HomeMy WebLinkAboutAgreement A-22-263 with DHCS MHBG CRRSAA ARPA.pdf Agreement No. 22-263
MHBG CRRSAA & ARPA
County Application Enclosure X
Page 1 of 8
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA) &
American Rescue Plan Act (ARPA)
Supplemental Funding Allocation & Enclosure Instructions
Fresno County 07/09/21
County Name Date
080055902
DUNS Number
CRRSAA Performance and Invoice Period July 1, 2021 — December 31, 2022
Additional
Amount Amount Amount
Funding Categories Available Requested Requested (if more
funding becomes
available)
Proposed Total Allocation $ 640,622.00 $ 640,622.00 $ 0.00
First Episode Psychosis Set-Aside $ 0.00 $ 0.00 $ 0.00
Crisis Stabilization $ 325,082.00 $ 325,082.00 $ 0.00
Early Intervention $ 315,540.00 $ 315,540.00 $ 0.00
ARPA Performance and Invoice Period September 1, 2021 — June 30, 2025
Additional
Amount Amount Amount
Funding Categories Available Requested Requested (if more
funding becomes
available)
Proposed Total Allocation $ 1,623,559.00 $ 1,623,559.00 $ 0.00
Discretionary/Base Allocation 1,319,653.00 $ 1,319,653.00 $ 0.00
General Crisis Stabilization $ 303,906.00 $ 303,906.00 $ 0.00
First Episode Psychosis Set-Aside $ 0.00 $ 0.00 $ 0.00
This Enclosure represents supplemental MHBG funding awarded to California through
CRRSAA and ARPA. Per federal requirements, these funding sources follow different
expenditure periods and must be tracked separately from one another and the prime
MHBG award. The allowable and recommended program activities for this funding
opportunity are outlined below.
These funds will be subject to all applicable requirements that govern federal monies
associated with MHBG set forth in United States Code (USC) Title 42 Part B, and the
Uniform Guidance 2 Code of Federal Regulations (CFR) Part 200, as codified by the U.S.
MHBG CRRSAA&ARPA
County Application Enclosure X
Page 2 of 8
Department of Health and Human Services in 45 CFR Part 75. The County agrees to the
terms and conditions of this Enclosure, and the MHBG County Application's associated
instructions, enclosures, and attachments.
The completed CRRSAA and ARPA MHBG Supplemental Enclosure X package must
be submitted electronically in its entirety. Please submit program budgets in Excel
format, and the corresponding narrative(s) in Word to BHRRPa-dhcs.ca.gov no later
than close of business on August 9, 2021.
Brian Pacheco, Chairman of the Board of Supervisors of the County of Fresno
Printed Name
L h—
Authorized Signature ATTEST:
BERNICE E.SEIDEL
Clerk of the Board of Supervisors
County�
By_ 5u Deputy
MHBG CRRSAA & ARPA
County Application Enclosure X
Page 3 of 8
Enclosure X Completion Instructions
This document includes the total CRRSAA and ARPA MHBG funding Amount Available
to your county at this time. Counties shall enter their requested amounts, up to the
Amount Available, in the Amount Requested column. Counties may request additional
funding above the Amount Available in the Additional Amount Requested column.
DHCS will allocate additional funding to counties based on funding availability.
Counties are not required to participate in this funding opportunity and may decline
participation from all or any categories identified within this Enclosure. Counties intending
to opt out of CRRSAA and ARPA funding entirely must submit an email reply to
BHRRP(a)-dhcs.ca.gov stating that they decline the funding.
The CRRSAA and ARPA MHBG Supplemental Enclosure X submission package must
include the following:
1. Signed Enclosure X
2. County Workbook
Please complete one Detailed Budget per program in the workbook template provided.
Programs include the Discretionary/Base Allocation (ARPA only), First Episode
Psychosis Set-Aside, Crisis Stabilization (CRRSAA only), General Crisis Services
(ARPA only), and Early Intervention (CRRSAA only).
The CRRSAA MHBG Supplemental funding is available for county use from July 1,
2021 through December 31, 2022.
The ARPA MHBG Supplemental funding is available for county use from September 1,
2021 through June 30, 2025.
County budgeting and expenditure of these funds MUST be allocated per State Fiscal
Year (from July 1 through June 30). Please ensure your budgets allocate funding for the
separate periods of:
CRRSAA
• Period 1 - July 1, 2021 through June 30, 2022; and
• Period 2 - July 1, 2022 through December 31, 2022.
ARPA
• Period 1 - September 1, 2021 through June 30, 2022;
• Period 2 - July 1, 2022 through June 30, 2023;
• Period 3 - July 1, 2023 through June 30, 2024; and
• Period 4 - July 1, 2024 through June 30, 2025.
Please note: Counties are required to expend each SFY allocation in full. Failure
to spend the entirety of each respective SFY allocation will result in forfeiture of
MHBG CRRSAA & ARPA
County Application Enclosure X
Page 4 of 8
the remaining funds allocated for the respective SFY. There will be no rollover of
funds from one SFY to another.
3. Program Narrative
Programs funded by CRRSAA and ARPA must each have their own Detailed
Budget and Program Narrative. Programs that utilize more than one funding
stream (i.e. CRRSAA and ARPA) must include detailed information in the
Narrative(s) that explain how each funding stream's programs will support one
another.
Each Detailed Budget must have a corresponding Program Narrative—please ensure
the titles of the Budget and the Narrative correspond.
Each Program Narrative should be no longer than 5 pages and should span the entire
CRRSAA and ARPA project period through December 31, 2022 and June 30, 2025,
respectively. Each Program Narrative should detail the activities within each SFY, but
should be comprehensive and each SFY should not have its own Program Narrative.
Program Narratives must include the following sections lettered and in the same order
as below in bold:
a. Statement of Purpose: reflects the principles on which the program is being
implemented and the purpose/goals of the program.
b. Measurable Outcome Objectives: includes any measurable outcome objectives
that demonstrate progress toward stated purposes or goals of the program.
c. Program Description: specifies what is actually being paid for by the block grant
funds. The description must include services to be offered, type of setting, or
planned community outreach, as applicable. The budget line items within the
Detailed Program Budget must be explained in the program description.
d. Cultural Competency: describes how the program is providing culturally
appropriate and responsive services for ethnic communities in the county; also
report on advances made to promote and sustain a culturally competent system.
e. Target Population/Service Areas: specifies the populations and service areas
that your MHBG-funded programs are serving. Each narrative must include a
brief description of the target population including any sub-population served with
the MHBG funds.
f. Staffing: MHBG positions and full-time equivalent (FTE) must be listed in this
section and must match the submitted budgets.
g. Implementation Plan: specifies dates by which each phase of the program will
be implemented or state that the "program is fully implemented".
h. Program Evaluation Plan: for tracking progress toward meeting the program's
objectives, including frequency and type of internal review, data collection and
analysis, identification of problems or barriers encountered for ongoing programs,
and a plan for monitoring, correcting, and resolving identified problems.
MHBG CRRSAA & ARPA
County Application Enclosure X
Page 5 of 8
i. CRRSAA MHBG Supplement Tracking: details the policies and procedures
used to track CRRSAA MHBG Supplemental funding separately from the prime
and ARPA MHBG awards.
j. ARPA MHBG Supplement Tracking: details the policies and procedures used
to track ARPA MHBG Supplemental funding separately from the prime and
CRRSAA MHBG awards.
k. CRRSAA Complete Expenditure of Funds: specifies policies and procedures
to expend County's CRRSAA MHBG Supplemental allocation in full. Counties
must report to DHCS by June 30, 2022 if they do not anticipate fully expending
their SFY 2022-23 allocation by December 31, 2022.
I. ARPA Complete Expenditure of Funds: specifies policies and procedures to
expend County's ARPA MHBG Supplemental allocation in full. Counties must
report to DHCS by January 1, 2025 if they do not anticipate fully expending their
SFY 2024-25 allocation by June 30, 2025.
4. Invoicing
Counties receiving CRRSAA and/or ARPA supplemental funding are obligated to
adhere to the fiscal requirements outlined within the County Application. Counties must
utilize the CRRSAA and ARPA Invoice Templates, as appropriate. Quarterly
invoices are due to DHCS 20 days after the end of each quarter: October 20, January
20, April 20, and 30 days after the end of quarter 4: July 31. Quarterly Invoices shall be
submitted via e-mail to BHRRP(a-).dhcs.ca.gov.
5. Allowable and Recommended CRRSAA and ARPA Funding Activities
DHCS is making CRRSAA funding available to counties to support certain activities
required or recommended by the Substance Abuse and Mental Health Services
Administration. Supported activities include:
• Provide comprehensive, community mental health services to adults with Serious
Mental Illnesses (SMI) and children with Serious Emotional Disturbances (SED);
• Ensure community mental health centers provide such services as screening,
outpatient treatment, emergency mental health services, and day treatment
programs;
• Promote participation by consumer/survivors and their families in planning and
implementing services and programs, as well as in evaluating state mental health
systems;
• Ensure access for underserved populations, including people who are homeless,
residents of rural areas, and older adults;
• Promote recovery and community integration for adults with SMI and children with
SED;
• Increase accountability through uniform reporting on access, quality, and
outcomes of services; and
• Assessment, diagnosis, and treatment of co-occurring disorders.
MHBG CRRSAA & ARPA
County Application Enclosure X
Page 6 of 8
This list of allowable and recommended activities is not exhaustive, and DHCS
encourages counties to include all proposed uses of these funds within their
responses.
Discretionary/Base Allocation — ARPA Only
The following activities are allowable and recommended uses of ARPA funds:
• Provide increased access, including same-day or next-day appointments, and
low barrier approaches, for those in need of MH treatment services;
• Consider digital platforms, such as Network of Care, which facilitate access to
behavioral health services for persons with SMI-SED;
• Expand Assisted Outpatient Treatment (AOT) services;
• Develop outpatient intensive Crisis Stabilization Teams to avert and address
crisis;
• Adopt and use health information technology (IT) to improve access to and
coordination of MH services and care delivery, consistent with the provisions of
HIPAA and 42 CFR, Part 2;
• Improve IT infrastructure, including the availability of broadband and cellular
technology for providers, especially in rural and frontier areas, and use of GPS to
expedite response times and to remotely meet with the individual in need of
services;
• Support for crisis and school-based services that promote access to care for
children with SED;
• Develop medication-assisted treatment (MAT) protocols to assist children and
adults who are in crisis, which may leverage telehealth when possible;
• Identify the needs and gaps of your county's MH services continuum; and
• Support expansion of peer-based recovery support services to ensure a recovery
orientation which expands support networks and recovery services.
First Episode Psychosis (FEP) Set-Aside
The following FEP activities are allowable and recommended uses of CRRSAA and
ARPA funds:
• Screening and diagnosis;
• Treatment planning;
• Assertive case management;
• Individual or group psychotherapy;
• Supported employment and education services;
• Family education and support;
• Antipsychotic agents and medication management;
• Primary care coordination;
• Peer support;
• Outreach; and
MHBG CRRSAA & ARPA
County Application Enclosure X
Page 7 of 8
• Purchase of technical assistance.
All counties accepting CRRSAA or ARPA FEP funding through this Supplemental
Enclosure will be required to participate in a Learning Collaborative developed by the
University of California, Davis. This Learning Collaborative was designed as part of the
Early Psychosis Intervention Plus Program, and is intended to ensure a standard of
care exists across California for all individuals experiencing an FEP or other early
serious mental illness. The training focuses on the evidence based practice of
coordinated specialty care (CSC) as the leading treatment modality for FEP, and will
benefit programs in all stages of implementation. Counties may request exemption from
this requirement by submitting evidence of comparable CSC training or technical
assistance, received in any of the three fiscal years prior to SFY 2021-22, at the time of
submitting their completed CRRSAA and ARPA Supplemental Enclosure X package.
General Crisis Services —ARPA Only
Funding directed to support evidence-based crisis care programs addressing the needs
of individuals with serious mental illnesses and children with serious mental and
emotional disturbances.
The following Crisis Services are allowable and recommended uses of ARPA funds:
• Staff administrative and clinical salaries in crisis;
• Screening and diagnosis;
• Peer support;
• Minor remodeling;
• Short-term residential crisis stabilization beds;
• Treatment planning,
• Referral services;
• Case management;
• Outreach;
• Crisis stabilization bed registry; and
• Evidence-based protocols for delivering services to individuals with suicide risk.
Crisis Stabilization — CRRSAA Only
Funding for crisis stabilization facilities providing short-term (under 24 hours)
observation and crisis stabilization services to all referrals in a home-like, non-hospital
environment.
The following Crisis Stabilization activities are allowable and recommended uses of
CRRSAA funds:
• Minor remodeling for crisis receiving and stabilization facilities;
MHBG CRRSAA & ARPA
County Application Enclosure X
Page 8 of 8
• Staff administrative and clinical salaries in crisis receiving and stabilization
facilities;
• Screening and diagnosis;
• Peer support;
• Treatment planning;
• Referral services;
• Case management;
• Outreach;
• Crisis stabilization bed registry; and
• Room and board.
Early Intervention — CRRSAA Only
The following Early Intervention activities are allowable and recommended uses of
CRRSAA funds:
• Screening and assessment;
• Diagnosis;
• Treatment planning;
• Cognitive behavioral therapy;
• Referral services;
• Case management;
• Relaxation and meditation methods;
• Social skills;
• Training;
• Outreach; and
• Room and board.
Questions about any of the information or instructions contained in this Enclosure
should be directed to BHRRP�dhcs.ca.gov.
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2021 to 06-30-2022
Current ICR 10.00% Program 1
Federal Grant Detailed Program Budget
TYPE OF GRANT CRRSAA Community Mental Health Services Block Grant (MHBG) Supplemental
COUNTY I Fresno ISubmission Date 9/1/2021
Fiscal Contact I Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name Crisis Stabilization Center
Summary
Category Amount
Staff Expenses $ 96,054.37
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ 76,136.91
Travel $ 24,828.11
Other Expenses $ -
Indirect Costs $ 9,850.97
County Support Administrative Direct Costs $ 9,850.97
Net Program Expenses $ 216,721.33
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 216,721.33
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Data Specialist $ 37,766.20 1.000 $ 37,766.20
Staff Expenses Program Assistant $ 52,035.21 0.800 $ 41,628.17
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ - 0.000 $
Staff Expenses Benefits $ 16,660.00 1.000 $ 16,660.00
2
Federal Grant Detailed Program Budget
II. Itemized Detail
Category Detail Amount Total
Supplies Program Supplies-Medical $ 76,136.91 $ 76,136.91
Travel Client Transportation&Support $ 24,828.11 $ 24,828.11
Indirect Costs Indirect Cost $ 9,850.97 $ 9,850.97
County Support Administra Administrative Direct Cost $ 9,850.97 $ 9,850.97
$ $
DHCS Approval By: Seongsook Duncan
Date: 12/8/21
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 1 Data
Funding Period 1: 07-01-2021 to 06-30-2022
MHBG CRRSAA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Crisis Stabilization Center
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 216,721.33
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 2000
SMI Older Adult(60+) 500
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health E YES ❑ No
Mental Health Care is Consumer and Family Driven FYI YES ❑ No
Disparities in Mental Health Services are Eliminated ❑YES 0 No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES -11 No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated ❑YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery" document.
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2021 to 06-30-2022
Current ICR 10.00% Program 2
Federal Grant Detailed Program Budget
TYPE OF GRANT CRRSAA Community Mental Health Services Block Grant (MHBG) Supplemental
COUNTY I Fresno ISubmission Date 9/1/2021
Fiscal Contact I Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name JAII 4 Youth
Summary
Category Amount
Staff Expenses $ 139,306.38
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ -
Travel $ 51,929.98
Other Expenses $ -
Indirect Costs $ 9,561.82
County Support Administrative Direct Costs $ 9,561.82
Net Program Expenses $ 210,360.00
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 210,360.00
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses PBIS Coach $ 101,548.00 1.000 $ 101,548.00
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ o.000 $
$ 0.0001 $
$ o.000 $
2
Federal Grant Detailed Program Budget
Staff Expenses Benefits 1 $ 37,758.38 1 1.000 $ 37,758.38
II. Itemized Detail
Category Detail Amount Total
Travel Staff MileageNehicle Maintenance $ 51,929.98 $ 51,929.98
Indirect Costs Indirect Cost $ 9,561.82 $ 9,561.82
County Support Administra Administrative Direct Cost $ 9,561.82 $ 9,561.82
$ $
$ $
DHCS Approval By: Seongsook Duncan
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 2 Data
Funding Period 1: 07-01-2021 to 06-30-2022
MHBG CRRSAA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: All 4 Youth
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 210,360.00
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59)
SMI Older Adult(60+)
SED Child (0-17) 3240
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health ❑YES 121 No
Mental Health Care is Consumer and Family Driven F1 YES ❑ No
Disparities in Mental Health Services are Eliminated ❑YES 0 No
Early Mental Health Screening, Assessment, and Referral to Services are 0 YES ❑ No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated ❑YES 0 No
Technology is Used to Access Mental Health Care and Information ❑YES 0 No
Additional Comments:
See attached "Guiding Principles of Care Delivery" document.
State of California-Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2021 to 06-30-2022
Current ICR 10.00%
Workbook Summary Sheet
Category Amount
Staff Expenses $ 235,360.75
Consultant/Contract Costs $
Equipment $ -
Supplies $ 76,136.91
Travel $ 76,758.09
Other Expenses $ -
Indirect Costs $ 19,412.79
County Support Administrative Direct Costs $ 19,412.79
Total Cost $ 427,081.33
County Name # Program Name Subcontractor Full Legal Name Subcontractor Address Phone#
1 Crisis Stabilization Center Exodus Recovery,Inc. 9808 Venice Blvd,suite 700,Culver city,CA 90232 310-945-3350
2 All 4 Youth Fresno County Superintendent of Schools 1111 Van Ness Ave.Fresno,CA 93712 559-265-3010
(FCSS)
3
4
5
Fresno 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2022 to 12-31-2022
Current ICR 10.00% Program 1
Federal Grant Detailed Program Budget
TYPE OF GRANT CRRSAA Community Mental Health Services Block Grant (MHBG) Supplemental
COUNTY I Fresno ISubmission Date 9/1/2021
Fiscal Contact I Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name Crisis Stabilization Center
Summary
Category Amount
Staff Expenses $ 48,027.19
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ 38,068.64
Travel $ 12,413.86
Other Expenses $ -
Indirect Costs $ 4,925.49
County Support Administrative Direct Costs $ 4,925.49
Net Program Expenses $ 108,360.67
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 108,360.67
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Data Specialist $ 18,883.10 1.000 $ 18,883.10
Staff Expenses Program Assistant $ 26,017.61 0.800 $ 20,814.09
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ - 0.000 $
Staff Expenses Benefits $ 8,330.00 1.000 $ 8,330.00
2
Federal Grant Detailed Program Budget
II. Itemized Detail
Category Detail Amount Total
Supplies Program Supplies-Medical $ 38,068.64 $ 38,068.64
Travel Client Transportation&Support $ 12,413.86 $ 12,413.86
Indirect Costs Indirect Cost $ 4,925.49 $ 4,925.49
County Support Administra Administrative Direct Cost $ 4,925.49 $ 4,925.49
$ $
DHCS Approval By: Seongsook Duncan
Date: 12/8/21
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 1 Data
Funding Period 2: 07-01-2022 to 12-31-2022
MHBG CRRSAA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Crisis Stabilization Center
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 108,360.67
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 1000
SMI Older Adult(60+) 250
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health E YES ❑ No
Mental Health Care is Consumer and Family Driven FYI YES ❑ No
Disparities in Mental Health Services are Eliminated ❑YES 0 No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES -11 No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated ❑YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery" document.
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2022 to 12-31-2022
Current ICR 10.00% Program 2
Federal Grant Detailed Program Budget
TYPE OF GRANT CRRSAA Community Mental Health Services Block Grant (MHBG) Supplemental
COUNTY I Fresno ISubmission Date 9/1/2021
Fiscal Contact I Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name JAII 4 Youth
Summary
Category Amount
Staff Expenses $ 81,109.55
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ -
Travel $ 14,508.63
Other Expenses $ -
Indirect Costs $ 4,780.91
County Support Administrative Direct Costs $ 4,780.91
Net Program Expenses $ 105,180.00
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 105,180.00
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses PBIS Coach $ 101,548.00 0.650 $ 66,006.20
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ o.000 $
$ 0.0001 $
$ o.000 $
2
Federal Grant Detailed Program Budget
Staff Expenses Benefits 1 $ 15,103.35 1 1.000 $ 15,103.35
II. Itemized Detail
Category Detail Amount Total
Travel Staff MileageNehicle Maintenance $ 14,508.63 $ 14,508.63
Indirect Costs Indirect Cost $ 4,780.91 $ 4,780.91
County Support Administra Administrative Direct Cost $ 4,780.91 $ 4,780.91
$ $
$ $
DHCS Approval By: Seongsook Duncan
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 2 Data
Funding Period 2: 07-01-2022 to 12-31-2022
MHBG CRRSAA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: All 4 Youth
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 105,180.00
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59)
SMI Older Adult(60+)
SED Child (0-17) 3240
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health ❑YES 121 No
Mental Health Care is Consumer and Family Driven F1 YES ❑ No
Disparities in Mental Health Services are Eliminated ❑YES 0 No
Early Mental Health Screening, Assessment, and Referral to Services are 0 YES ❑ No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated ❑YES 0 No
Technology is Used to Access Mental Health Care and Information ❑YES 0 No
Additional Comments:
See attached "Guiding Principles of Care Delivery" document.
State of California-Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2022 to 12-31-2022
Current ICR 10.00%
Workbook Summary Sheet
Category Amount
Staff Expenses $ 129,136.74
Consultant/Contract Costs $
Equipment $ -
Supplies $ 38,068.64
Travel $ 26,922.49
Other Expenses $ -
Indirect Costs $ 9,706.40
County Support Administrative Direct Costs $ 9,706.40
Total Cost $ 213,540.67
County Name # Program Name Subcontractor Full Legal Name Subcontractor Address Phone#
1 Crisis Stabilization Center Exodus Recovery,Inc. 9808 Venice Blvd,suite 700,Culver city,CA 90232 310-945-3350
2 All 4 Youth Fresno County Superintendent of Schools 1111 Van Ness Ave.Fresno,CA 93712 559-265-3010
(FCSS)
3
4
5
Fresno 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 09-01-2021 to 06-30-2022
Current ICR 10.00% Program 1
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-607-7946
Email Address Kpho@fresnocountyca.gov
Program Contact Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name lAssisted Outpatient Treatment
Summary
Category Amount
Staff Expenses $ 144,762.43
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ 76,432.75
Travel $ 15,500.00
Other Expenses $ 24,105.82
Indirect Costs $ 13,040.05
County Support Administrative Direct Costs $ 13,040.05
Net Program Expenses $ 286,881.10
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 286,881.10
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Support Specialist $ 26,666.67 3.000 $ 80,000.01
Staff Expenses Administrative Assistant $ 41,666.67 1.000 $ 41,666.67
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ - 0.000 $
Staff Expenses Benefits $ 23,095.75 1.000 $ 23,095.75
2
Federal Grant Detailed Program Budget
II. Itemized Detail
Category Detail Amount Total
Supplies Program Supplies-Medical $ 14,432.75 $ 14,432.75
Supplies Medication Supports $ 48,000.00 $ 48,000.00
Supplies Clothing, Food,&Hygiene $ 14,000.00 $ 14,000.00
Travel Client Transportation&Support $ 15,500.00 $ 15,500.00
Other Expenses Client Housing Support $ 24,105.82 $ 24,105.82
Indirect Costs Indirect Cost $ 13,040.05 $ 13,040.05
County Support Administra Administrative Direct Cost $ 13,040.05 $ 13,040.05
DHCS Approval By: Seongsook Duncan
Date: 12/8/21
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 1 Data
Funding Period 1: 09-01-2021 to 06-30-2022
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Assisted Outpatient Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 286,881.10
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 10-50
SMI Older Adult(60+) 10
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated ❑YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 09-01-2021 to 06-30-2022
Current ICR 10.00% Program 2
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-607-7946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name Trisis Residential Treatment
Summary
Category Amount
Staff Expenses $ 62,334.54
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ -
Travel $ -
Other Expenses $ -
Indirect Costs $ 3,116.73
County Support Administrative Direct Costs $ 3,116.73
Net Program Expenses $ 68,568.00
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 68,568.00
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Counselor $ 25,377.00 2.000 $ 50,754.00
Staff Expenses Billing Clerk $ 41,526.00 0.150 $ 6,228.90
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ o.000 $
$ 0.0001 $
$ o.000 $
2
Federal Grant Detailed Program Budget
Staff Expenses Benefits 1 $ 5,351.64 1 1.000 $ 5,351.64
II. Itemized Detail
Category Detail Amount Total
Indirect Costs Indirect Cost $ 3,116.73 $ 3,116.73
County Support Administra Administrative Direct Cost $ 3,116.73 $ 3,116.73
$ $
DHCS Approval By: Seongsook Duncan
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 2 Data
Funding Period 1: 09-01-2021 to 06-30-2022
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Crisis Residential Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 68,568.00
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 194
SMI Older Adult(60+)
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated o YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California-Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 09-01-2021 to 06-30-2022
Current ICR 10.00%
Workbook Summary Sheet
Category Amount
Staff Expenses $ 207,096.97
Consultant/Contract Costs $
Equipment $ -
Supplies $ 76,432.75
Travel $ 15,500.00
Other Expenses $ 24,105.82
Indirect Costs $ 16,156.78
County Support Administrative Direct Costs $ 16,156.78
Total Cost $ 355,449.10
County Name # Program Name Subcontractor Full Legal Name Subcontractor Address Phone#
1 Assisted Outpatient Program TBD TBD TBD
2 Crisis Residential Treatment Central Star Behavioral Health,Inc. 1501 Hughes Way,Suite 150,Long Beach,CA 310-221-6336
90801
3
4
5
Fresno 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2022 to 06-30-2023
Current ICR 10.00% Program 1
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name lAssisted Outpatient Treatment
Summary
Category Amount
Staff Expenses $ 173,714.90
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ 87,319.30
Travel $ 17,500.00
Other Expenses $ 34,426.98
Indirect Costs $ 15,648.06
County Support Administrative Direct Costs $ 15,648.06
Net Program Expenses $ 344,257.30
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 344,257.30
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Support Specialist $ 32,000.00 3.000 $ 96,000.00
Staff Expenses Administrative Assistant $ 50,000.00 1.000 $ 50,000.00
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ - 0.000 $
Staff Expenses Benefits $ 27,714.90 1.000 $ 27,714.90
2
Federal Grant Detailed Program Budget
II. Itemized Detail
Category Detail Amount Total
Supplies Program Supplies-Medical $ 16,319.30 $ 16,319.30
Supplies Medication Supports $ 53,000.00 $ 53,000.00
Supplies Clothing, Food,&Hygiene $ 18,000.00 $ 18,000.00
Travel Client Transportation&Support $ 17,500.00 $ 17,500.00
Other Expenses Client Housing Support $ 34,426.98 $ 34,426.98
Indirect Costs Indirect Cost $ 15,648.06 $ 15,648.06
County Support Administra Administrative Direct Cost $ 15,648.06 $ 15,648.06
DHCS Approval By: Seongsook Duncan
Date: 12/8/21
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 1 Data
Funding Period 2: 07-01-2022 to 06-30-2023
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Assisted Outpatient Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 344,257.30
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 10-50
SMI Older Adult(60+) 10
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated o YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2022 to 06-30-2023
Current ICR 10.00% Program 2
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name Trisis Residential Treatment
Summary
Category Amount
Staff Expenses $ 71,314.55
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ -
Travel $
Other Expenses $ -
Indirect Costs $ 3,565.73
County Support Administrative Direct Costs $ 3,565.72
Net Program Expenses $ 78,446.00
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 78,446.00
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Counselor $ 26,138.00 2.000 $ 52,276.00
Staff Expenses Billing Clerk $ 42,772.00 0.150 $ 6,415.80
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ o.000 $
$ 0.0001 $
$ o.000 $
2
Federal Grant Detailed Program Budget
Staff Expenses Benefits 1 $ 12,622.75 1 1.000 $ 12,622.75
II. Itemized Detail
Category Detail Amount Total
Indirect Costs Indirect Cost $ 3,565.73 $ 3,565.73
County Support Administra Administrative Direct Cost $ 3,565.72 $ 3,565.72
$ $
DHCS Approval By: Seongsook Duncan
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 2 Data
Funding Period 2: 07-01-2022 to 06-30-2023
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Crisis Residential Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 78,446.00
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 194
SMI Older Adult(60+)
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated o YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California-Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2022 to 06-30-2023
Current ICR 10.00%
Workbook Summary Sheet
Category Amount
Staff Expenses $ 245,029.45
Consultant/Contract Costs $
Equipment $ -
Supplies $ 87,319.30
Travel $ 17,500.00
Other Expenses $ 34,426.98
Indirect Costs $ 19,213.79
County Support Administrative Direct Costs $ 19,213.78
Total Cost $ 422,703.30
County Name # Program Name Subcontractor Full Legal Name Subcontractor Address Phone#
1 Assisted Outpatient Program TBD TBD TBD
2 Crisis Residential Treatment Central Star Behavioral Health,Inc. 1501 Hughes Way,Suite 150,Long Beach,CA 310-221-6336
90801
3
4
5
Fresno 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2023 to 06-30-2024
Current ICR 10.00% Program 1
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name lAssisted Outpatient Treatment
Summary
Category Amount
Staff Expenses $ 173,714.90
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ 87,319.30
Travel $ 17,500.00
Other Expenses $ 34,426.98
Indirect Costs $ 15,648.06
County Support Administrative Direct Costs $ 15,648.06
Net Program Expenses $ 344,257.30
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 344,257.30
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Support Specialist $ 32,000.00 3.000 $ 96,000.00
Staff Expenses Administrative Assistant $ 50,000.00 1.000 $ 50,000.00
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ - 0.000 $
Staff Expenses Benefits $ 27,714.90 1.000 $ 27,714.90
2
Federal Grant Detailed Program Budget
II. Itemized Detail
Category Detail Amount Total
Supplies Program Supplies-Medical $ 16,319.30 $ 16,319.30
Supplies Medication Supports $ 53,000.00 $ 53,000.00
Supplies Clothing, Food,&Hygiene $ 18,000.00 $ 18,000.00
Travel Client Transportation&Support $ 17,500.00 $ 17,500.00
Other Expenses Client Housing Support $ 34,426.98 $ 34,426.98
Indirect Costs Indirect Cost $ 15,648.06 $ 15,648.06
County Support Administra Administrative Direct Cost $ 15,648.06 $ 15,648.06
DHCS Approval By: Seongsook Duncan
Date: 12/8/21
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 1 Data
Funding Period 3: 07-01-2023 to 06-30-2024
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Assisted Outpatient Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 344,257.30
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 10-50
SMI Older Adult(60+) 10
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated o YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2023 to 06-30-2024
Current ICR 10.00% Program 2
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name Trisis Residential Treatment
Summary
Category Amount
Staff Expenses $ 71,314.55
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ -
Travel $
Other Expenses $ -
Indirect Costs $ 3,565.73
County Support Administrative Direct Costs $ 3,565.72
Net Program Expenses $ 78,446.00
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 78,446.00
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Counselor $ 26,138.00 2.000 $ 52,276.00
Staff Expenses Billing Clerk $ 42,772.00 0.150 $ 6,415.80
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ o.000 $
$ 0.0001 $
$ o.000 $
2
Federal Grant Detailed Program Budget
Staff Expenses Benefits 1 $ 12,622.75 1 1.000 $ 12,622.75
II. Itemized Detail
Category Detail Amount Total
Indirect Costs Indirect Cost $ 3,565.73 $ 3,565.73
County Support Administra Administrative Direct Cost $ 3,565.72 $ 3,565.72
$ $
DHCS Approval By: Seongsook Duncan
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 2 Data
Funding Period 3: 07-01-2023 to 06-30-2024
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Crisis Residential Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 78,446.00
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 194
SMI Older Adult(60+)
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated o YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California-Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2023 to 06-30-2024
Current ICR 10.00%
Workbook Summary Sheet
Category Amount
Staff Expenses $ 245,029.45
Consultant/Contract Costs $
Equipment $ -
Supplies $ 87,319.30
Travel $ 17,500.00
Other Expenses $ 34,426.98
Indirect Costs $ 19,213.79
County Support Administrative Direct Costs $ 19,213.78
Total Cost $ 422,703.30
County Name # Program Name Subcontractor Full Legal Name Subcontractor Address Phone#
1 Assisted Outpatient Program TBD TBD TBD
2 Crisis Residential Treatment Central Star Behavioral Health,Inc. 1501 Hughes Way,Suite 150,Long Beach,CA 310-221-6336
90801
3
4
5
Fresno 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2024 to 06-30-2025
Current ICR 10.00% Program 1
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name lAssisted Outpatient Treatment
Summary
Category Amount
Staff Expenses $ 173,714.90
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ 87,319.30
Travel $ 17,500.00
Other Expenses $ 34,426.98
Indirect Costs $ 15,648.06
County Support Administrative Direct Costs $ 15,648.06
Net Program Expenses $ 344,257.30
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 344,257.30
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Support Specialist $ 32,000.00 3.000 $ 96,000.00
Staff Expenses Administrative Assistant $ 50,000.00 1.000 $ 50,000.00
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ - 0.000 $
Staff Expenses Benefits $ 27,714.90 1.000 $ 27,714.90
2
Federal Grant Detailed Program Budget
II. Itemized Detail
Category Detail Amount Total
Supplies Program Supplies-Medical $ 16,319.30 $ 16,319.30
Supplies Medication Supports $ 53,000.00 $ 53,000.00
Supplies Clothing, Food,&Hygiene $ 18,000.00 $ 18,000.00
Travel Client Transportation&Support $ 17,500.00 $ 17,500.00
Other Expenses Client Housing Support $ 34,426.98 $ 34,426.98
Indirect Costs Indirect Cost $ 15,648.06 $ 15,648.06
County Support Administra Administrative Direct Cost $ 15,648.06 $ 15,648.06
DHCS Approval By: Seongsook Duncan
Date: 12/8/21
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 1 Data
Funding Period 4: 07-01-2024 to 06-30-2025
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Assisted Outpatient Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 344,257.30
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 10-50
SMI Older Adult(60+) 10
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated o YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California - Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2024 to 06-30-2025
Current ICR 10.00% Program 2
Federal Grant Detailed Program Budget
TYPE OF GRANT ARPA Community Mental Health Services Block Grant(MHBG) Supplemental
COUNTY Fresno Submission Date 9/1/2021
Fiscal Contact Kim Pho I Phone 559-6077946
Email Address kpho@fresnocountyca.gov
Program Contact I Marlene Saghdejian I Phone 559-600-5239
Email Address msaghdeiian@fresnocountyca.gov
Program Name Trisis Residential Treatment
Summary
Category Amount
Staff Expenses $ 71,314.55
Consultant/Contract Costs $ -
Equipment $ -
Supplies $ -
Travel $
Other Expenses $ -
Indirect Costs $ 3,565.73
County Support Administrative Direct Costs $ 3,565.72
Net Program Expenses $ 78,446.00
Other Funding Sources: Federal $ -
Other Funding Sources: Non-Federal Funds $
Total Other Funding Sources $ -
Gross Cost of Program $ 78,446.00
I. Staffing Itemized Detail
Category Detail Annual Salary Grant FTE Total Not to
Exceed
Staff Expenses Peer Counselor $ 26,138.00 2.000 $ 52,276.00
Staff Expenses Billing Clerk $ 42,772.00 0.150 $ 6,415.80
$ - 0.000 $ -
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 1 0.000 $
1
Federal Grant Detailed Program Budget
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ 0.000 $
$ o.000 $
$ 0.0001 $
$ o.000 $
2
Federal Grant Detailed Program Budget
Staff Expenses Benefits 1 $ 12,622.75 1 1.000 $ 12,622.75
II. Itemized Detail
Category Detail Amount Total
Indirect Costs Indirect Cost $ 3,565.73 $ 3,565.73
County Support Administra Administrative Direct Cost $ 3,565.72 $ 3,565.72
$ $
DHCS Approval By: Seongsook Duncan
3
State of California-Health and Human Services Agency Department of Health Care Services
Program 2 Data
Funding Period 4: 07-01-2024 to 06-30-2025
MHBG ARPA Program Data Sheet
Complete one sheet for each MHBG funded program that supports transformation activities (as budgeted).
County: Fresno
Program Title: Crisis Residential Treatment
Program Contact: Marlene Saghdejian
Email: msaghdejian@fresnocountyca.gov
Phone: 559-600-5239
MHBG Funding Level: $ 78,446.00
Target Population(s): (Estimated number of consumers to be served in the year with MHBG funds)
SMI Adult(18-59) 194
SMI Older Adult(60+)
SED Child (0-17)
Types of Transformational Service(s) Provided
• Check all categories that are applicable
• Please elaborate in the narrative portion of the application
Transformational Categories Is MHBG funding used to
support this goal? Please
check one.
Americans Understand that Mental Health is Essential to Overall Health [21 YES No
Mental Health Care is Consumer and Family Driven El YES No
Disparities in Mental Health Services are Eliminated ❑YES No
Early Mental Health Screening, Assessment, and Referral to Services are ❑YES No
Common Practices
Excellent Mental Health Care is Delivered and Research is Accelerated o YES No
Technology is Used to Access Mental Health Care and Information ❑YES No
Additional Comments:
See attached "Guiding Principles of Care Delivery"document.
State of California-Health and Human Services Agency Department of Health Care Services
Ver. 1.2 Funding Period 07-01-2024 to 06-30-2025
Current ICR 10.00%
Workbook Summary Sheet
Category Amount
Staff Expenses $ 245,029.45
Consultant/Contract Costs $
Equipment $ -
Supplies $ 87,319.30
Travel $ 17,500.00
Other Expenses $ 34,426.98
Indirect Costs $ 19,213.79
County Support Administrative Direct Costs $ 19,213.78
Total Cost $ 422,703.30
County Name # Program Name Subcontractor Full Legal Name Subcontractor Address Phone#
1 Assisted Outpatient Program TBD TBD TBD
2 Crisis Residential Treatment Central Star Behavioral Health,Inc. 1501 Hughes Way,Suite 150,Long Beach,CA 310-221-6336
90801
3
4
5
Fresno 6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
FRESNO COUNTY PROGRAM NARRATIVE
MHBG CRRSAA Program #1: Crisis Stabilization Center
Crisis Stabilization—CRRSAA Only ($325,082 for 7/1/21—12/31/22)
a. Statement of Purpose
The purpose of this program is to provide crisis stabilization services to the adult population
of Fresno County that is currently exhibiting acute psychiatric symptoms.The intent is to
deescalate the individual's crisis, reduce acute psychiatric symptoms, provide medication
support, stabilize the individual, keep the individual out of the emergency department,
and/or place individual at a higher level of care, as necessary. The program's goal is to
provide quality, culturally responsive, behavioral health services and promote wellness,
recovery, and resiliency for individuals and families in our community.
b. Measurable Outcome Objectives:
In each of the identified CRRSAA Grant Funding Periods (7/1/2021 to 6/30/2022 and
7/1/2022 to 12/31/2022), the program will be required to achieve objectives that fall within
the following four CARF accreditation domains: Effectiveness, Efficiency, Access, and
Satisfaction & Feedback. The annual Outcomes Report that the subcontracted provider
submits to Fresno County includes the program's goals/objectives, indicators, current
measures (including data sources), and will provide further data breakdown as necessary.
The goals/objectives for each Funding Period include but are not limited to: 1) reduce
readmission rates; 2) non-hospitalized persons served will be referred and linked; 3) denial
rate reduction for crisis stabilization billing that does not meet Medi-Cal medical necessity
criteria; 4) treatment shall begin within one hour of admittance to the Adult CSC; and 5) hire
bilingual staff to care for the target population in their preferred languages, which include
Fresno County's threshold languages.
During each Funding Period, a comprehensive, annual Outcomes Report will be submitted by
the subcontractor for careful review and analysis by the County's Department of Behavioral
Health (DBH). If any deficiency or shift in objectives or goals is identified during one of the
Funding Periods, modifications will be discussed and agreed to between County DBH and the
subcontractor for what data to collect and analyze during the subsequent Funding Period.
c. Program Description
In each of the identified CRRSAA Grant Funding Periods (7/1/2021 to 6/30/2022 and
7/1/2022 to 12/31/2022), a subcontracted provider will operate Fresno County's adult (18+)
crisis stabilization center (Adult CSC). Individuals who are exhibiting acute psychiatric
symptoms and/or are brought in under a 5150 hold will be admitted to the crisis stabilization
centers on an involuntary or voluntary basis. There are 20 beds available for the adult
1 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
population but can be somewhat flexible as expansions due to the pandemic have been
approved by the State.
Recommended positions to be funded through the CRRSAA grant during each Funding Period
will be a Data Specialist and a Program Assistant. A Data Specialist will obtain timely,
accurate, and relevant data in order to make quality improvements within the program. The
Program Assistant will provide support to the managers of the Adult CSC as well as the direct
care positions and for maintenance/operation of the facility.
During each Funding Period, the CRRSAA grant will fund the purchase of medical program
supplies as well as transportation support for persons-served. These expenses are currently
identified within the subcontracted provider's budget, the CRRSAA funds will supplement
current realignment funds that cover these costs.
d. Cultural Competency
Any limited and/or no English proficient individuals shall have equal access and participation
in federally funded programs through the provision of comprehensive and quality bilingual
services. Oral interpretation will be made available for any language and written translated
documents are required at a minimum for Fresno County's threshold languages—all provided
to the individuals served at no cost. During each Funding Period, all translators will comply
with the County's requirement for annual training. The subcontractor must identify how they
will address the 15 National Standards for Culturally and Linguistically Appropriate Services
(CLAS).
e. Target Population/Service Areas
The target population for the Adult CSC is individuals who are 18 and older, live within Fresno
County, and are currently exhibiting acute psychiatric symptoms.
f. Staffing
Funding Period 1— Data Specialist/$37,766.20/ 1.00
Program Assistant/$52,035.21 /0.80
Funding Period 2— Data Specialist/$18,883.00/ 1.00
Program Assistant/ $26,017.61 /0.80
g. Implementation Plan
The Adult CSC program has been fully implemented since March 2012.The County has
experienced a need for increased bed capacity in the Adult CSC program as well as additional
staffing to assist with the growing census needs over the past several years. The Covid-19
pandemic has put an additional strain on the CSC's bed capacity, especially with the County's
emergency departments in crisis in patient overload. In each of the identified CRRSAA Grant
Funding Periods (7/1/2021 to 6/30/2022 and 7/1/2022 to 12/31/2022), the supplemental
funding will ease the funding constraints on the current contract maximum amounts and
2 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
allow the County to serve all of those in the community who are experiencing acute
psychiatric symptoms.
h. Program Evaluation Plan
In each of the identified CRRSAA Grant Funding Periods (7/1/2021 to 6/30/2022 and
7/1/2022 to 12/31/2022), Fresno County's Mental Health Plan will conduct audits of the
subcontracted programs annually. The audit is to ensure objectives are being achieved,
documentation is appropriate, and individuals are receiving quality care. If anything is found
to be deficient, a plan of correction will need to be written by the program indicating how
they will make changes and/or provide training. Monthly Activity, Staffing Reports, and
Census Data are submitted to the Contracted Services Division for regular monitoring. An
Admission Log is used to track admission and discharge dates, as well as demographic data.
During each Funding Period, a comprehensive, annual Outcomes Report will be submitted by
the subcontractor for careful review and analysis by the Contracted Services Division.
Information within the Outcomes Report includes, but is not limited to unique individuals
served, total cost of program, cost per client, and the measurable outcome objectives. The
subcontracted provider also has a quality assurance and quality improvement process that
assists with evaluation of the program.
The Outcomes Report will be reviewed annually at the end of each Funding Period. If any
deficiency or shift in objectives or goals is identified during the first Funding Period,
modifications will be discussed and agreed to between County DBH and the subcontractor
for what data to collect and analyze during the subsequent Funding Period.
i. CRRSAA MHBG Supplement Tracking
County will create a new Cost Center and establish distinct ledger codes to dispense, track,
and administer CRRSAA MHBG funding separately from the prime and ARPA MHBG awards.
k. CRRSAA Complete Expenditure of Funds
Fresno County will utilize the CRRSAA Invoice Templates to submit Quarterly invoices to
DHCS 20 days after the end of each quarter: October 20, January 20, April 20, and 30 days
after the end of quarter 4: July 31. Quarterly invoices will be submitted via e-mail to
BHRRP@dhcs.ca.gov. In addition, Fresno County will report to DHCS by June 30, 2022 if they
do not anticipate fully expending the SFY 2022-23 allocation by December 31, 2022. County
understands the CRRSAA SABG requirement that each State Fiscal Year (SFY) allocation must
be expended in full within the established funding period. County understands that failure to
spend the entirety of each respective SFY allocation will result in the forfeiture of the
remaining funds allocated for the respective SFY and that there will be no rollover of funds
from one SFY to another.
3 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
FRESNO COUNTY PROGRAM NARRATIVE
MHBG ARPA Program #2: Crisis Residential Treatment
General Crisis Services—ARPA Only—($303,906 for 9/1/21—6/30/25)
a. Statement of Purpose
Crisis Residential Treatment services are therapeutic or rehabilitative services provided in a
non-institutional residential setting which provides a structured program as an alternative to
hospitalization for beneficiaries experiencing an acute psychiatric episode or crisis who do
not have medical complications requiring nursing care. The therapeutic and rehabilitative
services shall be provided as defined in California Code of Regulations (CRR), Title 22,
§1810.208, consistent with a Social Rehabilitation Program, which is provided in a non-
institutional residential setting. During each Funding Period, the CRT program will provide a
residential setting that creates a safe base from which persons-served can collaborate with
staff, friends, and family to assess their needs and assist in framing their own recovery plan.
Services include: crisis intervention and stabilization strategies, screening for medical
complications, diagnosis formulation, medication education, medication monitoring, clinical
assessment, individual treatment/rehabilitation plans, and discharge planning that actively
links individuals with resources, such as permanent housing, pre-vocational and vocational
programs, substance abuse treatment services and other supports based on the residents'
individual strengths and needs.
b. Measurable Outcome Objectives:
In each of the identified ARPA Grant Funding Periods (9/1/2021 to 6/30/2022; 7/1/2022 to
6/30/2023; 7/1/2023 to 6/30/2024; and 7/1/2024 to 6/30/2025), the program will be
required to achieve objectives that fall within the following four CARF accreditation domains:
Effectiveness, Efficiency, Access, and Satisfaction & Feedback. A comprehensive Outcomes
Report that is submitted annually by the subcontracted provider includes the program's
goals/objectives, indicators, current measures (including data sources), and will provide
further data breakdown as necessary.
The goals/objectives for each Funding Period include, but are not limited to: 1) reduction in
readmission rates from previous six-month period; 2) all non-hospitalized persons served will
be referred and linked; 3) denial rate reduction for crisis stabilization billing that does not
meet Medi-Cal medical necessity criteria as determined by the utilization review performed
by the Fresno County Mental Health Plan; 4)treatment shall begin within one hour of
admittance to the CRT; and 5) hire of bilingual staff to care for the target population in their
preferred languages, which include Fresno County's threshold languages.
1 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
The comprehensive Outcomes Report submitted by the subcontractor will be carefully
reviewed annually by the County's Department of Behavioral Health (DBH). If any deficiency
or shift in objectives or goals is identified during one of the Funding Periods, modifications
will be discussed and agreed to between DBH and the subcontractor for what data to collect
and analyze during the subsequent Funding Period.
c. Program Description
In each of the identified ARPA Grant Funding Periods (9/1/2021 to 6/30/2022; 7/1/2022 to
6/30/2023; 7/1/2023 to 6/30/2024; and 7/1/2024 to 6/30/2025), the ARPA funds will be
used to offset administrative salaries of non-direct service staff and peer support service
staff. During each Funding Period, the billing clerk position will be responsible for ensuring
that treatment services are coded and submitted properly to the County for appropriate
billing and documentation purposes. The peer counselors will work with residents on a day-
to-day basis to provide coaching and assistance for residents, providing a valuable resource
for the persons-served seeking to connect with another individual with shared lived
experience.
d. Cultural Competency
Any limited and/or no English proficient individuals shall have equal access and participation
in federally funded programs through the provision of comprehensive and quality bilingual
services. Oral interpretation will be made available for any language and written translated
documents are required at a minimum for Fresno County's threshold languages—all provided
to the individuals served at no cost.
During each Funding Period, all translators will comply with the County's requirement for
annual training. The CRT program must identify how they will address the 15 National
Standards for Culturally and Linguistically Appropriate Services (CLAS).
e. Target Population/Service Areas
The target population includes male and female individuals within Fresno County, who are 18
to 59 years of age, who are experiencing acute psychiatric episodes or crisis. The focus is on
individuals in a pre-contemplative/contemplative stage of change that are seeking structure
to achieve recovery. Individuals presenting for psychiatric care typically have existing co-
occurring physical health concerns and/or trauma-related experiences, and occasionally have
undiagnosed physical disorders that are not the cause of their mental symptoms but
nonetheless require evaluation and treatment.
2 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
f. Staffing
Funding Period 1 - Peer Counselor/$25,377/ 2.00
Billing Clerk/$41,526/0.15
Funding Periods 2 thru 4- Peer Counselor/$26,138/2.00
Billing Clerk/$42,772/0.15
g. Implementation Plan
The CRT Program has been fully implemented since February 28, 2019. The Covid-19
pandemic has put an additional strain on the County's system of care for individuals with
psychiatric crises, including the local emergency departments. In each of the identified ARPA
Grant Funding Periods (9/1/2021 to 6/30/2022; 7/1/2022 to 6/30/2023; 7/1/2023 to
6/30/2024; and 7/1/2024 to 6/30/2025), the supplemental funding will cover costs for a peer
counselor and billing clerk. Peer counselors provide a specified need to those recovering from
acute psychiatric symptoms and are in need of therapeutic and/or rehabilitative services. The
CRT in its non-institutional residential setting is a necessary alternative to hospitalization and
will continue to relieve stress on the overall system of care.
h. Program Evaluation Plan
In each of the identified ARPA Grant Funding Periods (9/1/2021 to 6/30/2022; 7/1/2022 to
6/30/2023; 7/1/2023 to 6/30/2024; and 7/1/2024 to 6/30/2025), Fresno County's Mental
Health Plan will conduct audits of the subcontracted programs (annually). These audits are to
ensure objectives are being achieved, documentation is appropriate, and individuals are
receiving quality care. If anything is found to be deficient, a plan of correction will need to be
written by the program indicating how they will make changes and/or provide training.
Monthly Activity, Staffing Reports, and Census Data are submitted to the Contracted Services
Division for regular monitoring. An Admission Log is used to track admission and discharge
dates, as well as demographic data.
During each Funding Period, a comprehensive, annual Outcomes Report will be submitted by
the subcontractor for careful review and analysis by the Contracted Services Division.
Information within the Outcomes Report includes, but is not limited to unique individuals
served, total cost of program, cost per client, and the measurable outcome objectives. The
subcontracted provider also has a quality assurance and quality improvement process that
assists with evaluation of the program. The Outcomes Report will be reviewed annually at the
end of each Funding Period. If any deficiency or shift in objectives or goals is identified during
one of the Funding Periods, modifications will be discussed and agreed to between County
DBH and the subcontractor for what data to collect and analyze during the subsequent
Funding Period.
3 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
j. ARPA MHBG Supplement Tracking
County will create a new Cost Center and establish distinct ledger codes to dispense, track,
and administer ARPA MHBG funding separately from the prime and CRRSAA MHBG awards.
I. ARPA Complete Expenditure of Funds
Fresno County will utilize the ARPA Invoice Templates to submit Quarterly invoices to DHCS
20 days after the end of each quarter: October 20, January 20, April 20, and 30 days after the
end of quarter 4: July 31. Quarterly invoices will be submitted via e-mail to
BHRRP@dhcs.ca.gov. In addition, Fresno County will report to DHCS by January 1, 2025 if
they do not anticipate fully expending their SFY 2024-25 allocation by June 30, 2025. County
understands the ARPA MHBG requirement that each State Fiscal Year (SFY) allocation must
be expended in full within the established funding period. County understands that failure to
spend the entirety of each respective SFY allocation will result in the forfeiture of the
remaining funds allocated for the respective SFY and that there will be no rollover of funds
from one SFY to another.
4 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
FRESNO COUNTY PROGRAM NARRATIVE
MHBG ARPA Program #1: Assisted Outpatient Treatment
Discretionary/Base Allocation—ARPA Only($1,319,653 for 9/1/21—6/30/25)
a. Statement of Purpose
The purpose of this program is to implement Assisted Outpatient Treatment (AOT) services,
commonly known as Laura's Law (chaptered into law via AB 1976) into Fresno County. Fresno
County opted into providing AOT services and is working towards implementation by July 1,
2022. AOT services will permit court-ordered treatment services for a person with mental
illness who meets specific criteria [Welfare & Institutions Code (W&IC) 5346]. Fresno County
Department of Behavioral Health's (DBH) intent is to be able to serve individuals who
historically have refused treatment services on a voluntary basis and whose safety in the
community continues to deteriorate as a result of their mental illness. The ultimate goal is to
provide quality, culturally responsive, behavioral health services and promote wellness,
recovery, and resiliency for individuals and families in our community.
b. Measurable Outcome Objectives:
In each of the identified ARPA Grant Funding Periods (9/1/2021 to 6/30/2022; 7/1/2022 to
6/30/2023; 7/1/2023 to 6/30/2024; and 7/1/2024 to 6/30/2025), the AOT services will be
required to achieve objectives that fall within the following four CARF accreditation domains:
Effectiveness, Efficiency, Access, and Satisfaction & Feedback. A comprehensive Outcomes
Report that is submitted annually by the subcontracted provider includes the program's
goals/objectives, indicators, current measures (including data sources), and will provide
further data breakdown as necessary.
AOT services data outcomes required by the State to track (W&IC 5348) during each of the
identified Funding Periods will include, but not be limited to:
• Number of persons served by the program, and of those, the number who are able to
maintain housing and the number who maintain contact with the treatment system
• Contacts with local law enforcement, and the extent to which local and state
• incarceration of persons in the program has been reduced or avoided
• Number of persons in the program participating in employment services programs,
including competitive employment
• Days of hospitalization of persons in the program that have been reduced or avoided
• Adherence to prescribed treatment by persons in the program
• Other indicators of successful engagement, if any, by persons in the program
• Victimization of persons in the program
• Violent behavior of persons in the program
• Substance use by persons in the program
1 Page Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
• Type, intensity, and frequency of treatment of persons in the program
• Extent to which enforcement mechanisms are used by the program, when applicable
• Social functioning of persons in the program
• Skills in independent living of persons in the program
• Satisfaction with program services both by those receiving them, and by their
families, when relevant
c. Program Description
During Funding Period 1 (9/1/2021 to 6/30/2022), Fresno County aims to design and
implement AOT services provided by a subcontracted full service partnership (FSP) provider.
Also during Funding Period 1, the subcontracted provider will begin to implement training
and education regarding AOT services to all stakeholders within the community. In each of
the subsequent identified ARPA Grant Funding Periods 2 through 4 (7/1/2022 to 6/30/2023;
7/1/2023 to 6/30/2024; and 7/1/2024 to 6/30/2025), Fresno County will work in
coordination with the subcontracted FSP provider to provide AOT services to anyone who
meets the ACT criteria and is not voluntarily engaging in services. Training and Education
regarding AOT services will continue during these Funding Periods.
The initial step of the program design for AOT services within Fresno County is for DBH staff
to receive and process all AOT referrals. Upon meeting the appropriate criteria for a referral,
the individual will be assigned to a subcontracted FSP provider who will initially provide
assertive outreach and engagement to the individual seeking to obtain voluntary
engagement into treatment. The provider will also conduct an investigation of the AOT
referral to ensure the individual meets all AOT criteria. If criteria are met and the individual
still will not voluntarily engage in treatment, the subcontracted provider will complete the
AOT petition and file it with the court, walk the individual through the court process, and
attend all court hearings with them. If AOT is ordered by the judge, the individual will be
provided FSP treatment services by the subcontracted FSP provider. The provider will be
responsible for all treatment components related to the individuals care and will assist with
oversight in the court process for hearings and evaluations as required for AOT services as
per W&IC 5348.
Recommended positions to be funded through the ARPA grant during each of the identified
Funding Periods, will be peer support specialists and an administrative assistant. The peer
support specialists are critical supports for persons-served, utilizing lived mental health
experience to relate to the individuals while assisting in activities, facilitating peer groups,
and attending other meetings with the persons-served, etc. The administrative assistant will
oversee the support staff and will assist with all support staff duties.
During each of the identified Funding Periods, the ARPA grant will fund the purchase of
medical program supplies (e.g., first aid kits, blood pressure monitor, latex gloves, syringes,
hazard disposal service, over-the-counter medications, etc. that are to remain with the
2 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
program and not sent home with the individual), medication support (e.g., cost of medical
supplies or treatment/medical expense for a specific individual (i.e., including co-pays,
prescription/lab work not covered by insurance, over-the-counter meds, first aid, etc.),
clothing, food, and hygiene (e.g., clothes, shoes, soap, toothpaste, deodorant, grooming
supplies, diapers, etc.), transportation costs within the allowable limitations of the ARPA
grant (e.g., bus tokens/passes, taxi, other public transportation, bicycles, etc.), as well as
housing support (e.g., cost of rent, housing assistance and deposit paid on behalf of the
individual, such as first/last month deposit, late fees, monthly rent, hotel charges, Room &
Board, Board & Care, etc.).
d. Cultural Competency
Any limited and/or no English proficient individuals shall have equal access and participation
in federally funded programs through the provision of comprehensive and quality bilingual
services. Oral interpretation will be made available for any language and written translated
documents are required at a minimum for Fresno County's threshold languages—all provided
to the individuals served at no cost. During each Funding Period, all translators will comply
with the County's requirement for annual training. The subcontractor must identify how they
will address the 15 National Standards for Culturally and Linguistically Appropriate Services
(CLAS).
e. Target Population/Service Areas
The target population for AOT services includes any adult (18 years and older) within Fresno
County that has been historically unwilling to engage in treatment services voluntarily. The
individual must also meet all nine of the criteria (W&IC 5346) required before an AOT
petition can be considered.
f. Staffing
The staffing pattern for the subcontracted provider who provides AOT services will meet all
State licensing and regulatory requirements. All licensed or certified staff must be licensed or
certified within the State of California. Staff hired to provide AOT services will be reflective of
and responsive to the needs of the target population. Staff shall be comprised of a
community-based, multidisciplinary, highly trained mental health team that uses a high staff-
to-client ratio of no more than ten individuals served per team member (W&IC 5348).
Funding Period 1 - Peer Support Specialist/$26,666.67/ 3.00
Administrative Assistant/$41,666.67/ 1.00
Funding Period 2 thru 4 - Peer Support Specialist/$32,000/ 3.00
Administrative Assistant/ $50,000/ 1.00
Staffing classifications may be modified post program development and the Department will
communicate accordingly.
3 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
g. Implementation Plan
The estimated timelines for the implementation of AOT services are as follows:
Funding Period 1 (9/1/2021 to 6/30/2022):
• Multiple program development meetings with internal stakeholders (September—
October 2021)
• Process contract amendment to existing contract to include requirements for AOT
services, assertive outreach and engagement responsibilities, and to include the APRA
funds (November 2021— December 2022)
• Subcontracted provider ramp-up activities (January— February 2022)
• Services anticipated to be operational (March 2022)
Any deviations to the estimated milestones will be communicated accordingly.
Steps in the Implementation Plan include but are not limited to the roll out of the Training
and Education Development Plan to train and inform all necessary stakeholders; engagement
with the Fresno County Court System (including determination of which judge will hear the
AOT petition cases); and a ramp-up period to hire and train staff regarding specific criteria for
AOT petitions and steps of the AOT court processes.
During Funding Periods 2 through 4 (7/1/2022 to 6/30/2023; 7/1/2023 to 6/30/2024; and
7/1/2024 to 6/30/2025), AOT services will be provided to anyone who meets all eligibility
requirements and is not willing to voluntarily engage in treatment after assertive outreach
and engagement attempts by the subcontracted provider.
h. Program Evaluation Plan
During Funding Periods 2 through 4 (7/1/2022 to 6/30/2023; 7/1/2023 to 6/30/2024; and
7/1/2024 to 6/30/2025), Fresno County's Mental Health Plan will conduct an audit of the
subcontracted program annually to ensure objectives are being achieved, documentation is
appropriate, and individuals are receiving quality care. If anything is found to be deficient, a
plan of correction will need to be written by the program indicating how they will make
changes and/or provide training.
Monthly Activity, Staffing Reports, and Census Data are submitted to the Contracted Services
Division for regular monitoring. An Admission Log is used to track admission and discharge
dates, as well as demographic data.
During each Funding Period, a comprehensive annual Outcomes Report will be submitted by
the subcontractor for careful review and analysis by the Contracted Services Division.
Information within the Outcomes Report includes, but is not limited to unique individuals
served, total cost of program, cost per client, and the measurable outcome objectives. The
4 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
American Rescue Plan Act (ARPA)
Supplemental Funding
subcontracted provider also has a quality assurance and quality improvement process that
assists with evaluation of the program.
j. ARPA MHBG Supplement Tracking
County will create a new Cost Center and establish distinct ledger codes to dispense, track,
and administer ARPA MHBG funding separately from the prime and CRRSAA MHBG awards.
I. ARPA Complete Expenditure of Funds
Fresno County will utilize the ARPA Invoice Templates to submit Quarterly invoices to DHCS
20 days after the end of each quarter: October 20, January 20, April 20, and 30 days after the
end of quarter 4: July 31. Quarterly invoices will be submitted via e-mail to
BHRRP@dhcs.ca.gov. In addition, Fresno County will report to DHCS by January 1, 2025 if
they do not anticipate fully expending their SFY 2024-25 allocation by June 30, 2025. County
understands the ARPA MHBG requirement that each State Fiscal Year (SFY) allocation must
be expended in full within the established funding period. County understands that failure to
spend the entirety of each respective SFY allocation will result in the forfeiture of the
remaining funds allocated for the respective SFY and that there will be no rollover of funds
from one SFY to another.
5 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
FRESNO COUNTY PROGRAM NARRATIVE
MHBG CRRSAA Program #2: All-4-Youth
Early Intervention —CRRSAA Only($315,540 for 7/1/21— 12/31/22)
a. Statement of Purpose
The All 4 Youth program is a full integration of behavioral health services onto school sites to
provide specialty mental health services and prevention and early intervention services to
children and youth, ages 0 to 22, in a school, community, and/or home setting. The goal is to
provide easy access to mental health services to youth throughout Fresno County.
Collaborating with the school districts allows students easy access mental health services and
supports while attending school.
b. Measurable Outcome Objectives:
In each of the identified CRRSAA Grant Funding Period (7/01/2021 to 6/30/2022 and
7/01/2022 to 12/31/2022), the All 4 Youth program is required to achieve objectives that fall
within the following four CARF (Commission on Accreditation of Rehabilitation Facilities)
accreditation domains: Effectiveness, Efficiency, Access, and Satisfaction & Feedback. The
annual Outcomes Report that the subcontracted provider submits to Fresno County includes
the program's goals/objectives, indicators, current measures (including data sources), and
will provide further data breakdown as necessary. The goals/objectives for each Funding
Period include, but are not limited to:
1) Increase the delivery of mental health treatment services to unserved and
underserved individuals and their families throughout the County; and
2) Identify and build upon individual and family strengths and assets to help parents and
children develop new skills to enhance family cohesion.
Outcome indicators include:
1) Increase individual and timely participation in the mental health system of care;
2) Individuals will report functional improvements measured by CANS (Child/Adolescent
Needs and Strength) scores;
3) Individuals with identified behavioral health problems will report a decrease in
behavioral health symptoms by the end of the program
4) Decrease in inpatient mental health crisis visits;
5) Decrease in recidivism into the Juvenile Justice System;
6) Improvement in conduct disorder, oppositional defiant disorder, disruptive behavior
disorder, etc.; and
7) Individuals and their families will report satisfaction with program services.
The comprehensive Outcomes Report submitted by the subcontractor will be carefully
reviewed annually by the County's Department of Behavioral Health (DBH). If any deficiency
or shift in objectives or goals is identified during one of the Funding Periods, modifications
1 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
will be discussed and agreed to between County DBH and the subcontractor for what data to
collect and analyze during the subsequent Funding Period.
c. Program Description
All 4 Youth is a school-based prevention and early intervention program. The intent of this
program is to provide positive behavioral supports and mental health prevention and early
intervention services in a school, preschool, community, and home setting. This program
builds upon the existing Positive Behavioral Interventions and Supports (PBIS) framework,
which are already implemented in most schools and showing a positive effect on decreasing
behavioral problems, increasing attendance, increasing social-emotional supports, and
improving school climate.
The expanded PBIS scope of work now includes training on trauma-informed practices,
suicide prevention practices and the incorporation of mental health staff within the school
system. In general, this school-based prevention and early intervention program has a three-
tiered approach emphasizing in primary and secondary prevention services and linkage to
intervention services. The primary tier is designed to increase awareness of warning signs
and risk factors for potential mental health issues. It creates positive school social cultures
and home environments that promote social and academic success. The secondary tier
assists students with improving behavioral and social skills and increasing coping strategies.
Within the secondary tier, screening systems are used by mental health clinicians to deliver
early intervention supports to the students and their families. The third tier provides ongoing
interventions and intensive individualized supports following an appropriate mental health
assessment.
In each of the identified CRRSAA Grant Funding Periods (7/01/2021 to 6/30/2022 and
7/01/2022 to 12/31/2022), the CRRSAA funds will be used to supplement expenditures in the
existing All 4 Youth Prevention and Early Intervention program. The funds will directly
support the salary and benefits of the PBIS Coach in both Funding Periods. The PBIS Coach
develop the trauma informed training modules and facilitates the onboarding trainings to all
the school districts in Fresno County. In addition, the CRRSAA Grant will fund the travel
expense of the All 4 Youth training team as they travel throughout Fresno County to all the
schools to administer the training modules. In the first Funding Period, the All 4 Youth
training team and clinicians will be traveling to onboard and screen students in the newly
onboarded schools in the metropolitan area, as well as the remote Coalinga-Huron area. In
the second funding Period, the All 4 Youth training team and clinicians will be traveling to the
remaining schools in Fresno County to complete the onboarding of all 370 schools.
d. Cultural Competency
The Fresno County Department of Behavioral Health (DBH) requires that any limited and/or
non-English proficient individuals shall have equal access and participation in federally
funded programs through the provision of comprehensive and quality bilingual services. Oral
interpretation will be made available for any language and written translated documents are
2 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
required at a minimum for Fresno County's threshold languages—all provided to the
individuals served at no cost. All translators must comply with the County's requirement for
annual training. The subcontractor must identify how they will address the 15 National
Standards for Culturally and Linguistically Appropriate Services (CLAS).
The All 4 Youth program has been culturally responsive to their target population and the
community it serves, as its direct care mental health professionals are of varying ethnicities
and backgrounds; including Hispanic, Hmong, African American, Laotian, Khmer, and Asian
Indian. Staff are assigned to specific regions of the County to best meet the needs of that
region's population. For example, the bilingual Spanish staff are assigned to regions of
Spanish-speaking communities to better engage and relate with the students and their
families.
e. Target Population/Service Areas
The target population for the All 4 Youth program are children and youth, ages 0-22 years
old. Most youth identified are at risk of school failure, severe emotional and behavioral
problems, abuse, neglect, trauma resulting from co-occurring substance use disorder, and/or
risk of juvenile justice involvement. Additionally, youths ages 0 to 5 years old receive early
childhood wellness and prevention strategies to increase school readiness and prevent
mental illness. The program also includes trainings to various educational professionals (i.e.,
school administrators, teachers, and school psychologist/therapist, rehabilitation specialist,
and bus drivers, etc.)to increase overall campus awareness of mental health symptoms for
appropriate referrals. Currently, All 4 Youth provides services throughout the county, is
present in all 33 school districts, and has onboarded 233 schools of the 344 total schools in
Fresno County.
f. Staffing
Funding Period 1 - PBIS Coach /$101,548.00/ 1.00
Funding Period 2 - PBIS Coach /$101,548.00/0.65
g. Implementation Plan
The All 4 Youth program has been fully implemented since January of 2019 and is currently in
Phase Four of a five-phase implementation plan. The plan is to fully onboard and train all the
schools in Fresno County to be able to receive specialty mental health services on school
sites. All 4 Youth onboards a set of schools each fiscal year based on the needs of the
community. In the first Funding Period (7/01/2021 to 6/30/2022), All 4 Youth will be
onboarding schools in Fresno, Clovis, and Sanger Unified along with the few remaining
schools from prior onboarded school districts. The focus this Funding Period is to onboard
the Coalinga-Huron Unified school district by June 30, 2022. This region has always been
underserved/unserved due to its proximity to resources and supports and is ready to start
receiving steady services. In the second Funding Period (7/01/2022 to 12/31/2022), All 4
3 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
Youth will finish onboarding all the remaining schools in Fresno County, which includes,
Fresno Unified, Clovis Unified, and the Juvenile Justice Campus.
h. Program Evaluation Plan
In each of the identified CRRSAA Grant Funding Periods (7/01/2021 to 6/30/2022 and
7/01/2022 to 12/31/2022), Fresno County's Mental Health Plan conducts audits of the
subcontracted programs annually. This audit is to ensure objectives are being achieved,
documentation is appropriate, and individuals are receiving quality care. If anything is found
to be deficient, a plan of correction will need to be written by the program indicating how
they will make changes and/or provide training. Additionally, All 4 Youth is entering data into
the DBH Electronic Health Record system (Avatar) and is monitored along with DBH internally
operated programs. Monthly Activity Reports, Staffing Reports, and Referral Data are
submitted to the Contracted Services Division for regular monitoring. A Referral log is used to
track referrals and ongoing treatment and discharges. Training logs and surveys are
conducted after each training session to ensure training materials are sufficient and
satisfactory. Annual Outcomes Reports are submitted on an annual basis for careful review
and analysis by the Contracted Services Division. Information within the Outcomes Report
includes, but is not limited to, unique individuals served, total cost of program, cost per
client, client satisfaction, and the programs unique measurable outcome objectives. The
subcontracted provider also has a quality assurance and quality improvement process that
assists with evaluation of the program.
The Outcomes Report will be reviewed annually at the end of each Funding Period. If any
deficiency or shift in objectives or goals is identified during the first Funding Period,
modifications will be discussed and agreed to between County DBH and the subcontractor
for what data to collect and analyze during the subsequent Funding Period.
i. CRRSAA MHBG Supplement Tracking
County will create a new Cost Center and establish distinct ledger codes to dispense, track,
and administer CRRSAA MHBG funding separately from the prime and ARPA MHBG awards.
k. CRRSAA Complete Expenditure of Funds
Fresno County will utilize the CRRSAA Invoice Templates to submit Quarterly invoices to
DHCS 20 days after the end of each quarter: October 20, January 20, April 20, and 30 days
after the end of quarter 4: July 31. Quarterly invoices will be submitted via e-mail to
BHRRP@dhcs.ca.gov. In addition, Fresno County will report to DHCS by June 30, 2022 if they
do not anticipate fully expending the SFY 2022-23 allocation by December 31, 2022. County
understands the CRRSAA MHBG requirement that each State Fiscal Year (SFY) allocation must
be expended in full within the established funding period. County understands that failure to
spend the entirety of each respective SFY allocation will result in the forfeiture of the
4 1 P a g e Fresno County
Community Mental Health Services Block Grant (MHBG)
Coronavirus Response and Relief Supplemental Appropriations Act (CRRSAA)
Supplemental Funding
remaining funds allocated for the respective SFY and that there will be no rollover of funds
from one SFY to another.
5 1 P a g e Fresno County