Memorandum
Date: October 27, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Approve the Agreement between the County of Lake and Crestwood Behavioral Health Inc. for Adult Residential Support Services and Specialty Mental Health Services for Fiscal Year 2026-2027 in an amount not to exceed $900,000, and authorize the Board Chair to sign
Executive Summary:
Lake County Behavioral Health Services (LCBHS) requests approval of an Agreement with Crestwood Behavioral Health Inc. for Fiscal Year 2026-2027 to provide adult residential support services and Specialty Mental Health Services for eligible Lake County clients.
Crestwood operates multiple specialized behavioral health facilities throughout California, including Adult Residential/Social Rehabilitation facilities, Skilled Nursing/Special Treatment Program facilities, Mental Health Rehabilitation Centers, and Psychiatric Health Facilities. These facilities provide structured residential, rehabilitation, psychiatric, and specialized behavioral health services for individuals with significant behavioral health and functional needs.
These services are necessary for clients with severe and persistent mental health needs who require structured residential or facility-based care that cannot be safely or appropriately provided in a lower level of care or through locally available outpatient or community-based services. The Agreement allows LCBHS to access specialized placements and levels of care based upon individual client need and County authorization.
Crestwood has historically provided residential and facility-based behavioral health placements for Lake County clients requiring specialized treatment, stabilization, and structured support. Prior contract history and utilization demonstrate the continued need for these services.
For Fiscal Years 2022-2025, Crestwood contract maximums totaled $1,200,000 across Adult Residential, Ment...
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