Agenda 06/27/2023 Item #11A (Collier County Mental Health Facility)11.A
06/27/2023
EXECUTIVE SUMMARY
Recommendation to accept a project update on the Collier County Mental Health Facility and staff
recommendation to proceed with the design of option number one for 87 total beds (45 CSU, 30 adult
Medicare/Acute and 12 ESAC) with an estimated construction cost of $44 million. (Project No. 50239)
OBJECTIVE: To provide a Mental Health Facility update and obtain Board authorization to proceed with a design
option.
CONSIDERATIONS: On March 8, 2022, (Agenda Item I LE), the Board of County Commissioners (BCC)
approved Contract No. 21-7911 in the amount of $2,462,809.00 to RG Architects P.A. (the Consultant), to provide
architectural services pertinent to the Collier County Mental Health Facility. The Consultant has completed Task 1,
Programming, Task 2, Master Planning, and Task 3 - 30% Construction Documents.
With project design at 30% the number of beds and size of the facility needs to be finalized in order to provide
direction to the Architect and proceed with design.
The Mental Health Facility programming phase was conducted by RG Architects and the Project Delivery Team
including key stakeholders. The programming effort resulted in a recommendation for a 60,000 square foot facility
providing 87 beds including 45 Crisis Stabilization Unit (CSU) beds, 15 Acute beds, 15 Medicare beds, and 12
Emergency Services Assessment Center (ESAC) beds.
On September 09, 2021, the Construction Manager at Risk (CMAR) Solicitation was closed. CMAR Solicitation
ranking, with DeAngelis Diamond ranked as number one, was approved by the Board on November 9, 2021
(Agenda Item 16.C.5). The Pre -Construction services contract was approved on March 14, 2023 (Agenda Item
1 LF). Once on board, the Construction Manager developed a detailed construction budget based on 30%
construction drawings and input from over 60 subcontractors.
The initial construction budget developed by the Construction Manager was $48M (Scope: 87 beds - 60,000 sqft).
This budget was subsequently reduced through initial value engineering to approximately $44M. Because this
budget is significantly more than previous construction estimates, and the programmed Surtax allocation, two
additional alternatives have been developed (72 beds - 52,500 sqft and 57 beds - 45,000 sqft).
The Collier County Mental Health Facility is an important Community Priority Project endorsed by the voters in
2018 and identified as the number one priority of the Behavioral Health Ad Hoc Committee. Recognizing the
importance of the Mental Health Facility the Project Delivery Team has looked at current service demand as well as
the need to provide for future capacity in developing options and arriving at its recommendation.
1) Adult beds: The average number of adults currently under the Marchman Act at Collier County Sheriff
Office (CCSO) jail facilities is 10 beds. The average number of adults within the existing David Lawrence
Center (DLC) facility is approximately 29 beds per day. The maximum number of occupied beds
experienced by DLC is 40 beds per day. The existing programmatic need for beds based on today's demand
is between 39 and 50 beds per day.
2) 12 Emergency Services Assessment Center (ESAC) beds are required with all options.
3) Following completion of the new facility the existing DLC Facility will provide 15 children's CSU beds
and 3 children's ESAC beds plus 15 detox beds. The 30 adult CSU bed capacity currently at DLC will
shift to the new Mental Health Facility and that capacity will provide for future expansion of children's
CSU beds or other needs.
4) Recent University of South Florida Baker Act reporting indicates that approximately 439 Collier residents
per year are required to travel outside of Collier County for Baker Act services due to lack of capacity
within Collier County.
The Project Delivery Team has developed three options for consideration and is seeking Board direction and
authorization to complete the next phase of design. With the current peak adult CSU bed need at 50 (including Jail
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beds) the minimum design recommendation is 72 beds (45 adult CSU, 15 Medicare/Acute and 12 ESAC), however,
to better provide for future needs staff recommends moving forward with design of Option 1, 87 beds (45 adult
CSU, 30 Medicare/Acute and 12 ESAC),
presentation 2/W2023
45 CSU
OptionBCC
l ' yy T 4 estim ate
45 adult CSU
Option
Single Story
A qLi
45 adult CSU
Single Story
1
45 adult CSU
15 Acute
15 Acute
0
0
15 Med
15 Medicare Inpatient
15 Medicare Inpatient
0
12 ESAC
12 ESAC
12 ESAC
12 ESAC
P9,000,000
$43,927,875
$39,060,000
�33,515,000
54,000 SF
60,000 5F
5 2,5 00 SF
45,000 SF
$537/5F
5732/SF
744/SF
�747/SF
87 beds
87 beds
72 beds
57 beds
The following will be provided through or considered for existing DLC facilities:
• 15 Existing Children CSU beds will continue to be available at existing DLC facilities
15 Existing Voluntary Substances Use Disorder /Detox beds will remain at the existing DLC facilities.
3 Existing ESAC beds will be retained at DLC facilities.
A potential future expansion of 30 patient beds will also be considered at DLC, subject to licensing and
needs.
CSU = Adult Crisis Stabilization Unit, ESAC = Emergency Services Assessment Center
FISCAL IMPACT: The Collier County Mental Health Facility is a Community Priority project funded by
Infrastructure Surtax. In accordance with Exhibit A of Ordinance 2018-21 the project has a program budget of
$25M. The project was validated by the Infrastructure Surtax Citizen Oversight Committee on June 23', 2021.
The project is currently at 30% design. Three design/construction options have been identified as provided in the
table above. Estimated construction budgets for the three options range from $33.6M to $44M. Available budget
for construction is approximately $22M leaving an estimated construction cost funding gap of $11.6M to $22M
depending on the option pursued.
Description
Option 1
Option 2
Option 3
Programmed Surtax Funding
25,000,000
25,000,000
25,000.000
Less: Eng. Design &Arch. Cost
(3,000,000)
(3,000,000)
(3,000.000)
Funding Available for cont
22,000,000
22,000,000
22,000,000
Construction Estimate
43,927,975
39,050,000
33,515,OW
Construction Funding
(21,1327,87.5)
(17,060,000)
(11,515,000).
The project construction cost estimates discussed above do not provide for the estimated $4.4M requirement for
furniture, fixtures, and equipment nor estimated net annual operating costs of $4M (after considering program
revenue and grant sources). Staff in coordination with David Lawrence Center leadership has met with key
community stakeholders to address these unfunded aspects of the program but no firm commitments have yet been
made.
Because of the timing of achieving the $490 million aggregate Surtax collection threshold it is anticipated that
collections will continue through December 31, 2023. Relative to the County share of Surtax proceeds this is
estimated to result in Surtax distributions to the County of $491 million on a program budget of $420 million. The
sum of estimated County Surtax distributions above the program budget is $71M. A portion of the additional
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funding can be made available for the Mental Health Facility.
GRO H MANAGEMENT IMPACT: This project meets current Growth Management Plan standards to ensure
the adequacy and availability of viable public facilities.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal issues at this
time and requires majority vote for Board action. -JAK
RECO NDATION: Accept the project update on the Collier County Mental Health Facility and authorize
staff to proceed with the design of option number one for 87 total beds (45 CSU, 15 Acute beds, 15 Medicare beds,
and 12 ESAC).
Prepared by: Ayoub R. Al-Bahou, PE, LEED ® GA, ADAC,
Principal Project Manager, Facilities Management
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11.A
06/27/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: I LA
Doc ID: 25669
Item Summary: ***This item to be heard no sooner than 1 p.m.*** Recommendation to accept a project update
on the Collier County Mental Health Facility and staff recommendation to proceed with the design of option
number one for 87 total beds (45 CSU, 30 adult Medicare/Acute and 12 ESAC) with an estimated construction cost
of $44 million. (Project No. 50239) (Ed Finn, Deputy County Manager)
Meeting Date: 06/27/2023
Prepared by:
Title: — Facilities Management
Name: Claudia Roncoroni
05/30/2023 2:54 PM
Submitted by:
Title: — Facilities Management
Name: John McCormick
05/30/2023 2:54 PM
Approved By:
Review:
Facilities Management
Facilities Management
Facilities Management
Office of Management and Budget
County Attorney's Office
Community & Human Services
County Manager's Office
Board of County Commissioners
Jennifer Belpedio
Manager - Real Property
Paula Brethauer
Director - Facilities
Ayoub AI-bahou
Additional Reviewer
Debra Windsor
Level 3 OMB Gatekeeper Review
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review
Maggie Lopez
Additional Reviewer
Geoffrey Willig
Level 4 County Manager Review
Geoffrey Willig
Meeting Pending
Completed
05/30/2023 3:31 PM
Skipped
05/30/2023 3:37 PM
Completed
05/31/2023 9:10 AM
Completed
05/31/2023 10:03 AM
Completed
05/31/2023 2:27 PM
Completed
05/31/2023 3:26 PM
Completed
06/21/2023 4:52 PM
06/27/2023 9:00 AM
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