|
Back to Calendar
Return
|
| |
Consent-Health & Human Services # 18.
|
| Board of Supervisors |
Child, Youth & Family |
|
|
|
| Subject |
| Approve second amendment to Agreement No. 17-264 with Rural Innovations in Social Economics, Inc. to increase contract amount by $35,400 for 2018-19 and 2019-20 totaling an increase of $70,800 for the Rural School-Based Mental Health Access and Linkage Program, for a new contract maximum of $744,155 for the period of October 1, 2017 through June 30, 2020. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve second amendment to Agreement No. 17-264 with Rural Innovations in Social Economics, Inc. (RISE) to increase contract amount by $35,400 for fiscal years 2018-19 and 2019-20 totaling an increase of $70,800 for the Rural School-Based Mental Health Access and Linkage Program, for a new contract maximum of $744,155 for the period of 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 Mental Health Services Act (MHSA) Three-Year Program and Expenditure Plan for FY 2017-2020. Included in the MHSA Three-Year Program and Expenditure Plan for FY2017-2020 is the provision for Rural School-Based Mental 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 will place 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.
Approval of this second amendment will add the Knights Landing, Clarksburg and Dunnigan school districts in order to provide universal screening, assessment, and referral to treatment for children and youth ages 6 – 18 in those districts effective July 1, 2018.
Performance Measures included in this Agreement are as follows:
Scope of Services G.1
| PEI Early Intervention – RISE Rural School-Based Mentorship and Strengths-Building Program |
| Program Purpose |
PEI Early Intervention – RISE Rural School-Based Mentorship and Strengths-Building Program: Increase mental, emotional, and relational well-being and resiliency among rural Yolo County youth. |
| Program Information |
The Rural School-Based Mentorship and Strengths-Building Program provides evidence-based, culturally responsive services and offer promising practices in outreach and engagement for at-risk children and youth in multiple settings, to build their resiliency and help to mitigate and/or support their mental health experiences. |
| PM 1: How much did we do? |
| Staff |
Total FTEs by Classification, including breakdown of program staff who are bilingual |
| 1.1 |
Program Participants: Total # of participants served
- Total # of unduplicated participants served
- Total # of participants identified as at risk of a mental illness (Prevention) [1]
- Total # of participants identified with early onset of a mental illness (Early Intervention) [1]
- Total # of individual family members served[1]
- Total # of participants who received services in their preferred non-English language
|
| 1.2 |
Program Activities: Total # of services provided in each service category
- After-school mentoring programs
- School-day programs
- Support to parents and caregivers, as applicable
|
| PM 2: How well did we do it? |
| 2.1 |
Referral/Linkage2
- Total # of participants referred to:
- Primary Care services
- Mental Health and / or Substance Use Disorder services
- Other support services (e.g., health benefits enrollment, food resources, housing support)
- Total # of participants referred to any service
|
| 2.2 |
Treatment Engagement2: % and # of participants who completed a referral and engaged in treatment. Engagement is defined as participating at least once in the Program to which they were referred, including:
- Primary Care services
- Mental Health and / or Substance Use Disorder services
- Other support services (e.g., health benefits enrollment, food resources, housing support)
|
| 2.3 |
Timeliness2: Average interval (in days) between the referral and participation in treatment. Participation is defined as participating at least once in the treatment to which referred. |
| 2.4 |
Duration of Untreated Mental Illness (DUMI) 2: Average DUMI across participants. DUMI is defined as, for persons who are referred to treatment and who have not previously received treatment, the time between the self-reported and/or parent-or-family-reported onset of symptoms of mental illness and entry into treatment. Entry into treatment is defined as participating at least once in treatment to which the person was referred. |
| 2.5 |
Staff Training: % of program staff trained in using evidence informed and evidence based practices3 |
| 2.6 |
Satisfaction4: % and # of participants who reported satisfaction with services (e.g., services were provided at a convenient time and location; program staff treated me with respect, made me feel welcomed, respected my cultural background / beliefs, spoke to me in a language that I understood) |
| PM 3: Is anyone better off? |
| 3.1 |
Well-Being1.1:
- % and # of participants enrolled in the after-school Mentoring/Strengths Programs who demonstrate an improvement in well-being on the Youth Asset Survey.
- % and # of participants enrolled in the Social Emotional Learning and Well Being Programs who demonstrate an improvement in well-being on the Global Self Worth Assessment.
|
| 3.2 |
Resiliency1.1:
- % and # of participants enrolled in the Gallup Strengths Finder 2.0 programs who demonstrate an increase in resiliency in on the Resiliency Scale.
- % and # of participants who demonstrate an improvement in overall wellbeing based on results from the Why Try pre/post assessments.
|
[1] PEI Regulation reporting requirement specific to Early Intervention Programs (Sections 3710, 3560.010(b)(1))
1.1 PEI Regulation reporting requirement specific to Early Intervention Programs (Sections 3710, 3750(a), 3750(c)). These are indicators that are applicable to the Program and are intended to reduce negative outcomes as referenced in Welfare and Institutions Code Section 5840, subdivision (d) that may result from untreated mental illness.
2 PEI Regulation Strategy that shall be included in specified PEI Programs (Sections 3735, 3560.010(b))
3 Practices may include, but are not limited to: Why Try? Curriculum; NCTI Curricula (Life Skills; Real Colors; Anger Management; Drug/Alcohol Abuse); Strengths Finder 2.0
4 Examples from the California Consumer Perception Survey, Youth versions available in Spanish (and other languages) at: https://www.cibhs.org/consumer-perception-surveys
The PEI Regulations have additional data reporting requirements depending on different program classifications. Not all metrics are incorporated into this form but can be accessed in the Regulation document here: http://mhsoac.ca.gov/document/2016-03/pei-regulations
Scope of Services G.2
| 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 Amendment as to form. |
| Competitive Bid Process |
On April 24, 2017, Yolo County Health and Human Services Agency (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. The RFP was open for 22 days (just over 3 weeks). Bidders were required to submit their proposal electronically through BidSync. 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 held on July 6, 2017; a cover letter with a summary of services, requirements, and timelines; and was open for 36 days (just over 5 weeks). A notice was also sent out to approximately 60 potential bidders who had previously viewed the original RFP issued on April 24, 2017. Bidders were offered the opportunity to submit proposals via the electronic BidSync system or hand delivering a proposal directly to HHSA.
This opportunity was also shared with the behavioral health providers that currently contract with HHSA during several monthly meetings of the Provider Stakeholder Work Group leading up to the release of the RFP. The opportunity was posted publicly on the HHSA website, and shared with a range of partner email distribution lists, including the Health Council, Homeless and Poverty Action Coalition, Local Mental Health Board, Provider Stakeholder Work Group, and Substance Use Disorder Provider Network.
HHSA received one proposal from this second solicitation. The proposal in the second solicitation was submitted by RISE, Inc. A proposal Review Committee was formed that included three HHSA employees from two different HHSA branches. The proposal submitted by RISE, Inc. was evaluated and determined to meet all the required qualifications necessary to successfully provide the Rural Mentorship and Strengths Building Program portion of the RFP.
For the Rural Access and Linkage Program services, Yolo Family Service Agency (YFSA) was identified by HHSA staff as the qualified contractor to successfully provide these services for this portion of the RFP, although YFSA did not submit a proposal. HHSA and YFSA subsequently negotiated the terms and conditions relating to these services, and an 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. On July 24, 2018, an amendment was approved by the Board to add the Access and Linkage portion of services to the existing contract with RISE, Inc.
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 |
Funding Recommendation |
| RISE, Inc. |
$202,420 |
$133,355 (FY17-18)
$305,400 (FY18-19 & FY19-20 |
|
|
| Fiscal Impact |
|
|
| Source of Funds for this Expenditure |
|
|
Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
No general funds are required by this action. These services will be funded by MHSA PEI funds. The amount of $35,400 is included in the HHSA proposed budget for FY18-19. 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 |
$135,400 |
$135,400 |
$270,800 |
| Total |
$133,355 |
$305,400 |
$305,400 |
$744,155 |
Option Years:
The County may exercise its option to extend the term of the Agreement as follows:
Option Year 1: For Fiscal year 2020-21, up to $305,400
Option Year 2: For Fiscal year 2021-22, up to $305,400
In no event shall the term of the Agreement extend beyond June 30, 2022 nor shall the total contract maximum exceed the amount of $1,354,955, 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. |
|
|
|
|
|