To: Board of Supervisors
From: Family & Human Services Committee
Report Title: County Mental Health System of Care
☐Recommendation of the County Administrator ☒ Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT the Contra Costa Health Behavioral Health Services Division report addressing various mental health service updates, as recommended by the Family and Human Services Committee.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
On April 26, 2016, the Board of Supervisors (BOS) referred to the Family and Human Services Committee (FHS) the topic of child and teen psychiatric services and the utilization planning of the Contra Costa Regional Medical Center's 4-D Unit. This became FHS Referral No. 115, Child and Teen Psychiatric Services.
On September 13, 2016, the BOS referred to the FHS the issues brought forward by the Mental Health Commission (MHC) on the County’s public mental health care system and the clarifications provided by the Behavioral Health Division of the Health Services Department. This became FHS Referral No. 116, Mental Health Care System.
On June 13, 2017, the BOS received Civil Grand Jury Report No. 1703, entitled "Mental Health Services for At-Risk Children in Contra Costa County”, and forwarded the report to the County Administrator for response with input from the FHS. On July 31, 2017, the FHS received a draft response to this grand jury report, made revisions, and requested that staff add final revisions to include patient to therapist ratios, clinical staff workload distribution data, processes for verifying network providers' and community based organizations' therapist availability, contractual requirements of network providers and community based organizations to update their availability for appointments, and data regarding mental health treatment wait times.
On August 15, 2017, the BOS approved the revised response to the grand jury report at their meeting and referred any necessary follow up actions to the FHS.
On August 28, 2017 and October 30, 2017, the FHS received updates from the Behavioral Health Division of the Health Services Department on the pending actions, as responded to in the grand jury report, as well as an update on the timeline of the of the new West County mental health services building options. At these meetings, all topics were combined into one report due to the overlap of pending issues and questions stemming from the Mental Health Commission's White Paper and Behavioral Health's clarifications, the topic of child and teen psychiatric services and the utilization planning of the 4-D Unit, and the pending updates related to the response to Civil Grand Jury Report No. 1703, entitled "Mental Health Services for At-Risk Children in Contra Costa County".
On November 23, 2020 and July 26, 2021, the FHS received a report from the Behavioral Health Division on Referral No. 116 Mental Health Care System and Referral No. 115 Child and Adolescent Mental Health Services, respectively.
On April 28, 2023, Contra Costa Health presented the most recent report addressing various mental health service updates to the Family and Human Services Committee. The Committee accepted the attached report and presentation and directed staff to forward it to the Board of Supervisors for its information.
CONSEQUENCE OF NEGATIVE ACTION:
This report will not be received.