REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS

BOARD MEETING DATE:  March  6, 2018
CATEGORY:  Consent - Health and Human Services-4.

SUBJECT:

Agreement with Vista Pacifica Enterprises, Inc.

Supervisorial District No. :  ALL

DEPARTMENT CONTACT:  Dean True, Director, HHSA Adult Services, (530) 225-5900

STAFF REPORT APPROVED BY:  Dean True, Director, HHSA Adult Services

RECOMMENDATION

Approve and authorize the Chairman to sign a retroactive renewal agreement with Vista Pacifica Enterprises, Inc. in an amount not to exceed $2,500,000 per fiscal year, for a total maximum compensation not to exceed $7,500,000, to provide residential mental health treatment services for the period July 1, 2017 through June 30, 2020.

SUMMARY

The proposed renewal agreement will allow Vista Pacifica Enterprises, Inc. (“Vista Pacifica”), categorized as an Institute for Mental Disease (“IMD”), to continue to provide long-term residential treatment for adults with severe and persistent mental illness as an alternative to placement in an acute inpatient care setting or a State hospital.  Through this agreement, Shasta County can appropriately place mental health clients in need of intensive residential services at Vista Pacifica, based upon the client’s specific treatment regimen.

DISCUSSION

The agreement with Vista Pacifica, located in Riverside, CA, allows for the provision of 24-hour residential care to Shasta County residents who suffer from acute or chronic medical conditions and are severely and persistently mentally ill.  Residential placement options for people with these comorbid conditions are limited, other than placement in a State hospital.  IMDs such as Vista Pacifica offer advantages to both the individual and to the County over placement in a State Psychiatric facility because they are less restrictive and less costly.  Shasta County has had a contract with Vista Pacifica for the last several years and their care has been appropriate for the individuals placed there.  Vista Pacifica has also been a good partner in working collaboratively on individualized treatment plans designed to reintegrate the individuals into the community when that is appropriate.

During the term of this agreement, the Health and Human Services Agency (HHSA) Director, or any HHSA Branch Director designated by the HHSA Director, may approve, in writing and in advance, changes in any of Contractor’s rates, provided that the increase in any single rate does not exceed a 10 percent over the current rate, per fiscal year, during the entire term of this agreement and provided further that the rate increase shall not increase the total compensation payable under this agreement.  The agreement is retroactive due to a restructuring of contracts within HHSA.

ALTERNATIVES

The Board could choose not to approve the agreement or direct staff to change the terms of the agreement or explore other alternatives.

OTHER AGENCY INVOLVEMENT

County Counsel has approved the agreement as to form.  Risk Management approved the agreement.  This recommendation has been reviewed by the County Administrative Office.

FINANCING

The maximum amount payable under the proposed renewal agreement to Vista Pacifica is $2,500,000 per County fiscal year (“FY”) 2017-18, FY 2018-19, and FY 2019-20. Costs are on a fee-for-service basis and only incurred when a Shasta County resident receives IMD services at Vista Pacifica. All costs incurred through these contracts are funded entirely through department discretionary revenues. Appropriations for this agreement were included in the FY 2017-18 Adopted Budget. There is no additional General Fund impact with approval of the recommendation.