To: Board of Supervisors
From: Family & Human Services Committee
Report Title: ACCEPT Report on Family and Human Services Committee and selected appointments of Supervisors
☒Recommendation of the County Administrator ☒ Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT a report from the Family and Human Services Committee on April 14, 2025 on the recommendations for the Behavioral Health Board and selected appointments of the Supervisors;
ADD two additional alternate seats to the Behavioral Health Board, resulting in a 17-member board;
APPOINT Supervisor Ken Carlson to the Board of Supervisor Member seat for a term ending December 31, 2027. Rebecca Harper to the Education seat for a term ending on December 31, 2027, Anthony Arias to the Veteran seat for a term ending on December 31, 2027, Logan Campbell to the At-large seat for a term ending on December 31, 2027, Anya Gupta to the Youth seat for a term ending on December 31, 2027, Alexander Quintero for District 1 Consumer seat for a term ending on December 31, 2026, Y’Anad Burrell to the District 1 Family seat for a term ending on December 31, 2028, Max Sala for District 2 Consumer seat for a term ending on December 31, 2028, Candace Hendra to the District 2 Family seat for a term ending on December 31, 2026, Dhoryan Rizo to the District 3 Consumer seat for a term ending on December 31, 2026, Sani Momoh to the District 3 Family seat for a term ending on December 31, 2028, Avery Gould to the District 4 Consumer seat for a term ending on December 31, 2028, Jenelle Towle to the District 4 Family seat for a term ending on December 31, 2026, Laura Griffin to the District 5 Consumer seat for a term ending on December 31, 2026, and Roland Fernandez to the District 5 Family seat for a term ending on December 31, 2028; and APPOINT Supervisor Candace Andersen to the alternate Board of Supervisor Member seat for a term ending on December 31, 2027, and Shelley Clark to the alternate At-large seat for a term ending on December 31, 2027 on the Behavioral Health Board, as recommended by the Family and Human Services Committee; and
DISSOLVE the Mental Health Commission and the Alcohol and Other Drugs Advisory Board.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
Proposition 1, passed as a ballot measure in April, 2024, mandates transformation of the public health system (Senate Bill 326: sections pertaining to the Behavioral Health Board).
Provisions of SB 326 included implementation of an integrated Behavioral Health Board by January 1, 2025. This integrated advisory body is to include designated members of the community prepared to address community mental health and substance use treatment services.
On December 17, 2024 (D.8), the Department provided a report to the Board of Supervisors on the updates and requirements under SB 326, and received approval and guidance to establish a 15-seat Behavioral Health Board in Contra Costa County.
At the April 14, 2025 Family and Human Services Committee, the Behavioral Health Director provided an update on the status of applications received for each of the seats on the Behavioral Health Board. A recommendation of this Committee was to add two additional alternate seats, alternate Board of Supervisor Member and alternate At-large seat, which will be voting members in the absence of their primary seat holder counterparts.
The mandated functions of the Behavioral Health Board, an advisory body, include:
• Review and evaluate the local public behavioral health system
• Review and evaluate the local public substance use disorder treatment system
• Advise the Board of Supervisors on community mental health and substance use disorder services
• Review and evaluate the community’s public behavioral health needs, services, facilities, and special problems where services are being provided
• Review county agreements entered under Welfare and Institutions Code section 5650
• Advise the Board of Supervisors and the local behavioral health director
• Review and approve procedures for citizen and professional involvement at all stages of the planning process
• Submit an annual report to the Board of Supervisors
• Review and recommend appointment of the local director of behavioral health services
• Review and comment on county’s performance outcome data
• Assess the impact of the realignment of services from the State to the County
• Conduct a public hearing on the draft three-year program and expenditure plan and annual updates at the close of the 30-day comment period required by subdivision.
• Review adopted Behavioral Health Services Act plan and make recommendations to the local behavioral health agency
• Provide an annual report of written explanations to the Board of Supervisors and Department of Health Care Services
Once the Behavioral Health Board convenes, they will be required to develop bylaws in accordance with Welfare and Institutions Code section 5604.5 that include at a minimum:
• A specific number of members
• Quorum be one person more than one-half of members
• Establish the chairperson of the behavioral health board in consultation with the local behavioral health director
• Establish that there may be an executive committee of the behavioral health board
These bylaws will be subject to review and approval through the Board of Supervisors prior to enaction.
Membership of the Board is to include, at a minimum:
• 10 to 15 members
• 50% consumers, or the parents, spouses, siblings, or adult children of consumers
• One of these members will be 25 years of age or younger
• 20% will be consumers
• 20% will be families of consumers
• One member will be a veteran or veteran advocate
• One member will be an employee of a local education agency
• One member of the governing body (the Board of Supervisors)
• Term of three years
• Appointments will be staggered such that approximately one-third of the appointments expire in each year
Exceptions of the Board include:
• Member of the board, or their spouse, shall not be a county employee of a county mental health or substance use disorder service, an employee of the State Department of Health Care Services (DHCS), or an employee, or paid member, of the governing board of a mental health or substance use disorder contract agency
• A consumer of behavioral health services who has obtained employment in any of the above and holds a position in which the consumer does not have an interest, influence, or authority over a financial or contractual matter shall abstain from voting on a financial or contractual issue concerning the member’s employer
It is proposed that Contra Costa County’s Behavioral Health Board members be appointed as follows:
• Board of Supervisor Member: 1 seat recommended by the Chair of the Board of Supervisors
• Consumer/Family member younger than 26: 1 seat as recommended by Behavioral Health Services to the Family and Human Services Committee
• Veteran or veteran Advocate: 1 seat as recommended by Behavioral Health Services to the Family and Human Services Committee
• Employee of a local education agency: 1 seat as recommended by Behavioral Health Services to the Family and Human Services Committee
• At-large: 1 seat as recommended by Behavioral Health Services to the Family and Human Services
• Consumer seat: 5 seats recommended by the Board of Supervisors
• Family Seat: 5 seats recommended by the Board of Supervisors
• 1 alternate seat for Board of Supervisor Member
• 1 alternate seat for At-large
By this action, the Mental Health Commission and the Alcohol and Other Drugs Advisory Board are hereby dissolved.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, the county will not be in compliance with Proposition 1-Senate Bill 326.