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  Consent-Health & Human Services   # 16.       
Board of Supervisors Adult & Aging  
Meeting Date: 05/08/2018  
Brief Title:    Turning Point Community Programs – CODHR FY17-18 Amd1
From: Karen Larsen, Director, Health & Human Services Agency
Staff Contact: Sandra Sigrist, Director of Adult & Aging, Health & Human Services Agency, x8794
Supervisorial District Impact:

Subject
Approve first amendment to agreement with Turning Point Community Programs to add funding for fiscal year 2017-18 in the amount of $18,500 for a new contract maximum amount of $86,908 for the period July 1, 2017 through June 30, 2018 to provide co-occurring disorders harm reduction services. (No general fund impact) (Larsen)
Recommended Action
Approve and authorize the Chair to sign the first amendment to agreement with Turning Point Community Programs to add funding for fiscal year 2017-18 in the amount of $18,500 for a new contract maximum amount of $86,908 for the period July 1, 2017 through June 30, 2018 to provide co-occurring disorders harm reduction services. 
 
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
Approval of this first amendment will allow Turning Point Community Programs to claim any future services, up to $18,500 worth, to the Medi-Cal and State/Local funding.  It will also allow Turning Point Community Programs to continue to serve mental health clients with co-occurring substance abuse problems.  This program provides Yolo County with a fully integrated treatment program actively combining mental health and substance abuse interventions to treat mental health disorders and related problems using harm reduction techniques and treating the whole person more effectively.

The table below details the funding sources and annual amounts:
 
Funding Source FY2017-18
Original Contract
FY2017-18
First Amendment
Total
IGT $50,000 $0 $50,000
SAMHSA $18,408 $0 $18,408
Medi-Cal and State/Local $0 $18,500 $18,500
Contract Total $68,408 $18,500 $86,908

The performance measures included in this agreement are as follows:
Program Purpose For adults with a co-occurring serious mental illness and substance use disorder to:
  • Successfully engage in and complete treatment modules; and
  • Successfully meet co-occurring disorder treatment goals
Performance Measure 1: How much did we do?
1.1 Participants Served:  # of participants served by age, gender, race/ethnicity, culture if known, or disability (e.g., hearing impaired, seeing impaired, wheel-chair bound)
  • Goal: 50 adults per year
1.2 Service Data: Type and quantity of services provided; Date, time and location of service provided
  • Goal: 350 Harm Reduction Curriculum Groups
1.3 Referrals/coordination for other services:  # linkages completed, including mental health, physical health and substance use disorder services
  • Goal: 15 unique referral/coordination resources
Performance Measure 2: How well did we do it?
2.1 Customer Satisfaction Rate: % (#) of participants who complete the Bi-Annual Performance Outcomes and Quality Improvement (POQI) with an overall Satisfaction rating of 80% or higher
  • Goal:  80% (40)
2.2 Initiation Rate: % (#) of participants who receive at least 1 service within 14 days of a diagnosis being established by the program
  • Goal:  80% (40)
2.3 Engagement Rate: % (#) of participants who receive two or more services (individual, group, collateral or case management) within 30 days of a diagnosis being established by the program
  • Goal: 80% (40)
2.4 Retention Rate: % (#) of participants who complete 1, 2 and 3 multi-group modules on co-occurring disorder curriculum
  • Goal:
    • 1 Module: 60% (30)
    • 2 Modules: 60% (30)
    • 3 Modules: 70% (35)
Performance Measure 3: Is anyone better off?
3.1 Maintain treatment completion success: % (#) of participants who completed 3 multi-group Modules, who did not return due to increased substance use for another treatment episode within 6 months
Goal:  80% (40)
3.2 Treatment Goals Met: % (#) of participants who successfully met 75% of their treatment goals
Goal: 80% (40)
  
Collaborations (including Board advisory groups and external partner agencies)
County Counsel has approved this agreement as to form.
Competitive Bid Process
On April 7, 2014 the Yolo County Health and Human Services Agency (HHSA), formerly known as Alcohol, Drug and Mental Health Department (ADMH) issued a Request for Proposals (RFP) requesting proposals from qualified providers interested in providing co-occurring disorders harm reduction services to adults ages 18 and older with serious mental illness and a co-occurring substance use disorder.  The RFP was open for 25 days (just over 3 weeks), and staff offered potential bidders an opportunity to ask questions via the electonic BidSync system by April 18, 2014. 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 one proposal from this solicitation.  The proposal submitted by Turning Point Community Programs was selected as the top choice by all members of the Review Committee, and was evaluated and determined to meet all the required qualifications necessary to successfully provide these services. Following the recommendations of the Proposal Review Committee, the proposal was peer reviewed by staff from the County Administrator's Office. 

Additional information regarding the Competitive Bid Process is provided below, including a summary of the RFP evaluation criteria.
 
Request for Proposals (RFP) Service Requested: Co-Occurring Disorders Harm Reduction Services

Evaluation Criteria Included in RFP
  • Company overview (10 points)
  • Experience and past performance (10 points)
  • Responsiveness/Responsibility (10 points)
  • Proposer’s Approach to Project (35 points)
  • Pricing Requirements (15 points)
  • Quality Assurance and Oversight (10 points)
  • Outputs and Outcome Measures (10 points)
  • Financial Information (pass/fail)Bids Received
Bids Recevied
Bidder Bid
Turning Point Community Programs $100,000 annually

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   18,500
Amount budgeted for expenditure:    $   18,500
Additional expenditure authority needed:    $  
One-time commitment     Yes
Source of Funds for this Expenditure
$18,500
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action.  The total cost of the Amendment is $18,500, for amount for this agreement is $68,408 and is included in the HHSA adopted budget for FY17-18. 
Funding Source
 
FY2017-18
Original Contract
FY2017-18
First Amendment
Total
IGT $50,000 $0 $50,000
SAMHSA $18,408 $0 $18,408
Medi-Cal and State/Local $0 $18,500 $18,500
Contract Total $68,408 $18,500 $86,908
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 04/17/2018 01:36 PM
County Counsel Hope Welton 04/17/2018 02:04 PM
Form Started By: ahines Started On: 04/12/2018 10:07 AM
Final Approval Date: 04/17/2018

    

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