Authorize the County Administrator (“CAO”), or designees, to act on behalf of the County to enter into Memorandum of Understandings (“MOUs”) with each of the cities of Davis, West Sacramento, and Woodland for a collective revenue amount of $3,000,000 for the period of July 1, 2022 through June 30, 2025 for the provision of establishing a Yolo County 24/7 Crisis Receiving & Sobering Center. (No general fund impact) (Larsen)

1. Authorize the County Administrator (“CAO”), or designees, to act on behalf of the County to enter into Memorandum of Understandings (“MOUs”) with each of the cities of Davis, West Sacramento, and Woodland for a collective revenue amount of $3,000,000 for the period of July 1, 2022 through June 30, 2025 for the provision of establishing a Yolo County 24/7 Crisis Receiving & Sobering Center; and
    
2. Authorize the County Administrator (“CAO”), or designees, to act on behalf of the County to enter into and execute any and all amendments thereto.

	Thriving Residents
	Safe Communities

In Yolo County, 50% of residents who enter local emergency departments on a "5150 hold" (Welfare and Institutions Code 5150, which allows a 72-hour involuntary psychiatric hospitilization for people who are evaluated to be a danger to themselves others) are released without receiving inpatient treatment. Of the 50% that go to inpatient treatment, approximately 50% stay less than 4 days, indicating they may benefit from short-term beds as opposed to inpatient psychiatric hospitalization. Similarly, in Yolo County’s criminal justice system, approximately 70% of all inmates booked into jail are released within 3 days, indicating that they are generally committing low level crimes, many of which are tied to active substance use. In partnership with local law enforcement agencies, the Yolo County Health and Human Services Agency (HHSA) currently operates 4 co-responder units in Yolo County’s 3 major cities of Davis, West Sacramento, and Woodland and one unit embedded with the Sheriff’s Office. While these teams provide services in the field, Yolo County is lacking a short-term facility to transport individuals in crisis to receive services and stabilization.
 
These MOUs will establish a Crisis Receiving Center to act as a “no wrong door” mechanism for those in crisis to receive immediate behavioral health support and offer our de-facto crisis responders (i.e., law enforcement, emergency departments) a more appropriate alternative to address crisis. Crisis stabilization services are designed to prevent or ameliorate a behavioral health crisis and/or reduce acute symptoms of mental illness by providing continuous 24-hour observation and supervision for persons who do not require inpatient services. Short-term crisis residential stabilization services include a range of community-based resources that can meet the needs of an individual with an acute psychiatric crisis and provide a safe environment for care and recovery.
 
Staff recommends the approval of the MOUs in order to reduce the use of jails and emergency departments for behavioral health crises, to establish an alternative destination for crisis transportation by adding short term bed and chair capacity, and to better serve and support the mental health and substance use treatment needs for county residents.  

County Counsel, the cities of Davis, West Sacramento, and Woodland

Not required for revenue agreement.