To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Nolan Sullivan, 707-565-4774; Jan Cobaleda-Kegler, 707-565-5157
Vote Requirement: 4/5th
Supervisorial District(s): Countywide
Title:
Title
Behavioral Health Service Agreements
End
Recommended Action:
Recommended action
A) Authorize the Director of Health Services, or designee, to execute amendments, subject to review and approval as to form by County Counsel, as follows:
i.) A first amendment with Individual and Family Support Network (previously known as Interfaith Shelter Network, Inc.) for service engagement with incarcerated individuals, extending the current term from July 1, 2023, through March 1, 2026, to a new term end date of September 1, 2026, and updating the agreement’s existing terms and conditions to align with the County’s current standard template language, including payment provisions.
ii.) A second amendment with RDA Consulting, SPC dba Resource Development Associates for Proposition 47 program evaluation services, increasing the original contract amount by $10,001 for a new not-to-exceed amount of $59,964 and extending the current term from July 1, 2023, through June 1, 2026, to a new term end date of December 1, 2026, and updating the agreement’s existing terms and conditions to align with the County’s current standard template language, including payment provisions.
iii.) A first amendment with Aurora Behavioral Healthcare - Santa Rosa, LLC dba Santa Rosa Behavioral Healthcare Hospital for inpatient hospitalization for acute psychiatric care services, increasing the original contract amount by $1,200,000 for a new not-to-exceed amount of $5,000,000, through June 30, 2026, and updating the agreement’s existing terms and conditions to align with the County’s current standard template language, including payment provisions.
iv.) A second amendment with Emma Sila Mutunga dba Living Oak Home Center for Residential Care Facility for the Elderly services, increasing the original contract amount by $130,000 for a new not-to-exceed amount of $372,520, through June 30, 2027.
B) Authorize the Director of Health Services, or designee, to execute modifications to the agreements associated with this Item in order to address changes in service needs, payment or reimbursement methodologies, subject to available funding as well as review and approval by County Counsel.
C) Adopt a Resolution authorizing budgetary adjustments to the Department of Health Services Fiscal Year 2025-2026 Adopted Budget, increasing appropriations by $1,200,000 to support the increased contract costs. (4/5th Vote Required)
end
Executive Summary:
The Department of Health Services is requesting delegated authority to execute the following amendments for behavioral health-related services:
• A first amendment with Individual and Family Support Network (previously known as Interfaith Shelter Network, Inc.) for service engagement with incarcerated individuals;
• A second amendment with RDA Consulting, SPC dba Resource Development Associates for Proposition 47 Program evaluation services
• A first amendment with Aurora Behavioral Healthcare - Santa Rosa, LLC dba Santa Rosa Behavioral Healthcare Hospital for inpatient hospitalization for acute psychiatric care services; and
• A second amendment with Emma Sila Mutunga dba Living Oak Home Center for Residential Care Facility for the Elderly services.
The Department of Health Services is also requesting appropriations in the amount of $1,200,000 to support the increase in contracts.
These agreements strengthen the Department of Health Service's ability to deliver a coordinated continuum of behavioral health care - from prevention and early intervention to crisis stabilization, inpatient treatment, and long-term recovery - while reducing compliance risks and enhancing service quality and safety.
Discussion:
The mission of the Sonoma County Department of Health Services (DHS), Behavioral Health Division, is to promote recovery and wellness for County residents by delivering a full spectrum of mental health and substance use disorder services-from prevention and early intervention to treatment, aftercare, and recovery. To achieve this, DHS partners with a broad network of contracted providers offering clinical and administrative behavioral health services.
Individual and Family Support Network (previously known as Interfaith Shelter Network, Inc.)
Recommended Term: 7/1/2023-9/1/2026
Individual and Family Support Network (IFSN) provides intensive engagement and linkage to community resources with incarcerated individuals in connection with the Proposition 47 Cohort 3 Grant Program administered by the California Board of State and Community Corrections (BSCC). BSCC recently offered grant recipients the option to extend the grant term for an additional six months (with no additional funding). Thus, DHS is extending the term of its agreement with IFSN an additional six months, and reallocating unspent funds from prior fiscal years to FY 2025-2026 and FY 2026-2027.
RDA Consulting, SPC dba Resource Development Associates
Recommended Term: 7/1/2023-12/1/2026
RDA Consulting provides evaluation services related to the Proposition 47 Cohort 3 Grant Program, including data collection, analysis, and results interpretation. As indicated above, BSCC is allowing a six-month extension of the grant term, and thus, DHS is extending the term of its agreement with RDA Consulting. The contract maximum from FY 2025-2026 is being reduced and those funds, along with additional grant funds, are being added to FY 2026-2027. The overall contract maximum of the agreement is being increased by $10,001 to account for six additional months of service, for a new-not-to-exceed amount of $59,964.
Aurora Behavioral Healthcare - Santa Rosa, LLC dba Santa Rosa Behavioral Healthcare Hospital
Term: 7/1/2025-6/30/2026
Aurora Behavioral Healthcare - Santa Rosa, LLC dba Santa Rosa Behavioral Healthcare Hospital provides 24/7 acute inpatient psychiatric care to Medi-Cal beneficiaries and or uninsured residents who require this level of care due to danger to self, danger to others, or grave disability due to mental illness. DHS is increasing the contract maximum for this agreement by $1,200,000 in response to an increase in the utilization of these services for a new-not-to-exceed amount of $5,000,000.
Emma Sila Mutunga dba Living Oak Home Center
Term: 7/1/2024-6/30/2027
Emma Sila Mutunga dba Living Oak Home Center provides residential care for adults with serious mental illness who cannot live independently or safely in the community without significant support. Due to increased utilization of these services, DHS is seeking to increase the FY 2025-2026 contract maximum of this agreement by $130,000 for a new not-to-exceed amount of $372,520.
Strategic Plan:
This item directly supports the County’s Five-year Strategic Plan and is aligned with the following pillar, goal, and objective.
Pillar: Healthy and Safe Communities
Goal: Goal 1: Expand integrated system of care to address gaps in services to the County’s most vulnerable.
Objective: Objective 3: Create a “no wrong door” approach where clients who need services across multiple departments and programs are able to access the array of services needed regardless of where they enter the system.
Racial Equity:
Was this item identified as an opportunity to apply the Racial Equity Toolkit?
No
Prior Board Actions:
On July 8, 2025, the Board authorized the Director of the Department of Health Services to execute Behavioral Health agreements and/or amendments for Fiscal Year 2025-2026 of up to $91,716,330, and up to $96,139,962 for the future years of multi-year contracts, ending no later than March 18, 2029.
Fiscal Summary
|
Expenditures |
FY 25-26 Adopted |
FY 26-27 Projected |
FY27-28 Projected |
|
Budgeted Expenses |
$4,431,516 |
$194,388 |
|
|
Additional Appropriation Requested |
$1,200,000 |
|
|
|
Total Expenditures |
$5,631,516 |
$194,388 |
|
|
Funding Sources |
|
|
|
|
General Fund/WA GF |
|
|
|
|
State/Federal |
$419,391 |
$112,263 |
|
|
Fees/Other |
$5,212,125 |
$82,125 |
|
|
Use of Fund Balance |
|
|
|
|
General Fund Contingencies |
|
|
|
|
Total Sources |
$5,631,516 |
$194,388 |
|
Narrative Explanation of Fiscal Impacts:
The Measure O FY 2025-2026 Adopted Budget includes $3,800,000 in funding for inpatient hospitalization services. Additional appropriations of $1,200,000 are requested to support the new Aurora Behavioral Healthcare - Santa Rosa, LLC dba Santa Rosa Behavioral Healthcare Hospital contract maximum of $5,000,000; sufficient Measure O Fund Balance is available to support this increase. An increase of $177,401 to the Individual Family Support Network contract is requested for FY 2025-2026, to be funded through existing appropriations supported by Proposition 47 grant funding. Additionally, an increase of $130,000 to the Living Oak contract is requested for FY 2025-2026, to be funded through existing appropriations supported by Measure O.
Narrative Explanation of Staffing Impacts (If Required):
None
Attachments:
Attachment 1 - Budget Resolution
Attachment 2 - Requested Delegated Authority
Attachment 3 - RDA Consulting Draft Amendment
Attachment 4 - IFSN Draft Amendment
Attachment 5 - Aurora Behavioral Healthcare Draft Amendment
Attachment 6 - Emma Sila Mutunga dba Living Oak Home Center Draft Amendment
Related Items “On File” with the Clerk of the Board:
None