Approve revenue agreement with California Department of State Hospitals in the amount of $1,116,477.88 for the period of March 1, 2022 through December 31, 2022 for the provision of Jail Based Competency Treatment; and approve an expenditure agreement with California Forensic Medical Group in the amount of $690,584.02 for the period of March 1, 2022 through December 31, 2022 for the provision of Jail Based Competency Treatment. (No general fund impact) (Sullivan)

Over the past several years there has been a steady increase in the amount of felony incompetent to stand trial clients being referred to the Department of State Hospital for competency restoration without adequate capacity in the existing State Hospitals.  This has led to a significant backlog of clients throughout the State waiting in jails for months at a time until placement can be made at a State Hospital bed.  As a result, the Department of State Hospitals has been working with the State and various counties to increase statewide capacity for local treatment options.  These options include Jail Based Competency Treatment programs.  Yolo County is entering into an agreement with the State of California, Department of State Hospitals (“DSH”), State Agreement Number 19-79013-000 (“Yolo/DSH Agreement”), for administration of a Jail Based Competency Treatment (“JBCT”) program. The purpose of the JBCT program is for restoration of competency to certain felony patient inmates deemed incompetent to stand trial (“IST”) under Penal Code section 1370 to occur locally in the jail rather than in a State Hospital for those determined to be appropriate. 
 
The County is also entering into an agreement with California Forensic Medical Group (CFMG), the current jail medical service provider for the County.  CFMG is a qualified inmate medical services provider and has agreed to provide services to assist the County with its JBCT program. CFMG will provide services to seven beds at the Monroe Facility. The services shall be provided 24 hours per day, seven days per week, including all state holidays.

 
The Yolo/DSH Agreement provides funding for a dedicated Sheriff's Deputy assigned to the JBCT program.  This is a critical component to a JBCT program as there are often individuals receiving JBCT services that have different classifications, require supportive oversight, and having a dedicated Deputy that receives specific training as part of the overall JBCT team increases the effectiveness of the program.  The Yolo/DSH agreement will also provide the Sheriff's Department with funding for the overall housing costs associated with these 7 beds.
 
HHSA will be the lead department and receive the funds from the Yolo/DSH Agreement. The funding for the Sheriff Department will be provided via an interdepartmental MOU and the internal billing process.

The agreements are in the final stages of negation of which the Office of County Counsel has been closely involved. Final drafts, once approved as to form by all the requisite State Departments & Boards and the Office of County Counsel will be presented to the Board of Supervisor's Chair for signature. Current drafts are attached for a preliminary Board of Supervisor's review.
 
Performance Measures included in this Agreement are as follows:
Performance Measures are not associated with this Agreement.