To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract 74-408-20 with Shahbaz R. Khan, M.D.
☒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 #74-408-20 with Shahbaz R. Khan, M.D., an individual, in an amount not to exceed $250,000, to provide psychiatric services for Afghan speaking adults with mental illness in Central Contra Costa County and expert court testimony services for Lanterman-Petris-Short (LPS) Conservatorship hearings, for the period September 1, 2026 through December 31, 2027
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $250,000 and will be funded as budgeted by the department, 100% by Mental Health Realignment funds.
BACKGROUND:
This Contract meets the social needs of County’s population by providing outpatient psychiatric services including, but not limited to, diagnosing, counseling, evaluating, medication management and providing medical and psychiatric therapeutic treatment services for Afghan speaking adults with mental illness in Central County. Contractor’s expert witness testimony services for LPS conservatorship hearings are legal proceedings where a judge determines if an individual is “gravely disabled” due to a mental health disorder. This Contractor has been providing these services and fostering a deep understanding of the County’s organization’s mission, values, and long-term objectives since September 2010.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; and Welfare and Institutions Code, § 5600 et seq. (The Bronzan McCorquodale Act). 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. These Physician services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On September 9, 2025, the Board of Supervisors approved Contract #74-408-19 with Shahbaz R. Khan, M.D., in an amount not to exceed $250,000, for the provision of psychiatric services for Afghan speaking adults with mental illness in Central County and expert court testimony services for LPS Conservatorship hearings, for the period September 1, 2025 through August 31, 2026.
Approval of Contract #74-408-20 will allow the Contractor to continue providing services through December 31, 2027.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, the necessary psychiatric services needed for patient care will not be available or will create increased wait times due to the limited number of specialty providers available within the community.