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Consent-Health & Human Services   # 18.
Board of Supervisors
Behavioral Health and Veterans Services
Meeting Date:
07/07/2026
Brief Title
Agreement with CA Department of State Hospitals for Jail-Based Competency Treatment Project
From:
Mónica Morales, Director, Health and Human Services Agency
Staff Contact:
Tony Kildare, Behavioral Health and Veterans Branch Director, Health and Human Services Agency, x2929
Supervisorial District Impact:
Countywide

Subject

Approve and authorize the Chair to sign Agreement No. 25-79021-000 with the California Department of State Hospitals in the amount of $4,948,384 for the period of January 1, 2026 through December 31, 2028 for the provision of Jail-Based Competency Treatment Project. (No general fund impact) (Morales)

Recommended Action

  1. Approve and authorize the Chair to sign Agreement No. 25-79021-000 with the California Department of State Hospitals in the amount of $4,948,384 for the period of January 1, 2026 through December 31, 2028 for the provision of Jail-Based Competency Treatment Project; 
     
  2. Authorize the Yolo County Procurement Manager, or designee, to execute any non-financial extensions or amendments to the Agreement upon approval as to form by County Counsel; and
     
  3. Authorize the Director of Health and Human Services Agency, or designee, to execute any fiscal and program forms and reports required under this Agreement, including forms and reports required under any extensions or amendments thereto.

Strategic Plan Goal(s)

Thriving Residents

Reason for Recommended Action/Background

Over the past several years, there has been a steady increase in the number of felony incompetent to stand trial (IST) clients referred to the Department of State Hospital (DSH) for competency restoration due to inadequate capacity in the existing State Hospitals. This has led to a significant backlog of clients throughout the State waiting in jail for months at a time until placement can be made at a State Hospital bed. As a result, the DSH has been working with the State and various counties to increase statewide capacity for local treatment options. These options include Jail Based Competency Treatment (JBCT) programs. The purpose of the JBCT program is for the restoration of competency to certain felony patient inmates deemed IST under Penal Code section 1370 to occur locally in the jail rather than in a State Hospital for those determined to be appropriate. 

This agreement provides funding for a dedicated Correctional Officer (CO) assigned to the JBCT program. This is a critical component to a JBCT program, as there are often individuals receiving JBCT services who have different classifications, require supportive oversight, and have a dedicated Correctional Officer who receives specific training as part of the overall JBCT team, increasing the effectiveness of the program. This agreement will also provide the Sheriff Department with funding for the overall housing costs associated with these seven (7) beds.

This revenue contract also reduces our DSH growth cap penalty and helps the community by restoring individuals locally without the high costs of state hospitalization.

Yolo County Health and Human Services Agency will be the lead department and receive the funds from this agreement. The funding for the Sheriff Department will be provided via an interdepartmental Memorandum of Understanding and the internal billing process.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved the agreement as to form
Yolo County Sherriff’s Office
California Department of State Hospitals (DSH)
Recovery Solutions
State Public Works Board (SPWB)
California Department of Corrections and Rehabilitation (CDCR)
Department of Finance (DOF)

Competitive Bid Process/Vendor Performance

Not applicable to revenue agreements.

Vendor Performance
Not applicable to revenue agreements.

Fiscal Impact

Fiscal impact (see budgetary detail below)

Fiscal Impact (Expenditure)

Total cost of recommended action:
$    4,948,384
Amount budgeted for expenditure:
$   4,948,384
Additional expenditure authority needed:
$   
On-going commitment (annual cost):
$   1,648,885

Source of Funds for this Expenditure

State Funds FY25-26
$821,849
State Funds FY26-27
$1,648,885
State Funds FY27-28
$1,650,614
State Funds FY28-29
$827,036

Further explanation as needed:

No general funds are required for this action. The total amount of this action will lead to revenue from the California Department of State Hospitals in the amount of $4,948,384 for the period of January 1, 2026 through December 31, 2028. The amount of $821,849.12 is included in the HHSA adopted budget for FY 2025-26.  

Attachments

Form Review

Inbox Reviewed By Date
Tony Kildare Tony Kildare 06/18/2026 02:44 PM
Evis Morales Evis Morales 06/22/2026 01:21 PM
Financial Services David Estrada 06/24/2026 02:03 PM
County Counsel David Estrada 06/24/2026 02:03 PM
Laura Galindo Laura Galindo 06/30/2026 09:18 AM
Form Started By:
Emily Covey
Started On:
05/20/2026 01:49 PM
Final Approval Date:
06/30/2026