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  Consent-Health & Human Services   #   29.    
Board of Supervisors Child, Youth & Family  
Meeting Date: 07/24/2018  
Brief Title:    RISE - Rural Access & Linkage Amd1 FY18-20
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Jennie Pettet, Child Youth & Family Services Branch Director, Health and Human Services Agency, x2929

Subject
Approve first amendment to Agreement No. 17-264 with Rural Innovations in Social Economics, Inc. to increase contract amount by $200,000 to add the Rural School-Based Mental Health Access and Linkage Program for fiscal years 2018-19 and 2019-20 for a new contract maximum amount of $673,355 for the period October 1, 2017 through June 30, 2020. (No general fund impact) (Larsen)
Recommended Action
Approve first amendment to Agreement No. 17-264 with Rural Innovations in Social Economics, Inc. (RISE) to increase contract amount by $200,000 to add the Rural School-Based Mental Health Access and Linkage Program for fiscal years 2018-19 and 2019-20 for a new contract maximum amount of $673,355 for the period October 1, 2017 through June 30, 2020. 
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
On April 4, 2017, the Yolo County Board of Supervisors approved the Yolo County Mental Health Services Act (MHSA) Three-Year Program and Expenditure Plan for fiscal years (FY) 2017-2020. Included in the MHSA Three-Year Program and Expenditure Plan for FY 2017-2020 is the provision for Rural School-Based Mental Health Access and Linkage; and Rural School-Based Mentorship and Strengths-Building Program services.

The Rural School-Based Mental Health Services Access and Linkage portion of the program places Clinical Referral and Access Specialist Staff at schools to provide timely mental health triage and referral for children and youth aged 6-18. This program shifts the focus for MHSA funded clinical staff from providing brief treatment in the schools, to linking the child and family to the appropriate level of community outpatient mental health services.

Yolo Family Service Agency (YFSA) was identified by HHSA staff as the qualified contractor to provide these services.  However, YFSA is unable to continue providing the Rural Access and Linkage Program services and subsequently, HHSA has terminated that agreement. HHSA is now requesting approval of this amendment to allow RISE, Inc. to begin offering these services effective July 1, 2018.
 
RISE, Inc. is currently providing the Rural School-Based Mentorship and Strengths-Building Program services in this existing contract. This amendment will allow for RISE, Inc. to also include the Access and Linkage Program, previously provided by YFSA. Approval of this amendment will allow the Access and Linkage Program to continue to provide universal screening, assessment and referral to treatment for children and youth ages 6-18. 
 
The performance measures included in this agreement are as follows:
Rural School-Based Mental Health Access and Linkage Program
Program Purpose To provide universal screening, assessment and referral to treatment for children and youth aged 6 to 18, with the goal of identifying children and youth who need mental health services, (and their family members, where appropriate) provide linkages, and supply a warm hand-off.
PM 1: How much did we do?
Children/Youth/ Family Served  
PM 1.1
  • Number of children, youth and family members receiving Universal Outreach/Engagement services specifically for Access and Linkage Program.
PM 1.2
  • Number of services provided to children, youth and family members, including direct mental health triage and referral; risk assessment; brief intervention and linkage services.
PM 1.3
  • Number and rate of children, youth, and family members referred to a mental health service provider.
PM 2: How well did we do it?
PM 2.1
  • Number and rate of routine mental health triage services provided within seven (7) calendar days of request for service .
PM 2.2
 
  • Number and rate of urgent mental health triage services provided within forty-eight (48) hours of request for service.
PM 2.3
 
  • Number of Access and Linkage Services provided in the child, youth or family member’s preferred language.
PM 3: Is anyone better off?  (Requires follow-up inquiry 30 and 90 days post-referral.)
PM 3.1
 
  • Number and rate of referred children, youth and family members who received at least one mental health service from the referred provider.
PM 3.2
 
  • Of the children/youth who participated in recommended services, how many reported improvement in overall mental health symptoms.
PM 3.3
 
  • Of the family members who participated in recommended services, how many reported improvement in child/youth’s family circumstance.
 
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this Agreement as to form.
Competitive Bid Process
On April 24, 2017, HHSA issued a Request for Proposals (RFP) from qualified community-based organizations to provide Rural School-Based Mental Health Services Access and Linkage Program & Rural Mentorship and Strengths Building Program services. HHSA received one proposal from this solicitation.
 
On June 28, 2017, HHSA re-issued an RFP desiring to attract qualified community-based organizations to provide Rural School-Based Mental Health Services Access and Linkage Program and Rural Mentorship and Strengths Building Program Services.  This second RFP included a revised scope of work; a mandatory Bidder’s Conference; a cover letter with a summary of services, requirements and timelines; and an option to either submit a proposal through the BidSync process or hand deliver a proposal to HHSA. A notice was also sent out to approximately 60 potential bidders who had previously viewed the original RFP issued on April 24, 2017.
 
HHSA received one proposal from this second solicitation. The proposal in the second solicitation was submitted by RISE, Inc. The Rise Inc. proposal was evaluated by individuals not affiliated with Yolo County as well as staff from HHSA. This review process determined that the proposal met all required qualifications necessary to successfully provide the Rural Mentorship and Strengths Building program portion of the RFP. 
 
For the Rural Access and Linkage Program portion of the RFP, it was determined that RISE, Inc did not have the appropriate capacity to provide both service components at that time, and YFSA was identified by HHSA staff as a qualified contractor to provide the remaining services, although YFSA did not submit a proposal. HHSA and YFSA negotiated the final terms and conditions relating to these services, and a separate Agreement was presented to the Board for approval. HHSA was later notified that YFSA could no longer provide these services, and HHSA terminated the Agreement.

RISE, Inc. has since built appropriate capacity for Rural Access and Linkage Program services and was selected by HHSA to begin offering these services after the termination of the contract with YFSA.
 
The Competitive Bid Process below provides a summary of the RFP evaluation criteria.
 
Request for Proposals (RFP) Service Requested:
Rural School-Based Mental Health Services Access and Linkage Program & Rural Mentorship and Strengths Program services.

Evaluation Criteria Included in RFP:
Company overview (20 points)
Experience and past performance (30 points)
Responsiveness/Responsibility (10 points)
Approach to Project (200)
Quality Assurance and Oversight (20 points)
Outputs and Outcome Measures (40 points)
Financial Information (pass/fail)
Quality and Completeness of Proposal (pass/fail)

Bids Received:
Bidder Bid
RISE, Inc. $202,420 (FY17-18)

Fiscal Information
Fiscal impact (see budgetary detail below)
Fiscal Impact of this Expenditure
Total cost of recommended action $100,000
Amount budgeted for expenditure $100,000
Additional expenditure authority needed $0
On-going commitment (annual cost) $100,000
Source of Funds for this Expenditure
MHSA PEI Funds $100,000
General Fund $0
Further explanation as needed
These services will be funded by MHSA PEI funds. The amount of $100,000 is included in the HHSA budget for 2018-19. The related funding will be included in the requested budget process for future fiscal years.
 
The following is the breakdown of funding for this agreement.
 
 
Services
FY 2017-18
October 1, 2017
Through
 June 30, 2018
FY 2018-19
July 1, 2018
through
June 30, 2019
FY 2019-20
July 1, 2019
 through
June 30, 2020
 
 
Total
Rural School-Based Mentorship and Strengths Building Program $133,355 $170,000 $170,000 $473,355
Rural School-Based Mental Health Access & Linkage Program
 
N/A
 
$100,000
 
$100,000
 
$200,000
Total $133,355 $270,000 $270,000 $673,355
Attachments
Att. A. Amendment

Form Review
Inbox Reviewed By Date
Karen Larsen Karen Larsen 07/13/2018 05:30 PM
Financial Services Tom Haynes 07/16/2018 11:32 AM
County Counsel Hope Welton 07/16/2018 11:33 AM
Form Started By: ccontreras Started On: 06/20/2018 10:47 AM
Final Approval Date: 07/16/2018
Level double AA conformance,
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