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  Consent-Health & Human Services   # 23.       
Board of Supervisors Adult & Aging  
Meeting Date: 09/13/2016  
Brief Title:    Turning Point FSP Adult Wellness FY16-19
From: Karen Larsen, Director, Health and Human Services Agency
Staff Contact: Chris Contreras, Administrative Services Analyst, Health and Human Services Agency, x8289

Subject
Approve Agreement with Turning Point Community Programs to provide Full Service Partnership community integration services for Medi-Cal eligible Seriously Mentally Ill Mental Health Services Act Full Service Partnership clients, including clients designated to participate in the Assisted Outpatient Treatment program in the amount of $3,034,575 for the period July 1, 2016 through June 30, 2019.   (No general fund impact) (Larsen)
Recommended Action
Approve Agreement with Turning Point Community Programs to provide Full Service Partnership (FSP) community integration services for Medi-Cal eligible Seriously Mentally Ill Mental Health Services Act (MHSA) FSP clients, including clients designated to participate in the Assisted Outpatient Treatment (AOT, Laura’s Law) program in the amount of $3,034,575 for the period July 1, 2016 through June 30, 2019; and delegate authority to the Director and/or designee to approve amendments to increase total compensation provided that the increase is within twenty percent (20%) of the initial maximum compensation for a fiscal year.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
On April 12, 2016 a Request for Proposal (RFP) was issued requesting proposals from qualified vendors to administer and provide Mental Health Service Act (MHSA) Full Service Partnership (FSP) and Assisted Outpatient Treatment (AOT) services to fifty-five (55) clients who are experiencing serious mental illness and other co-occurring disorders.  Yolo County Health and Human Services Agency received one proposal from this RFP.  The proposal submitted by Turning Point Community Programs was evaluated and found to meet all required qualifications to provide these services.
 
As the result of the previous RFP, Yolo County Health and Human Services contracted with Turning Point Community Programs to provide Full Service Partnership (FSP) community integration services to FSP clients for the period July 1, 2014 through June 30, 2016.  Turning Point Community Programs provides Full Service Partnership (FSP) community integration services to FSP clients who are eligible for Medi-Cal.  These are Seriously Mentally Ill (SMI) adults primarily from Institutions for Mental Disease (IMD) or other facilities or services of higher level of care such as acute psychiatric hospitals, state hospital, and crisis services.
 
Approval of this Agreement will provide the continuation of the FSP services including the AOT program with Turning Point Community Programs.
 
The table below details the funding sources and annual amounts:
 
Fiscal Year/fund source Original Contract
FY 2016-17  
MHSA - CSS                    505,762.50
Medi-Cal (FFP)                    505,762.50
                     $1,011,525
FY 2017-18  
MHSA - CSS                   505,762.50
Medi-Cal (FFP)                   505,762.50
                     $1,011,525
FY 2018-19  
MHSA - CSS                   505,762.50
Medi-Cal (FFP)                   505,762.50
                     $1,011,525
Total  
MHSA - CSS               1,517,287.50
Medi-Cal (FFP)               1,517,287.50
TOTAL                 $3,034,575
Service Outcome Measures Evidence Based Programming
FSP Adult Wellness
  1. Stability and tenure of community-based housing
  2. Participation in non-mental health activities in the community
  3. Service utilization (e.g., groups)
  4. Each clients’ self-report
  5. Crisis contacts (i.e., reduction in the use of hospitals)
  6. Bi-annual LOCUS and Milestones of Recovery completion for each client
  7. Annual completion of:
  • Mental Health Statistics Improvement Program (MHSIP) Survey
  • Adult Needs and Strengths Assessment for each client
  1. Monthly completion of the 8 Determinants of Care
1. Key Event Tracking (KET) Forms for FSP Clients
2.  Contractor shall conduct an ongoing Results Based Accountability (RBA) tracking of the 4 key Mental Health Services Act outcome domain areas for ACT/AOT clients.
 


Competitive Bid Process:

This Agreement is the result of the RFP issued on April 12, 2016.

Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this Agreement as to form.

Local Mental Health Board

National Alliance on Mental Illness (NAMI)


Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   1,011,525
Amount budgeted for expenditure:    $   1,011,525
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   1,011,525
Source of Funds for this Expenditure
$505,763
$505,763
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action.  The total cost of this Agreement is $3,034,575 for three fiscal years.  The amount of $1,011,525 is included in the Health and Human Services Agency approved budget for fiscal year 2016-17.  Health and Human Services Agency will budget the funding necessary for future fiscal years.
 
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 09/07/2016 08:40 AM
County Counsel Hope Welton 09/07/2016 08:47 AM
Form Started By: ccontreras Started On: 06/23/2016 08:02 AM
Final Approval Date: 09/07/2016

    

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