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Board renews $15.9M behavioral‑health network and extends inmate‑medical contract amid consent‑decree planning

December 04, 2025 | Fulton County, Georgia


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Board renews $15.9M behavioral‑health network and extends inmate‑medical contract amid consent‑decree planning
The Fulton County Board voted to renew the set of contracts that comprise the Fulton County Behavioral Health Network, a package of provider agreements budgeted at about $15.86 million annually that supports child and adolescent services, adult outpatient clinics, school‑based mental health at 66 schools, and permanent supportive housing services. Latrina Foster, director of Behavioral Health, reported that several providers have exceeded their targets, detailed return‑visit and engagement metrics (unique individuals served, retention and 90‑day clinical assessments) and said the network now supports hundreds of permanent supportive housing units and school‑based programs across the county.

Commissioners asked how “served” is measured and how success is assessed. Foster said the network tracks unique individuals served, return visits, the number receiving three or more services, and clinical outcome assessments at 90 days, six months and one year. Board members pressed for clearer reporting and asked for more frequent presentations to show stories and outcomes tied to the contracts.

Separately, the board approved the eighth renewal of the inmate medical services contract (NAF Care), with a total not‑to‑exceed amount around $45.12 million including estimated medical passthroughs. County procurement and legal staff recommended reworking the RFP before rebidding; commissioners asked that the county consider a subject‑matter consultant to ensure new procurement documents meet consent‑decree requirements and modern medical standards. Staff said RFP development work would happen in 2026, with a release in 2027 for a 2028 contract start.

Both renewals passed on the consent calendar. Commissioners stressed the need for stronger performance reporting tied to outcomes and for continued coordination between behavioral health clinics, diversion programs and the jail reentry screening unit.

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