclusive amount for the provision of the
Dedicated Service Capacity (i.e., guaranteed access and service availability) as specified herein.
Said payment shall be due and payable on or before February 15, 1994.
4. OBLIGATIONS OF COUNTY PROVIDING SERVICES. Alameda County shall provide for
Contra. Costa County, during the term of this Contract, mental health treatment services as set forth
in the attached Service Plan, which is incorporated herein by reference.
5. GENERAL PROVISIONS. This Contract is subject to the attached General Provisions which are
incorporated herein by reference.
6. SIGNATURES. These signatures attest the parties' agreement hereto:
CONTR CO A COUNTY MEDA COUNTY
Board of Supervisors oard f Supervisors
Ch ' man/Design Cha an/Designee
Mental Health Director Men 1 H th Direct
Q .
ATTEST: ATTEST:
Clerk of the Board/DClerk of the BoardbBep+ity
APP D AS TO FO M: APPROVED AS TO FORM: 04
Contracts Administrator Deputy County Counsel
z;_3
SERVICE PLAN
Contra Costa County #24- 669-1
Alameda County # '(z-3 7
1. Dedicated Service CapacitX. Alameda County shall provide guaranteed availability, access to, and
use of the treatment services, as specified below, hereinafter called the Dedicated Service Capacity,
for Contra Costa County's Mental Health Division, hereinafter called CCCMH. One "patient day"
is defined as the provision of said treatment services for one calendar day for one patient referred
by CCCMH to Alameda County for treatment.
a. Psychiatric Treatment for Jail Inmates. Alameda County shall provide said treatment services
for up to 5 CCCMH patients at any one time, but not to exceed 1,241 patient days during the term
of this Contract, based on an average utilization of 4 treatment beds at 85% occupancy during the
term of this Contract.
b. Subacute Mental Health Treatment. Alameda County shall make available to CCCMH two
treatment beds at each of the following facilities: Garfield Mental Health Center, Villa Fairmont
Mental Health Center, and Gladman Psychiatric Health Facility. To facilitate full utilization a
mutually agreed upon distribution of up to 7 CCCMH patients may be served at any one time, but
not to exceed 1,086 patient days during the term of this Contract, based on an average utilization
of 6 treatment beds at 85% occupancy for seven months.
Contra Costa County shall pay Alameda County for this Dedicated Service Capacity as set forth
in Contract Paragraph 3. (Obligations of County Receiving Services and Payment Limit) regardless
of the actual number of patient days used by CCCMH and provided by Alameda County, up to the
above described maximums.
2. Service Specifications. Alameda County shall provide either directly or by arrangement with
subcontractors the following mental health treatment services:
a. Psychiatric Treatment for Jail Inmates. Alameda County shall provide for CCCMH inmates
referred from Contra Costa County's Detention Facility Mental Health Program a full range of
psychiatric, psychological, and nursing services in the Criminal Inpatient Unit of Alameda County's
North County Jail. These services shall be provided by licensed mental health and drug abuse
service personnel and will include but not be limited to: psychiatric evaluations and therapy,
psychotropic chemotherapy,. psychological testing, psychological evaluation, drug and alcohol
assessments, psychiatric nursing care, recreational and alcohol assessments, psychiatric nursing ,
care, recreational and occupational therapy, individual counseling and therapy, small group psycho-
educational classes, as well as group counseling and therapy, and twenty-four hour emergency care
and psychiatric coverage for emergencies, as needed. Alameda County may provide some or all
of these services through a contract with Prison Health Services, Inc.
Complete health care services, such as medical and dental care, and jail inmate custody services,
such as meals and detention security, are provided separately and are not part of this Contract.
b. Subacute Mental Health Treatment. The Gladman Psychiatric Health Facility program will
provide a local alternative to State Hospitals for persons suffering the severe and persistent mental
illness whose level of functioning is such that they cannot be treated in less structured more
independent settings, and who are not because of the severity of their illness, appropriate for other
secure treatment settings. The Garfield Mental Health Center program will provide a local
treatment alternative to persons suffering from severe and persistent mental illness whose level of
functioning is such that they can not be treated in less structured more independent settings. The
Villa Fairmont Mental Health Center program will provide partial day care and inpatient skilled
nursing services to emotionally disordered adults who are primarily between the ages of eighteen
and fifty-six with moderate to severe mental impairment and who require a locked setting.
Treatment services include: psychiatric and medical examination (including history taking and
physical diagnosis and treatment psychiatric disabilities); individual, group and family therapy;
social activity, occupational/recreational therapy programs; prescription, medication and other
psychiatric related services determined by the physician of record to be necessary and appropriate;
formulation of treatment plans, goal setting, readiness preparation, skill development, pre-discharge
and discharge planning.
3. ConfidentialitV. Alameda County agrees to comply and to require its officers, partners, associates,
agents and employees to comply with all applicable State or Federal statutes or regulations
respecting confidentiality, including but not limited to, the identity of persons served under this
Contract, their records, or services provided them and assures that:
a. All applications and records concerning any individual made or kept by Contractor or any
public officer or agency in connection with the administration of or relating to services provided
under this Contract will be confidential, and will not be open to examination for any purpose not
directly connected with the administration of such service.
b. ,No person will publish or disclose or permit or cause to be published or disclosed, any
list of persons receiving services, except as may be required in the administration of such service.
Contractor agrees to inform all employees, agents and.partners of the above provisions, and that
any person knowingly and intentionally disclosing such information other than as authorized by law
may be guilty of a misdemeanor.
GENERAL PROVISIONS Z,
Contra Costa County #24- 669-1
Alameda County # "t Z37
1. Independent Contractor Status. This Contract is by and between two independent contractors and
is not intended to and shall not be construed to create the relationship of agent, servant, employee,
partnership, joint venture, or association.
2. Amendments. This Contract may be modified or amended by a written document executed by each
County's Board of Supervisors, or after Board approval, by their designees.
3. Indemnification. Each County and its respective employees, agents, and officers shall be
indemnified and held harmless by the other County against any and all claims, demands, or causes
of action arising out of any act or omission of any officer, agent, or employee of the other County
while performing services under this Contract, or resulting from the condition of any property
owned or controlled by the other County.
4. Termination. This Contract may be terminated be either party, at their sole discretion, upon sixty-
day advance written notice thereof to the other, and may be canceled immediately by written mutual
consent of each County's Mental Health Director.
5. Notices. All notices provided for by this Contract shall be in writing and may be delivered by
deposit in the United States mail, postage prepaid. Notices shall be addressed as follows:
Contra Costa County: Director, Health Services Department
20 Allen Street, Martinez, CA 94553
Alameda County: Director, Health Care Services Agency
.499 Fifth Street, Oakland, CA 94607
The effective date of notice shall be the date of deposit in the mails or of other delivery.
6. Entire Agreement. This Contact contains all the terms and conditions agreed upon by the parties.
Except as expressly provided herein, no other understanding, oral or otherwise, regarding the
subject matter of this Contract shall be deemed to exist or to bind any of the parties hereto.
Initials:
Contra Costa Alameda
,r
-1-
GENERAL PROVISIONS
Contra Costa County #24- 669-1
Alameda County #
7. Automatic Contract Extension. Notwithstanding Paragraph 2. (Term) of this contract, unless this
Contract is terminated by either party pursuant to General Provisions Paragraph 4. (Termination)
by June 30, 1994, the term of this Contract shall be automatically extended from June 30, 1994
through December 31, 1994. During its extended term, this Contract is nevertheless subject to all
the terms and conditions applicable during its initial term, including but not limited to General
Provisions Paragraph 4. (Termination), except as to payment for services rendered during the
extended term. The purpose of this automatic six-month extension is to allow for the continuation
of services as specified in this Contract, to avoid interruption of payment for services, and to allow
each County time in which to complete a novation or renewal contract for each respective County
Board of Supervisors approval. As to any such six-month extension:
a. Alameda County shall continue to provide the Dedicated Service Capacity as set forth in the
attached Service Plan, prorated for the six-month period, and subject to any amendments
thereto.
b. The Contract Payment Limit amount, specified in Paragraph 3 (Obligations of County
Receiving Services and Payment Limit) of this Contract, is increased by $282,381 (the six-
month Payment Limit) and Contra Costa County's total payment to Alameda County for the
six-month extension period from July, 1994 through December, 1994 shalY'not exceed this six-
month Payment Limit, subject, nevertheless, to the aforesaid Service Plan,prorated for the six-
month period and any novation or renewal contract. _
c. Said payment shall be due and payable on or before December 31, 1994.
d. This six-month contract extension shall be subject to any further agreement (novation) which
the Counties may enter into covering the provision of services during the contract period
immediately following the contract period specified in Paragraph 2 (Term).
Initials:
Contra Costa Alameda
-2-