Less than a month after the San Bernardino County Board of Supervisors on May 22 committed to spending over $53.13 million toward the provision of mental health-related services throughout the county over the next five years, on June 12 the board again made further outlays of $155,996,067 to augment those mental health services over roughly the same time period. The county’s bill for contracted mental health services in the upcoming 2018-19 fiscal year will run to $129.85 million.
The board’s action ratified recommendations made by Veronica Kelley, the director of the San Bernardino County Department of Behavioral Health.
The board approved an amendment, effective July 1, 2018, to a contract with Helping Hearts California, LLC for the provision of adult residential treatment services, updating standard contract language, exercising the first option to extend the contract by one year, and increasing the total contracted amount by $5,694,000 from $12,041,805, to $17,735,805, for the total contract period of June 2, 2015 through June 30, 2019.
The board approved an amendment, effective July 1, 2018, to four contracts for substance use disorder services through community-based recovery service centers, updating standard contract language, exercising first options to extend the contracts by one year, and increasing the total contract amount by $940,000, from $2,820,000 to $3,760,000, for the total contract period of July 1, 2015 through June 30, 2019. This includes upping a contract with Inland Valley Drug and Alcohol Recovery Services, Inc. by $327,000, from $981,000 to $1,308,000; increasing the contract with Mental Health Systems, Inc. by $404,000, from $1,212,000 to $1,616,000; boosting the existing contract with Rim Family Services, Inc. by $126,240, from $378,720 to $504,960; and increasing the county contract with St. John of God Health Care Services by $82,760, from $248,280 to $331,040.
With regard to the county’s contracts for substance use disorder residential recovery treatment program services it has with five providers, it updated standard contract language, exercised first options to extend the contracts for three months, and increased the total contract amount by $7,595,475, from $15,599,700 to $23,195,175, for the total contract period of July 1, 2015 through September 30, 2018. Thus the total contract amount with Inland Valley Drug and Alcohol Recovery Services, Inc., was hiked by $1,181,415, from $3,472,641 to $4,654,056; the total contract amount with Social Sciences Services, Inc. doing business as Cedar House Life Change Center went up by $1,845,102, from $3,833,805 to $5,678,907; St. John of God Health Care Services’ contract was increased by $2,414,014, from $2,970,201 to a total amount of $5,384,215;
Tarzana Treatment Centers, Inc., will see its revenue under contract jump by $627,349, from $2,297,250 to $2,924,599; and VARP (the Veterans Alcoholic Rehabilitation Program), Inc. will have its contract upped by $1,527,595, from $3,025,803 to $4,553,398.
The board approved an amendment, effective July 1, 2018, increased the total aggregate amount of its contracts with High Desert Child, Adolescent and Family Services Center, Inc., Inland Behavioral and Health Services, Inc., Inland Valley Drug and Alcohol Recovery Services, Inc., Matrix Institute, Inc., Mental Health Systems, Inc., MFI Recovery Center, Inc. and Social Science Services, Inc. doing business as Cedar House Life Change Center by $375,000, from $375,000 to $750,000 for the provision of substance use disorder services outpatient treatment services to Children and Family Services Department clients, exercising the first one-year extension option, updating standard contract language for the total contract period of July 1, 2017 through June 30, 2019.
The board approved contract increases with three entities in the amount of $850,000, from $2,900,000 to $3,750,000, for the total contract period of July 1, 2014 through June 30, 2019 for the provision of community wholeness and enrichment program services, jumping by $150,000, from $600,000 to $750,000 the amount of money Rim Family Services, Inc. is to receive; increasing South Coast Community Services’ contract amount by $450,000, from $1,300,000 to $1,750,000; and upping what Victor Community Support Services, Inc. is to receive by $250,000, from $1,000,000 to $1,250,000.
The board also approved another contract increase with St.John of God Health Care Services for the provision of substance use disorder outpatient treatment services, updating the standard contract language, extending the contract for an additional three months, and increasing the total contract amount by $120,000, from $1,404,789 to $1,524,789, for the total contract period of July 1, 2012 through September 30, 2018.
The board complied with Kelley’s recommendation to contract with two companies to provide what she called adult mental health clubhouse services, in an amount not to exceed $2,967,000, for the period of July 1, 2018 through June 30, 2021, with Pacific Clinics coming in for a $2,067,000 share of that outlay and South Coast Community Services getting $900,000.
The board accepted amendments to four contracts, effective July 1, 2018, to contracts for the provision of non-residential drug court program services, updating standard contract language, exercising the final one-year extension option to extend, and increasing the total contract amount by $2,133,173, from $8,532,692 to $10,665,865, for the total contract period of July 1, 2014 through June 30, 2019. High Desert Child, Adolescent and Family Services Center, Inc. will see its contract increased by $148,008, from $592,032 to $740,040; Inland Valley Drug and Alcohol Recovery Services, Inc. will see a contract increase by $124,296, from $497,184 to $621,480; Matrix Institute on Addictions, Inc.’s existing $1,826,800 contract will increase by $456,700 to $2,283,500; and Mental Health Systems, Inc. will boost its receipts by $1,404,169, from $5,616,676 to $7,020,845.
The board complied with Kelley’s call to amend contracts with two providers of substance use disorder narcotic treatment program services over the total contract period of July 1, 2014 through June 30, 2019, updating standard contract language, exercising the final one-year option to extend the contract, and increasing the total contract amount by $7,936,350, from $24,371,261 to $32,307,611. Under that change Aegis Treatment Centers, LLC is to increase its take by $5,106,658, from $14,774,218 to $19,880,876 and WCHS, Inc. doing business as Colton Clinical Services will bring down another $2,829,692, going from $9,597,043 to $12,426,735.
The board of supervisors approved an amendment, effective July 1, 2018, to the three contracts the county has for substance use disorder transitional housing supportive services, updating standard contract language, exercising the first one-year option to extend the contracts, and increasing the total contract amount by $329,528, from $988,584 to $1,318,112, for the total contract period of July 1, 2015 through June 30, 2019. Those amendments increased the total contract amount with Inland Valley Drug and Alcohol Recovery Services $136,875, from $410,625 to $547,500; increased the contract amount with New Hope Village, Inc. by $38,370, from $115,110 to $153,480; and increased the contract amount with St. John of God Health Care Services by $154,283, from $462,849 to $617,132.
The board of supervisors further ratified amendments to four contracts, effective July 1, 2018, that cover the provision of older adult community services, updating standard contract language, exercising the first one-year option to extend the contracts, and increasing the total contract amounts by $700,000, from $2,100,000 to $2,800,000, for the total contract period of July 1, 2015 through June 30, 2019. This upped the contract with Family Service Association by $315,000, from $945,000 to $1,260,000; increased the contract with Lutheran Social Services of Southern California by $100,000, from $300,000 to $400,000; raised the amount of money Rim Family Services, Inc. is to receive by $85,000, from $255,000 to $340,000; and provided a $200,000 enhancement to the contract with West End Family Counseling Services, Inc., moving its total receipts from $600,000 to $800,000.
The board approved a residency/fellowship training affiliation agreement with Loma Linda – Inland Empire Consortium for Healthcare Education for that entity’s psychiatry residents/fellows to obtain clinical experience with the Department of Behavioral Health, agreeing to pay those individuals who are on the brink of obtaining their medical licenses an amount not to exceed $1,166,660, for their services over the period of July 1, 2018 through June 30, 2021.
The board of supervisors approved committing to contracts in the amount of $104,499,930 for the provision of specialized care for children ranging from newborns to five-years-old as part of its “Age 0-5 Comprehensive Treatment Services” program over the five year period from July 1, 2018 to June 30, 2023, including paying Christian Counseling Services $10,735,975; Desert/Mountain Children’s Center $46,450,200; Hearts & Lives $2,493,050; Lutheran Social Services of Southern California $4,155,080; Victor Community Support Services, Inc. $24,995,720; and West End Family Counseling Services $15,669,905.
The board of supervisors approved two contracts for what the county has dubbed “Resilience Promotion in African-American Children Program” services in the East Valley and High Desert regions of San Bernardino County in an amount of $4,862,385, for the period of July 1, 2018 through June 30, 2023. Valley Star Behavioral Health, Inc. will receive $2,793,335 for that work and Young Visionaries Youth Leadership Academy will get $2,069,050.
The board made a fourth amendment to the contract it has with Valley Star Behavioral Health, Inc., effective July 1, 2018, for the continued provision of crisis walk-in center services in the High Desert and Morongo Basin regions, exercising the final option to extend the contract by one year, updating the standard contract language, and increasing the total contract amount by $4,277,489, from $13,354,978 to $17,632,467, for the period of July 1, 2014 through June 30, 2019.
The Department of Behavioral Health also, effective June 12, 2018, made adjustments to three contracts for substance use disorder Perinatal Services, updating standard contract language, with no change to the contract amount of $4,800,000 or the contract period of July 1, 2016 through June 30, 2019, impacting High Desert Child, Adolescent and Family Services Center, Inc., Inland Behavioral and Health Services, Inc. and Inland Valley Drug and Alcohol Recovery Services, Inc.
The board also approved first amendments, effective June 12, 2018, to the contracts for substance use disorder services outpatient treatment and intensive outpatient treatment services the county has with High Desert Child, Adolescent and Family Services Center, Inc., Inland Behavioral and Health Services, Inc., Inland Valley Drug and Alcohol Recovery Services, Inc., Matrix Institute on Addictions, Inc., Mental Health Systems, Inc., Contract No. MFI Recovery Center, Inc. and Social Science Services, Inc. dba Cedar House Life Change Center, updating standard contract language, with no change to the total contract amount of $8,290,500 or contract period of July 1, 2017 through June 30, 2020.
The board approved the Mental Health Services Act-required annual update for 2018-19, including an increase in expenditures by $11,049,077, from $118,801,466 to $129,850,543 for the period of July 1, 2018 through June 30, 2019.