To: County of Sonoma Board of Supervisors
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Jennifer Solito, 707-565-4774
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Bond Behavioral Health Continuum Infrastructure Program Round-1 Grant Application
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Recommended Action:
Recommended action
Adopt a Resolution authorizing the Director of Health Services, or designee, to apply to the California Department of Health Care Services in response to the Behavioral Health Continuum Infrastructure Program Round 1 (BHCIP 2024) Launch Ready Program Request for Applications in a total amount not to exceed $57,500,000 for the construction of four Mental Health Rehabilitation Centers and one Adult Residential Substance Use Disorder Treatment Facility.
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Executive Summary:
In March 2024, California voters passed Proposition 1, a two-bill package including the Behavioral Health Services Act (BHSA) (Senate Bill 326) and the Behavioral Health Infrastructure Bond Act of 2024 (BHIBA) (Assembly Bill 531). The BHIBA portion is a $6.38 billion general obligation bond to develop an array of behavioral health treatment, residential care settings, and supportive housing to help provide appropriate care facilities for Californians experiencing mental health conditions and substance use disorders. The California Department of Health Care Services (DHCS) was authorized to award up to $4.4 billion in BHIBA funds for BHCIP competitive grants. In addition, DHCS will enact changes resulting from Proposition 1 through the Behavioral Health Transformation (BHT) project, which aims to modernize the behavioral health delivery system, improve accountability, increase transparency, and expand capacity of behavioral health care facilities for California residents.
Up to $3.3 billion is available for Bond BHCIP Round 1: Launch Ready <https://www.infrastructure.buildingcalhhs.com/>, to construct, acquire, and/or rehabilitate real estate assets to expand the continuum of behavioral health treatment and service resources for Californians. Of that amount, $1.47 billion is designated for cities and counties; another $30 million is designated for tribal entities. The remaining $1.8 billion is available to all eligible entities, including cities, counties, and tribal entities. Bond BHCIP Round 1: Launch Ready funds are not intended to preserve existing service capacity. Bond BHCIP Round 1: Launch Ready grantees must commit to serving Medi-Cal beneficiaries.
The Department of Health Services (DHS) requests authority to apply for Bond BHCIP Round 1: Launch Ready grant funds in an amount not to exceed $57,500,000. Applications are due on December 13, 2024, and department staff will make every attempt to complete necessary documentation on time, as state guidelines do not allow for exceptions. DHCS requires DHS to submit an approved resolution as part of the application package (Attachment 1). Bond BHCIP is designed to fund an array of behavioral health treatment to help provide appropriate care facilities for individuals experiencing mental health and substance use disorders and expand behavioral health facility infrastructure. It addresses the urgent needs in the care continuum for people with mental health and/or substance use conditions, is dedicated to investing in behavioral health options that advance health equity in an effort to increase the options across the life span that serve as an alternative to incarceration, hospitalization, homelessness, and institutionalization.
DHS proposes to develop a campus at 1430 Neotomas Drive, Santa Rosa, CA, a county-owned property, to provide appropriate level of care treatment to our most vulnerable individuals struggling with severe mental illness; those who are Lanterman-Petris-Short Act (LPS) Conserved. DHS also proposes to construct an adult residential Substance Use Disorder (SUD) treatment facility on this campus and co-locate the SUD residential facility next door to the Orenda Detox Center. The selected site was previously considered to build the Public Health Labor and Morgue. Thus, pending zoning confirmation from Public Infrastructure staff estimates the site will comply with application requirements.
Discussion:
The mission of the Department’s Behavioral Health Division is to promote recovery and wellness to Sonoma County residents and provide mental health and substance use disorder services across the service spectrum, from prevention, early intervention and treatment to aftercare and recovery. DHS directly administers specialty mental health treatment services to Sonoma County residents whose mental health needs are determined to be medically necessary as defined by the California Code of Regulations Title 9 and Welfare and Institution Code 5600.
DHS has applied for and received similar grant awards from the DHCS, including:
• $18,233,680 for Behavioral Health Continuum Infrastructure Program (BHCIP) Round 5,
• $11,246,961 for Behavioral Health Bridge Housing Round 1, and
• $7,000,000 for Behavioral Health Bridge Housing Round 3.
DHS requests authority to apply for Bond BHCIP Round 1 funding. This round of funding is called ‘Launch Ready’ and is aimed at constructing, renovating, and/or expanding community-based services, as well as projects using a campus-type model that collocate multiple levels of care on the continuum, with a focus on residential treatment facilities.
DHS proposes to construct four Mental Health Rehabilitation Centers with 16 beds each and one Adult Residential SUD Treatment Facility with at least 20 beds at 1430 Neotomas Drive, Santa Rosa, CA, a county-owned property.
Mental Health Rehabilitation Centers
DHS proposes to develop a campus at 1430 Neotomas Drive, Santa Rosa, CA, to provide appropriate level of care treatment to our most vulnerable individuals struggling with severe mental illness; those who are LPS conserved. Currently, Sonoma County supports approximately 200 conservatees. Of these 200 conservatees, 58% are sent to Mental Health Rehabilitation Centers out of county for treatment in time-limited, long-term, locked care. 42% remain in-county, where they reside in Board & Care facilities and placements that support their recovery. Our conservatees compete with the conservatees of all the other California counties for the beds in these specialized settings. It would be an immense support to our community to be able to provide these specialized services to conservatees in this county.
Adult Residential Substance Use Disorder Treatment Facility
DHS also proposes to construct an adult residential SUD treatment facility on the 1430 Neotomas Drive campus and co-locate the SUD residential facility next door to the Orenda Detox Center. Co-locating detox services, SUD residential services, and the four Mental Health Rehabilitation Centers on one campus would provide multiple levels of care on the continuum, with a focus on residential treatment facilities. This campus will also help Sonoma County prepare for the implementation of SB 43 which updated LPS Act, which governs the involuntary detention, treatment, and conservatorship of people with behavioral health conditions.
The grant application is due on December 13, 2024. The Glen Price Group as-needed contract for grant writing that is managed by the County Administrator’s office is being used for the development of this grant application. This contract was awarded in a June 2021 Request for Proposals and approved by the Sonoma County Board of Supervisors on October 19, 2021.
There is a 10% cost sharing requirement associated with this grant, which is being finalized within DHS and intended to be met primarily with In-Kind Equity Value of Project Property and the difference may be available from Opioid Settlement Funds (OSF), if approved by the Board in early 2025 when staff plans to bring OSF recommended uses.
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:
None.
Fiscal Summary
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FY24-25 Adopted |
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FY26-27 Projected |
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Narrative Explanation of Fiscal Impacts:
There is no fiscal impact associated with the recommendation to authorize department leadership to apply.
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Narrative Explanation of Staffing Impacts (If Required):
None
Attachments:
Attachment 1 - Resolution
Attachment 2 - Behavioral Health Continuum Infrastructure Program Round 1 Information
Related Items “On File” with the Clerk of the Board:
None