To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Amendment/Extension #74-358-17 with Contra Costa Crisis Center
☒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 Amendment/Extension #74-358-17 with Contra Costa Crisis Center, a non-profit corporation, effective June 30, 2026, to amend Contract #74-358-16, to increase the payment limit by $232,607, from $456,092 to a new payment limit of $688,699, and to extend the termination date from June 30, 2026 to December 31, 2026, to provide additional Behavioral Health Services Act (BHSA) Prevention and Early Intervention (PEI) services through a 24-hour crisis hotline.
FISCAL IMPACT:
Approval of this Contract Amendment/Extension will result in additional expenditures of up to $232,607 and will be funded 100% by BHSA-PEI revenues. Beginning July 1, 2026, the Mental Health Services Act (MHSA) funding fully transitions to the BHSA to reflect full implementation and oversight required under California Proposition 1, approved by voters in March 2024, which modernizes MHSA by renaming it the BHSA and redirecting funding to support building a comprehensive, integrated, and unified behavioral health system statewide. (No rate increase)
BACKGROUND:
This Contract meets the social needs of County’s population by providing a nationally certified 24-hour suicide prevention hotline that lowers the risk of suicide at a time when people are most vulnerable, enhances safety and connectedness for suicidal individuals, and builds a bridge to community resources for at-risk persons. Contractor has been providing BHSA-PEI services to the County since July 1, 2009.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000. The Behavioral Health’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. This contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
This provider was selected in collaboration with community stakeholder advisory bodies and was approved as part of the comprehensive BHSA Three-Year Plan as required by State regulation. Providers interested in providing specialized services were invited proactively to participate in program development and offered the opportunity to submit interest at dozens of publicly noticed meetings. The services and vendors were identified in the formal Three-Year plan, were approved on the following schedule that was noticed to the public, and approved by the Board on August 1, 2023. The Three-Year Plan was posted for public comment from June 5, 2023 through July 5, 2023, a Public Hearing was held at the Mental Health Commission meeting on July 5, 2023, and it was approved by the Board of Supervisors on August 1, 2023.
On June 24, 2025, the Board of Supervisors approved and Contract #74-358-16 with Contra Costa Crisis Center, in an amount not to exceed $456,092, for the provision of BHSA-PEI services through a twenty-four-hour crisis hotline for the period July 1, 2025 through June 30, 2026.
Approval of Contract Amendment/Extension #74-358-17 will allow the Contractor to continue providing BHSA-PEI 24-hour crisis hotline services through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, Contractor will not provide suicide prevention hotline services to callers, which will interrupt an essential service to members.