Agda Pkt 2025.03.10 Joint SA PFA

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REV: 01-10-25 LR The Pilot CWCRT Program has demonstrated reduction in psychiatric emergency services (PES) admission and improved linkage connection to needed on-going treatment services for the community members in crisis, as reported by John W. Gardner Center for Youth and Their Communities of the Stanford University Graduate School of Education (Gardner Center), based on their evaluation study examining the interventions and assessment methods utilized by the Pilot CWCRT Program participant cities in supporting the population served through the Pilot CWCRT Program during the pilot period. This Agreement will continue the CWCRT Program in the Cities by continuously providing one full-time mental health clinician in the City Police Departments offering first response mental health crisis services as described herein. The Agreement addresses the roles and responsibilities between the Cities and the County. 3. Purpose or Scope of Work The Cities enter into this cooperative and reciprocal Agreement with the County, acting through BHRS, for continuous provision of the CWCRT Program to enhance each City’s response to community members in mental health crisis. In the event of a suspected mental health crisis within a community, once informed, the mental health clinician will respond to the scene together with the City law enforcement officer, exercising their independent judgment and expertise and in collaboration with the City’s law enforcement staff. The goal of the immediate co-response will be to de-escalate the crisis and to support the safety of the individual in crisis, those around the individual, and all responding to the incident. The mental health clinician will then assess the person suspected to be in mental health crisis (the “client”) and determine the best course of action (e.g., temporary mandatory placement in a medical facility for psychiatric evaluation and treatment under Section 5150 of the Welfare and Institutions Code, referral for treatment, etc.). One of the goals of the CWCRT Program is that clients in mental health crisis who come into contact with law enforcement receive early intervention to guide them toward appropriate health services. The mental health clinicians will have been trained in the range of available mental health resources both within BHRS and in the community and, together, the law enforcement/mental health clinician response team will decide on the best course of action and/or resource or program for the client. The County of San Mateo derives direct benefit from the implementation of this Agreement, by way of, for example, increasing its ability to directly respond to community members in mental health crisis; providing Medi-Cal reimbursable services to County clients; enhancing response time for those in need of mental health services and resources; and creating a broader and more effective continuum of care that results in a decrease in justice system contacts. In an effort to achieve a healthy and integrated community, this Agreement represents a collaboration among the Parties to jointly exercise their common powers to enhance community linkages and help stabilize and improve the health and well-being of persons ATTY/AGR.2025.004/BHRS of San Mateo County Health (Community Wellness Crisis Response Team MOU) (Page 2 of 17) 6.F. - Page 5 of 20 176