To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Contract Amendment #74-143-38 with California Psychiatric Transitions Incorporated
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE and AUTHORIZE the Interim Health Services Director, or designee, to execute on behalf of the County Contract Amendment #74-143-38 with California Psychiatric Transitions Incorporated, a corporation, effective July 1, 2025, to amend Contract #74-143-37, to increase the payment limit by $380,000, from $2,337,874 to new payment limit of $2,717,874, to provide additional adult residential care and mental health rehabilitation treatment services for adults with mental illness with no change in the original term ending August 31, 2025.
FISCAL IMPACT:
Approval of this Contract Amendment will result in additional expenditures of up to $380,000 and will be funded 100% by Mental Health Realignment revenues. (No rate increase)
BACKGROUND:
The Behavioral Health Services Department (BHSD) has been contracting with California Psychiatric Transitions Incorporated since October 2001 to provide residential care and mental health services to adults. This Contract meets the social needs of county’s population by providing a multi-disciplinary treatment program to adults who need active psychiatric treatment, including medication support and individual and group therapy services, as an alternative to hospitalization at a State Hospital.
This Contract is entered into under and subject to the following legal authorities: Welfare and Institutions Code §§ 5600, et seq. (The Bronzan McCorquodale Act); California Code of Regulations (“CCR”), Title 9, §§ 523, et seq. (Community Mental Health Services); California Government Code §§ 26227 and 31000. This Contract was approved by Health Services Personnel to ensure there is no conflict with labor relations.
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. These contracted services were determined to be exempt from Administrative Bulletin 600.3 solicitation requirements by the Public Works Department’s Purchasing Division.
On November 12, 2024, the Board of Supervisors approved Contract #74-143-37 with California Psychiatric Transitions Incorporated, in an amount not to exceed $2,337,874, to provide adult residential care and mental health treatment services for adults with mental illness for the period September 1, 2024 through August 31, 2025.
Approval of Contract Amendment #74-143-38 will allow the Contractor to provide additional services through August 31, 2025.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract Amendment is not approved, County’s seriously mentally ill clients will not receive the additional inpatient psychiatric treatment that they need from this Contractor and may require hospitalization at a State Hospital.