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Consent-Health & Human Services # 20.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
Approve agreement with CommuniCare Health Centers, Inc. to provide outreach and assessment; and intensive case management and treatment services for clients linked with the Proposition 47, Steps to Success program in the amount of $2,289,425 for the period April 1, 2018 through August 15, 2020. (No general fund impact) (Larsen)
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| Recommended Action |
- Approve agreement with CommuniCare Health Centers, Inc. to provide outreach and assessment; and intensive case management and treatment services for clients linked with the Proposition 47, Steps to Success program in the amount of $2,289,425 for the period April 1, 2018 through August 15, 2020; and
- Delegate authority to the Director of Health and Human Services Agency and/or her/his designee to sign and execute any additional forms, documents and/or amendments as necessary relating to this agreement, provided there are no significant programmatic changes or increases in funding.
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| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
In November 2016, the California Board of State and Community Corrections (BSCC) released a Request for Proposals (RFP) soliciting applications for funding from the proposition 47 Grant Program. The Proposition 47 funding is available to public agencies (in partnership with the communities they serve) through a competitive application process. The aim of the funding is to offer criminal justice diversion opportunities coupled with mental health and substance use treatment for people involved with the criminal justice system.
On January 10, 2017 HHSA staff provided a presentation to the Board of Supervisors to share information regarding the draft proposal and to seek input from the Board. Additionally, staff facilitated a community engagement process over a period of several months to seek input from local residents and partner organizations on how to best utilize the available funds.
On January 24, 2017, the Board of Supervisors adopted a resolution authorizing HHSA to submit a grant proposal for Proposition 47 grant funds and receive and administer the funds to expand the existing diversion programs in Yolo County and provide intensive case management and treatment, civil legal assistance and permanent housing assistance.
On June 8, 2017, the BSCC awarded HHSA $5,968,215 in funding for the proposed project – Steps to Success.
Steps to Success is a significant expansion to Yolo County’s existing continuum of criminal justice diversion programs. Specifically, the project applies the principles of restorative justice and trauma-informed care to provide wraparound services to individuals that are eligible for a diversion program, but are unlikely to succeed without intensive supports due to their history and current issues with mental health and/or substance use disorders. All components of the project – Civil Legal Services, Outreach and Assessment, and Intensive Case Management & Treatment and Housing Assistance - provide services for individuals linked with the Steps to Success Program within the Yolo County Health and Human Services Agency. The project proposes to reduce recidivism and advance the recovery of people in this target population.
Approval of this Agreement will allow CommuniCare Health Centers, Inc. to provide outreach and assessment; and intensive case management and treatment services for individuals referred by the Steps to Success staff. The purpose of providing outreach and assessment; and intensive case management and treatment services to the individuals linked with the Steps to Success Program is to reduce recidivism, and increase program completion by assuring referred individuals are linked to a level of care appropriate to their needs, and assuring they are supported to successfully engage in services offered and by providing wraparound supports, engaging the participant, and promoting self-sufficiency.
The performance measures included in this agreement are as follows:
HHSA, in partnership with a professional evaluation firm, will use a Results-Based Accountability model to measure progress towards the following objectives. Each of the project components will complete tracking and reporting on objectives in the RBA, as relevant to the specific component within the overall Steps to Success project.
For this Outreach & Assessment and Case Management & Treatment contract, the contractor will be required to track and report on the bullets highlighted below.
| 1. How much did we do? |
- 150 people will be contacted and assessed during outreach each year
- 75 people will be provided with case management and treatment each year
- 200 people will be provided with civil legal education and/or services each year
- 30 people will be provided with rapid re-housing assistance each year
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| 2. How well did we do? |
- 90% of potential project participants will have an assessment completed (ORAS, LOCUS, ASAM, ANSA and/or VI-SPDAT as appropriate) within 30 days of initial engagement
- 50% of individuals who are contacted through outreach and determined to be eligible for the program will choose to voluntarily participate
- 90% of project participants will be engaged in case management and treatment services within 30 days of enrollment in the project
- Demographic makeup of project participants will be comparable to demographic makeup of overall arrestee population in Yolo County (approximately 47% white, 34% Hispanic or Latino, 3% Asian, 3% Other/Multiple Races, 13% Black)
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| 3. Is anyone better off? |
| Criminal Justice Involvement |
- 75% of participants will not recidivate while engaged with the program
- 75% of participants will not recidivate within 12 months of graduating the program
- 50% fewer days in jail for participants while in the program
- 50% fewer arrests/tickets for participants while in the program
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| Housing Stability |
- 70% of participants will secure and/or maintain permanent housing
- 80% of participants who secure permanent housing will remain housed at 6 months
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| Physical and Behavioral Health |
- 50% fewer emergency care visits while in the program, as compared to year prior to enrollment
- 75% fewer days in psychiatric hospitalization while in the program, as compared to year prior to enrollment
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| Self-Sufficiency |
- 60% of participants will secure monthly income (employment or permanent benefit)
- 90% of those eligible will enroll in CalFresh
- 100% of those eligible will enroll in health insurance
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| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel has approved this Agreement as to form.
Proposition 47 Local Advisory Committee
County Administrator’s Office
Probation
District Attorney’s Office
Public Defender
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| Competitive Bid Process |
On September 5, 2017, Yolo County Health and Human Services Agency (HHSA) issued a Request for Proposals (RFP) from qualified community based organizations to provide Outreach & Assessment; and Intensive Case Management & Treatment and Housing Assistance. The RFP was open for six weeks, and staff offered potential bidders an opportunity to ask questions during a Mandatory Bidders’ Conference on September 11, 2017. Bidders were offered the opportunity to submit proposals via the electronic BidSync system or by dropping off a paper proposal directly at HHSA.
HHSA received one proposal from this solicitation, from the Sacramento County Office of Education (“SCOE”). A Proposal Review Committee was formed that included two HHSA employees and three members from outside entities. The Proposal Review Committee evaluated the proposal submitted by SCOE and determined that it met all the required qualifications necessary to successfully provide these services. However, after further examination, it was determined that SCOE did not meet the State’s mandatory criteria as a community based organization and therefore was disqualified from receiving this funding.
On February 14, 2018, an email was sent to the Proposition 47 Local Advisory Committee (LAC) notifying of them of SCOE’s disqualification, stating one option of contracting with CommuniCare Health Centers, Inc. directly, and soliciting feedback on how to best proceed with the program and providers; there were no subsequent responses. A committee was then formed to determine the best course of action for the project and to identify potential providers. The committee consisted of representatives from the County Administrator’s Office, Health and Human Services Agency, District Attorney’s Office, Public Defender’s Office, and Probation. The committee met on February 16, 2018 and again on February 27, 2018.
Although CommuniCare Health Centers, Inc. did not submit a proposal in response to the RFP, SCOE had identified them in SCOE’s proposal as the subcontractor that would perform this portion of the work. The committee also identified CommuniCare Health Centers, Inc. as the contractor qualified to successfully provide these services for this portion of the RFP. HHSA and CommuniCare Health Centers, Inc. subsequently negotiated the final terms and conditions relating to these services, and this agreement is a reflection of the completion of that process. Although an RFP was conducted, there were no proposers other than SCOE who was disqualified. Based on the committee’s decision, HHSA prepared a sole source letter, which the Procurement Department processed and approved. The committee is scheduled to meet again on June 7, 2018 to assess the progress of the project and provider.
Additional information regarding the competitive bid process is provided below, including a summary of the RFP evaluation criteria.
Request for Proposals (RFP) Service Requested:
Outreach & Assessment; and Intensive Case Management & Treatment and Housing Assistance.
Evaluation Criteria Included in RFP
- Company overview (20 points)
- Experience and past performance (30 points)
- Preferred Qualifications (6 bonus points)
- Responsiveness/Responsibility (10 points)
- Approach to Project (50 points)
- Pricing Requirements (30 points)
- 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 |
| Sacramento County Office of Education |
$455, 107 (for three years, for Outreach and Assessment services)
$1,651,627 (for three years, for Intensive Case Management & Treatment services
$1,079,100 (for three years, for Housing Assistance services) |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
No general funds are required by this action. These services will be funded by Prop 47 funds received from the State. The amount of $286,233 is included in the HHSA adopted budget for FY17-18. 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
April 1, 2018
Through
June 30, 2018 |
FY 2018-19
July 1, 2018
through
June 30, 2019 |
FY 2019-20
July 1, 2019
through
June 30, 2020 |
FY 2020-21
July 1, 2020
Through
August 15, 2020 |
Total |
| Outreach & Assessment |
$43,800 |
$177,540 |
$185,794 |
$24,308 |
$431,442 |
| Case Management & Treatment |
$242,433 |
$760,544 |
$760,386 |
$94,620 |
$1,857,983 |
| Total |
$286,233 |
$938,084 |
$946,180 |
$118,928 |
$2,289,425 |
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