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Consent-Health & Human Services # 17.
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| Board of Supervisors |
Adult & Aging |
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| Subject |
| Approve first amendment to Agreement No. 18-71 with CommuniCare Health Centers, Inc. to increase funding by $46,053, to include data software purchase and lease expenses, for a new contract maximum amount of $2,335,478 for the provision of outreach and assessment; and intensive case management and treatment services for clients linked with the Proposition 47, Steps to Success program for the term of April 1, 2018 through August 15, 2020. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve first amendment to Agreement No. 18-71 with CommuniCare Health Centers, Inc. to increase funding by $46,053, to include data software purchase and lease expenses, for a new contract maximum amount of $2,335,478 for the provision of outreach and assessment; and intensive case management and treatment services for clients linked with the Proposition 47, Steps to Success program for the term of April 1, 2018 through August 15, 2020. |
| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
In November 2016, the California Board of State and Community Corrections (BSCC) released a Request for Proposals (RFP) soliciting applications for funding to offer criminal justice diversion opportunities coupled with mental health and substance use treatment for people involved with the criminal justice system.
On January 24, 2017, the Board of Supervisors adopted a resolution authorizing HHSA to submit a grant proposal for Proposition 47 grant funds and receive and administer the funds to expand the existing diversion programs in Yolo County and provide intensive case management and treatment, civil legal assistance and permanent housing assistance.
On June 8, 2017, the BSCC awarded HHSA $5,968,215 in funding for the proposed project – Steps to Success.
Steps to Success is a significant expansion to Yolo County’s existing continuum of criminal justice diversion programs. Specifically, the project applies the principles of restorative justice and trauma-informed care to provide wraparound services to individuals that are eligible for a diversion program, but are unlikely to succeed without intensive supports due to their history and current issues with mental health and/or substance use disorders. The project proposes to reduce recidivism and advance the recovery of people in this target population.
Approval of this amendment allows CommuniCare Health Centers, Inc. to meet the data reporting requirements of its contract with the County as specified by the BSCC.
Performance Measures included in this Agreement are as follows:
| PM1: How much did we do? |
- 150 people will be contacted and assessed during outreach each year
- 75 people will be provided with case management and treatment each year
- 200 people will be provided with civil legal education and/or services each year
- 30 people will be provided with rapid re-housing assistance each year
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| PM2: How well did we do it? |
- 90% of potential project participants will have an assessment completed (ORAS, LOCUS, ASAM, ANSA and/or VI-SPDAT as appropriate) within 30 days of initial engagement
- 50% of individuals who are contacted through outreach and determined to be eligible for the program will choose to voluntarily participate
- 90% of project participants will be engaged in case management and treatment services within 30 days of enrollment in the project
- Demographic makeup of project participants will be comparable to demographic makeup of overall arrestee population in Yolo County (approximately 47% white, 34% Hispanic or Latino, 3% Asian, 3% Other/Multiple Races, 13% Black)
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| PM3: Is anyone better off? |
| Criminal Justice Involvement |
- 75% of participants will not recidivate while engaged with the program
- 75% of participants will not recidivate within 12 months of graduating the program
- 50% fewer days in jail for participants while in the program
- 50% fewer arrests/tickets for participants while in the program
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| Housing Stability |
- 70% of participants will secure and/or maintain permanent housing
- 80% of participants who secure permanent housing will remain housed at 6 months
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| Physical and Behavioral Health |
- 50% fewer emergency care visits while in the program, as compared to year prior to enrollment
- 75% fewer days in psychiatric hospitalization while in the program, as compared to year prior to enrollment
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| Self-Sufficiency |
- 60% of participants will secure monthly income (employment or permanent benefit)
- 90% of those eligible will enroll in CalFresh
- 100% of those eligible will enroll in health insurance
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| Collaborations (including Board advisory groups and external partner agencies) |
County Counsel has approved this Agreement as to form.
Proposition 47 Local Advisory Committee
County Administrator’s Office
Probation
District Attorney’s Office
Public Defender |
| Competitive Bid Process |
On September 5, 2017, Yolo County Health and Human Services Agency (HHSA) issued a RFP from qualified community based organizations to provide Outreach & Assessment; and Intensive Case Management & Treatment and Housing Assistance. HHSA received one proposal from this solicitation, from the Sacramento County Office of Education (“SCOE”). However, after further examination, it was determined that SCOE did not meet the State’s mandatory criteria as a community based organization and therefore was disqualified from receiving this funding.
Ultimately, a committee was formed to determine the best course of action for the project and to identify potential providers. The committee consisted of representatives from the County Administrator’s Office, Health and Human Services Agency, District Attorney’s Office, Public Defender’s Office, and Probation. The committee met on February 16, 2018, on February 27, 2018 and again on June 7, 2018.
Although CommuniCare Health Centers, Inc. did not submit a proposal in response to the RFP, they were identified in SCOE’s proposal as a subcontractor that would perform a portion of the work. CommuniCare Health Centers, Inc. was also identified by the committee as the contractor qualified to successfully provide these services for this portion of the RFP. HHSA and CommuniCare Health Centers, Inc. subsequently negotiated the final terms and conditions relating to these services. Although an RFP was conducted, there were no proposers other than SCOE who was disqualified. Based on the committee’s decision, HHSA prepared a sole source letter, which the Procurement Department processed and approved.
On April 24, 2018 the agreement No. 18-71 was approved by the Board of Supervisors for the term of April 1, 2018 through August 15, 2020. |
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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 Prop 47 funds received from the State. The increase of $46,053 is for fiscal years 2017 through 2021. The increase of $1,897 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.
| Scope of Services |
FY17-18 |
FY18-19 |
FY19-20 |
FY20-21 |
Total |
| Outreach & Assessment and Case Management & Treatment Services |
$288,130 |
$958,863 |
$966,959 |
$121,526 |
$2,335,478 |
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