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Consent-Health & Human Services # 23.
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| Board of Supervisors |
Child, Youth & Family |
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| Subject |
| Approve third amendment to Agreement No. 16-175 with CommuniCare Health Services, Inc. to increase the contract by $16,833 for 2018-19 for a maximum amount of $244,833, to provide the Differential Response services for the period July 1, 2016 through August 31, 2018. (No general fund impact) (Larsen) |
| Recommended Action |
| Approve third amendment to Agreement No. 16-175 with CommuniCare Health Services, Inc. to increase the contract by $16,833 for 2018-19 for a maximum amount of $244,833, to provide the Differential Response services for the period July 1, 2016 through August 31, 2018. |
| Strategic Plan Goal(s) |
Operational Excellence
Thriving Residents
Safe Communities |
| Reason for Recommended Action/Background |
Differential Response (DR) is a strategy that allows Child Welfare Services programs to respond in a more flexible manner to reports of child abuse or neglect. DR affords a customized approach based on an assessment of safety, risk and protective capacity that recognizes each family’s unique strengths and needs, and addresses these in an individualized approach. DR services provide earlier responses to emerging signs of family problems, as well as resources to help families before difficulties escalate and formal Child Welfare intervention or child removal is required. Under the DR approach, child safety is the highest priority, as more children and families can receive the support they need to keep children safely in their homes.
DR has three referral paths, which are assigned by the social worker based on information taken from the initial call or report, intake or hotline. Path 1 is when a family is referred to CWS for child maltreatment but the intake hotline/pre-contact assessment indicates the allegations do not meet statutory definitions of abuse or neglect. Indications are present that the family is experiencing problems. With an approved contract, Path 1 referrals will be referred to CommuniCare Health Centers for DR services. Through DR services, families are linked to voluntary services such as counseling, parenting classes or other supportive options to strengthen the family.
Path 2 and Path 3 referrals involve families in which the allegations meet statutory definitions of abuse and neglect and are handled as appropriate by CWS social workers and are not referred to CommuniCare Health Centers.
The DR services contract was previously funded only by the Child Abuse Prevention, Intervention and Treatment (CAPIT) Program and Promoting Safe and Stable Families (PSSF) Program grant from the California Department of Social Services (CDSS), Office of Child Abuse Prevention (OCAP). The funding from the CDSS federal grant number Catalog of Federal Domestic Assistance (CFDA) 93.556, PSSF, administered by the United States Department of Health and Human Services, is utilized to prevent the unnecessary separation of children from their families, improve the quality of care and services to children and their families, and ensure permanency for children reuniting them with their parents, by adoption or by other permanent living arrangement.
The additional increase to the contract maximum will be funded with Realignment funds. Board approval of this amendment allows for continued services for those families that may be at risk of CWS intervention.
Performance Measures included in this Agreement are as follows:
| Differential Response |
Child Welfare Services, Child, Youth & Family |
CommuniCare |
| Program Purpose |
CommuniCare Health Centers (CCHC) will provide Differential Response (DR) services to families referred by Child Welfare Services (CWS) and those referrals from other channels that are approved by CWS where low to moderate risk for child abuse or neglect has been established but where no immediate safety issues to children and families have been identified. |
| Program Information |
- When a family is referred to CWS for suspected child abuse or neglect, but there are no identified safety factors and a low to moderate risk of harm to the child, CWS can refer the family to community services for assistance. Differential Response (DR) Services Path 1 responses assume there will be no further involvement of Child Welfare Services (CWS) with the family unless the circumstances prove to be different than what was known at intake, or there is a change in circumstance.
- DR services provide case management including services that assess underlying and/or contributing factors causing these problems or stressors and adequately address identified needs in order to promote lasting change without compromising child safety. Those services may include but are not limited to:
- a comprehensive family assessment to understand the family’s strengths as the basis for understanding how they will be able to address their specific needs,
- a plan to identify the types of services and the intensity of such services that will be needed by the family,
- linking families to counseling, parenting education, job training, food and housing assistance,
- in-home services, and
- utilization of best practice, strength-based, and multi-disciplinary approaches.
- Additionally, DR services may contain the components of parent education and substance abuse treatment.
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| PM1: How much did we do? |
Customers
Units of Service |
# of CWS referrals and CWS-approved referrals received
# of families accepting DR services who had a warm hand-off with CWS
# of families accepting DR services who did not have a warm hand off with CWS
# of families following through on at least one resource or referral provided through the treatment plan |
| PM2: How well did we do it? |
| 2.1 |
% of referred families receiving an attempted contact within 48 hours of the DR Case Manager receiving a CWS referral or CWS approved referral. (Target 90%) |
| 2.2 |
% of attempted contact made for families within 5 days of referral. (Target 100%) |
| 2.3 |
% of families offered an assessment either in home-community or in office, as necessary to address barriers to completing the assessment. (Target 100%) |
| 2.4 |
% of families who complete the assessment process and are offered resources, linkages to resources and complete safety factors “pre” survey. (Target 100%) |
PM3: Is anyone better off? |
| 3.1 |
% of families referred to DR services who did not have a subsequent CWS referral within 12 months. |
| 3.2 |
% of families referred to DR services that do not enter CWS system. |
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| Collaborations (including Board advisory groups and external partner agencies) |
CommuniCare was the sole proposer for the RFP.
County Counsel has approved the contract as to form. |
| Competitive Bid Process |
HHSA released its Request for Proposals (RFP) on April 25, 2016. CommuniCare Health Centers was the only agency to submit a proposal. After review of their proposal, HHSA recommended CommuniCare Health Centers as the contract awardee. On October 25, 2016, the Board of Supervisors approved this agreement for the original term of July 1, 2016 through June 30, 2017.
Request for Proposals (RFP) Service Requested: Differential Response Services
- Evaluation Criteria Included in RFP:
- Qualification/Experience
- Description of Vendor Operations
- Vendor Approach to Project
- Demonstrated Competence/Past Performance
- Responsiveness/Responsibility
- Quality and Completeness of Proposal
Bids Received
| Bidder |
Bid |
| CommuniCare Health Centers, Inc. |
$101,000 |
Additionally, HHSA released a new RFP for Building & Strengthening Protective Factors Services on April 23, 2018. Potential bidders were offered the opportunity to ask questions during a mandatory Bidders’ Conference on May 3, 2018, and the proposal remained open through June 6, 2018 (7 weeks). HHSA will provide the Board with additional information regarding the RFP process and selected providers when the completed contracts are presented to the Board for approval early in fiscal year 18/19.
Approval of this amendment is needed in order to continue these services without interruption while the new contracts are being developed. |
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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: |
The total amount of the agreement is $244,833 for FY 2016/18 through August 31, 2018 is as follows:
| Program |
Fiscal Year 2016-17
July 1, 2016 through June 30, 2017 |
Fiscal Year 2017-18
July 1, 2017 through June 30, 2018 |
Fiscal Year 2018-19
July 1, 2018 through August 31, 2018 |
Total |
| PSSF |
$26,363 |
$26,363 |
$4,394 |
$57,120 |
| CAPIT |
$74,637 |
$74,637 |
$12,439 |
$161,713 |
| CWS |
$0 |
$26,000 |
$0 |
$26,000 |
Total |
$101,000 |
$127,000 |
$16,833 |
$244,833 |
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