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September 2008
KPMG Report on the Governance Options for the District of Columbia
Community Services Agency
KPMG was engaged to review direct mental heath services provided by the
D.C. Department of Mental Health through the D.C. Community Services
Agency. KPMG was instructed to consider five options for the governance
and future operations of the CSA. The options were:
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Continue to operate CSA or parts of it as a core services agency
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Create a new non-profit organization to assume responsibility for
operating some or all of the CSA
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Transition the CSA to a public benefit corporation
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Expand services currently purchased through the current delivery system
and dissolve the CSA
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Privatize the CSA operations

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