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RESOLUTTON N0. 69-,~D~
BOARD OF SUPERVISORS
COUNTY OF BUTTE, STATE OF CALIFORNIA
RESOLUTION :4UTHORIZING APPLICATION FOR SHORT-DOYLE FUNDS
WHEREAS, by Resolution No. 66-88, the Butte'-County Mental
Health Service has been established pursuant to the provisions
of the Short-Doyle Act (Welfare and Institutions Code, Sections
5600 et seq);-and
WHEREAS, the County of Butte desires to apply for state
funds for the establishment of a county mental health program
pursuant to the provisions of the Short-Doyle Act,
NOW, THEREFORE, BE IT RESOLVED by the Board of Supervisors
of the County of Butte, State of California, that the attached
application for Short-Doyle Act funds, including the plans for
said program and the budget therefore, be, and the same are
hereby approved, and the Butte ,County Mental Health Director is
directed to file the same with the Department of Mental Hygiene
of the State of California.
PASSED AND ADOPTED by the Board of Supervisors of the County
of Butte, State of California, this 24th day of June, 1969, by
the following vote:
AYES: Supervisrs Dunaway Howsden~ Reynolds anal Chairman
McKillop
NOES: Supervisor Maxon
ABSENT: None ~
P, a~.rman
tte County Board of Supervisors
ATTEST:
CLARK A. NELSON, County Clerk
and ex-officio Clerk of the
Bo/a~rd~of Supervisors
The attached assembly includes a standard contract
between the State and the County drafted pursuant to the 1968
amendments to the Welfare and Institutions Code, which has
been approved by the Chief Counsel's Office, Department of
General Services. The contract contains necessary provisions
for an inpatient services contract. Also included are
standard provisions to be included in contracts for the other
six patient oriented aervicea set forth in Section 5656 of
the Short-Dayle Act. Standard provisions for a contract
involving the non-patient oriented services (consultation,
education and information aervicea, training services, and
research and evaluation services) will be submitted to the
Chief Counsel's Office, Department of General Services for
review at a later date.
The necessary provisions for an inpatient services
contract are underlined. The provisions not underlined are
standard provisions to be included in contracts for the other
six services. When such a contract is desired substitute the
attached standard provisions for that particular service in
the inpatient services contract where underlined. Contracts
for several services may be included in one contract by includ-
ing the standard provisions for the particular services desired.
AGREEMENT FOR MENTAL HEALTH SERVICES
THIS AGREEMENT, made and entered into this
day of 19 by and between
COUNTY, acting by and
through their Board of Supervisors, hereinafter referred to as
"County", and the STATE OF CALIFORNIA, DEPARTMENT OF MENTAL
HXGIENE, acting by and through the Director of Mental Hygiene
with the approval of the Director of General Services, herein-
after referred to as "State";
W I T N E S S E '~ H•
WHEREAS, the County desires to obtain from the State
patient care, treatment, facilities and related services under
the provisions of Division 5 of the Welfare and Institutions
Code, State of California, in accordance with Section 4017,
5401 and 5602 of said code; and
WHEREAS, the De~rlitt Mendocino
State
Hospital s as have t e necessary staff, facilities, and
services to adequately provide such sgecialized care and treat-
ment;
NOW, THEREFORE, it is mutually agreed between the
parties as follows:
In consideration of the payments hereinafter provided,
State agrees to provide inpatient services as described in Sec-
tion 541, Title 9, California Administrative Cade, at the follow-
ing State Hospital (s) : DeWitt ~ T~~ndocino
-- --- - __
to (adult
patients over the age of 16 and or children patients under the
age of 16) referred by the Director of Local Mental Health
Services of Butte County.
II
TII
The admission, treatment and discharge of patients
sha11 be in accordance with_ ~nerall~,accepted standards of
1.
xv
v
State agrees to have admission policies which shall
be in writing and available to the public. Such policies shall
include a provision that patients will be accepted for care
without discrimination on the basis of race, color, religion,
national origin, or ancestry.
VI
State further agrees not to employ discriminatory
practices in the admission of patients, assignment of accommo-
dations, employment of personnel, or in any other respect on
the basis of race, color, religion, national origin or ancestry.
VZZ
State will maintain adequate medical records on each
individual patient. The records shall include diagnostic studies
and a record of services provided by the various professional
personnel in sufficient detail to make possible an evaluation
2.
of services. The records shall contain all of the data
necessary in reporting to the Department of Mental Hygiene,
including records of patient interviews. A qualified medical
record librarian shall be responsible for the completion of
medical records and the transmission of reports.
VIII
State agrees that professional and technical
personnel shall meet the standards -set forth in Article 8,
Subchapter 3, Title 9, California Administrative Code, unless
the Department of Mental Hygiene permits exceptions to these
requirements.
Ix
Fees for services provided shall be charged by
State in accordance with the ability of the patient or his
responsible relatives to pay but not in excess of actual cost
to the Department of Mental Hygiene. Charges shall be in
accordance with the attached prevailing sc]iedule of charges
which has been adopted by the Director of Mental Hygiene for
patients receiving State Hospital services.
X
In consideration of the aforesaid services rendered by
State to patients referred by the Local Mental Health Director,
County agrees to pay State ldi6 of all costs of reimbursable
services, less patient fees collected. State to retain 90°~ of
the cost of these services from County°s allocation pursuant to
Welfare and Institutions Code Section 5714. All non-reimbursable
services, less patient fees collected, shall be paid by County
in full.
Services for which County is liable for payment shall
include all extraordinary services and emergency care, less
patient fees collected,
The total amount Co S t u er is
~ollars ($ • unless the parties
should increase this amount through appropriate amendment.
xI
3.
XIT
Adequate financial records shall be kept by State
so that they clearly reflect th® cost of each type of service
for which payment is claimed. Any apportionment of costs
shall be made in accordance with accepted accounting principles
in order to reflect the true cost of the services rendered.
Statistical data shall be kept and reports made as required
by the Department of Mental Hygiene on forms provided by the
Department of l~lental Hygiene, All such records shall be avail-
able for inspection by the audita.rs of County at reasonable
times during normal business hours.
Xaa=
State shall bill County quarterly in arrears for
services rendered to eligible patients in an amount not to
exceed actual costs to State, in accordance with paragraph X
of this agreement, said bill to clearly reflect the cost of
services rendered in the care of each patient. During 1969-70
bills shall be submitted for three-month periods commencing.
with the July, August, and September period of that year.
X21
Count .
XV
reserves the right to transfer,_at zts own
lent of Count to another State Hos ital under
of the Department of Mental Hygiene whenever
he opinion of the Director of Mental Hygiene,
vailable__is inadec,~uate for treatment ur ses
would be benefitted b such a transfer. State
t with the Local mental Health Airector riot
Preference shall be iven in an such trans-
osx~ital in an adioininct rather titian __a_ remote
strict.
4.
xvz
ment.
t
vinq a rec~procay wor
Mental Hygiene for t
sons. Count shall
to such persons by S
gt non-resident persons rererre
rector who are residents of a
king agreement with the Depart-
he mutual exchange_or return of
not be res onsible for the servi
tats or for the costs of trans~-
their state of residence.
X~II
This agreement shall be effective only for such period
of time as the Controller of the County certifies that funds
have been appropriated, are available, and have been set aside
for the purposes hereof, and the County's obligation hereunder
shall not exceed the amount certified by the Controller of the
County unless an additional certification is secured.
XVIII
All references in this agreement to sections of
Title 9, California Administrative Code, shall be applied as
now existing or hereinafter amended.
X2X
This agreement may be terminated by either party by
giving thirty (30j days written notice of intention to terminate.
In the event that County fails to certify as to the availability
of funds State reserves the right to terminate this agreement
immediately by giving written notice to County. CJnless so
terminated, this agreement shall remain in full force and
effect commencing July 1, 1969, and ending June 30, 1970.
IN WITNESS wHEEtEOF, the parties hereby have caused
5.
their duly authorized representatives to execute this agreement
the day and year first above written.
COUNTY OF Bt1'TTE
By Original signed by Jack McKillop
Chairman, Board of Supervisors
STATE OF CALIFORNIA
DEPARTMENT OF MENTAL HYGIENE
Sy
C ief Deputy Director
Office of Administrative Management
Approved:
STATE OF CALIFORNIA
DEPARTMENT OF GENERAL SERVICES
By
Director of Genera Services
F•.~•,O~"~'~ AS TO FORM Approved as to Fiscal
Qa.~irl V. 6'acksfock and Budgetary C trot
1.....„,.Caun9y Caunse
V~%y( ~r~s merit
:~~ ~ G ~~v
6.
EMERGENCY SERVICES CONTRACT PROVISIONS
N.B. Permissive additional services to contracts under Cali-
fornia Administrative Code Sections 54I, 542 and 543.
Emergency services may not be separately contracted,
but must be included in a contract for either inpatient
services, outpatient services, or partial hospital-
ization services. (Cal. Admin. Code 544.)
}CX
(Same as inpatient agreement except for "emergency"
and "544" which are added after the underlined service and
section.)
XXI
In accordance with Section 544, Title 9, California
Administrative Code, emergency services are defined as those_
mental health services which provide immediate professional
attention to persons suffering from mental, emotional or
behavioral disorders, mental retardation or mental disorders
resulting from alcoholism.
XXII
State agrees that the emergency services provided
shall be readily available and accessible to County's patients
24 hours a day, seven days a week.
'~ ~' xxz II
Payment by County for which State reimbursement shall
be made pursuant to Section 5705 of the Welfare and Institutions
Code shall be limited to payment for emergency services set
forth in paragraph II of this agreement, including the prescribing
or furnishing of necessary drugs, but excluding other medical
care or treatment not necessary to evaluation of psychiatric
disorders.
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