To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Rescind Board action which pertained to an Interagency Agreement with Contra Costa County Fire Protection District and Authorize new Interagency Agreement
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
RESCIND prior Board action of June 10, 2025 (C.118) which approved and authorized the Interim Health Services Director, or designee, to execute on behalf of the County Interagency Agreement # 74-730 with Contra Costa County Fire Protection District, formed under the laws of the State of California, in an amount not to exceed $2,400,000 to provide dispatching services for the Anyone, Anywhere, Anytime Crisis Response Program to facilitate services for County residents experiencing behavioral health crises for the period June 1, 2025 through May 31, 2028; and
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Interagency Agreement #74-730 with Contra Costa County Fire Protection District (CCCFPD), formed under the laws of the state of California, in an amount not to exceed $2,400,000 to provide dispatching services through the Contra Costa Regional Fire Communications Center for County’s Anyone, Anywhere, Anytime (A3) Crisis Response Program to facilitate services for County residents experiencing behavioral health crises for the period June 1, 2025 through May 31, 2028.
FISCAL IMPACT:
Approval of this Interagency Agreement will result in contractual expenditures of up to $2,400,000 over a three-year period and is funded 100% by Measure X funds.
BACKGROUND:
The County’s A3 Crisis Response Program was launched in 2022 to address the needs of vulnerable County residents experiencing behavioral health crises when calling for emergency or non-emergency services. The goal of A3 is to strengthen the care for individuals who experience behavioral health crises by providing timely and appropriate response to Contra Costa County residents. Care begins when an individual calls or is transferred to the Miles Hall Crisis Call Center. An A3 staff member will assess the needs of the person experiencing the behavioral health crisis and determine the level of intervention needed.
A3 has three (3) levels of in-person intervention: Level 1 response is appropriate for social needs (housing resources/ stress, food resources/stress, financial resources/ stress), and there are no reports of suicidal or homicidal ideation or grave disability, and no current acts of self-harm. Level II response is appropriate for acute crisis situations that do not require law enforcement. Level III response is appropriate for acute crisis situations that require a co-response with law enforcement due to a scene safety consideration including presence of weapon(s) and act(s) of violence. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
CCCFPD runs and operates Contra Costa Regional Fire Communications Center, a communication center, twenty-four (24) hours a day, seven (7) days a week, 365 days a year, that will provide dispatching services to A3 teams. The dispatching services will include transferring appropriate calls to the Miles Hall Crisis Call Center, tracking available A3 teams, assigning calls for service to A3 teams based on the level of response needed, and ensuring communication with responding A3 teams.
On June 10, 2025, the Board of Supervisors approved C.118, Interagency Agreement #74-730 with Contra Costa County Fire Protection District (CCCFPD); however, the parties have agreed to include a mutual indemnification provision in the contract which requires Board of Supervisor’s approval. The mutual indemnification provision requires both parties to defend, indemnify, and hold harmless the other for any claims arising out of the performance of the Contract.
CONSEQUENCE OF NEGATIVE ACTION:
If this Interagency Agreement is not approved, the A3 Crisis Response Program response teams will not receive dispatching services.