Approve and authorize the Chair to execute an expenditure agreement with California Forensic Medical Group in the amount of $1,397,483.43 for the period of November 1, 2023 through December 31, 2025 for the provision of Jail Based Competency Treatment. (No general fund impact) (Sullivan)

Approve and authorize the Chair to execute an expenditure agreement with California Forensic Medical Group in the amount of $1,397,483.43 for the period of November 1, 2023 through December 31, 2025 for the provision of Jail Based Competency Treatment. 

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 entered into an agreement with the State of California, Department of State Hospitals (“DSH”), State Agreement Number 22-79013-000 (“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 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 effectiveness of the program.  The Yolo/DSH agreement will also provide the Sheriff Department with funding for the overall housing costs associated with 7 designated beds.

HHSA is requesting approval and delegated signing authority to the Chair to expedite the execution of the new County and CFMG Agreement. CFMG is a qualified inmate medical services provider that provides 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.

Performance Measures included in this Agreement are as follows:
Performance Measures are not associated with this Agreement.

Yolo County Counsel
Yolo County Sherriff’s Office
California Department of State Hospitals (DSH)
California Forensic Medical Group (CFMG)
State Public Works Board (SPWB)
California Department of Corrections and Rehabilitation (CDCR)
Department of Finance (DOF)

On March 2, 2023, the County via the Department of General Services, Procurement Division (DGS-Procurement) [formerly Department of Financial Services, Procurement Division] issued a Request for Proposal (RFP) on behalf of the Health and Human Services Agency (HHSA) for Jail and Juvenile Detention Facility Comprehensive Behavioral Health and Medical Services. The solicitation was open for 42 days, (6 weeks). On March 16, 2023, DGS and HHSA offered potential bidders an opportunity to ask questions during a bidder’s conference. 

The County received one proposal from this solicitation. DGS reviewed the proposal for minimum requirements and forward to the Review Committee, comprised of one staff from Probation, one staff from Public Defender, two staff from Sheriff, two staff from HHSA and one Local Mental Health Board (LMHB) member.

The Review Committee evaluated the proposals and determined that the proposal submitted by California Forensic Medical Group (CFMG)-Wellpath met all the required qualifications necessary to successfully provide these services.  In May 2023, the County issued an Intent to Award letter.

Additional information regarding the Competitive Bid Process is provided below, including a summary of the solicitation evaluation criteria.

Evaluation Criteria Included in RFP

Bids Received