Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Jei Africa, Director, Behavioral Health & Recovery Services
Subject: Agreement with Crestwood Behavioral Health for Residential Rehabilitation and Long-Term Care Services
RECOMMENDATION:
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Adopt a resolution authorizing an agreement with Crestwood Behavioral Health for residential rehabilitation and long-term care services, for the term of July 1, 2024 through June 30, 2027, in an amount not to exceed $17,334,000.
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BACKGROUND:
As a provider of mental health services, Crestwood Behavioral Health's (Crestwood) programs include skilled nursing facilities/neurobehavioral programs, mental health rehabilitation centers (MHRC), adult residential programs, wellness clinics, community programs, residential care facilities for the elderly, and psychiatric health facilities. Crestwood offers a continuum of care and treatment, from traditional psychiatric services to recovery programs, geared towards community reintegration. Crestwood has provided services for San Mateo County residents since 1988.
DISCUSSION:
The agreement with Crestwood is for the provision of beds for San Mateo County residents. Crestwood has a demonstrated ability to provide care for adults with serious and persistent mental illness and with co morbid medical issues who are in need of a locked placement. Crestwood provides care for clients with complex behavioral health needs, including accepting clients directly from state hospital placements.
MHRC facilities like Crestwood have established expertise serving clients with complex behavioral health needs. However, California is currently confronting a shortage of MHRC facilities like Crestwood, which provides acute, psychiatric, and subacute beds within the State. This shortage results in high bed occupancy rates and long waitlists for placements, which means that clien...
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