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  Consent-Health & Human Services   # 28.       
Board of Supervisors Adult & Aging  
Meeting Date: 09/12/2017  
Brief Title:    Turning Point - CODHR FY17-18
From: Karen Larsen, Director, Health & Human Services Agency
Staff Contact: Chris Contreras, Administrative Services Analyst, Health & Human Services Agency, x8289
Supervisorial District Impact:

Subject
Approve renewal agreement with Turning Point Community Programs to provide co-occurring disorders harm reduction services in the amount of $68,408 for the period July 1, 2017 through June 30, 2018.  (No general fund impact) (Larsen)
Recommended Action
  1. Approve renewal agreement with Turning Point Community Programs to provide co-occurring disorders harm reduction services in the amount of $68,408 for the period July 1, 2017 through June 30, 2018;
     
  2. 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.
Strategic Plan Goal(s)
Operational Excellence
Thriving Residents
Safe Communities
Reason for Recommended Action/Background
Approval of this agreement will 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.  
 
On June 10, 2014, the Board of Supervisors approved the original agreement with Turning Point Community Programs to provide co-occurring disorders harm reduction services from July 1, 2014 through June 30, 2017, with an option to extend the agreement for an additional two fiscal years. 
 
HHSA is requesting approval of this agreement in order for Turning Point Community Programs to continue to provide these services for an additional fiscal year, while HHSA prepares to issue an RFP in fiscal year 2018-19.
 
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)
 
 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.
 
HHSA received one proposal from this solicitation.  The proposal submitted by Turning Point Community Programs was evaluated and determined to meet all the required qualifications necessary to successfully provide these services.  The Competitive Bid Process below provides a summary of the RFP evaluation criteria.
Collaborations (including Board advisory groups and external partner agencies)

County Counsel has approved this agreement as to form.

Competitive Bid Process
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)

Output and Outcome Measures (10 points)

Financial Information (Pass/Fail)


Bids Received
 
Bidder Bid
Turning Point Community Programs $100,000 per fiscal year

Fiscal Impact
Fiscal impact (see budgetary detail below)
Fiscal Impact (Expenditure)
Total cost of recommended action:    $   68,408
Amount budgeted for expenditure:    $   68,408
Additional expenditure authority needed:    $   0
One-time commitment     Yes
Source of Funds for this Expenditure
$50,000
$18,408
Explanation (Expenditure and/or Revenue)
Further explanation as needed:
No county general funds are required by this action.  The amount for this agreement is $68,408 and is included in the HHSA proposed budget for FY17-18. 
 
 
Attachments
Att. A. Agreement

Form Review
Inbox Reviewed By Date
Financial Services Tom Haynes 09/05/2017 01:21 PM
County Counsel Hope Welton 09/05/2017 02:33 PM
Form Started By: ccontreras Started On: 08/14/2017 04:39 PM
Final Approval Date: 09/05/2017

    

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