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  Consent-Health & Human Services   # 18.       
Board of Supervisors Adult & Aging  
Meeting Date: 10/24/2017  
Brief Title:    RISE-Rural Mentorship & Strengths FY17-20
From: Karen Larsen, Director, Health & Human Services Agency
Staff Contact: Sandra Sigrist, Adult & Aging Branch Director, Health & Human Services Agency, x8794
Supervisorial District Impact:

Subject
Approve agreement with Rural Innovations in Social Economics, Inc. (RISE) to provide rural school-based mentorship and strengths building services in the amount of $473,355 for the period October 1, 2017 through June 30, 2020. (No general fund impact) (Larsen)
Recommended Action
  1. Approve agreement with Rural Innovations in Social Economics, Inc. (RISE) to provide rural mentorship and strengths building services in the amount of $473,355 for the period October 1, 2017 through June 30, 2020. 
     
  2. 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.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
As set forth in Yolo County's Mental Health Services Act (MHSA) Three-Year Program and Expenditure Plan for FY 2017-2020, most specifically for the Prevention and Early Intervention (PEI) component of MHSA, the purpose of the Rural School-Based Mentorship and Strengths-Building Program is to provide evidence-based, culturally responsive services and utilize promising practices in outreach and engagement for at-risk children and youth in multiple settings, to build the resiliency of individual youth and help each youth to better understand their mental health treatment experiences. This project will give staff an opportunity to better support each youth in seeking appropriate treatment for any mental health services the youth are involved in. Services will be conducted in settings most familiar to the children and families served. The overall focus will be on teaching children ways to promote their own well-being and resiliency, and to provide youth-serving professionals (teachers, clinical staff, lay leaders, etc.) with continuing education programming to support  resiliency among youth.
 
The Rural School-Based Mentorship and Strengths-Building Program is intended to serve these functions:
  1. To provide school- and/or community-based education programs about children's mental health and mental health issues relevant to children, youth and child-serving agencies;
  2. To provide school- and/or community-based prevention groups for school-age children;
  3. To provide after-school mentorship to children and youth.
Those programs operating in local schools are intended to aid teachers and school administrators in developing their skills to recognize when children and youth may need to be assessed for mental health treatment needs. The Mentorship and Strengths-Building Program does not provide clinical services, but will engage the Rural Access and Linkage Program to provide linkages/referrals when necessary.
 
The performance measures included in this agreement are as follows:
 

Program

Agency

Contact

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.
PM1: How much did we do?

Staff

Total FTEs by Classification, including breakdown of program staff who are bilingual
1.1
 
 
 
 
1.2
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
Program Activities: Total # of services provided in each service category
  • After-school mentoring programs
  • School-day programs
  • Support to parents and caregivers, as applicable
PM2: How well did we do it?
2.1
 
 
 
 
2.2
 
 
 
2.3
 
2.4
 
 
 
2.5
2.6
 
 
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.
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)
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.
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.
Staff Training: % of program staff trained in using evidence informed and evidence based practices3
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)

PM3: Is anyone better off?
3.1
 
 
 
3.2
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.
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
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, 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.  HHSA received one proposal from this solicitation.
 
The Board of Supervisors recommended the Yolo County Health and Human Service Agency review the RFP process used in this solicitation. After review it was determined this RFP should be re-issued in an effort to ensure the RFP is fair, ethical and competitive, while also maintaining high quality services to Yolo County residents.
 
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 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 final terms and conditions relating to these services, and a separate Agreement will be presented to the Board in the near future for approval. 
 
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)
 
The amount of the proposal submitted by RISE, Inc. is $202,420.  This amount has been separated into two Agreements.  HHSA is requesting approval of this Agreement with RISE, Inc. to provide the Rural School-Based Mental Health Services component in the amount of $133,355 for FY17-18; and an Agreement with Yolo Family Service Agency to provide the Rural Access and Linkage component in the amount of $69,065 for FY17-18 will be presented separately to the Board for approval.

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   133,355
Amount budgeted for expenditure:    $   133,355
Additional expenditure authority needed:    $   0
On-going commitment (annual cost):    $   170,000
Source of Funds for this Expenditure
$133,355
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 $133,355 is included in the HHSA proposed 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.
 
Fiscal Year 2017-18 October 1, 2017
Through
 June 30, 2018
Fiscal Year 2018-19 July 1, 2018
through
June 30, 2019
Fiscal Year 2019-20 July 1, 2019
 through
June 30, 2020
 
 
Total
$133,355 $170,000 $170,000 $473,355
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 10/12/2017 09:52 AM
County Counsel Hope Welton 10/12/2017 10:31 AM
Form Started By: ccontreras Started On: 08/29/2017 12:43 PM
Final Approval Date: 10/12/2017

    

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