Growing capacity for better care
State Hospitals Program
In April 13, 2012 at the CalMHSA Annual Strategic Planning Session, the members directed staff to work in collaboration with the California Behavioral Health Directors Association (CBHDA) in an effort to explore the feasibility of the JPA acting on behalf of member counties (and possibly non‐member counties via a contractual agreement) in the development of an annual purchase agreement with the new Department of State Hospitals (DSH) for a statewide utilization of state hospitals beds (as provided under sections 4330 et seq. of WIC). Counties collectively pay between 90-130 million for the procurement of state hospital beds, and expressed their angst regarding the annual rate increases of 22%, which was imposed by the Department of State Hospitals (DSH) without the ability for counties to negotiate the terms of their contract with the state department.
Alternatives to State Hospitals
In this process, it was determined that one of the largest issues at state hospitals, was and continues to be, lack of capacity. Therefore, the State Hospital Committee requested approval by the CalMHSA Board to develop a Request for Interest (RFI) for the purpose of identifying inpatient alternatives to placing individuals in DSH facilities, which would require a national solicitation of interest.
In September 2014, an RFI was developed and released to elicit responses from interested entities who had the experience and capability to provide inpatient services at the same levels of care as existing State Hospitals to persons with mental disorders, in accordance with Welfare & Institutions Code (WIC) Section 4100 et eq.
The selected entity would be required to comply with all applicable federal and state laws, licensing regulations and provide acute/ long term inpatient and skilled nursing services, in accordance with generally accepted practices and standards prevailing in the professional community at the time of treatment.
The selected entity would be required to provide core treatment team services that are the core to a patient’s stabilization and recovery. These teams are to provide highly structured treatment for mental rehabilitation and re-socialization in preparation for an open treatment setting or community placement.
Services would be provided statewide in an effort support the needs of the California’s diverse geographic regions.
As a result of the RFI, there were two proposals and one (1) letter of interest received. The State Hospital Committee held interviews with all three interested entities. The committee was in full agreement that Correct Care Services (CCS) clearly demonstrated to be the most qualified with the experience and expertise required to meet the needs of California Counties. CCS is based out of Nashville, TN and has more than 17 years of experience operating psychiatric facilities in multiple states, including experience with civil, forensic, sex offender, youth, adult, and geriatric populations. CCS specializes in treating high-risk and vulnerable populations, with additional experience delivering behavioral healthcare and other secure treatment services to government agencies.
CalMHSA has entered into an MOU with CCS for the purpose of collaborative efforts in the initial phase of research and development of alternatives to state hospitals. Since this time, CCS has availed itself for site visits to potential sites, presentations to the CalMHSA Board, Committee, and county specific meetings throughout the state.