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Board unanimously approves $6.3M amendment to Integrated Wellness Solutions contract for jail competency and stabilization

Tulare County Board of Supervisors · August 5, 2026
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Summary

Behavioral health director Natalie Bollin told the board the county's EASE and JBCT programs keep more people treated locally and reduce state transfers; the board approved an amendment to agreement 31653 to adjust funding for those services.

Natalie Bollin, behavioral health director, presented an amendment to agreement number 31653 with Integrated Wellness Solutions to increase the contract budget by $6,298,290.92 to fund EASE (a pre‑diversion program) and JBCT (jail‑based competency treatment) services. Bollin said both programs are funded by the Department of State Hospitals and that the county's local JBCT model restores competency more quickly than statewide averages.

Bollin provided program metrics: local average length of stay in the jail programs is 71.6 days versus a statewide average of 84.6 days, the local restoration rate is 90% compared with a statewide 76%, and transfers to the Department of State Hospitals are about 10% locally versus 23% statewide. She also noted the county is subject to an IST growth cap (Tulare's cap is 88) and that exceeding caps can carry sanctions she described as ranging from $125,000 to $150,000 per inmate. After discussion and no public comment, the board approved the amendment unanimously.