To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Tina Rivera 707-565-4774
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Behavioral Health and Housing Grants Awarded to the Department of Health Services
End
Recommended Action:
Recommended action
Adopt a resolution to authorize the Director of Health Services to execute a program funding agreement with Advocates for Human Potential, Inc. and to receive $18,233,680 in revenue to support the Behavioral Health Continuum Infrastructure Program in Sonoma County through June 30, 2027.
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Executive Summary:
The Department of Health Services (hereinafter, “DHS” or “the Department”) applied for and received a grant award for Round 5 of the Behavioral Health Continuum Infrastructure Program (BHCIP-R5) via third-party program administrator Advocates for Human Potential, Inc. (AHP). On July 18, 2023, the Board authorized DHS to enter into an agreement with AHP to receive an award in the amount of $18,233,680 through June 30, 2027.
However, AHP subsequently modified the language of the Authorizing Resolution for the grant to include information specific to the BHCIP-R5 project. The purpose of this Board item is to revise the previously approved resolution to include specific language required by the funder. The two required changes are: first, the name and title of the DHS Director who will serve as the County’s “Authorized Signatory” to execute grant documents; and second, the legal address of the property associated with the grants.
The purpose of the awarded funds is to provide funding for crisis and behavioral health infrastructure to serve vulnerable Californians of all ages, including those who are Medi-Cal beneficiaries, and to address the immediate housing and treatment needs of people experiencing unsheltered homelessness with serious behavioral health conditions, along with the sustainability of these ongoing supports. Additional grant information, largely carried over from the July 18, 2023 Board item, is provided in the Discussion section below.
Discussion:
Behavioral Health Continuum Infrastructure Program (BHCIP), Round 5: Crisis and Behavioral Health Continuum $18,233,680 Award
The purpose of the “BHCIP Round 5: Crisis and Behavioral Health Continuum grant” is to provide funding for crisis and behavioral health infrastructure to serve vulnerable Californians of all ages, including those who are Medi-Cal beneficiaries. The BHCIP fund was established in 2021 by DHCS to construct, acquire, and rehabilitate real estate assets or mobile crisis infrastructure that would expand facilities dedicated to behavioral health treatment services.
In January 2023 the Department submitted an application for BHCIP Round 5: “Crisis and Behavioral Health Continuum” funding for the construction of a new 7,180 square foot facility on County-owned land in the City of Santa Rosa, adjacent to other County youth-serving facilities, including the Juvenile Detention Center and the County-run Valley of the Moon youth treatment facility. For grant application purposes the project is titled, “Sonoma County Youth Behavioral Health Treatment.” In July 2023 the Department was notified of an approved grant award in the amount of $18,233,680.
The proposed Sonoma County Youth Behavioral Health Treatment facility is to include two residential wings, separate from one another to provide services to two separate populations. One wing is to include eight beds for residential substance use disorder treatment for children and youth ages 12 to 18. A second wing in the facility will house six beds for crisis residential behavioral health treatment for children and youth ages 12 to 18. In addition to the two residential treatment wings, the facility will include a separate section for the delivery of outpatient substance use disorder services for youth and young adults ages 12-25.
The County of Sonoma currently has no facilities available to provide either residential substance use disorder treatment or crisis residential behavioral health treatment for children and youth ages 12 to 18 and their families. Children and youth and their families in need of these services currently need to be referred to programs located beyond the County or even the Northern California region. It is estimated that the addition of this treatment space will expand service capacity by 600 children, youth, and family members per year for outpatient treatment, and will provide additional capacity for 300 children and youth ages 12 to 18 and their families who will be served in the residential treatment programs. Access for these 900 youth and their families will significantly improve services not only Sonoma County but also the San Francisco Bay Area and the greater Northern California Region.
This project is currently in the design development phase, with completion of the project expected by September 2025. The Department will return to your Board with an item outlining the project for approval in the Fall/Winter of 2023.
The County’s match for the $18 million BHCIP grant is 2 acres of County-owned land. It is important to note that the County will be responsible for any cost overruns as DHCS will not allow increases in project budgets.
Funding Details
This item includes authorizing resolution associated with the grant award of BHCIP Round 5 in the amount of $18,233,680. Staff will return to the Board with recommendations, information on the projects, and use of the grant funding.
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: Increase investment in programs that treat underlying causes of homelessness, including substance abuse, mental illness, poverty, and lack of affordable housing.
Racial Equity:
Was this item identified as an opportunity to apply the Racial Equity Toolkit?
No
Prior Board Actions:
On July 18, 2023 the Board A) adopted a resolution to authorize the Director of Health Services to execute a program funding agreement with Advocates for Human Potential, Inc. and to receive $18,233,680 in revenue to support the Behavioral Health Continuum Infrastructure Program in Sonoma County through June 30, 2027.
On June 12, 2023 the Board adopted a resolution authorizing joint application to and participation in the Project Homekey-3 Program (Redwood Inn Transitional Age Youth Project).
Fiscal Summary
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Expenditures |
FY 23-24 Adopted |
FY 24-25 Projected |
FY 25-26 Projected |
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Budgeted Expenses |
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Additional Appropriation Requested |
$18,233,680 |
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Total Expenditures |
$18,233,680 |
0 |
0 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
$18,233,680 |
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Fees/Other |
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Use of Fund Balance |
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Contingencies |
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Total Sources |
$18,233,680 |
0 |
0 |
Narrative Explanation of Fiscal Impacts:
Funding from DHCS is being provided via two grants with third-party program administrator Advocates for Human Potential, Inc. (AHP). The BHCIP Round 5 grant amount is $18,233,680 through June 30, 2027. Any funds not utilized in FY 2023-2024 will be rolled over into subsequent fiscal years.
DHS will bring budget appropriations via Consolidated Budget Adjustments in Quarter 1 of FY 23-24.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
Attachment 1 - Authorizing Resolution - BHCIP
Related Items “On File” with the Clerk of the Board:
None