To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #74-143-39 with California Psychiatric Transitions Incorporated
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #74-143-39 with California Psychiatric Transitions Incorporated, a corporation, in an amount not to exceed $2,408,011, to provide adult residential care and mental health care rehabilitation services for mentally ill adults for the period September 1, 2025 through August 31, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual budgeted expenditures of up to $2,408,011 and will be funded 100% by Mental Health Realignment revenues.
BACKGROUND:
The Behavioral Health Services Department (BHSD) has been contracting with California Psychiatric Transitions Incorporated since October 2001 to provide residential care and mental health services to adults. This Contract meets the social needs of County’s population by providing a multi-disciplinary treatment program to adults who need active psychiatric treatment, including medication support and individual and group therapy services, as an alternative to hospitalization at a State Hospital.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code §§ 5600, et seq. (The Bronzan-McCorquodale Act); California Code of Regulations (“CCR”), Title 9, §§ 523, et seq. (Community Mental Health Services); California Government Code §§ 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations. The BHSD’s Quality Management, Utilization Management and Contract Monitor Staff meet on a regular basis to ensure monitoring and performance measures in the Contract are upheld. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On November 12, 2024, the Board of Supervisors approved Contract #74-143-37 with California Psychiatric Transitions Incorporated, in an amount not to exceed $2,337,874, to provide adult residential care and mental health services for the period September 1, 2024 through August 31, 2025.
On July 8, 2025, the Board of Supervisors approved Contract Amendment #74-143-38 with California Psychiatric Transitions Incorporated, effective July 1, 2025, to increase the payment limit by $380,000 to new payment limit of $2,717,874, for additional adult residential care and mental health rehabilitation treatment services for adults with mental illness with no change in the term.
Approval of Contract #74-143-39 will allow the Contractor to continue to provide residential adult residential care and mental health care and rehabilitation services for mentally ill adults through August 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, County’s mental health Clients will not receive inpatient psychiatric treatment from this Contractor and may require hospitalization at a State Hospital.