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Consent-Health & Human Services # 16.
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| Board of Supervisors |
Child, Youth & Family |
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| Subject |
| Approve agreement with Turning Point Community Programs in the amount of $370,577 to provide therapeutic behavioral services for the period of September 1, 2018 through June 30, 2019. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve agreement with Turning Point Community Programs in the amount of $370,577 to provide therapeutic behavioral services for the period of September 1, 2018 through June 30, 2019. |
| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
Approval of this agreement with Turning Point Community Programs will further HHSA’s effort to support children by increasing access to services in local communities, preventing higher cost of care from occurring more than necessary, reducing client’s symptoms and functional impairments related to primary diagnosis, increasing caregiver resources, and ensuring at home placement.
Performance measures included in this agreement are as follows:
Children’s Therapeutic Behavioral Services
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Turning Point Community Programs
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Jana Cooper, Program Director
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Program Purpose
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Reduce target behaviors and functional impairments related to primary diagnosis, increase caregiver skills, and ensure at home placement. |
Program Information
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The Therapeutic Behavioral Services (TBS) program provides short term 1:1 behavioral support and coaching for children being served by another specialty mental health provider (SMHP) not connected to the program. The children served have a much higher level of need, as measured by the number of issues for which help is needed. Most children served engage in disruptive behaviors. TBS is designed to help children/youth and parents/caregivers manage these behaviors utilizing short-term, measureable goals based on the needs of the child/youth and family. TBS is never a stand-alone therapeutic intervention. TBS is intended to address a critical need for a child so that more traditional specialty mental health services (SMHS) may be helpful. |
| PM1: How much did we do? |
Staff
1.1
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Total FTEs:
| FTE |
Classification |
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Manager/Supervisor |
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Behavior Specialists |
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Office Support |
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| 1.2 |
# of open and authorized clients |
| 1.3 |
# of intakes |
| 1.4 |
# of discharges |
| 1.5 |
# of discharges to a lower level of care |
| 1.6 |
# of referrals received |
| 1.7 |
# of children served who are non-English speakers |
| PM2: How well did we do it? |
| 2.1 |
% of clients who received a functional behavior assessment within 10 days of referral |
| 2.2 |
% of clients with completed authorization packet within 30 days of admit |
| 2.3 |
% of authorization requests completed within 15 days of renewal |
| 2.4 |
# of clients per specialist |
| 2.5 |
# of days to successful discharge (quarterly average) |
| 2.6 |
% of discharge dispositions submitted within 14 days of discharge date |
| 2.7 |
% of clients who successfully met treatment plan goals |
| 2.8 |
# of provider changes per client |
| 2.9 |
% of children/youth and caregivers with completed TOM-T at intake and discharge |
PM3: Is anyone better off? |
| 3.1 |
# and % of children/youth who are able to utilize pro-social replacement behaviors by time of discharge |
| 3.2 |
# and % of caregivers with increase in necessary skills to be able to intervene consistently with a target behavior by time of discharge |
| 3.3 |
# and % of clients who remained and maintained their home placement (without jail or psychiatric hospital admits, without out of home foster or group home placement) |
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| Collaborations (including Board advisory groups and external partner agencies) |
| County Counsel has approved this Agreement as to form. |
| Competitive Bid Process |
On April 2, 2018, HHSA issued a Request for Proposal (RFP) seeking contractors to provide Outpatient Mental Health Treatment Services to eligible Children and Youth. The RFP was open for 45 days (just over 6 weeks), and staff offered potential bidders an opportunity to ask questions during a Mandatory Bidders’ Conference on April 12, 2018. 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 six proposals from this solicitation. Three of the proposals submitted were specifically for the Therapeutic Behavioral Services (TBS) portion of the RFP. A Proposal Review Committee was formed that included seven evaluators including three HHSA employees from three different HHSA branches and four from Sutter/Yuba Behavioral Health; Yolo Office of Education; Yolo Mental Health Board; and Sacramento Behavioral Health. All three proposals submitted for the TBS services were evaluated and determined to meet all the required qualifications necessary to successfully provide these services.
Below is a table of the providers who submitted proposals for the TBS services. Stanford Youth Solutions, Turning Point Community Programs and Victor Community Support Services submitted proposals that were considered to be of high quality, and will be offered a contract to provide these identified services. Separate agreements for the other bids will be submitted to the Board of Supervisors for approval.
Request for Proposals (RFP) Requested: Child, Youth and Family Outpatient Mental Health Services
Evaluation Criteria Included in the RFP
- Qualifications (30 points)
- Experience (30 points)
- Description of Vendor Operations (25 points)
- Proposer’s Approach to Project (60 points)
- Demonstrated Competence/Past Performance (20 points)
- Responsiveness and Responsibility (15 points)
- Quality and Completeness of Submitted Proposal (30 points)
- Financial Stability (15 points)
Bids Received
| Bidder |
Bid |
| Stanford Youth Solutions |
$3,846,333 |
| Victor Community Support Services |
$4,754,475 |
| Turning Point Community Programs |
$3,378,847 |
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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 Federal Medi-Cal and other State/Local funds. The amount of $370,577 is included in the HHSA adopted budget for FY18-19.
The following is the breakdown of funding for this agreement:
Fiscal Year 2018-19
September 1, 2018
Through
June 30, 2019 |
Total |
| $370,577 |
$370,577 |
Option Years:
The County may exercise its option to extend the term of the Agreement as follows:
Option Year 1: For Fiscal year 2019-20, up to $444,693
Option Year 2: For Fiscal year 2020-21, up to $444,693
Option Year 3: For Fiscal year 2021-22, up to $444,693
Option Year 4: For Fiscal year 2022-23, up to $444,693
In no event shall the term of the Agreement extend beyond June 30, 2023 nor shall the total contract maximum exceed the amount of $2,149,349, unless otherwise agreed to in writing by the parties and in conformity with the County of Yolo Procurement Policy, Minute Order No. 18-55, Item No. 32, approved by the Yolo County Board of Supervisors on March 20, 2018 (“County Procurement Policy”). |
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