HomeMy WebLinkAboutMINUTES - 02281995 - 1.83 To: BaARD -OF SUPERVISORS
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FROM: Mark Finucane, Health Services Director Contra
Costa
DATE: FPk�rtlar1 ��+, 1995 County
Approval of Intercounty Services Contract #24-669-2 with Alameda
SUBJECT: County for Provision of Psychiatric Treatment Services for Jail
Inmates and Subacute Mental Health Treatment Services at Telecare
C'nre prat i nn Far-i l i t i eg
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 #24-669-2 with
Alameda County, for the period from July 1, 1994 through June 30, ,
1995, with. a payment limit of $564,761, 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 2, 190 patient days) of subacute mental health treatment
services at Telecare Corporation facilities. This document includes
a six-month automatic contract extension from July 1, 1995 through
December 31, 1995 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 1994-95 Budget, and the source of funding is
County/Realignment 100%.
III. REASONS FOR RECOMMENDATIONS/BACKGROUND:
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 , the Board of Supervisors 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 will continue these services through Fiscal Year
1994-95.
CONTINUED ON ATTACHMENT: Y YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S)
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
v UNANIMOUS (ABSENT ) 1 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) FEB 2 8 10
CC: Health Services (Contracts) ATTESTED
Risk management Phil Batchelor,Clerk of the Board of
Auditor-Controller Supervisors and County Adminis!rator
Contractor
M382/7-83 BY } DEPUTY'
Board Order
Intercounty Services Contract #24-669-2
Page 2
On July 19, 1994, the Board of Supervisors approved Standard Contract
#24-680-1 with Telecare Corporation 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 #24-669-2 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.
INTERCOUNTY SERVICES CONTRACT
(Psychiatric Treatment for Jail Inmates and Subacute Mental Health Treatment Services)
Contra Costa County #24- 669-2
Alameda County #
1. PARTIES. The following named Counties, for their respective Agencies and Departments
specified below, mutually agree and promise as follows.-
t
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)
A
I hereby certify under penalty of perjury that the President of the Board
of Supervisors was duly authorized ,to- execute this document on behalf of the
County of Alameda by a majority,'N04o, the Board_ on �EC i 3 �ggd
that a copy has been deliveand
red etvo the Ppe�s dent as provided by Government Code
Section 25103. f � .`
Date: DEC 2 81994 y .� '''
a
WEIN,N
, Clerk, Board of Supervisors,
lameda tate California
- 0U
By
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:
CONTRA COSTA COUNTY ALAMEDA COUNTY
By-
Board of upervisors Board f Supervis rs/ /
Chair /Designee < Ch if/man/Des ig e /
Mental Health Director Me tal It Director
ATTEST- ATTEST-
Cl rk f he o rd/Deputy Clerk o the Boad/Deputy
f f
APPRO AS TO F RM: APPROVED AS TO FORM:
Deputy County Counsel
SERVICE PLAN
Contra Costa County#24- 669-2
Alameda County #
1. Dedicated Service Capacity. 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 2,190 patient days during the term of this Contract, based on full utilization of 6
treatment beds.
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 psychoeducational 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
i
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. Confidentiality. Alameda County agrees to comply and 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 identify 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.
i
GENERAL PROVISIONS
Contra Costa county #24-
Alameda County #
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 by 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
1850 Fairway Drive, San Leandro, CA 94577
The effective date of notice shall be the date of deposit in the mails or of other delivery.
6. Entire Agreement. This Contract 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
7. Automatic Contract Extension. . Notwithstanding Paragraph 2. (Term) of th03 contract, unless this
Contract is terminated by either party pursuant to General Provisions Paragraph 4. (Termination)
by June 30, 1995, the term of this Contract shall be automatically extended from June 30, 1995
through December 31, 1995. 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 asset 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 by282,381 (the six-month
Payment Limit) and Contra Costa County's total payment to Alameda County for the six-month
extension period from July, 1995 through December; 1995 shall 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, 1995.
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
ICSC.DOC