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Consent-Health & Human Services # 12.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve Agreement with Yolo Wayfarer Center dba Fourth and Hope to provide services for the Extended Hope Project, which include: identification, assessment and triage; intensive case management and treatment; and housing navigation services to clients with co-occurring mental health and substance use disorders experiencing homelessness in Yolo County in the amount of $1,935,181 for the period January 11, 2017 through September 30, 2019; and adopt budget resolution in the amount of $799,776 to appropriate the Cooperative Agreement to Benefit Homeless Individuals grant award from the Substance Abuse and Mental Health Services Administration in the Health & Human Services Agency 2016-17 budget. (No general fund impact) (4/5 vote required) (Larsen) |
| Recommended Action |
- Approve Agreement with Yolo Wayfarer Center dba Fourth and Hope to provide services for the Extended Hope Project, which include: identification, assessment and triage; intensive case management and treatment; and housing navigation services to clients with co-occurring mental health and substance use disorders experiencing homelessness in Yolo County in the amount of $1,935,181 for the period January 11, 2017 through September 30, 2019;
- Delegate authority to the Director of the Health and Human Services Agency or her/his designee to sign and execute any additional forms, documents and/or Amendments as necessary relating to these Agreements; and
- Adopt budget resolution in the amount of $799,776 to appropriate Substance Abuse and Mental Health Services Administration (SAMHSA) Cooperative Agreement to Benefit Homeless Individuals grant award in the Health and Human Services Agency budget in the current fiscal year.
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| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities
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| Reason for Recommended Action/Background |
The Extended Hope project will be funded by a Cooperative Agreements to Benefit Homeless Individuals grant from the SAMHSA. The project aims to improve the health and well-being of persons with co-occurring mental health and substance use disorders experiencing homelessness in Yolo County.
The project will advance client recovery through the use of a two-year integrated treatment approach featuring three key components including (1) identification, assessment and triage, (2) intensive case management and treatment, and (3) housing navigation and permanent placement, as described below:
Identification, Assessment and Triage
The outreach component of the project will utilize one full-time Outreach Worker who will assist with identifying, assessing and providing services to the target population.
- Identification: Worker will conduct street outreach, provider outreach and jail in-reach to identify the target population.
- Assessment: Worker will use the Vulnerability Index and Service Prioritization Decision Assistance Tool (VI-SPDAT) to assess the vulnerability of all homeless persons that are identified.
- Triage: Worker will enroll the most vulnerable individuals (with Co-Occurring Disorders) in the case management component of the project. Clients with lower levels of vulnerability, or not meeting the target population, will be linked with services from partner agencies.
Intensive Case Management and Treatment
The case management component of the project will utilize one Supervisor of Clinical Services, one Program Manager, and two Case Managers to create and implement individualized case plans for each client. Additionally, two Peer Recovery Support Specialists will provide recovery support through mentorship and educational sessions, and one Employment Specialist will assist clients with securing employment. The case management team will also provide 24-hour crisis response coverage to address urgent client needs, intended primarily to avoid hospitalizations and arrests.
The project will also provide residential substance use treatment for approximately 10-12 clients each year, with a stay of no longer than 90 days per client.
Housing Navigation
The Housing Navigation component of the project will utilize one Housing Navigator to provide assistance with securing and maintaining permanent housing placements for clients on the case management caseload.
Goals and Outcomes:
A. Goal: This project aims to advance the recovery of people experiencing homelessness with Co-Occurring Disorders in Yolo County by improving several key areas in the lives of each participant, including (1) housing stability, (2) behavioral and physical health, (3) self-sufficiency, (4) criminal justice involvement, and (5) purpose and community.
B. Objectives: This project will use a Results-Based Accountability (RBA) model to measure progress towards the following objectives.
C. How much did we do?
- 150 people experiencing homelessness will be contacted during outreach each year.
- 75 people experiencing homelessness with Co-Occurring Disorders will be provided with case management, peer recovery support, housing navigation, mental health and/or substance use treatment, and employment support each year.
D. How well did we do it?
- 100% of participants who are chronically homeless and/or veterans will secure permanent housing.
- 100% of participants with Co-Occurring Disorders will receive a mental health and/or substance use assessment and diagnosis; 80% of those participants will then be engaged in the recommended level of care and treatment clinically appropriate for effective stabilization of their co-occurring conditions.
- 100% of participants will be connected with the region’s coordinated entry system.
- 80% of outreach contacts who are identified as being homeless with Co-Occurring Disorders will participate in case management services.
- 80% of participants in case management services will remain engaged 1 year after permanent housing placement.
- Is anyone better off?
- Housing Stability
- 100% of participants who are chronically homeless and/or veterans will secure permanent housing.
- 80% of participants who secure permanent housing will remain housed at 6 months
- Physical and Behavioral Health
- 50% fewer emergency care visits.
- 75% fewer days in psychiatric hospitalization.
- Self-Sufficiency
- 60% of participants will secure monthly income (employment or permanent benefit).
- 90% of those eligible will enroll in CalFresh.
- 90% of those eligible will enroll in General Assistance.
- 100% of those eligible will enroll in health insurance.
- Criminal Justice Involvement
- 50% fewer days in jail.
- 50% fewer arrests/tickets.
- Purpose and Community
- 50% of participants will become engaged in a new community activity.
- 50% of participants will secure gainful employment.
Fiscal Summary:
The Board policy on cash advances to community based organizations allows a cash advance to be made in order to effectively implement the CABHI/SAMHSA grant. The cash advance of $64,506 (10% of the Year 1 budget) will be used to assist the vendor with startup costs related to this project. Specifically, the cash advance will be used by the vendor to fund purchasing of new equipment (cell phone, tablets, etc.) for employees and employee salaries/benefits during the initial months of the project.
Competitive Bid Process:
A Sole Source Letter has been submitted and approved by the Yolo County Purchasing Manager. |
| Collaborations (including Board advisory groups and external partner agencies) |
Project Partners
- Fourth & Hope shall operate the outreach, case management, housing navigation, residential treatment, and 24-hour on-call response components of the project.
- Yolo County Health and Human Services Agency (HHSA) shall serve as the administrator of the project. HHSA shall be responsible for project management, executive oversight of client admission and treatment plans, convening the project steering committee, monitoring data collection, and evaluating performance measures.
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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: |
There are no general funds required for this Agreement. These services will be funded by CABHI Grant funds for four fiscal years. The amount of $799,776 is included in the attached budget resolution for fiscal year 2016-17. The related funding will be included in the requested budget process for Health and Human Services Agency for future fiscal years.
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