To: Board of Supervisors of Sonoma County
Department or Agency Name(s): Department of Health Services
Staff Name and Phone Number: Tina Rivera, 565-4774
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Lanterman-Petris-Short Act Facility Designation
End
Recommended Action:
Recommended action
Adopt a resolution designating Crestwood Sonoma County Healing Center, as an involuntary detention facility for the purpose of assessment, evaluation, and treatment of adults who are a danger to others, danger to themselves, or gravely disabled under the Lanterman-Petris-Short (LPS) Act.
end
Executive Summary:
The Department of Health Services is requesting that the Board adopt a resolution designating the new Crestwood Psychiatric Health Facility, known as Crestwood Sonoma County Healing Center (Crestwood Sonoma), as our county’s additional facility that can detain patients involuntarily under the Lanterman-Petris Short Act.
The facility is located on the Los Guilicos campus in Santa Rosa at 7440 Los Guilicos Road. Approval of this resolution will allow Crestwood Sonoma to assess, evaluate and treat patients on involuntary holds pursuant to the LPS Act, both adults and minors, who are a danger to others, danger to themselves, or gravely disabled.
Discussion:
The legislative intent of the Lanterman-Petris-Short (LPS) Act passed by the California legislature in 1968, set forth in the California Welfare and Institutions Code, was to end the inappropriate, indefinite, and involuntary commitment of individuals with mental illness to psychiatric hospitals and to provide them with prompt evaluation and treatment. These statutes and subsequent regulations established the conditions, standards, and specific legal criteria and procedures under which individuals could be involuntarily detained, assessed, evaluated and, if necessary, treated in a psychiatric hospital against their will.
Persons detained under the LPS Act, who need inpatient care, are evaluated and treated at inpatient psychiatric facilities that must be designated by the County. After the Norton Center closed in June 2007, there were no inpatient psychiatric facilities in Sonoma County until Aurora Behavioral Healthcare Hospital, renamed Santa Rosa Behavioral Healthcare Hospital, opened an acute psychiatric hospital on the site previously known as the Memorial Hospital - Fulton Campus. Your Board designated Aurora as an Involuntary Detention Facility for minors and adults in April 2013 with resolution number 13-0151.
The opening of the 16-bed Crestwood Psychiatric Health Facility (PHF) dedicated to Sonoma County (14 beds) and Marin County (2 beds) is a critical addition to the County Mental Health Plan’s crisis services, which begins with crisis stabilization services and includes inpatient hospitalization for those who cannot be stabilized at the Crisis Stabilization Unit within 23 hours. In order for the new Crestwood facility to accept these involuntary patients on an LPS Act hold, it must be designated by your Board.
Prior Board Actions:
On December 7, 2021 the Board authorized the Director of Health Services, or designee, to execute an agreement and amendments with Crestwood Behavioral Health, Inc. for the operation of the Los Guilicos Psychiatric Health Facility with a term beginning in fiscal year 2021-2022 and ending no later than 36 months after the beginning date, for a not-to-exceed amount of up to $5,110,000 annually.
In June 2020 and June 2021 the Board adopted resolution numbers 20-0189 and 21-0245 designating various professionals as persons with authority to detain individuals who they have probable cause to believe are a danger to self or others, or gravely disabled.
In 2013, the Board adopted resolution number 13-0151 designating the Aurora Behavioral Health Hospital facility an involuntary detention facility for minors and adults under the LPS Act.
Fiscal Summary
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FY 21-22 Adopted |
FY 22-23 Projected |
FY 23-24 Projected |
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Narrative Explanation of Fiscal Impacts:
There are no fiscal impacts directly associated with this item.
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Staffing Impacts: |
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Narrative Explanation of Staffing Impacts (If Required):
N/A
Attachments:
Attachment 1 - Resolution
Related Items “On File” with the Clerk of the Board:
None