HomeMy WebLinkAboutContracts & Agreements_250-2023DocuSign Envelope ID: F167507F-0280-4AE5-9A73-F74410346CC9
THE INFORMATION IN THIS BOX IS NOT A PART OF THE CONTRACT AND IS FOR COUNTY USE ONLY
SAN BERNARDINO
COUNTY
Contract Number
SAP Number
Department of Behavioral Health
Department Contract Representative
Telephone Number
Contractor
Contractor Representative
Telephone Number
Contract Term
Original Contract Amount
Amendment Amount
Total Contract Amount
Cost Center
Rebecca Lombard
909-383-3978
City of Redlands
Commander Stephen Crane
909-557-6200
January 1, 2024 through December
31, 2028
Briefly describe the general nature of the contract:
This non -financial Memorandum of Understanding (MOU) serves to identify areas of agreement and
responsibility between San Bernardino County Department of Behavioral Health (DBH) and the above -named
Contractor/Agency regarding utilization of office space within the Agency by DBH Triage, Engagement, and
Support Teams (TEST) to provide community crisis triage services for Agency referred clients for the contract
period of January 1, 2024 through December 31, 2028.
FOR COUNTY USE ONLY
Approved as to Legal Form
(-nue:uSipnexl by:
Nuuu,Yfiln
Lawn, ar,1,0,4 puny County Counsel
Date 1/25/2024
Reviewed for Contract Compliance
DueuSipned hy:
i*LVAXOL&C. ke.44U
N ra
�,�q sm3aggyls cis Manager
Date 1/25/2029
Reviewed/Approved by Department
nneuSi ned by:
aGori}t11t.at. gbStcib(a
Oe afro ,,pp,IHpii&Direclar
Data 1/25/2024
Non -Standard Contract Coversheet Revised 05/17/23
DocuSign 'Envelope ID: F167507F-0280-4AE5-9A73-F74410346CC9
MEMORANDUM OF UNDERSTANDING
Between
Department of Behavioral Health
And
The City of Redlands
For
Dedicated Office Space
January 1, 2024
WHEREAS, the San Bernardino County (County), Department of Behavioral Health hereinafter referred to as
DBH, and the City of Redlands (City); and
WHEREAS, DBH desires to expand consumer rapid access to mental health crisis care through community
Triage, Engagement and Support Teams (TEST). DISH will do so by collaborating for dedicated office space, at
no cost, within agencies that havethe highest contact with consumers experiencing a psychiatric emergency.
These agencies, named 'points of access' are law enforcement, hospital emergency rooms, schools and court
related agencies; and
WHEREAS, DBH has been allocated funds by the Mental Health Services Act (MHSA) to provide such services;
and
WHEREAS, City Is willing and able to provide adequate, non -financial, dedicated office space located in the
City's Police Department, specifically for DBH services provided by co -located TEST staff, to assist/link
consumers; and
NOW THEREFORE, in consideration of the mutual promises contained herein, DBH and City agree as follows;
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TABLE OF CONTENTS
I. PURPOSE 3
II, DEFINITIONS 3
III. COLLABORATING CITY FACILITY REQUIREMENTS 4
IV. CITY GENERAL RESPONSIBILITIES 4
V. DBH GENERAL RESPONSIBILITIES 5
VI. MUTUAL RESPONSIBILITIES 6
VII. RIGHT TO MONITOR AND AUDIT 8
VIII. TERM 8
IX. EARLY TERMINATION 9
X. GENERAL PROVISIONS 9
XI. CONCLUSION 10
Attachment: Exhibit I — Description of Triage, Engagement and Support Teams (TEST) Services
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PURPOSE
This Memorandum of Understanding (MOU) serves to identify areas of agreement and responsibility
between City and the Department of Behavioral Health (DBH), regarding the use of dedicated office
space within City's Police Department for co -locating DBH TEST program staff to assist/link consumers
with community services.
DBH will assign the TEST staff that will utilize office space within City location here:
Redlands Police Department
30 Cajon Street
Redlands, CA 92373
(909)336-4744
The MOU is a joint effort to bring responsive access to mental health crisis services to the Redlands
community, at no charge, for a consumer in need. in exchange for City's space and responsibilities
hereunder, the TEST staff shall provide crisis assessments, intervention, and intensive case
management with linkage to community resources as outlined in Exhibit 1.
II. DEFINITIONS
A. The terms consumer, resident, Individual, client or participant are used Interchangeably
throughout this MOU referring to the Individual inquiring, accessing and/or receiving services.
B. Authorization for Release of Protected Health Information (PHI): A HIPAA compliant
authorization signed by the client or client's legal representative, authorizing DBH to release the
client's information to a designated recipient. This form must be completed thoroughly with
specified records to be shared, a designated time frame and expiration date, as well as a
signature by the DBH client or his/her legal representative. If the form Is signed by a legal
representative, proof from the court system designating legal representation must accompany
the request.
C. Department of Behavioral Health (DBH): The San Bernardino County Department of Behavioral
Health, under state law, provides mental health and substance use disorder treatment services to
County residents. In order to maintain a continuum of care, DBH operates or contracts for the
provision of prevention and early intervention services, 24-hour care, day treatment outpatient
services, case management, and crisis and referral services. Community services are provided in
all major County metropolitan areas and are readily accessible to County residents.
D. Health Insurance Portability and Accountability Act (HIPAA): A federal law designed to
improve portability and continuity of health insurance coverage in the group and individual
markets, to combat waste, fraud, and abuse in health Insurance and health care delivery, to
promote the use of medical savings accounts, to improve access to long-term care services and
coverage, to simplify the administration of health insurance, and for other purposes.
E. Mental Health Services Act (MHSA): Mental Health Services Act, also known as Proposition
63, imposes a 1% tax on adjusted annual income over $1,000,000. in November 2004,
California voters passed Proposition 63 to adopt the MHSA. According to the MHSA, the intent
of the funding is to reduce the long term adverse impact on individuals, families, and State and
local budgets resulting from untreated serious mental illness.
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F. Personally Identifiable Information (PII): PII is information that can be used alone or in
conjunction with other personal or identifying Information, which is linked or linkable to a specific
individual. This includes, name, social security number, date of birth, address, driver's license,
photo identification, other identifying number (case number, client index number, SIMON
number/medical record number, etc.)
G. Protected Health Information (PHI): PHI is individually identifiable health information held or
transmitted by a covered entity or Its business associate, in any form or media, whether
electronic, paper or oral, Individually identifiable Information is Information, including
demographic data, that relates to the individual's past, present or future physical or mental
health or condition; the provision of health care to the individual; or the past, present, or future
payment for the provision of health care to the individual, and identifies the individual or for
which there is reasonable basis to believe It can be used to identify the individual. PHI excludes
individually Identifiable health information In education records covered by the Family
Educational Rights and Privacy Act, as amended, 20 U.S.C. 1232g; in records described at 20
U.S.C1232g(a)(4)(B)(iv); in employment records held by a covered entity in its role as employer;
and regarding a person who has been deceased for more than fifty (50) years.
H. Triage, Engagement and Support Teams (TEST): Triage teams specializing in crisis
intervention, continuum of care, and intensive case management for individuals experiencing an
urgent psychiatric health condition with up to 59 days of individualized linkage and follow up
services. The goal is to improve consumer experience by Improving access to mental health
services with local staff and rapid response times, allowing the consumer to possibly stay within
their own community and strengthening their opportunity for recovery and wellness while
reducing involvement with the criminal Justice system, reducing frequencies of emergency room
visits andlor unnecessary hospitalization.
III. COLLABORATING CITY FACILITY REQUIREMENTS
City will:
A. Provide adequate workspace for DBH staff within City facilities. Adequate workspace shall
include a personal work area with a desk, chairs and secure documentstorage.
B. Provide a designated area for consultation of consumers as required.
C. Provide a parking space for a County or DBH staff vehicle,
D. Provide access to a desk phone, fax machine and photocopier.
E. Provide DBH staff access to staff restrooms and breakroom.
F. Maintain and relay safety/security procedures related to DBH staff assigned to City.
G. Assign building passes and office keys as needed to TEST staff, and/or DBH employees
regularly assigned to City.
IV. CITY GENERAL RESPONSIBILITIES
A. City will not assign this MOU, either in whole or in part, without the prior written consent of DBH.
B. City shall make available to the DBH Program Manager (PM) copies of all administrative policies
and procedures utilized and developed for this service location(s) and shall maintain ongoing
communication with the DBH PM regarding those policies and procedures.
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C. City is aware that DBH is required by regulation to guard Personally Identifiable Information (PII)
and Protected Health Information (PHI) from unauthorized use or disclosure such as names and
other idenlli'ying information concerning persons receiving services pursuant to this MOU.
D. Information obtained by DBH for participants is PHI and any DBH documents stored at City are
highly sensitive and confidential; therefore, City shall provide DBH with secure document storage
and use the same physical safeguards related to such document storage that City uses to
safeguard its own lawfully protected information.
E. Should City find the need to obtain PHI about a consumer, City shall request the consumer
complete the DBH Authorization for Release of Protected Health Information (COM001) form prior
to any discussion or release regarding consumer PHI, including but not limited to diagnosis
treatment, and/or outcomes. The form must state DBH can share consumer's PHI with City
personnel, with specified time frames including expiration date, This provision will remain in force
even after the termination of the MOU.
F. City acknowledges DBH must track/report specified data required by Mental Health Services Act
(MHSA) in a format approved by DBH. Part of the necessary information measures the referrals
and linkage to appropriate services designed to address the particular behavioral health issues
being presented to law enforcement (justice system); reduction of the time individuals needing
mental health services spend within the Justice system; reduced number of visits to assist the same
consumer for behavioral health -related concerns post TEST involvement, and to facilitate
assessments of individuals experiencing a mental health crisis that could result in Inpatient
hospitalization, City further acknowledges that these tracking/reporting requirements may change
per the County and/or the State.
V. DBH GENERAL RESPONSIBILITIES
DBH will:
A. In the least restrictive environment possible, provide crisis intervention designed to divert
seriously mentally ill consumers from law enforcement encounters. The primary usage of this
office space Is to:
1. Provide crisis intervention services for consumers in surrounding community.
2. Provide intensive case management for local consumers participating in TEST.
3. Be the central location for TEST staff to link consumers to the appropriate public and/or
private community resources for up to 59 days.
4. Be an in-house asset to City in improving outcomes for consumers with behavioral
health issues.
B. Assign staff for a minimum of 40 hours a week to City. This may include any combination of the
following: Social Worker II, Alcohol and Drug Counselor, and Clinical Therapist, for the purpose
of providing crisis response services within the dedicated office space and in the field (exact
service hours will be agreed upon between DBH Program Manager and City).
C. Adhere to City's required clearance protocols for assigned DBH staff prior to staff person
utilizing dedicated office space.
D. Monitor and coordinate staff work schedules, as staff work hours may vary.
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E. Assign computers and cell phones to TEST staff. ALL correspondence with TEST staff must be
sent through the DBH email system. No other City email is to be allocated to the TEST staff.
DBH staff shall adhere to the DBH Electronic Mail Polley.
F. Provide administrative supervision to all DBH staff located or utilizing the city offices. Any
concerns or suggestions regarding any type of matters shall be taken to the DBH Program
Manager, supervisory staff, or his/her designee,
G. Communicate with the appropriate City supervisory staff or his/her designee with any concerns
and/or suggestions for overcoming problem areas and/or changing procedures related to facility
usage or supervision,
H. Maintain authority and responsibility for the assignment and/or reassignment of all TEST staff,
Address the MHSA goals, measure, and report outcomes in collaboration with City by
increasing access to mental health services, reducing criminal and juvenile justice involvement
while also reducing frequency of emergency room visits and unnecessary hospitalizations within
the local community.
J. Maintain consumer records in compliance with all regulations set forth by the State and provide
access to clinical records by DBH staff.
K. Pursuant to HIPAA, implement administrative, physical, and technical safeguards to protect the
confidentiality, integrity, and availability of health information that is transmitted or maintained in
any form or medium.
L, Obtain HIPAA compliant Authorization for Release of PHI for each consumer prior to any
discussions/sharing with City regarding any consumer's PHI, including, but not limited to,
diagnosis, treatment, and/or outcomes in the performance of required services.
VI. MUTUAL RESPONSIBILITIES
A. DBH TEST staff will coordinate with City staff for the purpose of providing crisis intervention
services and intensive case management and linkage for referred consumers.
B. City and DBH agree to develop a program unique to City needs and Internal procedures for optimal
utilization of TEST services and fulfilment of consumer needs as outlined In Exhibit I of this MOU.
C. The Parties must comply with relevant regulations for any release of information. City and DBH
agree they will establish mutually satisfactory methods for the exchange of such information as
may be necessary in order that each party may perform its duties and functions under this MOU,
Both parties will develop appropriate procedures to ensure all information is safeguarded from
unauthorized disclosure in accordance with applicable State and Federal laws and regulations, and
as referred herein.
D. City and DBH agree they will establish mutually satisfactory methods for problem resolution at the
lowest possible level as the optimum, with a procedure to mobilize problem resolution up through
the City and DBH mutual chain of command, as deemed necessary.
E. City and DBH agree to develop and implement procedures and forms necessary to administer and
document each program referral, participation, compliance and effectiveness.
F. City and DBH agree to develop Internal procedures for resolving grievances including the specific
steps a consumer must follow, and the time limits for resolution.
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G. City and DBH agree to comply with all applicable local, State, and Federal laws,
H. City and DBH shall not charge each other for any of the items or services provided hereunder.
Indemnification and insurance Requirements
1. City agrees to defend, indemnify and hold harmless the County, it's officers, staff,
agents, and volunteers for any and all claims, losses, actions, damages and/or liability
resulting from this agreement/contract from any cause whatsoever, including any costs
or expenses incurred by County, except as prohibited by law, arising out of the City or
City Police Department's negligent or wrongful acts or omissions In connection with its
performance under the herein agreement.
2. The County agrees to defend, Indemnify and hold harmless the City, It's officers, staff,
agents, and volunteers for any and all claims, losses, actions, damages and/or liability
arising out of this agreement/contract from any cause whatsoever, including any costs or
expenses incurred by the City, except as prohibited by law, arising out of County's or
DBH's negligent or wrongful acts or omissions in connection with its performance under
the herein agreement.
3. In the event that the County and/or the City are determined to be comparatively at fault
for any claim, action, loss or damage which results from their respective obligations
under this agreement, the County and/or the City shall Indemnify the other to the extent
of its comparative fault.
4. The County and the City are authorized self -insured entities for purposes of General
Liability, Automobile Liability, Workers' Compensation, and Professional Liability
coverage and warrants that through its program of self-insurance, it has adequate
coverage or resources to protect against liabilities arising out of the terms, conditions
and obligations of this agreement.
J. Privacy and Security
1. City and DBH shall adhere to any County applicable privacy -related policies pertaining to
PHI. DBH has a specific responsibility to comply with all applicable State and Federal
regulations pertaining to privacy and security of consumer PHI and strictly maintain the
confidentiality of behavioral health records, and City shall assist DBH in upholding said
confidentiality by applying safeguards as discussed herein, Regulations have been
promulgated governing the privacy and security of individually identifiable health
information (IIHI) PHI or electronic Protected Health Information (ePHI),
2. In addition to the aforementioned protection of IIHI, PHI, and a -PH, both parties shall
adhere to the protection of PII and Medi-Cal PII. PII includes any information that can be
used to search for or identify individuals such as but not limited to name, social security
number or date of birth. Whereas Medi-Cal PII is the information that is directly obtained
in the course of performing an administrative function on behalf of Medi-Cal, such as
determining eligibility that can be used alone in conjunction with any other information to
identify an individual.
3. Reporting improper Access, Use, Disclosure, or Breach
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Upon discovery of any unauthorized use, access or disclosure of PHI or any other
security incident with regards to PHI or PII, City agrees to report to DBH no later than
one (1) business day upon the discovery of a potential breach. City shall cooperate and
provide Information to DBH to assist with appropriate reporting requirements to the DBH
Office of Compliance.
K. City and DBH will ensure any DBH consumer PHI that is stored on City premises will be locked
and secure in adherence to IIHI and PHI privacy requirements.
L. City and DBH shall protect from unauthorized use or disclosure names and other identifying
information concerning persons receiving services pursuant to this MOU, except for statistical
information not Identifying any consumer DBH and City shall not use or disclose any identifying
information for any other purpose other than carrying out the obligations under this MOU, except as
May be otherwise permitted or required by law. This provision will remain in force even after the
termination of the MOU.
M. City end DBH agree they will collaborate in providing In-service training to City staff on the services
offered under this MOU and any relevant poticiestprocedures, Including the Authorization to
Release of Protected Health Information Policy and Procedure.
VII. RIGHT TO MONITOR AND AUDIT
A. City will collaborate with DBH in the implementation, monitoring and evaluation of this MOU and
share information as needed.
B. City shall provide all reasonable facilities and assistance for the safety and convenience of DBH's
representative in the performance of monitoring or auditing duties. Any supervisory or
administrative Inspections and evaluations shall be performed in such a manner as will not unduly
delay the work of City staff.
C. City and DBH agree to work together to develop a tracking system of calls that TEST staff respond
to for the purpose of productivity measures and staff accountability.
D. A review of productivity at the City location for TEST services shall be conducted after the end
of each fiscal year.
E. City and DBH will participate in evaluating the progress of the overall program in regard to
responding to the mental health needs of local communities.
F. City and DBH will work jointly to monitor outcome measures, City and DBH shall comply with all
local, State and Federal regulations regarding local, State and Federal performance outcomes
measurements requirements and participate in the outcome measurement process, as required by
the State and/or DBH. For MHSA programs, City agrees to meet the goals and intention of the
program as indicated in the related MHSA Component Plan and most recent updates.
VIII, TERM
This Memorandum of Understanding (MOU) is effective as ofJanuary 1, 2024, to December 31, 2028, and
may be terminated earlier in accordance with provisions of the Early Termination Section of this MOU.
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IX. EARLY TERMINATION
This MOU may be terminated without cause upon thirty (30) days written notice by either party. DBH's
Director is authorized to exercise DBH's rights with respect to any termination of this MOU, The City's
Chief of Police, or his/her appointed designee, has authority to terminate this MOU on behalf of City.
X. GENERAL PROVISIONS
A. DBH staff vacancies or changes in staffing plan shall be submitted to the appropriate City's
contact person within 48 hours of DBH's knowledge of such occurrence. Such notice shall
include a plan of action to address the vacancy or a Justification for the staffing plan change.
B. No waiver of any of the provisions of the MOU documents shall be effective unless It is made in
a writing which refers to provisions so waived and which is executed by the parties. No course
of dealing and no delay or failure of a party in exercising any right under any MOU document
shall affect any other or future exercise of that right or any exercise of any other right A party
shall not be precluded from exercising a right by its having partially exercised that right or its
having previously abandoned or discontinued steps to enforce that right.
C. Any alterations, variations, modifications, or waivers of provisions of the MOU, unless
specifically allowed in the MOU, shall be valid only when they have been reduced to writing,
duly signed, and approved by the authorized representatives of both parties as an amendment
to thls MOU. No oral understanding or agreement not Incorporated herein shall be binding on
any of the parties hereto.
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XI.
CONCLUSION
A. This MOU, consisting of ten pages (10) and Exhibit I, is the full and complete document
describing services to be rendered by City to DBH including all covenants, conditions, and
benefits.
B. The signatures of the parties affixed to this MOU affirm that they are duly authorized to commit
and bind their respective departments to the terms and conditions set forth in this document.
This Agreement may be executed in any number of counterparts, each of which so executed shall be
deemed to be an original, and such counterparts shall together constitute one and the same
Agreement. The Parties shall be entitled to sign and transmit an electronic signature of this Agreement
(whether by facsimile, PDF or other email transmission), which signature shall be binding on the party
whose name is contained therein. Each Party providing an electronic signature agrees to promptly
execute and deliver to the other party an original signed Agreement upon request.
SAN BERNARDINO COUNTY
� r
K4U'-e.
Dawn Rowe, Chair, Board of Supervisors
Dated FEB 0 6 2024
SIGNED AND CERTIFIED THAT A COPY OF THIS
DOCUMENT HAS BEEN DELIVERED TO THE
CHAIRMAN OFTHE,
Lynna
Clerk of the;t3oatd'o4f-_ upe�ors
i
of San Bernardino Co,gn
ill
By
De
4�
11bINO
Eddie T$jeda
Mayor
35 Cajon Street,
P.O. Box 3005
Redlands, CA 92374
(2-1'r23
City of Redlands
Red l a n ds-Po l icDepa rtment
Name:
Title:
Address:
Date:
Attest:
nne Donaldson, City Clerk
Nam
Title:
Address:
Date:
Rachel Tolber
Chief of Police
30 Cajon Street
Redlands, CA 92373
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EXHIBIT 1
Description of Triage,
Engagement and Support Teams (TEST) Services Available
And Co -location Specific Considerations
FOR
Redlands Police Department
30 Cajon Street
Redlands, CA 92373
Department of Behavioral Health (DBH) has community based, behavioral health, crisis teams that
respond throughout San Bernardino County for consumers having a mental health emergency and
Is In need of crisis triage. The success of the Triage, Engagement, and Support Teams (TEST)
program has grown with Agency collaborations throughout San Bernardino County. DBH funds:
• Triage, Engagement and Support Team (TEST)
Program Manager 11: Vivian Bermudez (909) 421-9456
Number of Locations: Approximately 31 community office spaces
Base Location: Co -located within participating community agency
Specialty: Crisis triage for consumers referred by Agency.
TEST works with consumers experiencing a mental health crisis to develop and maintain a level of
stability that reduces the need for emergency services and minimizes incarcerations and
hospitalizations, freeing law enforcement and medical facilities resources.
Agencies requesting to locate a TEST team participate collaboratively with DBH. The Agency
provides no cost office space and refers local consumers that may need TEST's specialized
services. The referred consumer receives expedited access to mental health crisis triage from
TEST staff located in the Agency offices. Consumers are given the opportunity to de-escalate and
focus on their present needs and learn how TEST can assist them by linking them to appropriate
services resulting in better consumer outcomes.
Exhibit I Is attached to the MOU as an overview of the TEST program, specifies considerations
unique to the Agency, defines the specific services available through the TEST program, and
shares the State mandated reporting requirement.
Overview of TEST Current Successes and Examples
A. Since the Inception of TEST In 2014, the purpose was. to Improve consumer
access to specialized behavioral health services during a mental health crisis and
to minimize negative outcomes such as incarcerations and hospitalizations. In FY
2022/23, there were a total of 11,007 TEST encounters with 'co -located TEST
staff in San Bernardino County.
B. The following results can be highlighted:
• By DBH co -locating mental health crisis triage staff where consumers live and
work the access to specialty mental health services for underserved
consumers has increased.
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EXHIBIT I
• Consumers receiving crisis triage followed by Immediate linkage to
appropriate services has Improved consumer outcomes.
• Decreased costs for law enforcement agencies and emergency room
services as resources to assist consumers in crisis are diverted to TEST staff
and appropriate linked services.
• Increased number of consumers experiencing a mental health crisis diverted
from the justice system, hospitals and/or hospitalization,
C. TEST within your City:
TEST's Program Manager (PM) or designee will select the appropriate staff for
your facility. The PM continually evaluates TEST locations on their successes for
providing services/referrals/linkage for consumers in crisis. In the office space
provided each TEST encounter will focus on individual consumer needs, and
provide community based crisis triage combined with linkage to quality mental
health services to Improve consumer outcomes.
TEST Commitment to City
TEST Provides
To ensure 100% of City's referrals,
consumers experiencing a mental
health crisis, are seen In a timely
fashion, initiating Improved
consumer outcomes.
TEST staff provides immediate access to
Specialty Mental Health Services for
consumers In a mental health crisis.
D. Most Agencies Frequently Referred Consumers:
DBH shall screen consumers generated and referred by the City, shall develop
policies and procedures regarding those persons who are eligible for services;
and shall provide a linkage plan for all consumer interventions that aid in the
maintenance of a stable level of functioning.
,Mdst:F.requent Referrals , ' a
`';1;'TEST;S`pecifie.FOCGa
Consumer in crisis, coming in
contact with host City, having co-
occurring mental health and
substance use disorders
When TEST staff identifies consumers
with co-occurring mental health and
substance use disorders staff
links/provides referrals to appropriate
services
Consumers in crisis who may
respond well to peer support and
self-help groups
TEST staff arranges access to peer
support and self-help groups
Consumers in crisis who are part
of the 25% of statistical uninsured
consumers
TEST serves uninsured consumers and
links them with services and applying for
or utilizing current insurance coverage
Consumers in crisis needing more
than day one of crisis intervention.
Usually needing an assisted period
of stabilization with regular follow
up such as several weeks of
guidance and/or more intensive
level of assistance.
TEST will provide up to 59 days of case
management services; TEST will provide
linkage to all community resources and
services accessible io DBH that could be
beneficial to each unique consumer with
a focus on long term stabilization,
minimized use of emergency room
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EXHIBIT I
services as well as reduced psychiatric
hospital admissions.
II. Participating City Considerations
A. General Considerations
• Provide TEST staff access to data to track/report necessary information that
measures reduced time law enforcement spends with Individuals needing
mental health services; reduced number of encounters between consumer
and law enforcement; reduced number of crisis referrals that result in arrests
and jail time; and reductions In crisis referred consumers that do not need
emergency services and hospitalization. Work collaboratively with DBH, as
necessary.
B. Considerations Applicable to Law Enforcement
• At the Station Commander's discretion and with his/her approval:
o Provide TEST staff with a hand-held radio after the appropriate C.L.E.T.S.
testing has been taken and a statement of confidentiality has been signed
and received by the City
o, Provide training to TEST staff for radio use with provided call signs
III. Detailed Description of Available Services TEST Staff May Provide
A. The behavioral health service provided comes at no cost to the City and Is
provided by the TEST program as an expedient link to behavioral health services
for the community served, Initial services shall be directed toward achieving
crisis intervention, diversion, and stabilization.
B. TEST staff is called to assist City staff when a possible consumer Is exhibiting
symptoms of psychiatric crisis. TEST will immediately respond starting with
triage to engage and support the consumer in crisis. TEST staff will provide
crisis intervention with assessment and evaluation including collateral to help
identify the needs for behavioral health services. The goal of intensive case
management is to stabilize and successfully link consumers to DBH services and
other community resources.
The following are services provided by TEST staff:
1. Crisis Intervention is a quick emergency response service enabling the
individual to cope with a crisis, while maintaining his/her status as a
functioning community member to the greatest extent possible. A crisis is
an unplanned event that results in the Individual's need for Immediate
service intervention. The response modality must allow for the resolution
of the consumer's crisis. Crisis Intervention services are limited to
stabilization of the presenting emergency. Service activities Include but
are not limited to assessment, evaluation, and collateral.
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Docusign Envelope ID: F167507F-0280-4AE5-9A73-F74410346CC9
EXHIBIT I
a. Assessment is an analysis of the history and current status of the
individual's mental, emotional, or behavioral disorder. Relevant
cultural factors and history may be included where appropriate.
Assessments will include consumer level of acuity and risk.
b. Evaluation Is an appraisal of the individual's community
functioning in several areas including living situation, daily
activities, social support systems and health status, Cultural
issues may be addressed where appropriate.
c. Collateral is contact with one or more significant support persons
In the life of the Individual to assist the consumer in crisis as
quickly as possible.
2. Intensive Case Management provided by TEST staff for up to 59 days to
link the consumer with appropriate DBH and community resources for
continued stability.
C. Consumer interventions conclude following completion of services or consumer
is at an acceptable level of stability and/or linkage with supportive resources.
IV. TEST Staff
All TEST staff shall be employed by DBH. The staff described will work the designated
number of hours per week In full time equivalents (FTE's) and perform the job functions
specified. Clinical staff providing TEST services shall be licensed or waivered by viable
internship by the State, if applicable.
A. The staffing will consist of the following:
An intensive case management treatment model will be used and will employ
staff members that may Include any combination of the following: Social Worker
II, Alcohol and Drug Counselor, Mental Health Specialist, and/or Clinical
Therapist, for the purpose of providing crisis intervention services, intensive case
management and linkage within the dedicated office space, and In the field.
B. Staff Responsibilities:
1. Provide crisis triage/response/intervention.
2. Provide interagency coordination of crisis services.
3. Conduct case management needs assessment for possible Intensive
case management for consumers, identified and referred by the City, for
referrals/linkage to DBH services and/or other community services.
4. Identify individuals with potential Substance Use Disorder and Recovery
Services (SUDRS) needs and refer to community SUDRS services.
5. Provide short-term follow-up case management services (up to 59 days)
while consumers are appropriately linked to DBH services and/or other
community services.
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Docupign Envelope ID: F167507F-0260-4AE5-9A73-F74410346CC9
EXHIBIT
6. Collaborate with City staff, community agencies, family, and other support
persons to avoid psychiatric hospitalizations or law enforcement
escalations and to Improve consumers daily functioning.
7. Maintain appropriate and timely documentation, according to DBH
policies and standards.
8. Attend co -location meetings such as, briefings, staff meetings, and/or
other team/community meetings, as appropriate.
C. Welfare and Institutions Code (WIC) 5150 Adults/5585 Children - Involuntary
Psychiatric Hold
• Most TEST Paraprofessional staff are not able to write WIC 5150 or 5585
holds, but can assist law enforcement during WIC 5150 or 5585 evaluations
by providing support to the officers writing the holds.
• The exception occurs when a DBH Clinical Therapist Is available and law
enforcement is NOT available to do the WIC 5150/5585 evaluations. After an
evaluation, If appropriate, DBH Clinical Therapist will write the needed hold.
D. Transporting WIC 5150 or 6585 holds to appropriate psychiatric facility
• TEST staff can follow law enforcement to the hospital and sit with the
consumer.
• TEST staff is able to transport consumers that do not present as violent or a
flight risk with appropriate City vehicle without a law enforcement officer. This
method frees up law enforcement to return to the community instead of
transporting the consumer and waiting at the hospital.
V. Data Reporting and Outcome Measures Requirements
A. The assigned DBH Program Manager Is responsible for reporting MHSA goals
and outcome measures to the MHSA Coordinator, as appropriate,
The outcomes -based criteria which shall be measured ere as follows:
GOALS
KEY OUTCOMES
Reduce
unnecessary
psychiatric
hospitalizations
• Increased use of alternative crisis interventions (e.g.,
CWIC, CCRT, CSU).
• Increase in number
hospitalization.
• Increase access to and use of existing community
resources (e.g., housing, mental health services, alcohol
and drug services, medical treatment, education
services, etc.)
of individuals diverted from
B. DBH shall be responsible for collecting and entering data via the data collection
instrument developed by the County and the State on all clients referred by the
City. DBH shall ensure the data is entered electronically at encrypted network
sites and downloaded at the County centralized database (Integrated System).
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DoouSlgn Envelope ID: F167507F-0280-4AE5-9A73-F74410346CC9
EXHIBIT I
In addition to the below performance -based criteria, data collection shall include
demographic data, the number of case openings, the number of case closings,
and the services provided. DBH may base future extensions of this program
upon positive performance outcomes, which DBFI will monitor throughout the
year. TEST staff, in collaboration with host City, shall collect data in a timely
manner and submit it to the DBH MHSA coordinator.
VI. DBH Considerations and Special Provisions
A. Program Manager shall monitor TEST staff and provide oversight on a regular
basis in regard to compliance with all of the above requirements.
B. It is further expected that the consumer population will be reflective of the social,
economic and ethnic characteristics of the communities served by the City.
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