To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Position Adjustment Resolution No. 26321 to add ten (10) Mental Health Clinical Specialist positions to the Behavioral Health A3 Program
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26321 to add ten (10) Mental Health Clinical Specialist positions to the Behavioral Health A3 Program within Health Services Department.
FISCAL IMPACT:
Upon approval, this action will result in an annual cost increase of $1,820,088.55 with pension costs of $265,896.12 already included to the Behavioral Health Division. These positions will be funded by Measure X.
BACKGROUND:
Contra Costa County’s A3 Crisis Response Program provides mobile crisis response in the Contra Costa community to anyone, anywhere, at any time. Due to an influx in community need, Behavioral Health is requesting to add 10 (ten) Mental Health Clinical Specialists which are critical to provide field-based crisis intervention, mental health screenings, and 5150 evaluations of adults experiencing a behavioral health crisis. The Mental Health Clinical Specialists will work collaboratively with an interdisciplinary team to provide de-escalation, stabilization and linkage services. Other duties include writing and implementing 5150 psychiatric holds, coordinating with law enforcement and emergency medical services as needed.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, Contra Costa Health would not be able to provide critical crisis response services.