DATE:
October 8, 2024
05
TO:
Board of Supervisors
SUBJECT
Title
AUTHORIZE ACCEPTANCE OF BEHAVIORAL HEALTH BRIDGE HOUSING GRANT FUNDS, AUTHORIZE A COMPETITIVE SOLICITATION FOR PROVISION OF RECUPERATIVE CARE SERVICES, AUTHORIZE REALLOCATION OF AMERICAN RESCUE PLAN ACT EVERGREEN FUNDS SUPPORTING RECUPERATIVE CARE SERVICES, AND ADD ACCESS TO RECUPERATIVE CARE TO THE LEGISLATIVE PROGRAM (DISTRICTS: ALL)
Body
OVERVIEW
On September 27, 2022 (23), the San Diego County Board of Supervisors (Board) adopted the Behavioral Health Optimal Care Pathways (OCP) model, outlining the optimal and future capacity that would best support people with limited opportunities for placement due to complex needs, lack of existing services, inadequate capacity, and/or other specialty care needs. The model focuses on diversion to the least restrictive environment and supports the medical, social, and environmental needs of people more effectively by improving access and connecting them to ongoing care long term.
According to the OCP model, the region has experienced significant capacity loss across community-based care. The inequity of this level of care continues to have impacts resulting in people remaining in higher levels of care. The model has identified the need for 12,000 new recuperative care bed days, a service which does not yet exist within the behavioral health continuum of care. Earlier this year, a grant opportunity became available to address this need.
On January 16, 2024, the California Department of Health Care Services (DHCS) released a request for applications for the Behavioral Health Bridge Housing (BHBH) Program Round 3, which provided $265.0 million in competitive grant funds to county behavioral health agencies to address the immediate and sustainable housing needs of people experiencing homelessness who have serious behavioral health conditions. The County of San Diego (County) Health and Human Services Agency (HHSA), Behavioral Health Services (BHS)...
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