Memorandum
Date: August 5, 2025
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Consideration of the Agreement Between County of Lake and Sierra Pathways, A Licensed Social Worker Corporation in the Amount of $960,281.57 for Fiscal Years 2025-2027.
Executive Summary:
Pursuant to a competitive procurement process conducted under RFP No. 25-1138, the Behavioral Health Services Department recommends approval of a contract with Sierra Pathways, A Licensed Clinical Social Worker Corporation, to implement and operate two critical behavioral health programs: a Day Treatment Intensive (DTI) Half-Day Program and an Adult Residential Facility (ARF), both designed to serve Transitional Age Youth (TAY) and adults with co-occurring mental health and substance use disorders, including those impacted by opioid misuse.
This project is consistent with the County’s Opioid Settlement Funds Expenditure Plan and aligns with the California Department of Health Care Services’ High Impact Abatement Activities (HIAA) framework. The proposed services will fill long-standing gaps in Lake County’s behavioral health system by offering evidence-based, culturally responsive care in both outpatient and residential settings. These services are particularly responsive to the needs of vulnerable populations, including individuals involved in the justice system, those at risk of homelessness, and historically underserved communities.
The awarded contract amount of $960,281.57 will be administered on a reimbursement basis over two years and will fund program startup and operational costs. After start up, this project will sustain through Specialty Mental Health Medi-Cal reimbursements.
Performance metrics and reporting requirements are embedded in the contract to ensure accountability, including quarterly outcome reports, financial documentation, and evaluation of opioid-related impacts.
If not budgeted, fill in the blanks below only:
Estimated Cost: _$960,281.57__ Amount Budgeted: ________ Additional Requested: ________ Future Annual Cost: ________
Purchasing Considerations (check all that apply): ☐ Not applicable
☒ Fully Article X. <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI>- and/or Consultant Selection Policy <http://lcnet.co.lake.ca.us/Assets/Intranet/Policy/Policies+$!26+Procedures+Manual/Ch4_2021v2.pdf>-Compliant (describe process undertaken in “Executive Summary”)
☐ Section 2-38 <https://library.municode.com/ca/lake_county/codes/code_of_ordinances?nodeId=COOR_CH2AD_ARTXPU_S2-38EXCOBI> Exemption from Competitive Bidding (rationale in “Executive Summary,” attach documentation, as needed)
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☐ Other (Please describe in Executive Summary)
Consistency with Vision 2028 <http://www.lakecountyca.gov/Government/Directory/Administration/Visioning/Vision2028.htm> (check all that apply): ☐ Not applicable
☒ Well-being of Residents ☐ Public Safety ☐ Disaster Prevention, Preparedness, Recovery
☐ Economic Development ☐ Infrastructure ☐ County Workforce
☐ Community Collaboration ☐ Business Process Efficiency ☐ Clear Lake
Recommended Action: Approve the Agreement Between County of Lake and Sierra Pathways, A Licensed Social Worker Corporation in the amount of $960,281.57 for Fiscal Years 2025-2027 and Authorize the Board Chair to Sign.