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Adopt a resolution to designate Crestwood Behavioral Health’s Solano Crisis Stabilization Unit as a California Welfare and Institutions Code §§ 5150/5585.50/5585.55 involuntary detention facility for evaluation and treatment of adults, children, and adolescents who are experiencing acute psychiatric symptoms
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Published Notice Required? Yes _____ No __X__
Public Hearing Required? Yes _____ No __X__
DEPARTMENTAL RECOMMENDATION:
The Department of Health and Social Services (H&SS) recommends that the Board adopt a resolution to designate Crestwood Behavioral Health’s Solano Crisis Stabilization Unit (CSU) as a California Welfare and Institutions Code (WIC) §§ 5150/5585.50/5585.55 involuntary detention facility for evaluation and treatment of adults, children, and adolescents who are experiencing acute psychiatric symptoms.
SUMMARY/DISCUSSION:
On June 12, 2018, the Board approved a contract with Crestwood Behavioral Health to provide 23-hour crisis stabilization services. Crestwood is an experienced provider of mental health services and achieves recovery-oriented outcomes through setting and adhering to optimal standards guided by best practices, core values, and integrity. H&SS recommends that the Board certify Crestwood Behavioral Health as a WIC §§ 5150/5585.50/5585.55 facility to provide a safe environment for clients with serious and/or acute mental illness of all age groups. According to Department of Health Care Services (DHCS) Licensing and Certification Division, in order to designate the CSU facility as a WIC §§ 5150/5585.50/5585.55 certain requirements are essential:
• The Mental Health Director needs to request approval for such designation from DHCS on behalf of the Board of Supervisors;
• The request must be accompanied by a formal Board of Supervisors adopted resolution indicating approval of the WIC §§ 5150/5585.50/5585.55 designation and authorizing the facility that is designated for 23-hour and 59-minute evaluation and treatment of persons who are experiencing acute psychiatric symptoms; and
• Attestation that indicates the program will meet or has the capacity to meet the requirements of Title 9, California Code of Regulations 663 "Minimum Staffing Requirements" and 821 "Approval of Facilities".
Clients presenting to the CSU will receive a thorough assessment and, if appropriate, will be admitted to the 16-bed facility for crisis stabilization services. Additionally, clients placed on a WIC §§ 5150/5585.50/5585.55 hold by area law enforcement or other designated agents will be evaluated at the CSU and a determination made whether the WIC §§ 5150/5585.50/5585.55 hold is appropriate and what further treatment is necessary. As some clients may pose a danger to themselves or others, and present a risk to the community or to themselves if they are not detained, it is necessary for Crestwood Behavioral Health to be designated a WIC §§ 5150/5585.50/5585.55 involuntary detention facility and authorized to perform evaluation and treatment, up to 23-hour and 59-minutes, of persons who are experiencing acute psychiatric symptoms. The H&SS Behavioral Health Division has worked closely with Crestwood to ensure that the facility is meeting the requirements for a WIC §§ 5150/5585.50/5585.55 designation.
FINANCIAL IMPACT:
Designating the CSU as a WIC §§ 5150/5585.50/5585.55 facility does not create an additional impact to the Department's FY2018/19 Adopted Budget or the County General Fund. The costs associated with preparing the agenda item are nominal and absorbed by the department’s FY2018/19 Adopted Budget.
ALTERNATIVES:
The Board may choose to not adopt this resolution. This is not recommended as it is critical to have a CSU with a WIC §§ 5150/5585.50/5585.55 designation within Solano County that can treat persons who are experiencing acute psychiatric symptoms without risk of flight when these individuals pose a risk of harm to self or others.
OTHER AGENCY INVOLVEMENT:
There is no other agency involvement.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION