AGENDA
ITEM
17 Agenda
Item
CALEXICO California
WHERE CALIFORNIA AND MEXICO MEET
17 CITY COUNCIL
AGENDA STAFF REPORT
DATE: January 15, 2025
TO: Mayor and City Council
APPROVED BY: Juan Contreras, Acting City Manager Al
REVIEWED BY: Karla Chaparro, Finance Director
PREPARED BY: Armando Orozco, Police Chief AO
SUBJECT: Approval of a Resolution of the City Council of the City of Calexico Approving the Memorandum of Understanding (MOU) between the Calexico Police Department (CPD) and the Whole Person Care Clinic Sobering Center.
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RECOMMENDATION
Approve a Resolution of the City Council of the City of Calexico approving the Memorandum of Understanding (MOU) between the Calexico Police Department (CPD) and the Whole Person Care Clinic Sobering Center (WPCC Sobering Center) to establish a collaborative program aimed at diverting individuals under the influence of alcohol or drugs from incarceration to appropriate care and treatment services.
BACKGROUND
The Calexico Police Department and the Whole Person Care Clinic Sobering Center have identified a shared goal of enhancing public safety and improving outcomes for individuals struggling with substance use. This partnership will provide a secure environment for individuals to sober up while receiving assessments and support services, reducing reliance on incarceration for non-criminal intoxication incidents.
This initiative aligns with broader efforts to promote public health, reduce recidivism, and create cost-effective solutions for addressing substance use in our community.
DISCUSSION
The proposed MOU outlines the roles and responsibilities of both parties in implementing this partnership. Key components include:
1. Referral Process: CPD officers will refer eligible individuals to the WPCC Sobering Center as an alternative to incarceration.
2. Transportation: CPD will arrange safe transport for referred individuals when necessary.
3. Supervised Care: WPCC Sobering Center will provide a safe environment for individuals to sober up, undergo assessments, and access referrals for further care.
4. Training: CPD officers will receive training in referral procedures.
5. Confidentiality: Both parties will adhere to all applicable privacy laws, including HIPAA.
This agreement also includes guidelines for eligibility, funding responsibilities, and dispute resolution mechanisms. The MOU will remain in effect for one year and may be renewed or modified by mutual agreement.
FISCAL IMPACT
The program will utilize existing CPD resources for transportation and referrals. The WPCC Sobering Center will fund its services through its operational budget, ensuring no additional financial burden on the city.
CONCLUSION
Approving this MOU will strengthen the city's efforts to address substance use issues while promoting public safety and improving the overall well-being of affected individuals.
Coordinated With:
City Attorney
ATTACHMENTS
1. Resolution
Memorandum of Understanding (MOU)
2 ATTACHMENT NO. 1
RESOLUTION NO. 2025-_
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CALEXICO APPROVING
A MEMORANDUM OF UNDERSTANDING (MOU) BETWEEN THE CALEXICO POLICE
DEPARTMENT AND THE WHOLE PERSON CARE CLINIC SOBERING CENTER WHEREAS, the City of Calexico and the Whole Person Care Clinic Sobering Center share a commitment to enhancing public safety and improving outcomes for individuals affected by substance use; and
WHEREAS, the proposed Memorandum of Understanding (MOU) establishes a partnership to provide a safe and secure environment for individuals to sober up, undergo assessment, and access support services; and
WHEREAS, this partnership will reduce reliance on incarceration for non-criminal intoxication incidents, promoting public health and safety; and WHEREAS, the MOU has been reviewed and approved by the City Attorney to ensure compliance with applicable laws and regulations;
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of Calexico hereby approves the Memorandum of Understanding (MOU) between the Calexico Police Department and the Whole Person Care Clinic Sobering Center and authorizes the Chief of Police to execute the agreement on behalf of the city.
Effective Date: This resolution shall take effect immediately upon adoption.
PASSED, APPROVED, AND ADOPTED this day of _, 2025, by the City Council of the City of Calexico.
Diana Nuricumbo, Mayor
ATTEST:
Veronica L. Alvarado, City Clerk
APPROVED AS TO FORM:
Carlos Campos, City Attorney
State of California)
County of Imperial) ss.
City of Calexico)
1, Veronica L. Alvarado, City Clerk of the City of Calexico do herby certify the above Resolution No. 2025- was approved at a regular City Council meeting held on the 15th day of January 2025, by following vote to-wit:
AYES:
NOES:
ABSENT:
Veronica L. Alvarado, City Clerk
ATTACHMENT NO. 2
Whole Person
Care Clinic.
MEMORANDUM OF UNDERSTANDING (MOU)
BETWEEN
Calexico Police Department
And
Whole Person Care Clinic Sobering Center
This Memorandum of Understanding (MOU) is made and entered into by and between the Calexico Police Department, hereinafter referred to as "CPD," and the Whole Person Care Clinic Sobering Center, hereinafter referred to as "WPCC Sobering Center," collectively referred to as the "Parties."
1. Purpose
The purpose of this MOU is to outline the collaborative efforts between the Calexico Police Department and the Whole Person Care Clinic Sobering Center to provide individuals under the influence of alcohol or drugs with a safe, secure environment for sobriety, assessment, and care. This MOU aims to ensure that individuals in need are diverted from incarceration and directed to appropriate treatment and support services in a timely and coordinated manner.
2. Objectives
• To establish a process for the referral of individuals who are intoxicated or under the influence of substances to the WPCC Sobering Center instead of jail or other law enforcement facilities.
• To provide a safe, supervised environment for individuals who need to sober up, undergo medical assessment, and/or receive social services. • To enhance public safety and promote positive outcomes for individuals struggling with substance use.
3. Responsibilities of the Calexico Police Department
The CPD agrees to:
• Referral Process: Provide referrals of eligible individuals to the WPCC Sobering Center based on the guidelines established by this MOU. • Transportation: If necessary, arrange for the safe transport of individuals from the scene of an incident or from CPD holding facilities to the WPCC Sobering Center. • Training and Awareness: Ensure that officers are trained on the procedures for referring individuals to the WPC Sobering Center.
• Cooperation: Collaborate with WPCC Sobering Center staff to share necessary information and ensure the effective operation of the referral system, subject to applicable privacy and confidentiality laws.
4. Responsibilities of the Whole Person Care Clinic Sobering Center The WPCC Sobering Center agrees to:
• Intake and Assessment: Accept individuals referred by the CPD, conduct an intake assessment, and ensure a safe and supervised environment for those under the influence of substances.
• Supervision and Care: Provide supervision, basic medical assessment, and care for individuals while they are sobering up, including offering referrals to other services such as addiction counseling, mental health support, recuperative care or medical treatment as needed.
• Transportation: Arrange for the safe transport of individuals once ready to exit from WPCC Sobering Center.
• Coordination of Services: Coordinate with community partners and service providers for long-term care or treatment options for individuals who need ongoing support.
• Reporting and Documentation: Maintain accurate records of all referrals and services provided and share necessary aggregate data or reports with the CPD upon request, subject to privacy and confidentiality rules.
5. Referral Guidelines
• Individuals eligible for referral to the WPC Sobering Center must be intoxicated but not presenting a danger to themselves or others and must not have outstanding. warrants for serious criminal offenses.
• The CPD will assess the individual's condition and determine if referral to the Sobering Center is appropriate. If an individual is found to be in need of urgent medical attention or presents a risk to themselves or others, they will be taken to a hospital or other emergency medical facility.
• WPC Sobering Center staff will notify CPD when an individual has been safely discharged from the center, or if additional assistance is needed during the sobriety process.
6. Confidentiality
Both parties agree to protect the confidentiality of all individuals referred to the WPC Sobering Center in accordance with applicable laws, including but not limited to the Health Insurance Portability and Accountability Act (HIPAA) and any other relevant state and federal regulations.
7. Funding and Resources
• CPD: The Calexico Police Department will continue to allocate necessary resources for law enforcement and public safety operations, including staff time to handle referrals and transportation to the WPC Sobering Center. • WPC Sobering Center: The Whole Person Care Clinic Sobering Center will utilize its resources and funding to provide the services outlined in this MOU, including space, staffing, and medical or social services as appropriate.
8. Term of Agreement
This MOU shall become effective upon signature by both parties and will remain in effect for a period of one year, after which it may be renewed or modified by mutual agreement.
Either party may terminate this MOU with 30 days' written notice to the other party.
9. Amendments
Any amendments to this MOU must be in writing and signed by both parties.
10. Dispute Resolution
In the event of a dispute arising out of or relating to this MOU, both parties agree to attempt to resolve the dispute through informal negotiation. If the dispute cannot be resolved through negotiation, the parties may seek mediation or other alternative dispute resolution methods.
11. Indemnification
Each party agrees to indemnify and hold harmless the other party, its officers, employees, and agents from any claims, liabilities, damages, or expenses arising from their own acts or omissions related to the execution of this MOU.
12. Miscellaneous
• Governing Law: This MOU shall be governed by and construed in accordance with the laws of the State of California.
• No Partnership or Agency: Nothing in this MOU is intended to create a partnership, joint venture, or agency relationship between the parties. • Entire Agreement: This MOU constitutes the entire understanding between the parties and supersedes any prior agreements, written or oral, relating to the subject matter herein.
13. Signatures
By signing below, the Parties acknowledge that they have read and understand the terms of this MOU and agree to abide by its provisions.
For Calexico Police Department:
Signature:
Name:
Title:
Date:
For Whole Person Care Clinic Sobering Center:
Signature:
Name:
Title:
Date:
SAFETY • DIGNITY • ADVOCACY • EXCELLENCE
Community Care
CampuS IMPERIAL VALLEY
by NATIONAL HEALTHCARE & HOUSING ADVISORS
NHHA's Community Care Campus Imperial Valley offers an integrated system to care for the whole person. Our nationwide campuses are designed to link the local community to services that aim to meet their needs, from physical health to mental health to supportive housing.
Proudly operated by National Healthcare & Housing Advisors www.nhhadvisors.com Community Care Main Campus:
1131 Yourman Road, Ste A
Campus IMPERIAL VALLEY Heber, CA 92249
by NATIONAL HEALTHCARE & HOUSING ADVISORS
NHHA's Community Care Campuses offer an
integrated system to care for the whole
person. Each campus is designed to link the
local community to services that aim to meet
their needs, from physical health to mental
health to supportive housing.
Sobering Center
Whole Person Additional Services
Services Provided By: Care Clinic.
Coming Soon!
Our Sobering Center offers a safe, supportive
environment for publicly intoxicated individuals as an Short-Term Post-Hospitalization, alternative to emergency departments or jail. Pharmacy, and Telehealth/Behavioral Health Services
Hours of Operation: 24 hours a day, 7 days a week
For Referrals, Call: 760-249-2270 Health Insurances Accepted:
We are currently offering services to
Recuperative Care Community Health Plan of Imperial
Valley (CHPIV) and Kaiser members.
Services Provided By: Whole Persor
Care Clinic.
We are proud to offer Recuperative Care and Day
Habilitation services to the Imperial County area through NHHA's Community Care Campus Imperial Valley.
Hours of Operation: 24 hours a day, 7 days a week
For Referrals
Phone: 760-249-2215 Fax: 760-279-3172
Email: [email protected]
Scan the code for the latest
information on accepted insurance, services
Housing Services available, hours of operation, and more! Services Provided By: enC.xmpass COMMUNITYCARECAMPUS.COM We assist individuals or families with locating and securing housing, covering housing deposits and providing
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Hours of Operation: Monday-Friday, 9am-5pm
For Appointments NHHA
Email: [email protected]
Phone: 760-354-9658
NATIONAL HEALTHCARE & HOUSING ADVISORS
Community Care Sobering Center
Campus IMPERIAL VALLEY
by NATIONAL HEALTHCARE & HOUSING ADVISORS
Whole Person
Services provided by: Care Clinic.
www.communitycarecampus.com
PROGRAM HIGHLIGHTS
• Provides a safe, supportive, stable environment for • Access to temporary beds and shower facilities, publicly intoxicated individuals rehydration and food services • Access to substance use education and counseling • Offers medical triage, first aid, treatment for nausea • Warm hand-off to behavioral health services and • Services available for up to 24 hours ongoing supportive services • Long lasting positive impacts for the community
ADMISSION CRITERIA
The following criteria aim to ensure that individuals admitted to the sobering center facility are in a stable condition and have the necessary support for optimal recovery. • Nature of the Referral: Currently publicly intoxicated from excessive use of alcohol or drugs, including opioids, stimulants, benzodiazepines, etc. • Age/Behavior: Must be 18 or older. Behavior must be considered cooperative. • Medical Stability: Considered medically stable and not actively seizing • Communication: Able to communicate their basic information. • Mobility: Ambulatory either independently or with minimal assistance.
INCLUSION CRITERIA EXCLUSION CRITERIA
• 18 and older • Uncooperative or threatening/aggressive behavior • Intoxicated but conscious, cooperative, able to walk, free • Blood Alcohol Content (BAC) > 0.300 (requires from medical distress, and nonviolent hospitalization)
• Would otherwise be transported to the emergency • Urgent medical condition present (e.g. chest pain, department or jail or presented at the ED and is shortness of breath, etc.) appropriate to be diverted to a Sobering Center • Inability to walk due to intoxication
REFERRAL PROCESS DISCHARGE
1. Referral source to call Sobering Center intake line: 760-249-2270 Before discharge, client will be engaged in
2. Sobering Center Staff Member will receive and document referral details and referred to opportunities for continuing (patient's name, age, substances consumed, behavior, location, referral treatment beyond this level of care. Upon source). discharge, client will be provided with
3. Staff will assess the referral based on the inclusion criteria and determine instructions and information about referrals bed availability. or further treatment. If applicable, we will
4. Staff will communicate with referring individual the final determination: ensure follow-up services or outreach are a. If eligible, staff will reserve a bed and verify the required scheduled. Client will be transported to their items/services are in place. designated destination or orientation b. If found ineligible, staff will advise referral source of denial and, if location. applicable, may assist with finding an alternative destination.
5. The referring party should plan to arrange for transportation to Sobering The primary goal of a sobering center is to reduce harm associated with acute
Center. Based on availability, Sobering Center staff may be able to assist intoxication by offering a safe environment
with transportation.
6. Upon arrival to the facility, Staff will assess client for signs of distress, for recovery, thereby avoiding the need for trauma, or concerning behavior. If any vital signs fall outside the jail or emergency department visits and acceptable range or there is medical concern, Staff will assist with referral reducing the impacts on essential emergency to appropriate facility or deny admission. and community services.
Phone Number: 760-249-2270 | Email: [email protected] Community Care
Campus IMPERIAL VALLEY Recuperative Care
by NATIONAL HEALTHCARE & HOUSING ADVISORS
www.communitycarecampus.com Whole Person
Services provided by: Care Clinic.
PROGRAM HIGHLIGHTS
• Voluntary program that provides a safe, stable, and supportive environment as individuals regain strength, functionality, and independence after a hospital stay • Offers medication management, therapy, life skills, enrichment activities, and more • Recuperative care stays are up to 90 days
• Pet-friendly
• Committed to a 2 hour response time
• Aftercare Planning: Short-Term Post-Hospitalization (up to 6-month stays) OR connection to housing support services
ADMISSION CRITERIA
The following criteria aim to ensure that individuals admitted to the recuperative care facility are in a stable condition, capable of participating in their care, and have the necessary support for optimal recovery. • Housing Situation: Currently homeless, at risk of homelessness, living in an environment not suitable for habitation, or residing in a living arrangement not conducive for optimal healing. • Medical and Psychiatric Stability: Must be medically and psychiatrically stable at the time of discharge from acute care.
• Cognitive Function: Must be alert and oriented to person, place, time, and situation, with the ability to effectively communicate needs.
• Activities of Daily Living (ADLs): Should be capable of independently completing activities of daily living. • Mobility: Must be ambulatory or have the ability to independently and safely move a minimum of 150 feet, including transfers, with or without the use of durable medical equipment (DME). • Bowel and Bladder Continence: Must be continent of bowel and bladder or have the ability to independently manage incontinence with appropriate garments.
• Medication Management: Be able to successfully self-administer medication with oversight from staff.
INCLUSION CRITERIA
• Individuals at risk of hospitalization or rehospitalization • Individuals being discharged from the hospital without a safe place to continue healing • Individuals experiencing homelessness who are participating in ECM with one or more chronic conditions
EXCLUSION CRITERIA
• Unable to independently transfer or preform ADL's/IADL's • Cognitively impaired
• Active Communicable diseases requiring droplet and/or airborne isolation, such as: Varicella-Zoster virus, Pertussis, C-Diff, Tuberculosis, COVID-19 • Stage 3 or higher decubitus ulcer
• Cardiac Ejection <20%
• Actively detoxing with risk of severe withdrawal symptoms • Combative or aggressive behavior towards staff or other participants • Qualifies for placement for Long Term Care or Skilled Nursing Facility Phone: 760-249-2215 | Fax: 760-279-3172 | Email: [email protected] Community Care
Campus IMPERIAL VALLEY Recuperative Care
by NATIONAL HEALTHCARE & HOUSING ADVISORS
Whole Person
www.communitycarecampus.com Services provided by: Care Clinic.
REFERRAL PROCESS
1. Submit a referral form with supporting documentation to the Admission Team. • Fax: 760-279-3172 or Email: [email protected]
2. An Admission Team representative will confirm the receipt of referral at the contact information provided on the referral form.
3. Referral and supporting documents then will be reviewed to verify member meets program and funding source eligibility requirements.
4. Admission Team representative will communicate with referring individual determination, if eligible the team member will reserve a bed and verify the required items/services are in place prior to the transition of client, if found not eligible justification will be provided and identify what would be required for individual to be eligible.
5. If the determination provided seems unjustified, a secondary review by supervisor/leadership can be requested by the referring party.
6. Prior to transition of client, the communication and verification of the following will transpire:
• Required medication obtained or Prescriptions sent to partnering Pharmacy • Required Durable Medical Equipment obtained.
• Required Home Health Services secured.
• Address and Contact of Recuperative Care Location accepted to.
7. The referring facility will arrange for transportation to Recuperative Care.
8. Referring facility will contact Recuperative staff to confirm estimated time of departure.
DISCHARGE
Prior to discharge, the Encompass Housing Team will offer Housing Navigation services to help individuals find and secure stable housing.
The goal of these programs is to facilitate a smooth transition from hospital care into stable housing and provide continued ongoing follow up support to assist individuals in achieving optimal health outcomes.
QUESTIONS? CONTACT US!
If you have any questions about the referral process or want to discuss a specific case, please call 760-249-2215.
Community Care Campus is proudly operated by National Healthcare & Housing Advisors | www.nhhadvisors.com Recuperative Care What is recuperative care?
A safe place to rest, heal, and regain
Whole Person your strength while you recover.
Services provided by: Care Clinic.
Why choose our recuperative care services?
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• Assistance with obtaining any missing
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license, birth certificate, etc.)
COMMUNITY CARE CAMPUS
• Participation is completely voluntary IMPERIAL VALLEY Proudly operated by
• We are pet-friendly! National Healthcare & Housing Advisors www.nhhadvisors.com
Phone: 760-249-2215 | Email: [email protected] | Web: communitycarecampus.com