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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 Rural Innovations in Social Economics, Inc. to provide integrated behavioral health services for Latino community and families in the amount of $105,000 for the period October 1, 2017 through June 30, 2020. (No general fund impact) (Larsen) |
| Recommended Action |
- Approve agreement with Rural Innovations in Social Economics, Inc. (RISE) to provide integrated behavioral health services for Latino community and families in the amount of $105,000 for the period October 1, 2017 through June 30, 2020.
- 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
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| Reason for Recommended Action/Background |
This program will provide culturally responsive outreach and referral services to Yolo County Latino/Hispanic residents, particularly Farmworkers, with health issues, mental health illnesses, and/or substance use issues. Specifically, this program will demonstrate a targeted outreach effort to Latino men/heads of household working on farms in rural Yolo County. In addition, this program will promote relationships between consumers of services, support partners, families, various service providers and community. This program will reach out to Latinos living and working in rural farms and refer those in need of Integrated Behavioral Health Care Services to CommuniCare Health Centers, Inc., as a provider of such services, which decrease the cost to county and providers for uninsured individuals, reduce mental health hospitalizations and length of stay for the target population, improve the quality of life and independence for target population clients, expand the target population’s input on programmatic structure, outreach and treatment activities, and reduce stigma with increased service penetration rates in the Latino community.
The performance measures included in this agreement are as follows:
Program
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Agency
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Contact
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Program Purpose
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PEI Stigma and Discrimination Reduction – RISE Latino Farmworker Outreach Program: Reduce mental health stigma and increase knowledge of and access to behavioral health resources among Yolo County Latino/Hispanic farmworkers. |
Program Information
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This program will provide targeted outreach to Yolo County Latino/Hispanic farm workers with health issues, mental health issues, and/or substance use issues and refer those in need of Integrated Behavioral Health Care Services to CommuniCare Health Centers, Inc. as a provider of such services.
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| PM1: How much did we do? |
Staff
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Total FTEs by Classification, including breakdown of program staff who are bilingual and bicultural |
Customers
Units of Service |
Program Participants: Total # of participants served
- Total # of unduplicated participants served
- Total # of participants identified as male heads of household
- Total # of participants who received services in Spanish as their preferred language
Program Activities:
- Total # of FTE Promotores actively involved in the program.
- Total # of Yolo County farm outreach events (minimum one farm per week).
- Average # of participants at farm outreach events.
- Total # of Latino Male Farmworker Conferences (minimum two per year).
- Total # of participants at each Latino Male Farmworker Conference.
- Total # of Drop-In Opportunities (minimum two per month; one Saturday and one weekday evening).
- Average # of participants at Drop-In events.
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| PM2: How well did we do it? |
| 2.1 |
Satisfaction[1]: % and # of participants who reported satisfaction with services (e.g., services were provided at a convenient time and location; program staff made me feel welcomed, connected me to resources in a timely manner, treated me with respect, respected my cultural background / beliefs, spoke to me using language that I understood)
Referral/Linkage2: Total # of participants referred to:
- Primary Care services
- Mental Health and / or Substance Use Disorder services
- Other support services (e.g., health benefit enrollment, food resources, housing support)
Total # of participants referred to any service.
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. |
PM3: Is anyone better off? |
| 3.1 |
Stigma3: % and # of participants with reduced stigmatizing attitudes, knowledge, and/or behavior related to mental illness and seeking mental health services.
Knowledge: % and # of participants who reported increased knowledge about resources (e.g., they learned new skills to help them in their mental wellness, how to better address health / mental health needs, access culturally sensitive health / mental health resources)
Access: 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 benefit enrollment, food resources, housing support)
Access: Referral Outcome: % and # of participants who, at follow-up, reported improved outcomes a result of RISE’s referral. |
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[1] Examples from the California Consumer Perception Survey, available in Spanish (and other languages) at: https://www.cibhs.org/consumer-perception-surveys
2 PEI Regulation Strategy that shall be included in specified PEI Programs (Sections 3735, 3560.010(b))
3 PEI Regulation reporting requirement specific to Stigma & Discrimination Reduction Programs (Sections 3725, 3750(d))
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
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| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel has approved this Agreement as to form.
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| Competitive Bid Process |
On April 12, 2017, Yolo County Health and Human Services Agency (HHSA) issued a Request for Proposals (RFP) from qualified community based organizations to provide Latino Outreach/Health/Mental Health workers known as Promotores. This type of worker is a lay Hispanic/Latino community worker with special training in health care and behavioral health care who provides basic health education to Hispanic/Latino individuals and families. In addition, Promotores provide guidance and support in how to access community health resources and serve as Liaisons between their community and community health professionals and organizations. 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 21, 2017, HHSA re-issued an RFP desiring to attract qualified community based organizations to provide Integrated Health and Behavioral Health Services for Latino individuals and Families. 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 12, 2017.
HHSA received two proposals from this solicitation. The proposals were submitted by CommuniCare Health Centers, Inc. and RISE, Inc. Both proposals were evaluated by individuals not affiliated with Yolo County as well as staff from HHSA. This review process determined both proposals met all the required qualifications necessary to successfully provide these services.
Because both proposals met all required qualifications and were of high quality both CommuniCare Health Centers, Inc. and RISE, Inc. will be offered contracts to provide these identified services. A separate agreement with CommuniCare Health Centers, Inc. will be submitted to the Board for approval.
The Competitive Bid Process below provides a summary of the RFP evaluation criteria.
Request for Proposals (RFP) Service Requested:
Integrated Behavioral Health Services for Latino Community and Families
Evaluation Criteria Included in RFP
- Company overview (20 points)
- Experience and past performance (30 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 |
| CommuniCare Health Centers, Inc. |
$763,526 |
| RISE, Inc. |
$80,547 |
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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 MHSA funds. The amount of $35,000 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.
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 |
| $35,000 |
$35,000 |
$35,000 |
$105,000 |
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