To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract Extension #74-575-16 with Lincoln
☒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 Extension Agreement #74-575-16 with Lincoln, a non-profit corporation, effective June 30, 2026, to amend Contract #74-575-15, to extend the termination date from June 30, 2026 to December 31, 2026, to provide additional multi-dimensional family therapy (MDFT) for eligible adolescents ages 11-19, and their families, who have mental health issues or co-occurring issues with substance abuse associated with mental health and behavioral problems, with no change in the payment limit of $624,200.
FISCAL IMPACT:
There is not fiscal impact for this action, as there is no change in the Contract Payment Limit of $624,200. This Contract is funded 100% by Behavioral Health Services Act (BHSA) 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 the County’s population by providing MDFT for eligible adolescents, and their families, who have mental health issues or co-occurring issues with substance abuse associated with mental health and behavioral problems and who are on probation or referred by County’s Mental Health Children’s System of Care. The Behavioral Health Services Division has been contracting with Lincoln since July 2018.
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 Contractor 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 and 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, there was a Public Hearing at the Mental Health Commission meeting on July 5, 2023, and it was approved by the Board of Supervisors on August 1, 2023.
On July 8, 2025, the Board of Supervisors approved Contract #74-575-15 with Lincoln, in an amount not to exceed $624,200, for the provision MDFT services for eligible adolescents ages 11-19, and their families, who have mental health issues or co-occurring issues with substance abuse associated with mental health and behavioral problems for the period July 1, 2025 through June 30, 2026.
Approval of Contract Extension #74-575-16 will allow the Contractor to continue providing MDFT services through December 31, 2026.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Extension is not approved, adolescents and their families may experience reduced or discontinued behavioral health services.
CHILDREN’S IMPACT STATEMENT:
This Contract supports the following Board of Supervisors’ community outcomes: “Children Ready for and Succeeding in School”; “Families that are Safe, Stable, and Nurturing”; and “Communities that are Safe and Provide a High Quality of Life for Children and Families”. Expected program outcomes include an increase in positive social and emotional development as measured by the Child and Adolescent Functional Assessment Scale (CAFAS) and placement at discharge to a lower level of care.