20030624_m

COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Human Services Agency

DATE:

June 3, 2003

BOARD MEETING DATE:

June 24, 2003

TO:

Honorable Board of Supervisors

FROM:

Maureen D. Borland, Director, Human Services Agency

Yvonne Frazier, Administrator, Alcohol and Drug Services

SUBJECT:

Flat Rate Agreements with Thirteen Providers of Alcohol and Drug Prevention and Treatment Services for the Period July 1, 2003 through June 30, 2004

Recommendation

Adopt a Resolution authorizing:

1.

The President of the Board of Supervisors to execute Flat Rate Agreements with: 1) Asian American Recovery Services, Inc. ($403,040); 2) Avalon Counseling Services ($32,853); 3) Daytop Village, Inc.; ($748,071); 4) El Centro De Libertad; ($393,217); 5) Free At Last ($521,492); 6) Horizon Services, Inc.($569,516); 7) The Latino Commission; ($460,516); 8) Project Ninety, Inc.($1,125,114); 9) Pyramid Alternatives ($266,042); 10) Service League of San Mateo County ($251,824); 11) Sitike Counseling Center ($248,874); 12) Women’s Recovery Association ($802,897); and 13) Youth and Family Enrichment Services ($773,526) for the Provision of Alcohol and Drug Prevention and Treatment Services for the Period July 1, 2003 through June 30, 2004.

2.

The Director of the Human Services Agency to execute amendments and minor modifications during the term of the Agreements; however, as to each Agreement, such authority is limited to:

a)

reducing the County’s maximum fiscal obligation in the event there is a commensurate reduction in the funding received by the County;

b)

increasing the County’s maximum fiscal obligation in the event there is a commensurate increase in funding received by the County; however, said increase shall be limited to a total of $25,000 per Agreement; and

c)

reallocating funding and units of service between the different contracted modalities as long as the changes have no impact on the County’s maximum fiscal obligation.

Background

In FY 2001-02 Alcohol and Drug Services (AOD) conducted separate Request For Proposals (RFP) processes for its prevention, perinatal and Bay Area Services Network (BASN) parolee treatment services for services to be provided in FY2002-03.

On October 29, 2002, the County of San Mateo entered into Flat Rate Agreements with various service providers for alcohol and drug prevention and treatment services, which included prevention, perinatal, and Bay Area Services Network (BASN) parolee services that were recommended through three separate Request for Proposals (RFP) processes. In addition, several of the Agreements included services funded through one-time funds and/or nonreimbursable services, which are entirely supported by client fees.

On January 28, 2003, Amendments to Flat Rate Agreements with nine service providers were approved by the Board. Those Amendments added funding under State Negotiated Net Amount (NNA), Drug/Medi-Cal, State CalWORKS, State AID Public Safety, and County General Funds for the provision of Residential Treatment, Intensive Day Treatment, Nonresidential Treatment and Treatment Readiness Services.

Discussion

The FY 2003-04 Flat Rate Agreements contain funding from the following sources: State Negotiated Net Amount (NNA), State CalWORKs, State Aid Public Safety; San Mateo County General Funds, Bay Area Services Network (BASN), and client fees associated with Deferred Entry of Judgment and Driving Under the Influence nonreimbursable services.

During FY 2003-04, a myriad of alcohol and drug treatment and prevention services will be provided through these Agreements to youth and adults in San Mateo County. Services will include, Nonresidential Treatment, Residential Treatment, Needle Exchange Services, Driving Under the Influence Programs, Deferred Entry of Judgment Programs, Aftercare Services, Intensive Day Treatment Services, Perinatal, Treatment Readiness Services, and a variety of alcohol and drug prevention services.

The Resolution and Agreements have been reviewed and approved as to form by the County Counsel’s office and Risk Management has approved the Contractors’ Insurance coverage.

Performance Measures

Alcohol and Drug Services is in compliance with the Human Services Agency’s Outcome Based Management (OBM) Program Plan. Below are the recommended Performance Measures included in the OBM Program Plan for alcohol and drug prevention and treatment services.

Outcome Based Management Performance Measures: Prevention

Fiscal Year

2002-03 Data

Projected for

Fiscal Year 2003-04

Number of participants served in school-linked and youth development alcohol and drug prevention programs.

716

*716

Number of participants served in education/outreach alcohol and drug prevention programs.

11,222

*11,222

% of youth (6^th grade and above) in alcohol and drug prevention programs who report abstinence or reduction in the use of alcohol, tobacco and other drugs in the past 30 days.

71%

*71%

* Projections for prevention services are conservative estimates based on a 31% reduction in funding in FY 2002-03, and the restructuring of prevention services due to the addition of two State of California Safe and Drug Free Schools and Communities grant awards. Projections for FY 2003-04 remain the same as FY 2002-03 as funding for prevention services is at the same level.

Outcome Based Management Performance Measures: Treatment

Fiscal Year

2002-03 Data

Projected for

Fiscal Year 2003-04

Number of clients entering treatment (all modalities except methadone services)

4,100

3,690

Percent of clients reducing or abstaining from alcohol and/or other drug use at 3 months.

3 months

75%

75%

60%

and 9 months after intake

9 months

60%

Percent of criminal justice involved clients retained in treatment or until completion of program.

59%

59%

Vision Alignment

These Flat Rate Agreements are consistent with the commitment to: Ensure basic health and safety for all and goal number 8: Help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life. The Agreements contribute to this commitment and goal by providing individuals and families in San Mateo County with the skills and knowledge necessary to live alcohol and drug free lives, which in turn contributes to the health and safety of the communities in San Mateo County.

Fiscal Impact

Total funding for these thirteen Agreements is $6,596,982. This amount has been included in the FY 2003-04 Human Services Agency Budget for Alcohol and Drug Services. Of the total amount, funding is provided though the following sources:

NNA Funded Treatment and Prevention

$3,998,151

County Funded Treatment

$1,817,958

CalWORKs

$ 439,303

Bay Area Services Network

$ 341,570

Total Funding Obligation

$6,596,982



COUNTY OF SAN MATEO Inter-Departmental Correspondence
Human Services Agency

DATE:									June 3, 2003
BOARD MEETING DATE:									June 24, 2003

TO:				Honorable Board of Supervisors

FROM:				Maureen D. Borland, Director, Human Services Agency
				Yvonne Frazier, Administrator, Alcohol and Drug Services

SUBJECT:				Flat Rate Agreements with Thirteen Providers of Alcohol and Drug Prevention and Treatment Services for the Period July 1, 2003 through June 30, 2004

		Recommendation
		Adopt a Resolution authorizing:
1.			The President of the Board of Supervisors to execute Flat Rate Agreements with: 1) Asian American Recovery Services, Inc. ($403,040); 2) Avalon Counseling Services ($32,853); 3) Daytop Village, Inc.; ($748,071); 4) El Centro De Libertad; ($393,217); 5) Free At Last ($521,492); 6) Horizon Services, Inc.($569,516); 7) The Latino Commission; ($460,516); 8) Project Ninety, Inc.($1,125,114); 9) Pyramid Alternatives ($266,042); 10) Service League of San Mateo County ($251,824); 11) Sitike Counseling Center ($248,874); 12) Women’s Recovery Association ($802,897); and 13) Youth and Family Enrichment Services ($773,526) for the Provision of Alcohol and Drug Prevention and Treatment Services for the Period July 1, 2003 through June 30, 2004.

2.			The Director of the Human Services Agency to execute amendments and minor modifications during the term of the Agreements; however, as to each Agreement, such authority is limited to:

	a)		reducing the County’s maximum fiscal obligation in the event there is a commensurate reduction in the funding received by the County;

	b)		increasing the County’s maximum fiscal obligation in the event there is a commensurate increase in funding received by the County; however, said increase shall be limited to a total of $25,000 per Agreement; and

	c)		reallocating funding and units of service between the different contracted modalities as long as the changes have no impact on the County’s maximum fiscal obligation.
Background
In FY 2001-02 Alcohol and Drug Services (AOD) conducted separate Request For Proposals (RFP) processes for its prevention, perinatal and Bay Area Services Network (BASN) parolee treatment services for services to be provided in FY2002-03.

On October 29, 2002, the County of San Mateo entered into Flat Rate Agreements with various service providers for alcohol and drug prevention and treatment services, which included prevention, perinatal, and Bay Area Services Network (BASN) parolee services that were recommended through three separate Request for Proposals (RFP) processes. In addition, several of the Agreements included services funded through one-time funds and/or nonreimbursable services, which are entirely supported by client fees.

On January 28, 2003, Amendments to Flat Rate Agreements with nine service providers were approved by the Board. Those Amendments added funding under State Negotiated Net Amount (NNA), Drug/Medi-Cal, State CalWORKS, State AID Public Safety, and County General Funds for the provision of Residential Treatment, Intensive Day Treatment, Nonresidential Treatment and Treatment Readiness Services.

Discussion
The FY 2003-04 Flat Rate Agreements contain funding from the following sources: State Negotiated Net Amount (NNA), State CalWORKs, State Aid Public Safety; San Mateo County General Funds, Bay Area Services Network (BASN), and client fees associated with Deferred Entry of Judgment and Driving Under the Influence nonreimbursable services.

During FY 2003-04, a myriad of alcohol and drug treatment and prevention services will be provided through these Agreements to youth and adults in San Mateo County. Services will include, Nonresidential Treatment, Residential Treatment, Needle Exchange Services, Driving Under the Influence Programs, Deferred Entry of Judgment Programs, Aftercare Services, Intensive Day Treatment Services, Perinatal, Treatment Readiness Services, and a variety of alcohol and drug prevention services.

The Resolution and Agreements have been reviewed and approved as to form by the County Counsel’s office and Risk Management has approved the Contractors’ Insurance coverage.

Performance Measures
Alcohol and Drug Services is in compliance with the Human Services Agency’s Outcome Based Management (OBM) Program Plan. Below are the recommended Performance Measures included in the OBM Program Plan for alcohol and drug prevention and treatment services.

Outcome Based Management Performance Measures: Prevention						Fiscal Year 2002-03 Data		Projected for Fiscal Year 2003-04
Number of participants served in school-linked and youth development alcohol and drug prevention programs.						716		*716
Number of participants served in education/outreach alcohol and drug prevention programs.						11,222		*11,222
% of youth (6^th grade and above) in alcohol and drug prevention programs who report abstinence or reduction in the use of alcohol, tobacco and other drugs in the past 30 days.						71%		*71%
* Projections for prevention services are conservative estimates based on a 31% reduction in funding in FY 2002-03, and the restructuring of prevention services due to the addition of two State of California Safe and Drug Free Schools and Communities grant awards. Projections for FY 2003-04 remain the same as FY 2002-03 as funding for prevention services is at the same level.
Outcome Based Management Performance Measures: Treatment						Fiscal Year 2002-03 Data		Projected for Fiscal Year 2003-04
Number of clients entering treatment (all modalities except methadone services)						4,100		3,690
Percent of clients reducing or abstaining from alcohol and/or other drug use at 3 months.						3 months	75%	75% 60%
and 9 months after intake						9 months	60%
Percent of criminal justice involved clients retained in treatment or until completion of program.							59%	59%
Vision Alignment
These Flat Rate Agreements are consistent with the commitment to: Ensure basic health and safety for all and goal number 8: Help vulnerable people – the aged, disabled, mentally ill, at-risk youth and others – achieve a better quality of life. The Agreements contribute to this commitment and goal by providing individuals and families in San Mateo County with the skills and knowledge necessary to live alcohol and drug free lives, which in turn contributes to the health and safety of the communities in San Mateo County.

Fiscal Impact
Total funding for these thirteen Agreements is $6,596,982. This amount has been included in the FY 2003-04 Human Services Agency Budget for Alcohol and Drug Services. Of the total amount, funding is provided though the following sources:

NNA Funded Treatment and Prevention					$3,998,151
County Funded Treatment					$1,817,958
CalWORKs					$ 439,303
Bay Area Services Network					$ 341,570

Total Funding Obligation					$6,596,982