Date:
November 17, 2026 27
To: Board of Supervisors
Title
Sheriff – Request for Authorization to Issue Competitive Solicitations for Mental Health Services at Detention Facilities (Districts: All)
End
Overview
The San Diego County Sheriff’s Office (Sheriff’s Office) provides comprehensive medical and behavioral health services to incarcerated individuals as required by Title 15 of the California Code of Regulations. Mental health and psychiatry services, including the Jail-Based Competency Treatment (JBCT) program, are currently provided under the comprehensive consolidated contract with NaphCare. The Sheriff’s Office and NaphCare have mutually agreed not to extend the contract beyond its initial term, which ends May 31, 2027. Competitive solicitations are needed to continue these services after the contract ends. Issuing the solicitations before the current contract expires will allow time to evaluate proposals, seek approval of the resulting contracts, and plan implementation with the selected providers. The Sheriff’s Office will coordinate the transition to support uninterrupted mental health, psychiatry, and JBCT services after May 31, 2027.
The Sheriff’s Office is transitioning away from a fully comprehensive consolidated service model to separate contracts so that contracted vendors may focus on their specialized areas of service in delivering healthcare to the incarcerated population. The Sheriff’s Office is seeking separate procurements for mental health and psychiatry services and for the JBCT program.
The two procurements address distinct service responsibilities. The Mental Health Services solicitation will cover psychiatric evaluations and assessment, medication management, psychiatric treatment, crisis response and stabilization, suicide prevention services, chronic mental health care, Lanterman–Petris–Short (LPS) unit operations for involuntary civil commitment for mental health evaluations and treatment, behavioral health treatmen...
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